scholarly journals Double-trouble; ileo-colic and colo-colic intussusception- A rare diagnosis in an adult with abdominal pain

2022 ◽  
Vol 26 ◽  
pp. 101218
Author(s):  
DonovanYu Sheng Lim ◽  
Sameera Ganti
Keyword(s):  
Abdominal Pain ◽  
Rare Diagnosis

scholarly journals Jejuno-jejunal intussusception secondary to diffuse intestinal lipomatosis

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Renee Angela Tabone ◽  
Tom DeGreve ◽  
Peita Webb ◽  
Peter Yuide
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Endoscopy ◽  
Primary Anastomosis ◽  
Exploratory Laparotomy ◽  
Uneventful Recovery ◽  
Adult Intussusception ◽  
Structural Abnormality ◽  
Successful Approach ◽  
Rare Diagnosis

Abstract A 25-year-old man presented to the emergency department with severe abdominal pain and vomiting. He had previously presented 10 days prior with similar symptoms. Computed tomography imaging showed a large jejuno-jejunal intussusception. Multiple intestinal masses were identified intraoperatively with the rare diagnosis of intestinal lipomatosis later confirmed via histopathology. Diagnosis and management of rare surgical pathologies is always challenging. Intussusception should always be considered as a differential diagnosis for abdominal pain in adults, as adult intussusception is typically due to a structural abnormality with majority of cases requiring surgical intervention. Exploratory laparotomy with segmental resection and primary anastomosis proved to be a successful approach in our case, with the patient having an uneventful recovery. Follow-up has consisted of gastrointestinal endoscopy and colonoscopy, which have not demonstrated any further lipomas.

A rare diagnosis of right upper quadrant abdominal pain

Gut ◽  
2008 ◽  
Vol 57 (10) ◽  
pp. 1353-1353
Author(s):  
C-S Chung ◽  
H-P Wang ◽  
Y-J Fang ◽  
R-H Hu ◽  
J-K Hsiao ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Quadrant Abdominal Pain ◽  
Rare Diagnosis

An infected urachal cyst—a rare diagnosis in a child with acute abdominal pain

2011 ◽  
Vol 171 (3) ◽  
pp. 587-588 ◽  
Author(s):  
Victoria A. Janes ◽  
Paul H. G. Hogeman ◽  
Niek B. Achten ◽  
Stefaan H. A. J. Tytgat
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Urachal Cyst ◽  
Rare Diagnosis

scholarly journals Gastric Volvulus: A Rare Diagnosis of Abdominal Pain

2019 ◽  
Vol 18 (3) ◽  
pp. 166-168 ◽  
Author(s):  
Nalan Metin Aksu ◽  
Gökçe Biçek ◽  
Sinan Görgülü ◽  
İlkay İdilman ◽  
Onur Coşkun ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastric Volvulus ◽  
Rare Diagnosis

scholarly journals Post-esophagectomy Symptomatic Dunbar Syndrome: A rare diagnosis of abdominal pain after surgery

2020 ◽  
Vol 68 ◽  
pp. 198-202
Author(s):  
Flavio Roberto Takeda ◽  
George Felipe Bezerra Darce ◽  
Lucas Faraco Sobrado ◽  
Luisa Leitão de Faria ◽  
Francisco Tustumi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Dunbar Syndrome ◽  
Rare Diagnosis

scholarly journals A rare diagnosis of abdominal pain presentation in the emergency department

Medicine ◽  
2017 ◽  
Vol 96 (51) ◽  
pp. e9463 ◽  
Author(s):  
Yen-Hung Wu ◽  
Kuan-Ting Liu ◽  
Chun-Kai Wen
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Rare Diagnosis

scholarly journals Endometrial Tuberculosis: Hysteroscopic Findings of a Clinical Case

2019 ◽  
Vol 41 (06) ◽  
pp. 409-411
Author(s):  
Daniela Siqueira Prado ◽  
Lucas Félix Cardoso ◽  
Raimundo Dantas de Maria ◽  
Guilherme Machado de Santana ◽  
Israel Santos Marcelo ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Present Article ◽  
Clinical Improvement ◽  
Female Patient ◽  
Clinical Case ◽  
Uterine Cavity ◽  
Postmenopausal Period ◽  
Endometrial Thickening ◽  
Rare Diagnosis

AbstractEndometrial tuberculosis is a rare diagnosis in the postmenopausal period, and it can mimic a carcinoma. The present article describes the case of a 54-year-old female patient with weight loss, abdominal pain, and ascites. An ultrasonography showed endometrial thickening, and a video hysteroscopy revealed a uterine cavity with formations with cotton aspect covering the entire endometrial surface and the tubal ostia. An anatomopathological evaluation diagnosed endometrial tuberculosis. The treatment was with a standardized therapeutic scheme (ethambutol, isoniazid, pyrazinamide and rifampicin), and the patient evolved with clinical improvement and normal uterine cavity at hysteroscopy. Considering the lack of pathognomonic hysteroscopic findings of the disorder, it is important to disclose the images of the case.

scholarly journals Eosinophilic gastritis-a rare diagnosis

2020 ◽  
Vol 7 (3) ◽  
pp. 7
Author(s):  
Sana Ali ◽  
Joel B. Yednock
Keyword(s):  
Abdominal Pain ◽  
Failure To Thrive ◽  
Elimination Diet ◽  
Eosinophilic Gastritis ◽  
Abdominal Symptoms ◽  
Dietary Restrictions ◽  
Minimal Improvement ◽  
Food Elimination ◽  
Eosinophilic Gastrointestinal Disorders ◽  
Rare Diagnosis

Introduction: Eosinophilic Gastritis (EG), one of the less common amongst Eosinophilic Gastrointestinal Disorders (EGID),with a prevalence of 6.3 cases/100.000, is an uncommon cause of unspecific abdominal symptoms, including epigastric pain.Case: A 23-year-old female, was admitted with recurrent episodes of nausea, vomiting, abdominal pain and weight loss. She was discharged one week previously after being treated for similar symptoms. The patient had failed an outpatient treatment with a Proton Pump Inhibitor (PPI). During her re-admission, Esophagogastroduodenoscopy (EGD) was performed, and results were significant for gastritis without ulcers or esophagitis. While awaiting biopsy results, the patient experienced a minimal improvement in her symptoms with intravenous fluids and PPI. Extensive workup remained negative except of eosinophilia in peripheral blood. Gastric mucosal biopsy revealed eosinophilic infiltrates in Lamina Propria, confirming the diagnosis of Eosinophilic Gastritis. Helicobacter pylori on immunohistochemistry was negative. The patient was counseled regarding the Six Food Elimination Diet for the management of this condition. Her symptoms began to improve under dietary restrictions. Repeated EGD with biopsy at 12 weeks showed resolved eosinophilic infiltrates.Discussion: EG remains a rare diagnosis, and it should be included as a differential diagnosis in every patient with refractory symptoms of nausea, vomiting, abdominal pain, and failure to thrive. Diagnosis of EGID is established after the exclusion of other causes of eosinophilia in the gastrointestinal tract.

scholarly journals Endovascular approach in the management of idiopathic myointimal hyperplasia of the inferior mesenteric vein

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Yash B. Shah ◽  
Derek Lee ◽  
Tamim S. Khaddash
Keyword(s):  
Abdominal Pain ◽  
Endovascular Embolization ◽  
Definitive Treatment ◽  
Inferior Mesenteric Vein ◽  
Potential Utility ◽  
Case Presentation ◽  
Mesenteric Vein ◽  
Smooth Muscle Proliferation ◽  
Endovascular Approach ◽  
Rare Diagnosis

Abstract Background Idiopathic myointimal hyperplasia of the mesenteric vein (IMHMV) is a rare, often undiagnosed pathology affecting the colon. Patients typically present with severe abdominal pain and inflammation caused by smooth muscle proliferation of the veins, leading to arterialization, stenosis, and potential occlusion. The etiology remains unclear, but it has been hypothesized that an arteriovenous connection may be associated with the pathology. This is the first reported case indicating such an association. This case additionally highlights the potential utility of endovascular treatment, as endovascular embolization is generally a less invasive alternative to surgical resection in the treatment of such vascular disorders. Case Presentation This report describes a 24-year-old female patient with findings of colitis and an abnormal arteriovenous connection of the inferior mesenteric arterial and venous systems. Partial embolization of this arteriovenous connection temporarily improved the patient’s condition, but her symptoms ultimately returned due to the presence of multiple smaller feeder vessels not amenable to embolization, necessitating colonic resection for definitive treatment. Although prior reports have hypothesized that arterial pressurization of the veins may precipitate myointimal hyperplasia, to the authors’ knowledge, this is the first report of IMHMV with an associated abnormal arteriovenous connection. Conclusions This case illustrates the possibility of an association between an arteriovenous connection and IMHMV. This rare diagnosis should be considered in patients with a similar presentation of abdominal pain after common etiologies like IBD have been excluded.

scholarly journals Nonrotation of gut with nutcracker syndrome: a rare presentation

2021 ◽  
Vol 8 (9) ◽  
pp. 2819
Author(s):  
Saket Jha ◽  
Shahaji Deshmukh ◽  
Apoorva Kulkarni ◽  
Abhaya Gupta ◽  
Paras Kothari
Keyword(s):  
Abdominal Pain ◽  
Renal Vein ◽  
Mesenteric Artery ◽  
Left Renal Vein ◽  
Nutcracker Syndrome ◽  
Simultaneous Presence ◽  
Rare Presentation ◽  
Rare Diagnosis ◽  
Ladd’S Procedure

Nutcracker syndrome is a rare diagnosis which presents with hematuria, abdominal pain and is caused by left renal vein entrapment in between abdominal aorta and superior mesenteric artery. Symptomatic presentation of rotational abnormalities of gut are rare in adults though it can present with abdominal pain. Simultaneous presence of nonrotation with nutcracker syndrome was very rarely reported in literature. The authors reported a 38 year old female who presented with chronic pain in left side of abdomen and was diagnosed as nutcracker syndrome with nonrotation of gut. Patient underwent Ladd’s procedure with left renal vein transposition. Patient was asymptomatic on follow up. Search of literature showed only two previous cases being reported making it a very rare presentation.

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