scholarly journals Torsion of an Accessory Hepatic Lobe with Embedded Gallbladder: In an 11-Month-Old Boy

2017 ◽  
Vol 05 (01) ◽  
pp. e62-e64 ◽  
Author(s):  
Chiman Thakral ◽  
Ganji Shivalingam ◽  
Faizan Dar ◽  
Nimish Thakral

An accessory lobe of the liver is a rare entity in clinical practice which is diagnosed incidentally. Infrequently, it may present as torsion with a clinical picture of an acute abdomen, a palpable mass, and may be associated with liver function abnormalities. Many of these patients have a history of previous surgery for congenital abdominal wall defects such as omphalocele. We present an extremely rare case of torsion of an accessory hepatic lobe in an 11-month-old male patient who presented in a state of shock. The infant underwent laparotomy and excision of the accessory lobe. Here, we aim to emphasize the importance of prompt management and early resection which is the cornerstone of a favorable outcome.

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Walter Colangeli ◽  
Aleksandr Kapitonov ◽  
Valerio Facchini ◽  
Marta Zappalà ◽  
Evaristo Belli

A rare case of synchronous ipsilateral pleomorphic adenomas (PA) of the left parotid and submandibular glands is reported. Simultaneous multiple PA in major salivary glands are a very rare entity, and merely few cases of ipsilateral synchronous PA involving parotid and submandibular glands are reported in the literature. The case of a 40-year-old female with a six-year history of asymptomatic growing lesion in both left parotid and left submandibular regions is presented. Left superficial parotidectomy and left submandibular gland excision at the same surgery have been performed. The aim of this article is to highlight the importance of an accurate head and neck presurgery examination both clinically and radiologically, keeping in mind the possibility of multiple tumor location.


Author(s):  
Sanjay Singh ◽  
Atul Seth ◽  
Ipsita Basu

Cervical tuberculosis is a rare entity with only limited number of case reports in the literature. A 53 year old, P1, post-menopausal housewife presented with history of one episode of post-menopausal bleeding and whitish discharge per vaginum. Speculum examination revealed an ulceroproliferative cervical growth. Clinically she was diagnosed to have carcinoma cervix. However, cervical biopsy confirmed the diagnosis of cervical tuberculosis. She was treated with anti-tubercular drugs for six months and has been disease free for the last two years. This case emphasizes the fact that though cervical tuberculosis is rare, it should be considered in the differential diagnosis of carcinoma cervix.


2015 ◽  
Vol 4 (9) ◽  
pp. 205846011559918 ◽  
Author(s):  
Abhishek J Arora ◽  
Richa Arora

Ossification of the Achilles tendon is a rare clinical entity comprising of one or more segments of variable sized ossified masses in the fibrocartilaginous substance of the tendon. The etiology of ossification of the Achilles tendon is multifactorial with recurrent trauma and surgery comprising major predisposing factors, with others being metabolic, systemic, and infectious diseases. The possibility of a genetic predisposition towards this entity has also been raised, but has not yet been proven. We present a rare case of ossification of the bilateral Achilles tendons without any history of trauma or surgery in a 48-year-old female patient.


2019 ◽  
Vol 8 (1) ◽  
pp. 63-65
Author(s):  
Rakina Bhansakarya ◽  
Shanti Subedi

Pelvic hematomas are common occurring in delivering the baby but spontaneous broad ligament hematoma following vaginal delivery is rarely seen and less than 100 cases are reported in literature. This article reports a rare case of broad ligament hematoma following vacuum delivery in 22 years Para1 lady with history of postpartum collapse 3 hours after delivery.  


2020 ◽  
pp. 57-58
Author(s):  
Tapan Patel ◽  
Shivani Patel ◽  
Shreya Dholakia

Splenic abscess is a rare entity. Delay in its diagnosis and treatment can lead to high morbidity and mortality. Here, we describe a case of a female patient with air-uid level in the parenchyma of the spleen caused by a gas forming bacterial infection. There was no preceding history of trauma or instrumentation in our case. This case was managed by prompt diagnosis followed by percutaneous drainage under broad spectrum antibiotic coverage. Agas forming infection of the spleen without manipulation or trauma is extremely rare, with only 3 reported cases in the literature


JMS SKIMS ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 48
Author(s):  
Syed Muzamil Andrabi ◽  
Mohd Yousuf Dar ◽  
Javid Ahmad Bhat

A 35-year-old male patient presented to the General Surgery Out Patient Department with a history of swelling on the left lateral chest since birth. The swelling appeared during inspiration and disappeared during expiration. JMS 2018;21(1):48 


1970 ◽  
Vol 7 (1) ◽  
pp. 208-215
Author(s):  
Александр Бреусенко-Кузнецов

Статья посвящена проблеме восстановления искусственно прерванной метафизической традиции в отечественной персонологии. Данная проблема принадлежит областям истории психологии и психологии личности, но имеет выходы и в предметные области многих других психологических наук, в частности – клинической психологии. Указана важность соотнесения персонологических концептуализаций учёных-метафизиков с клинической практикой в процессе их опытной верификации. Проведена реконструкция и анализ взглядов на психопатологию и психотерапию представителей метафизической традиции в отечественной психологии личности. Согласно данным взглядам, суть патологии личности – в её уклонении от своего назначения, от подлинного бытия ради неподлинных, онтологически неоправданных форм жизнедеятельности. The article is devoted to the problem of restoration of artificialy interrupted metaphysical tradition in domestic personology. The given problem belongs to the areas of history of psychology and psychology of personality, but provides outcomes in subject matter of many other psychological sciences, in clinical psychology in particular. Importance of correlation between personological conceptualizations of scientists-metaphysicists and clinical practice in the process of their skilled verification is pointed out. The reconstruction and analysis of views at psychopathology and psychotherapy by representatives of metaphysical tradition in domestic psychology of personality have been made. According to the mentioned views, the essence of pathology of personality is in its evasion from the purpose, from original life for the sake of not original, ontologically unjustified forms of ability to live.


2019 ◽  
Vol 22 (2) ◽  
pp. 32-34
Author(s):  
Kartikesh Mishra

Duodenal adenocarcinoma constitutes 0.4% of gastrointestinal malignancies. Achalasia incidence rate is 0.5-1.2 per 100000. The combination is rare. This is a report of a 68-year-old male from Nepal with history of five years abdominal pain, dysphasia and weight loss. Duodenoscopy could confirm ulcero-proliferative growth at D1-D2. Barium meal depicted features of achalasia cardia. No similar case report suggests that occurrence of duodenal carcinoma and achalasia cardia is merely co- incidental. Discussion: No similar case report suggests that occurrence of duodenal carcinoma and achalasia cardia is merely co- incidental. Consent: Informed consent was obtained from the patient for publication of this case report .


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