scholarly journals Mixed polyposis coli: Report of a rare entity with review of literature

2013 ◽  
Vol 04 (02) ◽  
pp. 039-041
Author(s):  
Chalapathi Rao ◽  
Surinder Singh Rana ◽  
Manish Manrai ◽  
Vinita Chaudhary ◽  
Ritambhra Nada ◽  
...  
Keyword(s):  
Ileal Pouch ◽  
Hyperplastic Polyp ◽  
Early Recognition ◽  
Colorectal Polyps ◽  
Screening Colonoscopy ◽  
Total Proctocolectomy ◽  
Rare Entity ◽  
Review Of Literature ◽  
Juvenile Polyps ◽  
Polyposis Syndromes

ABSTRACTColorectal polyps may be detected incidentally on a screening colonoscopy or when they present with symptoms like anemia or gastrointestinal bleeding. Early recognition and prompt management of polyps can cure the primary disease and prevent future risk of malignancies in the patient and provide an opportunity to screen the families in cases of inherited polyposis syndromes. We report a case of rectal bleeding due to colorectal polyps of varying histology. Histology showed hyperplastic polyp, juvenile polyps (JP) with focal dysplasia, adenomatous polyp and villous adenoma with dysplasia. He underwent total proctocolectomy with ileal pouch anal anastomosis (J-pouch) (TP-IPAA). Mixed polyposis syndrome is a rare entity. (J Dig Endosc 2013;4(2):39-41)

scholarly journals Potential problems of partial resection for colitis-associated cancer in a patient with ulcerative colitis: case report

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Yuki Horio ◽  
Motoi Uchino ◽  
Takako Kihara ◽  
Toshihiro Bando ◽  
Ryuichi Kuwahara ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Endoscopic Resection ◽  
Ileal Pouch ◽  
Standard Procedure ◽  
Partial Resection ◽  
Total Proctocolectomy ◽  
Potential Problems ◽  
Partial Colectomy ◽  
A Site ◽  
Anal Site

Abstract Total proctocolectomy and an ileal pouch-anal anastomosis are recommended as the standard procedure for ulcerative colitis (UC)-colitis-associated cancer (CAC). However, several studies have reported the partial colectomy and endoscopic resection of UC-CAC in recent years. We present a surgical case of UC-CAC that was detected at a site that had not been diagnosed preoperatively, and we report potential problems of partial colectomy and endoscopic resection through this case. Considerations of synchronous and metachronous cancer/dysplasia are important before partial resection is planned for CAC in UC. Moreover, it should be noted that endoscopic resection at the anal site can be a risk factor for pouch surgery failure due to fibrosis after resection.

Postoperative Steroid Taper Is Associated With Pelvic Sepsis After Ileal Pouch-anal Anastomosis

2018 ◽  
Vol 25 (8) ◽  
pp. 1383-1389 ◽  
Author(s):  
Kaitlin A Ritter ◽  
John P Burke ◽  
Luca Stocchi ◽  
Alexandra Aiello ◽  
Stefan Holubar ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Multivariate Analysis ◽  
Ileal Pouch ◽  
Ileal Pouch Anal Anastomosis ◽  
Pelvic Sepsis ◽  
Oral Steroid ◽  
Total Proctocolectomy ◽  
Steroid Use ◽  
Anal Anastomosis ◽  
Inflammatory Bowel

AbstractObjectiveWe hypothesized that postoperative oral steroid taper after ileal pouch-anal anastomosis for inflammatory bowel disease would not be associated with pelvic septic complications.BackgroundRecent data has emphasized the possible association between biologic medication use and pelvic sepsis following ileal pouch-anal anastomosis. Limited contemporary data exist examining the effects of steroid use on these complications.MethodsConsecutive patients undergoing ileal pouch-anal anastomosis for inflammatory bowel disease at a single institution from January 2009 to December 2013 were included. Factors associated with anastomotic leak and pelvic sepsis were assessed using univariate and multivariate analysis.ResultsA total of 686 patients were included (mean age 39.5 years, 59% males). Postoperative oral steroid taper was associated with both anastomotic leak and pelvic sepsis on univariate analysis. Stress dose intravenous steroid use was not associated with complications. Multivariate analysis indicated total proctocolectomy (odds ratio [OR] 2.2; confidence interval [CI] 1.01–4.7, P = 0.047), and postoperative oral steroid taper (OR 2.3; CI 1.06–5.1; P = 0.035) as independent factors significantly associated with pelvic sepsis.ConclusionsProlonged postoperative oral steroid taper after ileal pouch-anal anastomosis should be avoided. If preoperative steroid weaning is not possible before a planned total proctocolectomy and ileal pouch-anal anastomosis, patients should undergo an initial total abdominal colectomy.

scholarly journals Breast Metastases from Ovarian Primary: A Rare Entity and Review of Literature

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Singh Suresh ◽  
Sanjay Bhalgat Bhushan ◽  
Kumar Pravin ◽  
Kamal Kishore Lakhera Kamal Kishore Lakhera ◽  
Swain Phanindra Kumar ◽  
...  
Keyword(s):  
Rare Entity ◽  
Review Of Literature ◽  
Breast Metastases

scholarly journals Post Traumatic Biparietal Mirror Extradural Haematoma – A Case Report and Review of Literature

2018 ◽  
Vol 32 (3) ◽  
pp. 458-461
Author(s):  
G. Venkateswara Prasanna ◽  
Sathish Kumar Vandanapu ◽  
Hima Bindu
Keyword(s):  
Case Report ◽  
Postoperative Period ◽  
Emergency Evacuation ◽  
Extradural Haematoma ◽  
Rare Entity ◽  
Review Of Literature ◽  
Careful Planning ◽  
Cerebral Trauma ◽  
Post Traumatic ◽  
Extradural Haematomas

Abstract Bilateral extradural haematomas [EDH] are rare and it is an uncommon consequense of cranio cerebral trauma. The mortality is higher than unilateral extradural haematoma and management of extradural haematomas requires careful planning, judicial surgical exposure and most important is timing of evacuation of extradural haematomas. Emergency evacuation of bilateral extradural haematomas were performed in this case with uneventful postoperative period. The pathophysiology and surgical nuances of this rare entity been discussed.

Hypertriglyceridemia thalassemia syndrome

2018 ◽  
Vol 31 (7) ◽  
pp. 821-822
Author(s):  
Mili Jain ◽  
Wahid Ali ◽  
Brijendra Bahadur Singh ◽  
Nishant Verma ◽  
Ashutosh Kumar
Keyword(s):  
Oxidative Stress ◽  
Acute Pancreatitis ◽  
Nephrotic Syndrome ◽  
Early Recognition ◽  
Thalassemia Major ◽  
Rare Entity ◽  
Transfusion Therapy ◽  
Case Presentation ◽  
Coronary Diseases ◽  
Secondary Causes

Abstract Background Hypertriglyceridemia thalassemia syndrome is a rare entity with an unknown pathogenetic link. Case presentation We report a case of an 8-month-old female with thalassemia major and increased triglyceride (TG) levels. The clinical features were as in classical thalassemia except for a white discoloration of the plasma. After exclusion of familial triglyceridemia and secondary causes (hypothyroidism, nephrotic syndrome, drugs etc.), a diagnosis of hypertriglyceridemia thalassemia syndrome was made. Conclusions The high levels of TG in these patients are associated with oxidative stress and higher risk of acute pancreatitis and coronary diseases. An early recognition is thus essential. In our patient, the levels reduced after a transfusion therapy similar to previous reports.

scholarly journals Role of Imaging in Diagnosis of a Rare Hepatosplenic Gamma Delta T-Cell Lymphoma during Pregnancy: A Case Report and Review of Literature

2019 ◽  
Vol 12 (3) ◽  
pp. 935-943 ◽  
Author(s):  
Reda R.H. Youssef ◽  
Amr Elmahdy ◽  
Samah Kohla ◽  
Feryal Ibrahim ◽  
Ahmed Saied Sabry ◽  
...  
Keyword(s):  
T Cell ◽  
Cell Lymphoma ◽  
T Cell Lymphoma ◽  
Rare Entity ◽  
Review Of Literature ◽  
Peripheral T Cell Lymphoma ◽  
Suitable Treatment ◽  
Timing Of Initiation ◽  
Gamma Delta T Cell

Hepatosplenic γδ T-cell lymphoma (HSTCL) is a very rare peripheral T-cell lymphoma characterized by extranodal infiltration of mature malignant post-thymic T-lymphocytes into sinusoids of the liver and spleen without lymphadenopathy and significant cytopenias. It is an aggressive form of lymphoma, resistant to the conventional chemotherapy. We report a case of HSTCL in pregnancy. Because this condition is an extremely aggressive and rare entity, data from these cases can help confirm the most suitable treatment regimen and timing of initiation. The role of ultrasound and magnetic resonance imaging in the diagnosis has been discussed. HSTCL is a rare entity of T-cell lymphoma, uncommon in female patients and very rarely reported during pregnancy.

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