scholarly journals Intraluminal Duodenal Diverticulum: A Rare Cause of Chronic Epigastric Pain

2020 ◽  
Vol 06 (02) ◽  
pp. e125-e127
Author(s):  
Shadi Nassar ◽  
Alaa El-Kheir ◽  
Charif Khaled ◽  
Anis Nassar ◽  
Joseph Boujaoude ◽  
...  
Keyword(s):  
Epigastric Pain ◽  
Case Reports ◽  
Duodenal Diverticulum ◽  
Rare Entity ◽  
Epigastric Discomfort ◽  
Asymptomatic Patients ◽  
Intraluminal Duodenal Diverticulum ◽  
Diagnostic Modalities ◽  
Specific Symptoms

AbstractDespite its first identification in 1885, intraluminal duodenal diverticulum remains a rare entity and only a few case reports are found in the literature. Its diagnosis is almost always delayed due to the lack of specific symptoms and to the very vague presentation consisting of mild epigastric discomfort. However, with the aid of new diagnostic modalities and imaging, it has become easier to diagnose this entity when its symptoms persist. Finally, it can remain undiagnosed in asymptomatic patients.

scholarly journals Intraluminal duodenal (“windsock”) diverticulum: a rare cause of biliary obstruction and acute pancreatitis in the adult

2019 ◽  
Vol 07 (01) ◽  
pp. E87-E89 ◽  
Author(s):  
Petko Karagyozov ◽  
Ivan Tishkov ◽  
Zhenya Georgieva ◽  
Irina Boeva ◽  
Dimitar Tzankov
Keyword(s):  
Acute Pancreatitis ◽  
Biliary Obstruction ◽  
Epigastric Pain ◽  
Duodenal Diverticulum ◽  
Endoscopic Retrograde ◽  
Acute Calculous Cholecystitis ◽  
The Third ◽  
Intraluminal Duodenal Diverticulum ◽  
Calculous Cholecystitis ◽  
First Time

AbstractAn intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly, which is a result of incomplete recanalization of the foregut lumen during embryonic development. Most patients are asymptomatic. Symptoms usually occur after the third decade of life and mainly include epigastric pain, nausea, vomiting, or bloating. Less commonly, IDD may complicate with bleeding, duodenal obstruction, or acute pancreatitis. We present a case of IDD, manifested for a first time in adult with acute biliary obstruction and mild pancreatitis after laparoscopic cholecystectomy for acute calculous cholecystitis, successfully managed with endoscopic retrograde cholangiopancreatography (ERCP).

scholarly journals Gastric Diverticulum Presenting as Hematemesis: A Case Report Detailing an Uncommon Presentation of an Already Rare Entity

2020 ◽  
Vol 4 (4) ◽  
pp. 610-612
Author(s):  
Maddi Massa ◽  
Karla Newbold
Keyword(s):  
Case Report ◽  
Gastric Resection ◽  
Epigastric Pain ◽  
Gastrointestinal Symptoms ◽  
Rare Entity ◽  
Epigastric Discomfort ◽  
Treatment Regimens ◽  
Uncommon Presentation ◽  
Life Threatening

Introduction: Gastric diverticula (GD) are uncommon. Most are asymptomatic and diagnosed incidentally. Symptoms range from reflux and epigastric discomfort to life-threatening bleeding and perforation. We describe a case of symptomatic GD presenting as hematemesis requiring surgical treatment. Case Report: A 57-year-old female presented to the emergency department (ED) with one day of epigastric pain and hematemesis. Hemoglobin was found to be stable, but blood urea nitrogen was elevated. Imaging revealed a fundal GD. Esophagogastroduodenoscopy did not show other etiology of hematemesis. The patient underwent partial gastric resection for GD removal and did well without further symptoms on follow-up. Conclusion: Although rare, GD needs to be included on a differential diagnosis when evaluating gastrointestinal symptoms in the ED. Patients may present with an array of complaints but can potentially develop serious complications. Providers should be familiar with the diagnostic options and treatment regimens available to better care for patients presenting with GD.

scholarly journals Enucleation of a giant symptomatic gastric lipoma, a safe surgical approach

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Rafaela Parreira ◽  
Tiago Rama ◽  
Teresa Eloi ◽  
Vítor Carneiro ◽  
Maria Inês Leite
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Clinical Presentation ◽  
Pyloric Obstruction ◽  
Asymptomatic Patients ◽  
Recurrent Vomiting ◽  
Low Incidence ◽  
Diagnostic Modalities ◽  
Benign Tumours ◽  
Gastric Lipoma

Abstract Gastric lipomas are rare, representing 2–3% of all benign tumours of the stomach. Most of these stomach neoplasms are small and detected incidentally during endoscopic or radiology evaluations. Computed tomography is highly specific imaging for lipoma diagnosis. Endoscopy and endoscopic ultrasound are other important diagnostic modalities to confirm the diagnosis. Identifying typical features can avoid biopsy or surgery in asymptomatic patients. In patients with larger lesions, usually more than 2 cm, clinical presentation may encompass haemorrhage, abdominal pain, pyloric obstruction and dyspepsia. As a result of its extreme low incidence, treatment is not standardized, though it is widely accepted that a symptomatic tumour mandates resection. Here, we present the case of a 60-year-old female presenting with abdominal pain and recurrent vomiting due to a giant gastric lipoma (80 × 35 × 35 mm). The patient underwent laparotomy and an enucleation was performed.

scholarly journals Distal Humerus as Delayed Site of Metastasis from Small Cell Carcinoma of Gallbladder

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Mutahir A. Tunio ◽  
Mushabbab AlAsiri ◽  
Asma Mohammed F. Ali ◽  
Eyad Fawzi AlSaeed ◽  
Muhammad Shuja ◽  
...  
Keyword(s):  
Cell Carcinoma ◽  
Small Cell Carcinoma ◽  
World Literature ◽  
Case Reports ◽  
Locally Advanced ◽  
Distal Humerus ◽  
Small Cell ◽  
Rare Entity ◽  
Dismal Prognosis ◽  
Advanced Stages

Background. Small cell carcinoma (SCC) of the gallbladder is a rare entity and is often seen in elderly women. SCC of gallbladder is typically a nonsecretory carcinoid tumor without overt clinical symptoms and is often discovered at advanced stages. SCC of gallbladder carries a dismal prognosis as compared to SCC of lung and adenocarcinoma of gallbladder. To date, only 73 case reports have been published in the world literature.Case Presentation. Herein, we report a case of a 73-year-old Saudi woman who presented with one week history of right upper quadrant abdominal pain and obstructive jaundice and was found to be a case of locally advanced, metastatic SCC of gallbladder cT4N1M1 (liver, para-aortic lymph nodes, and bone). The patient was treated with neoadjuvant etoposide and cisplatin (EP) chemotherapy three cycles after biliary stenting followed by radical cholecystectomy, lymphadenectomy, and adjuvant EP chemotherapy and then one year later developed distal humerus osseous metastasis.Conclusion. SCC of the gallbladder is very rare entity and is often seen at advanced stages. Osseous metastases of peripheral skeleton from SCC gallbladder are rarely reported. Surgery is curative option but only for early stage tumors. Incorporation of chemotherapy along with radical resection increases the survival.

scholarly journals Heterotaxia Syndrome with Intraluminal Duodenal Diverticulum

2010 ◽  
Vol 79 (1) ◽  
pp. 75 ◽  
Author(s):  
Jae Hun Kim ◽  
Hyung-Il Seo ◽  
Hyun Sung Kim ◽  
Dae Hwan Kim ◽  
Tae Yong Jeon ◽  
...  
Keyword(s):  
Duodenal Diverticulum ◽  
Intraluminal Duodenal Diverticulum

Biventricular Rupture with Extracardiac Left-to-Right Shunt Complicating Acute Myocardial Infarction

Cardiology ◽  
2016 ◽  
Vol 134 (4) ◽  
pp. 389-393
Author(s):  
Sergey Yalonetsky ◽  
Doron Aronson
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Reports ◽  
Interventricular Septum ◽  
Published Data ◽  
Mechanical Complication ◽  
Surgical Closure ◽  
Cardiac Symptoms ◽  
Asymptomatic Patients ◽  
Diagnostic Difficulties

Background: Simultaneous rupture of the left and right ventricles is an extremely rare mechanical complication of acute myocardial infarction (MI). When associated with the formation of a false aneurysm, an extracardiac left-to-right shunt may occur. Methods: We summarized all published data describing this unique condition. We searched the PubMed and Google Scholar databases for case reports in peer-reviewed journals from 1 January 1980 to 1 May 2015. We identified 16 articles describing 17 cases. Results: In all but 1 case, biventricular wall rupture (BVWR) resulted from an inferior MI. The clinical presentations of BVWR were variable and included cardiogenic shock, congestive heart failure and an absence of any cardiac symptoms. In most cases, there was a hemodynamically significant left-to-right shunt, with pulmonary to systemic blood flow (Qp/Qs) >2. Diagnostic difficulties were reported in most cases, and some patients were initially misdiagnosed as having ventricular septal rupture (VSR). Surgical closure of the defect was successful in most cases, and some asymptomatic patients were managed conservatively. Conclusion: BVWR with an intact interventricular septum and extracardiac left-to-right shunt is a rare mechanical complication of acute MI, often misdiagnosed as VSR. It has a variable clinical course, probably related to the magnitude of the shunt.

scholarly journals A Case of Intraluminal Duodenal Diverticulum with the Ampulla of Vater Inside it.

1994 ◽  
Vol 27 (4) ◽  
pp. 897-901
Author(s):  
Funihiko Miura ◽  
Yasuhisa Abe ◽  
Fumiaki Sakaguchi ◽  
Shinichi Miyazaki ◽  
Tetsuro Urashima ◽  
...  
Keyword(s):  
Ampulla Of Vater ◽  
Duodenal Diverticulum ◽  
Intraluminal Duodenal Diverticulum

Cardiac cephalalgia: A deadly case report

2019 ◽  
pp. 32-34
Author(s):  
Paulo Sergio Faro Santos ◽  
Matheus Kahakura Franco Pedro ◽  
Ana Carolina Andrade
Keyword(s):  
Inflammatory Markers ◽  
Venous Return ◽  
Case Reports ◽  
Turn Of The Century ◽  
Rare Entity ◽  
Vascular Changes ◽  
Main Hypothesis ◽  
Afferent Nerves ◽  
Cardiac Cephalalgia ◽  
Nosologic Entity

Cardiac cephalalgia is a nosologic entity that has only been acknowledged by the turn of the century, and is, consequently, often underdiagnosed, even by experienced neurologists. Unlike most headaches, however, failing to provide a proper and timely diagnosis can have deadly consequences. Report of a case of cardiac headache attended at the emergency department and literature review. This entity was first described in 1997; no studies have yet determined its prevalence, with the literature relying on case reports. The pathophysiology remains a mystery, with three main hypothesis: spinal convergence of cardiac visceral afferent nerves with somatic afferent nerves from the head, increase of intracranial pressure from decrease in cerebral venous return originated from the reduced cardiac output, and release of inflammatory markers during cardiac ischaemia, such as bradykinin, serotonin and histamin, causing vascular changes. Distinguishing this pathology from others, especially migraine, with which it shares many traits, is of paramount importance: vasoconstrictor drugs such as triptans are absolutely contraindicated, and the outcome can be dramatic. This case illustrates the need to promptly recognize this rare entity since failure to diagnose it can have devastating consequences.

Youssef syndrome with a summary of management options

2021 ◽  
Vol 14 (8) ◽  
pp. e244247
Author(s):  
Anupama Bahadur ◽  
Anoosha K Ravi ◽  
Megha Ajmani ◽  
Rajlaxmi Mundhra
Keyword(s):  
Case Reports ◽  
Therapeutic Options ◽  
Urinary Continence ◽  
Type I ◽  
Ct Urography ◽  
Lower Segment ◽  
Management Options ◽  
Urogenital Fistula ◽  
Diagnostic Modalities ◽  
Youssef Syndrome

Vesicouterine fistula is one of the rare varieties of urogenital fistula. Type I urogenital fistula or Youssef syndrome is characterised by menouria, amenorrhoea and urinary continence and it mostly follows lower segment caesarean delivery. There are only scattered case reports to help guide diagnostic and therapeutic options for this condition. These patients mostly need a combination of diagnostic modalities to confirm the diagnosis. Here, we present one such case of para 4 live 4 with classical symptoms of Youssef syndrome following a laparotomy for uterine rupture repair. CT urography confirmed the diagnosis and cystoscopy helped localise the exact location. Transabdominal fistula excision and repair was done. The paper also presents a summary of diagnostic and therapeutic options for this condition as reported in previous case reports for easy reference for practising gynaecologists and urologists.

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