scholarly journals Triple Intussusception in an Adult—A Rare Presentation of Adenocarcinoma Ileum

2021 ◽  
Vol 07 (04) ◽  
pp. e271-e274
Author(s):  
Kirankumar P. Jadhav ◽  
Gayathri Krishnan
Keyword(s):  
Rare Case ◽  
Bowel Resection ◽  
Histopathological Examination ◽  
Exploratory Laparotomy ◽  
Low Grade ◽  
Lead Point ◽  
Rare Presentation ◽  
Small Bowel Intussusception ◽  
Low Grade Dysplasia ◽  
Resection And Anastomosis

AbstractIntestinal intussusception is uncommon in adults. It occurs more often in the small intestine than in the colon. In adults, when small bowel intussusception occurs, it can be due to a malignant lead point. Malignant etiology is most frequently due to diffuse metastatic disease. We present a rare case of an 18-year-old woman who was diagnosed with jejunojejunal, jejunoileal, and colocolic intussusceptions. She presented with vomiting, abdominal pain, and passage of semisolid stools for 5 days. During emergency exploratory laparotomy, multiple polyps were found in the jejunum, ileum, and sigmoid. Jejunotomy and sigmoidotomy were done to remove the respective polyps. The ileal polyp showed hemorrhagic changes; hence, an intraoperative decision was taken to proceed with resection and anastomosis. On histopathological examination, the resected ileal part showed moderately differentiated adenocarcinoma (grade 2) arising from an adenomatous polyp, while the jejunal polyp and sigmoid polyp were adenomatous polyps with low-grade dysplasia. Patient received six cycles of adjuvant chemotherapy consisting of capecitabine and oxaliplatin (CAPEOX regimen). After 2 years, she is symptom free with a normal colonoscopy. The treatment of intussusception in adults typically involves surgery, often with bowel resection as there is always a pathologic leading cause which may be malignant, like in our case.

EP.FRI.543 A rare case of acute jejuno-jenual intussusception in a patient with Roux-en-Y bypass secondary to a benign polyp

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Armin Fardanesh ◽  
Jamie Powell ◽  
Maitham Al-Whouhayb
Keyword(s):  
Small Bowel ◽  
Rare Case ◽  
Exploratory Laparotomy ◽  
Lead Point ◽  
Benign Polyp ◽  
Small Bowel Intussusception ◽  
Pathological Lead Point ◽  
Malignant Lesions ◽  
Ectopic Pacemaker ◽  
Upper Abdominal

Abstract Introduction Roux-en-Y Gastric bypass (REYGB) amounts for a third of surgical bariatric interventions. Small bowel obstruction (SBO) is a long-term complication in REYGB and can be caused by intussusception of bowel, in approximately 0.5% of procedures.  Intussusception in REYBG is mostly attributed to dysmotility. This report demonstrates a rare case of intussusception in REYGB secondary to a benign polyp.  Case description A 45 year old female, three years post REYGB, presented to A&E with acute, extreme upper abdominal pain, with three days absolute constipation. She was tender on examination with normal blood tests. CT scan demonstrated small bowel intussusception. Initial concerns were of intussusception of the jejuno-jejunostomy anastomosis causing SBO.  She had an exploratory laparotomy, which confirmed intussusception, however this was 20cm distal to the jejuno-jejunostomy. Bowel was gently reduced, and deemed viable. On thorough run-through, a small segment at the transition point, was considered abnormal on palpation. This region was resected and a 1x1cm intraluminal polyp was identified as the causative lead point. The patient did well postoperatively.  Discussion Small bowel intussusception in adults is typically attributed to pathological lead point, such as benign or malignant lesions. Intussusception in REYBG is a rare but well-documented cause of intestinal obstruction, usually attributed to dysmotility, secondary to ectopic pacemaker cells particularly around anastomoses. In this case, the intussusception was caused by an unusual pathology separate from the jejuno-jejunal anastomosis. We recommend thorough examination of all adjacent bowel to exclude lesions, in this case a polyp, which could result in recurrence. 

Intraductal papillary neoplasm of bile duct: all rare in one

2020 ◽  
Vol 13 (11) ◽  
pp. e237001
Author(s):  
Aprajita Chaturvedi ◽  
Manjunath Maruti Pol ◽  
Kirti Jangra ◽  
Priyanka Singh
Keyword(s):  
Bile Duct ◽  
Histopathological Examination ◽  
Anatomical Variations ◽  
Small Lesion ◽  
Low Grade ◽  
Pathological Findings ◽  
Intraductal Papillary Neoplasm ◽  
Contrast Enhanced ◽  
Low Grade Dysplasia ◽  
Papillary Neoplasm

A 45-year-old woman was referred from Department of Dermatology to Surgery outpatient department with pruritus since 6 months and an episode of jaundice that lasted for 15 days about 6 months ago. She was referred with a contrast-enhanced MRI finding that showed a small lesion in the lower end of common bile duct. Endoscopy-guided biopsy was performed twice at our hospital, the second revealed low grade dysplasia. Consequently, she underwent pancreaticoduodenectomy. Intraoperatively, there were both vascular and biliary anatomical variations that were missed on preoperative images. On histopathological examination, it turned out to be a mixed variety of intraductal papillary neoplasm of bile duct (IPNB). As all findings were rare in one, hence, we present this case of IPNB that presented to us with variable clinical, radiological, surgical and pathological findings.

scholarly journals Tuberculosis: A Common Infection with Rare Presentation, Isolated Sellar Tuberculoma with Panhypopituitarism

2019 ◽  
Vol 10 (02) ◽  
pp. 327-330 ◽  
Author(s):  
Vivek Mahesh Agrawal ◽  
Pramod Janardhan Giri
Keyword(s):  
Pituitary Adenoma ◽  
Transsphenoidal Surgery ◽  
Rare Case ◽  
Nerve Palsy ◽  
Histopathological Examination ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Endoscopic Transsphenoidal Surgery ◽  
Rare Presentation ◽  
Common Infection

ABSTRACTIsolated sellar tuberculoma is a very rare condition and usually presents with headache and decreased vision. It can present with panhypopituitarism with 3rd nerve palsy. Tuberculoma mimics pituitary adenoma clinically as well as radiologically and requires endoscopic transsphenoidal surgery and histopathological examination for the final diagnosis. We present a rare case of a 40-year-old female presented with headache, decreased vision, and unilateral 3rd nerve palsy with panhypopituitarism.

Auricular Schwannoma: A Rare Presentation

2014 ◽  
Vol 6 (1) ◽  
pp. 16-18
Author(s):  
Satish Kumar Sharma ◽  
Rashmi Raina ◽  
Vikas Deep Gupta
Keyword(s):  
Local Anesthesia ◽  
World Literature ◽  
Rare Case ◽  
Histopathological Examination ◽  
Nerve Sheath Tumor ◽  
Rare Tumor ◽  
Rare Presentation ◽  
Nerve Sheath ◽  
Ear Piercing

ABSTRACT Schwannoma is an extremely rare tumor of auricle. We are presenting a rare case of auricular schwannoma, perhaps the fifth in world literature, with traumatic etiology. Twenty-five years old female presented with swelling left pinna since 6 years following ear piercing. She desires surgery for cosmetic reasons only. Swelling was excised under local anesthesia and sent for histopathological examination. HPE report was suggestive of nerve sheath tumor. No recurrence has reported so far in followup of 9 months period.

scholarly journals Auricular Schwannoma: A Rare Presentation

2013 ◽  
Vol 5 (3) ◽  
pp. 166-168
Author(s):  
Satish Kumar Sharma ◽  
Rashmi Raina ◽  
Vikas Deep Gupta
Keyword(s):  
Local Anesthesia ◽  
World Literature ◽  
Rare Case ◽  
Histopathological Examination ◽  
Nerve Sheath Tumor ◽  
Rare Tumor ◽  
Rare Presentation ◽  
Nerve Sheath ◽  
Ear Piercing

ABSTRACT Schwannoma is an extremely rare tumor of auricle. We are presenting a rare case of auricular schwannoma, perhaps the fifth in world literature, with traumatic etiology. Twenty-five years old female presented with swelling left pinna since 6 years following ear piercing. She desires surgery for cosmetic reasons only. Swelling was excised under local anesthesia and sent for histopathological examination. HPE report was suggestive of nerve sheath tumor. No recurrence has reported so far in followup of 9 months period. How to cite this article Thakur K, Sharma SK, Raina R, Gupta VD. Auricular Schwannoma: A Rare Presentation. Int J Otorhinolaryngol Clin 2013;5(3):166-168.

scholarly journals Two simultaneous intussusceptions in a neonate with DiGeorge syndrome: A case report

2021 ◽  
Vol 10 ◽  
pp. 9
Author(s):  
Uday Bhaskar MNS Mokrala ◽  
Lakshmi Sundararajan ◽  
Chandra Kumar Natarajan
Keyword(s):  
Small Bowel ◽  
Pulmonary Stenosis ◽  
Emergency Laparotomy ◽  
Lead Point ◽  
Case Presentation ◽  
Entire Small Bowel ◽  
Small Bowel Intussusception ◽  
Pathological Lead Point ◽  
Male Neonate ◽  
Resection And Anastomosis

Background: Double simultaneous intussusception is a peculiar and rare variety of intussusception with only 3 previously reported neonatal cases. Case presentation: A 15-day-old male neonate with respiratory distress was found to have Tetralogy of Fallot and hypoplastic pulmonary stenosis. Small bowel intussusception was diagnosed on ultrasound abdomen following hematochezia on the next day. Emergency laparotomy revealed two intussusceptions, ileocolic and jejunojejunal, with bowel gangrenous requiring resection and anastomosis. No pathological lead point was identified. He recovered with supportive care and was discharged. Conclusion: Simultaneously occurring double intussusceptions are extremely rare in neonates, and thorough examination of the entire small bowel in cases of intussusception is key to the diagnosis.

scholarly journals STUDY OF PATTERNS OF DYSPLASIA IN INFLAMMATORY BOWEL DISEASES

2020 ◽  
pp. 1-3
Author(s):  
Keya Basu
Keyword(s):  
Histopathological Examination ◽  
Clinical Suspicion ◽  
Low Grade ◽  
Intestinal Involvement ◽  
Bowel Diseases ◽  
Indefinite For Dysplasia ◽  
Inflammatory Bowel ◽  
Low Grade Dysplasia ◽  
Surveillance Endoscopy

Background: Inflammatory bowel disease (IBD) comprises of Ulcerative colitis, Crohn’s disease and colitis of indeterminate type. Patients with long established IBD are at a greater risk for development of colorectal carcinoma (CRC). The best marker for cancer risk in IBD is dysplasia. IBD on biopsy can show low grade dysplasia (LGD) or high grade dysplasia (HGD) or histological features indefinite for dysplasia. Aims: 1) Determination of the incidence of LGD, HGD and CRC in IBD patients. 2) Evaluation of presence of any correlation between duration of IBD and extent of intestinal involvement by IBD and between duration of IBD and multifocality of dysplasia. Materials and Method: 393 patients with clinical suspicion of IBD were enrolled in this study. During surveillance endoscopy number of biopsy samples taken from each case were 10-15. Histopathological examination of these biopsy samples was done. Results: Out of 266 patients of IBD who turned up for surveillance endoscopy, the incidences of LGD, HGD, CRC and IBD indeterminate for dysplasia were found to be 10.90%, 4.51%, 4.51% and 2.63% respectively. On statistical analysis it was discovered that in both UC and CD the extent of intestinal involvement was directly proportional to the duration of the disease. In both UC and CD, longer disease durations were linked to more foci of dysplasia. Conclusion: In both UC and CD, longer disease durations is linked to the extent of intestinal involvement and number of foci of dysplasia while type of dysplasia (LGD/HGD) is not related to duration of IBD. In IBD with UC incidence of PSC is linked with the extent of intestinal involvement.

scholarly journals Bladder Chondrosarcoma in A Male: A Rare Case Report

2021 ◽  
Vol 57 (3) ◽  
pp. 256
Author(s):  
Muhammad Husni Tamrin ◽  
Wahjoe Djatisoesanto
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Rare Variant ◽  
Rare Case ◽  
Bladder Tumor ◽  
Histopathological Examination ◽  
Low Grade ◽  
Lower Abdomen ◽  
Rare Case Report

Chondrosarcoma is a rare variant of bladder tumor and one of the rare types of soft tissue sarcoma. This case happened on a 36-year-old male who complained of lumps in his lower abdomen, accompanied by difficulties in passing urine and painful urination, without hematuria. We performed TURBT and histopathological examination showed low-grade chondrosarcoma. The patient was diagnosed with low-grade bladder chondrosarcoma. The patient was treated for chemotherapy and radiotherapy. However, after undergoing one cycle of chemotherapy, the patient refused to continue the therapy.

scholarly journals Respiratory epithelial adenomatoid hamartoma presenting as a mass in nasal cavity: a case report

2020 ◽  
Vol 6 (5) ◽  
pp. 992
Author(s):  
Visweswara Rao Suraneni ◽  
Vineela Gaddipati ◽  
Anusha Allena
Keyword(s):  
Nasal Septum ◽  
Rare Case ◽  
Nasal Polyposis ◽  
Histopathological Examination ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Rare Presentation ◽  
Respiratory Epithelial Adenomatoid Hamartoma ◽  
The Past ◽  
Respiratory Epithelial

<p>This article aims to report a rare case of respiratory epithelial adenomatoid hamartoma (REAH) arising from nasal septum that initially presented as bilateral sino nasal polyposis. A 45 years old male presented with a complaint of bilateral nasal obstruction for the past 3 years which was progressive and was planned for functional endoscopic sinus surgery. Polypoidal tissue was found to be coming from nasal septum intraoperatively. Histopathological examination confirmed the presence of REAH. This case demonstrates the rare presentation of REAH, clinically presented as sino nasal polyposis and confirmed as REAH by histopathological examination.</p>

scholarly journals Pedunculated Cecal Lipoma Causing Colo-Colonic Intussusception: A Rare Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Stefanos Atmatzidis ◽  
Grigoris Chatzimavroudis ◽  
Aristidis Patsas ◽  
Basilis Papaziogas ◽  
Spiros Kapoulas ◽  
...  
Keyword(s):  
Case Report ◽  
Preoperative Diagnosis ◽  
Rare Case ◽  
Histopathological Examination ◽  
Exploratory Laparotomy ◽  
Right Hemicolectomy ◽  
Resected Specimen ◽  
Ascending Colon ◽  
Imaging Studies ◽  
Rare Case Report

Colonic lipomas are uncommon nonepithelial neoplasms that are typically sessile, asymptomatic and incidentally found during endoscopy, surgery, or autopsy. We present a very rare case of a 34-year-old female patient with symptomatic pedunculated cecal lipoma causing intermittent colo-colonic intussusception. Despite adequate imaging studies, definite preoperative diagnosis was not established and the patient underwent exploratory laparotomy. Intraoperatively, intussusception of the cecum into the ascending colon was found and right hemicolectomy was performed. Macroscopic assessment of the resected specimen showed the presence of a giant cecal pedunculated polypoid tumor with features of lipoma, causing intussusception. Histopathological examination confirmed the diagnosis of pedunculated cecal lipoma.

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