Multiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review

Abstract Background Multiple small-bowel diverticulosis comprises a rare entity with probable underestimated incidence, and that may be the reason why it is sometimes overlooked when managing cases with peritonitis. Case report In the present paper, we report the case of a 76-year-old male presenting abdominal pain and fever in an acute setting. Computed tomography (CT) scans revealed jejunal thickening and numerous images of saccular addition that were interpreted as jejunoileal diverticulitis. After an initial period of clinical treatment, surgical management was indicated based on a worsening clinical picture and the presence of an extraluminal focus of gas detected in a subsequent CT scan. Through a laparoscopic approach, multiple small-bowel diverticula and a tamponade perforation were found. A segmental intestinal resection was performed, and the patient was discharged after a ten days. Conclusions Multiple jejunal diverticulosis is a rare condition that should be remembered in the setting of an acute abdomen. As it prevails among older patients, early diagnosis with radiological aid is crucial to establish the most adequate management, including intestinal resection, if necessary.

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Enterolith ileus and jejunal diverticulitis from jejunal diverticulosis: the complications of a rare gastrointestinal entity

BMJ Case Reports ◽

10.1136/bcr-2021-243252 ◽

2021 ◽

Vol 14 (6) ◽

pp. e243252

Author(s):

Blake Anthony Sykes ◽

Chitrakanti Raj Kapadia

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Large Bowel ◽

Rare Entity ◽

Jejunal Diverticulosis ◽

Bowel Content ◽

Jejunal Diverticulitis

Small bowel diverticulosis is rare. False diverticula form in the jejunum, and less commonly, the ileum. As with their large bowel counterparts, these diverticula provide a pocket for stasis of bowel content, leading to the formation of enteroliths. This case report highlights two complications from jejunal diverticulosis: jejunal diverticulitis and a small bowel obstruction as a result of enterolithiasis; the latter being a rare entity which should be a differential diagnosis for any individual presenting with gastrointestinal obstructive symptoms and radiological evidence of small bowel diverticulosis.

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THREE CASES OF BOWEL OBSTRUCTION BY BROAD LIGAMENT HERNIA

British Journal of Surgery ◽

10.1093/bjs/znab160.017 ◽

2021 ◽

Vol 108 (Supplement_3) ◽

Author(s):

M Soto Dopazo ◽

E Pérez Prudencio ◽

A Arango Bravo ◽

C Nuño Iglesias ◽

C Mateos Palacios ◽

...

Keyword(s):

Small Bowel ◽

Bowel Obstruction ◽

Broad Ligament ◽

Intestinal Resection ◽

Laparoscopic Approach ◽

Exploratory Laparotomy ◽

X Rays ◽

Intestinal Necrosis ◽

Urgent Surgery ◽

Internal Hernias

Abstract INTRODUCTION Internal hernias caused by broad ligament defects are an infrequent cause of bowel obstruction. These defects may be congenital or acquired mainly by gynecological antecedents. Small bowel is the most common affected and the diagnosis is difficult due to nonspecific symptoms and absences of characteristic radiological signs. MATERIAL AND METHODS We report the cases of three women aged from 43 to 56 years old, who came to the emergency with abdominal pain, vomiting and bloating of hours duration. One patient has a history of laparoscopic appendectomy, the rest of them with no surgical history. In all of the cases, x-rays showed dilatation of small bowel loops and air-fluid levels and the abdominal TC revealed a generalized distention of bowel loops with transition point in the terminal ileum with no identifiable cause compatible with small bowel obstruction. RESULTS We decided to perform an urgent surgery with an exploratory laparotomy in one case and the rest by laparoscopic approach, finding an internal hernia occasioned by incarceration of small bowel through a broad ligament defect. In all cases, the hernia content was liberated without evidence of ischemia with no need for intestinal resection, and the defect was closed. All patients had a favourable postoperative course without complications. DISCUSSION Broad ligament defects are a rare cause of internal hernias. These are difficult to diagnose clinically as well as radiologically for an absence of characteristic signs. A high level of clinical suspicion allows early diagnosis and the treatment should be performed as soon as possible to reduce the chances of intestinal necrosis.

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Strangulated lumber hernias in adults: A case report and review of the literature

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2016.0211 ◽

2016 ◽

Vol 98 (8) ◽

pp. e160-e161 ◽

Cited By ~ 3

Author(s):

I Ka ◽

ML Gueye ◽

O Thiam ◽

LG Akpo ◽

AO Toure

Keyword(s):

Case Report ◽

Male Patient ◽

Preoperative Diagnosis ◽

Rare Condition ◽

Lumbar Hernia ◽

Rare Entity ◽

Review Of The Literature ◽

Management Guideline ◽

Therapeutic Modalities ◽

Specific Management

Strangulated lumbar hernia is a very rare condition, with no more than 30 cases reported in the literature so far. Therefore, there is no specific management guideline and the diagnosis remains difficult. By reporting the case of a Senegalese male patient who had a preoperative diagnosis of strangulated lumbar hernia, we aim to discuss the diagnosis and therapeutic modalities of this rare entity, which is often misdiagnosed.

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Laparoscopic Repair of Morgagni Hernia Combined with Right Hemicolectomy for Bleeding Ascending Colon Carcinoma Lodged within the Chest: A Case Report and Review of the Literature

Case Reports in Surgery ◽

10.1155/2021/5533203 ◽

2021 ◽

Vol 2021 ◽

pp. 1-5

Author(s):

Oluwatobi O Onafowokan ◽

Kiran Khosa ◽

Hugo Bonatti

Keyword(s):

Colon Cancer ◽

Case Report ◽

Hernia Repair ◽

Laparoscopic Hernia Repair ◽

Laparoscopic Approach ◽

Rare Condition ◽

Right Hemicolectomy ◽

Morgagni Hernia ◽

The Right ◽

Diaphragmatic Hernias

Background. Morgagni hernias are rare in adults and may be asymptomatic but, nevertheless, require surgical repair, with laparoscopy offering an excellent option. The colon dislodged into the chest through diaphragmatic hernias may be affected by various disorders, including malignancies. Case Report. A 70-year-old obese male presented with fatigue and shortness of breath. CT scan showed the right colon lodged in the chest through a Morgagni hernia. He was anaemic, and colonoscopy revealed a colon cancer. He underwent combined laparoscopic hernia repair with bioabsorbable mesh and right hemicolectomy. Recovery was uneventful, but the patient died 5 months later from chemotherapy-associated cardiac failure. Literature review revealed eight similar published cases, and including ours, there were seven Morgagni hernias, one traumatic hernia, and one Bochdalek hernia. Median age of the five men and four women was 66 (range 49-85) years. Surgical approach was thoracotomy (2), laparotomy (5), and laparoscopy (2). Conclusion. Outcome of the rare condition is determined by the course of the colon cancer. Hernia repair was successful in ours and all other published cases. A combined laparoscopic approach can be safely done.

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Persistent otorrhoea with an abnormal tympanic membrane secondary to squamous cell carcinoma of the tympanic membrane

The Journal of Laryngology & Otology ◽

10.1017/s0022215110002203 ◽

2010 ◽

Vol 125 (3) ◽

pp. 318-320 ◽

Cited By ~ 5

Author(s):

N de Zoysa ◽

J Stephens ◽

G M D Mochloulis ◽

P B D S Kothari

Keyword(s):

Squamous Cell Carcinoma ◽

Case Report ◽

Cell Carcinoma ◽

Tympanic Membrane ◽

Temporal Bone ◽

Squamous Cell ◽

Rare Case ◽

Rare Condition ◽

Rare Entity ◽

Review Of The Literature

AbstractObjective:The authors present an extremely rare case of carcinoma of the tympanic membrane.Method:A case report and review of the literature concerning carcinoma of the tympanic membrane and temporal bone are presented and discussed.Results:The authors present a patient with recurrent otorrhoea and an abnormal tympanic membrane. Biopsy was inconclusive, but resection demonstrated squamous cell carcinoma of the tympanic membrane. We also discuss the investigation, diagnosis, natural history and management of this rare condition, as well as the staging and management of tumours of the temporal bone and the differences between these closely related but prognostically different entities.Conclusion:This rare entity can be managed by primary surgical resection if there is no evidence of metastasis.

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Laparoscopic approach to the treatment of inflammatory myofibroblastic tumor of the spleen, case report and literature review

Srpski medicinski casopis Lekarske komore ◽

10.5937/smclk2002143g ◽

2020 ◽

Vol 1 (2) ◽

pp. 143-148

Author(s):

Nikola Grubor ◽

Dragan Erić ◽

Ivana Pavlović ◽

Goran Tasić ◽

Slavko Matić

Keyword(s):

Case Report ◽

Correct Diagnosis ◽

Laparoscopic Approach ◽

Rare Condition ◽

Individual Case ◽

Postoperative Recovery ◽

Benign Tumors ◽

Laboratory Findings ◽

Invasive Approach ◽

Preoperative Diagnostic

Introduction: Benign tumors of the spleen are a rare condition. Their pathogenesis and clinical presentation represent a diagnostic and surgical challenge in the sense of establishing the correct diagnosis and selecting the appropriate surgical approach. Case report: In our paper, we are presenting a 45-year-old female patient who was initially tested and examined because of nonspecific complaints manifesting as occasional pain in the left upper quadrant of the abdomen. The values of the laboratory findings were within the reference range and preoperative radiological diagnostics indicated the existence of a mass in the spleen which had the features of a tumor. Based on the preoperative diagnostic finding we decided to perform laparoscopic splenectomy. Postoperative recovery was without adverse events, and the patient has prescribed the necessary vaccination and antibiotic prophylaxis. Conclusion: Myofibroblastic tumor of the spleen represents, as far as its origin is concerned, a mystery, with its very limited and nonspecific presentation of symptoms, which is why each individual case must be approached seriously. Laparoscopy has a very important role in the treatment of this disease, bearing in mind all the advantages of a minimally invasive approach over open surgery.

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Successful management of adhesion related small bowel ischemia without intestinal resection: A case report and review of literature

World Journal of Gastrointestinal Pathophysiology ◽

10.4291/wjgp.v10.i2.29 ◽

2019 ◽

Vol 10 (2) ◽

pp. 29-35

Author(s):

Pantelis Vassiliu ◽

Vasiliki Ntella ◽

George Theodoroleas ◽

Zisis Mantanis ◽

Ioanna Pentara ◽

...

Keyword(s):

Case Report ◽

Small Bowel ◽

Intestinal Resection ◽

Bowel Ischemia ◽

Review Of Literature ◽

Successful Management

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Penile Ossification: a traumatic event or evolutionary throwback? Case report and review of the literature

Canadian Urological Association Journal ◽

10.5489/cuaj.249 ◽

2013 ◽

Vol 7 (1-2) ◽

pp. 112 ◽

Cited By ~ 3

Author(s):

Ibrahim Edhem Yılmaz ◽

Yagil Barazani ◽

Basir Tareen

Keyword(s):

Diabetes Mellitus ◽

Case Report ◽

Traumatic Event ◽

Rare Condition ◽

Rare Entity ◽

Common Condition ◽

Review Of The Literature ◽

Unique Case ◽

Local Trauma ◽

Peyronie's Disease

Penile ossification is an exceedingly rare condition, with only a handful of histologically confirmed cases reported in the literature. The most common condition leading to penile ossification is Peyronie’s disease. Other conditions such as gout, ERSD, diabetes mellitus, hyperparathyroidism, and local trauma have also been associated with penile ossification. We report a unique case of near-complete penile ossification of the corporal bodies with histologic confirmation on pathologic review. Our report summarizes the literature regarding this rare entity.

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Idiopathic Scrotal Calcinosis: A Case Report of a Rare Entity

Case Reports in Urology ◽

10.1155/2019/6501964 ◽

2019 ◽

Vol 2019 ◽

pp. 1-3

Author(s):

Umesh Jayarajah ◽

Lalani de Silva ◽

Chandu de Silva ◽

Sanjeewa Seneviratne

Keyword(s):

Case Report ◽

Rare Condition ◽

Surgical Excision ◽

Rare Entity ◽

Scrotal Skin ◽

Benign Condition

Scrotal calcinosis is a benign condition where multiple calcified nodules are found within the dermis of the scrotal skin. It is a rare condition which is usually asymptomatic and has no clear aetiology although several theories have been proposed in the aetiopathogenesis. We report a 55-year-old man with extensive scrotal calcinosis. Surgical excision of the affected scrotal skin was curative.

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