scholarly journals 1566 A Rare Case of Aorto-Duodenal Fistula Associated with Bacterial Meningitis

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
O Allon ◽  
A Williams ◽  
M Blaszczynski
Keyword(s):  
Bacterial Meningitis ◽  
Rare Case ◽  
Aortic Wall ◽  
Rare Complication ◽  
Aortic Surgery ◽  
Fatal Outcome ◽  
Aortic Disease ◽  
Enteric Fistula ◽  
Duodenal Fistula ◽  
History Of

Abstract Aorto-enteric fistula (AEF) is an extremely rare complication of aortic disease with potentially fatal outcome. AEF is defined as a fistulous connection between aorta and bowel and can be classified into primary (involving native aorta) or secondary (occurring after aortic surgery). Primary AEF is by far the less common of the two and may be associated with malignancy, radiotherapy or infection. We present a case of a 75-year-old male presenting with collapse and haemetemesis. CT imaging revealed a fistula between native aorta and duodenum. Emergency surgery was carried out but ultimately the patient did not survive. The underlying cause remains uncertain. Notably, the patient had a recent history of bacterial meningitis 6 months prior to presentation and, despite negative cultures, infection of the aortic wall was strongly suspected.

scholarly journals A Rare Case of Pericardial Tuberculoma with Impending Tamponade in a 52-Year Old Woman: A Case Report

2021 ◽  
Author(s):  
Clement `C Kabakama ◽  
Zahra Daudi Khan ◽  
Pilly Chillo ◽  
Amos Rodger Mwakigonja
Keyword(s):  
Heart Failure ◽  
Ct Scan ◽  
Rare Case ◽  
Mediastinal Mass ◽  
Rare Complication ◽  
Clinical Signs ◽  
Extra Pulmonary Tuberculosis ◽  
History Of ◽  
Extra Pulmonary ◽  
The Right

Pericardial tuberculoma is a rare complication of tuberculous pericarditis. It may mimic a compressive mediastinal mass, often misinterpreted as a mediastinal tumour. Since, it arises from the pericardium, pericardial tuberculoma invariably compresses structures of the heart and may present with features of either-sided heart failure depending on the side of the compression. Hereby, the authors present a case of a 52-year-old woman with progressive difficulty in breathing and symptoms of right-sided heart failure as well as clinical signs of impending cardiac tamponade following a history of extra-pulmonary tuberculosis. Echocardiogram examination revealed a mass compressing the right side of the heart but was inconclusive of the mass origin. CT Scan of the chest showed a mass arising from the pericardium. The mass was later surgically excised. Histopathology confirmed pericardial tuberculosis and a diagnosis of a pericardial tuberculoma was reached. Patient’s heart failure symptoms regressed after surgery and she was discharged to continue with anti-tuberculosis regime. This report discusses the inclusion of pericardial tuberculoma in the differential diagnoses of cardiac compressing masses, particularly in tuberculosis endemic areas and emphasise on prompt CT Scan imaging when echocardiogram is inconclusive.

scholarly journals A rare case of meningitis due to Salmonella typhi in a nine month old infant

2017 ◽  
Vol 4 (3) ◽  
pp. 1108
Author(s):  
Nautiyal S. ◽  
Jauhari S. ◽  
Chauhan J. ◽  
Nadeem R.
Keyword(s):  
Bacterial Meningitis ◽  
Rare Case ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Salmonella Typhi ◽  
Care Hospital ◽  
History Of

Salmonella typhi is a rare cause of bacterial meningitis in infants accounting for 1% or less of cases. We report a rare case of meningitis in a nine-month-old baby due to Salmonella typhi. A nine-month-old female was admitted to our tertiary care hospital, with a week’s history of fever with rigors and refusal to take feeds.

scholarly journals Survival of Toddler with Aortoesophageal Fistula after Button Battery Ingestion

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Hannah Gibbs ◽  
Rishabh Sethia ◽  
Patrick I. McConnell ◽  
Jennifer H. Aldrink ◽  
Toshiharu Shinoka ◽  
...  
Keyword(s):  
Rare Case ◽  
Pediatric Population ◽  
Rare Complication ◽  
Aortoesophageal Fistula ◽  
Esophageal Foreign Body ◽  
Button Battery ◽  
Caustic Injury ◽  
History Of ◽  
High Index Of Suspicion ◽  
Button Batteries

Button batteries (BBs) are found in many households and are a source of esophageal foreign body in the pediatric population. Upon ingestion, significant caustic injury can occur within 2 hours leading to tissue damage and severe, potentially fatal sequelae. Aortoesophageal fistula (AEF) is a rare complication that nearly always results in mortality. We report a rare case of a toddler who developed an AEF after BB ingestion and survived following staged aortic repair. There should be a high index of suspicion for this complication with the history of BB ingestion and presence of hematemesis, hemoptysis, or melena.

scholarly journals Bridging the Divisum: A Rare Case of Pancreaticopleural Fistula in the Setting of Complete Pancreatic Divisum Treated Endoscopically

2020 ◽  
Vol 8 ◽  
pp. 232470962096533
Author(s):  
Rachel Peterson ◽  
Samiran Mukherjee ◽  
Prateek Suresh Harne ◽  
Sahir Quraeshi ◽  
Anuj Vikrant Sharma ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Pleural Effusion ◽  
Rare Case ◽  
Endoscopic Therapy ◽  
Rare Complication ◽  
The Other ◽  
History Of ◽  
Pancreatic Duct Disruption ◽  
Recurrent Pleural Effusion ◽  
Duct Disruption

A pancreaticopleural fistula (PPF) is a rare complication of chronic pancreatitis that occurs either due to a pancreatic duct disruption or a pseudocyst extension. A pancreatic divisum, on the other hand, is a common anatomic variant of the pancreas that is rarely symptomatic. We describe a case of recurrent pleural effusion in a patient with a history of chronic pancreatitis. Investigations revealed the presence of a PPF and a concomitant complete pancreatic divisum. There was resolution of the pleural effusion on endoscopic therapy. This is the fourth reported case of a PPF in the setting of complete pancreatic divisum and the first reported case in a middle-aged female.

scholarly journals A Rare Case Presentation of a Perforated Giant Sigmoid Diverticulum

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Jennifer C. Kam ◽  
Vikram Doraiswamy ◽  
Robert S. Spira
Keyword(s):  
Rare Case ◽  
Rare Complication ◽  
Primary Anastomosis ◽  
Abscess Drainage ◽  
Case Presentation ◽  
X Ray ◽  
Giant Sigmoid Diverticulum ◽  
History Of

Giant sigmoid diverticulum (GSD) is a rare complication of diverticulosis. These lesions arise from herniations of the mucosa through the muscle wall which progressively enlarge with colonic gas to become large air-filled cysts evident on plain X-ray and CT scans. We present a rare case of a 72-year-old female presenting with abdominal distention, abdominal tenderness, and fever who developed a type 1 giant sigmoid diverticulum (pseudodiverticulum) that subsequently formed an intra-abdominal abscess and an accompanying type 2 diverticulum as well. The patient was treated with surgical resection of the diverticulum with a primary anastomosis and abscess drainage. The patient’s postoperative course was uneventful. This case helps to support the need for the consideration of GSD in patients aged 60 and older with a history of diverticulosis and presenting with abdominal discomfort and distension.

scholarly journals Family history of aortic dissection is not a risk factor in Marfan syndrome with a FBN1 gene mutation

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
M Tchitchinadze ◽  
O Milleron ◽  
L Eliahou ◽  
S Jadoui ◽  
N Ould Ouali ◽  
...  
Keyword(s):  
Risk Factor ◽  
Family History ◽  
Aortic Dissection ◽  
Gene Mutation ◽  
Marfan Syndrome ◽  
Aortic Surgery ◽  
Aortic Disease ◽  
Personal Risk ◽  
Fbn1 Gene ◽  
History Of

Abstract Background A history family of aortic dissection was considered as a risk factor for aortic dissection in patients with Marfan syndrome with a FBN1 mutation. Objectives Evaluate whether a family history of aortic dissection is a risk marker for dissection in this population Methods Retrospective study of patients coming to the reference centre between 1996 and 2018, carrying a FBN1 gene mutation. Pedigrees were obtained for each patient, and familial screening actively pursued. Patients with a family history of aortic dissection were compared with patients without family history of aortic dissection. Results 1700 patients (age 33.2 (±17) years, 51% women) with a FBN1 gene mutation were included. 145 (8,5%) patients underwent aortic dissection at a mean age of 37.9 (±11.4) years and 323 (19%) patients had been operated at 33.8 (±13.9) years. 481 patients had a family history of aortic dissection, including 38 who dissected themselves, and 88 who underwent surgery. 1219 had no family history of aortic dissection, including 107 who dissected themselves, and 235 who underwent surgery. Therefore, the personal risk for aortic dissection was similar in patients with and without a family history of aortic dissection (38/481, i.e. 7.9% vs 107/1219, i.e. 8.8%), as was the personal risk for prophylactic aortic surgery (88/481, i.e. 18.3% vs. 253/1219, i.e. 17.2%), and the risk for either aortic dissection or prophylactic aortic surgery (118/481, i.e. 24.5% vs. 328/1219, i.e. 26.9%). Conclusions In Marfan syndrome with a FBN1 gene mutation, a family history of aortic dissection is not a marker of aortic disease severity. FUNDunding Acknowledgement Type of funding sources: None.

Adenoid Cystic Carcinoma of Lacrimal Gland

JMS SKIMS ◽  
2012 ◽  
Vol 15 (1) ◽  
pp. 76-77
Author(s):  
Mohd Athar ◽  
K S Sodhi ◽  
S Kala ◽  
R K Maurya ◽  
S Chauhan ◽  
...  
Keyword(s):  
Local Recurrence ◽  
Natural History ◽  
Adenoid Cystic Carcinoma ◽  
Salivary Glands ◽  
Hard Palate ◽  
Clinical Course ◽  
Fatal Outcome ◽  
Minor Salivary Glands ◽  
Adenoid Cystic ◽  
History Of

Adenoid cystic carcinoma is a relatively uncommon tumour of salivary, glands and is characterised by a prolonged clinical course and a fatal outcome. It was first described as `cylindroma' by Billroth in 1859. Half of these tumors occur in glandular tissues other than the major salivary glands; principally in the hard palate, but they can also arise in the tongue and minor salivary glands. Unusual locations include the external auditory canal, nasopharynx, lacrimal glands, breast, vulva, esophagus, cervix and Cowper glands. The long natural history of this tumor and its tendency for local recurrence are well known. JMS 2012;15(1):76-77.

Antibiotic Therapy Did Not Prevent the Rupture of Mycotic Aneurysm of the Superior Mesenteric Artery

2015 ◽  
Vol 18 (3) ◽  
pp. 088
Author(s):  
Ye-tao Li ◽  
Xiao-bin Liu ◽  
Tao Wang
Keyword(s):  
Abdominal Pain ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Acute Abdominal Pain ◽  
Rare Complication ◽  
Emergency Operation ◽  
History Of

<p class="p1"><span class="s1">Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SMA aneurysm, which was successfully treated with an emergency operation of aneurysm ligation. The aortic valve was replaced 17 days later and the patient recovered uneventfully. In conclusion, we present a rare case with infective endocarditis (IE) complicated by SMA aneurysm. Antibiotic treatment did not prevent the rupture of SMA aneurysm. Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.</span></p>

A rare case of duodenal cancer with achalasia cardia

2019 ◽  
Vol 22 (2) ◽  
pp. 32-34
Author(s):  
Kartikesh Mishra
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Similar Case ◽  
Barium Meal ◽  
Duodenal Adenocarcinoma ◽  
Gastrointestinal Malignancies ◽  
Achalasia Cardia ◽  
Proliferative Growth ◽  
History Of ◽  
Duodenal Carcinoma

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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