Spontaneousrupture of a giant thoracic duct cyst presenting with abdominal pain and a tension chylothorax

Abstract Ruptured thoracic duct cysts are an extremely rare occurrence that may arise spontaneously or due to trauma. Surgical treatment is needed to provide a definitive diagnosis, drain the chylothorax and ligate the thoracic duct to prevent reoccurrence. We report the case of a woman with a ruptured thoracic duct cyst presenting with abdominal pain and subsequent tension chylothorax. To the best of our knowledge, this is the first such reported case.

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Thoracic duct cyst presenting as abdominal pain

Surgery ◽

10.1016/j.surg.2018.01.008 ◽

2018 ◽

Vol 163 (6) ◽

pp. 1324

Author(s):

Ahmed Abu-Zaid ◽

Ali Mohammed Alakhtar ◽

Faisal Dkhalallah Alshamdin ◽

Waleed Saleh

Keyword(s):

Abdominal Pain ◽

Thoracic Duct ◽

Duct Cyst

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Thoracic duct cyst: Sclerotherapy as alternative for surgical treatment

Head & Neck ◽

10.1002/hed.20497 ◽

2007 ◽

Vol 29 (3) ◽

pp. 292-295 ◽

Cited By ~ 9

Author(s):

Johannes J. Dool ◽

Remco de Bree ◽

René van den Berg ◽

C. René Leemans

Keyword(s):

Surgical Treatment ◽

Thoracic Duct ◽

Duct Cyst

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Analysis on the Clinical Effects of Emergency Surgical Treatment on Patients with Acute Abdominal Pain

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v5i1.1764 ◽

2021 ◽

Vol 5 (1) ◽

Author(s):

Xuan Hu

Keyword(s):

Abdominal Pain ◽

Surgical Treatment ◽

Emergency Surgery ◽

Acute Abdominal Pain ◽

Definitive Diagnosis ◽

Clinical Effects ◽

Non Invasive ◽

Complications And Mortality

Objective: To study the clinical effects of emergency surgery in treating patients with acute abdominal pain. Methods: 60 patients admitted to our hospital between January 2019 and December 2019 were randomly selected as subjects, and the incidence of complications and mortality of the patients were observed. Results: Among the 60 patients, definitive diagnosis was obtained during the operation and there was no mortality. After the operation, they were transferred to other relevant departments for continued treatment. Among the 60 patients, 4 cases had complications, accounted for incidence of 6.67%. Conclusion: The diagnosis of emergency surgical treatment based on acute abdominal pain avoided misdiagnosis and realized non-invasive diagnosis, and provided a valid reference for avoiding overtreatment.

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Delayed Pancreatic Metastasis of Renal Clear Cell Carcinoma

Acta Chirurgica Latviensis ◽

10.2478/chilat-2014-0016 ◽

2013 ◽

Vol 13 (2) ◽

pp. 79-80

Author(s):

Zane Simtniece ◽

Gatis Kirsakmens ◽

Ilze Strumfa ◽

Andrejs Vanags ◽

Maris Pavars ◽

...

Keyword(s):

Abdominal Pain ◽

Surgical Treatment ◽

Cell Carcinoma ◽

Clear Cell ◽

Clear Cell Carcinoma ◽

Primary Tumour ◽

Renal Clear Cell Carcinoma ◽

Pancreatic Metastasis ◽

Distal Pancreatic Resection

Abstract Here, we report surgical treatment of a patient presenting with pancreatic metastasis (MTS) of renal clear cell carcinoma (RCC) 11 years after nephrectomy. RCC is one of few cancers that metastasise in pancreas. Jaundice, abdominal pain or gastrointestinal bleeding can develop; however, asymptomatic MTS can be discovered by follow-up after removal of the primary tumour. The patient, 67-year-old female was radiologically diagnosed with a clinically silent mass in the pancreatic body and underwent distal pancreatic resection. The postoperative period was smooth. Four months after the surgery, there were no signs of disease progression.

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B-Lymphoblastic Lymphoma of the Small Bowel: An Extremely Rare Occurrence

The American Surgeon ◽

10.1177/0003134821998679 ◽

2021 ◽

pp. 000313482199867

Author(s):

Nikolaos G Symeonidis ◽

Kalliopi E Stavrati ◽

Efstathios T Pavlidis ◽

Kyriakos K Psarras ◽

Eirini Martzivanou ◽

...

Keyword(s):

Abdominal Pain ◽

Small Bowel ◽

Soft Tissues ◽

Lymphoblastic Lymphoma ◽

Emergency Laparotomy ◽

Rare Occurrence ◽

Small Bowel Tumor ◽

Gastrointestinal Lesions ◽

Immature B Cells ◽

B Lymphoblastic Lymphoma

B-lymphoblastic lymphoma is a neoplasm of immature B cells and is characterized by aggressive behavior and disease progression. Common sites of involvement are skin, lymph nodes, bone, soft tissues, breast, and the mediastinum. Gastrointestinal lesions are rarely encountered and therefore not fully described. We herein report the case of a 28-year-old male, who presented with abdominal pain and CT scan showed a tumor involving the small bowel and its mesentery. He underwent emergency laparotomy and enterectomy. Histopathology report revealed B-lymphoblastic lymphoma affecting the small bowel and the adjacent mesentery. This is the first documented case of a small bowel tumor diagnosed as B-lymphoblastic lymphoma in published literature.

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Cannabinoid Hyperemesis Syndrome: A Case Report of an Underdiagnosed Condition

GE Portuguese Journal of Gastroenterology ◽

10.1159/000512088 ◽

2020 ◽

pp. 1-5

Author(s):

João Machado Nogueira ◽

Inês Fonseca ◽

Marco Duarte

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Diagnostic Tests ◽

Clinical Symptoms ◽

Definitive Diagnosis ◽

Hot Water ◽

Illustrative Case ◽

Raising Awareness ◽

Detailed Medical History ◽

Cannabinoid Hyperemesis Syndrome

Cannabinoid hyperemesis syndrome (CHS) is characterized by episodic bursts of nausea, vomiting and abdominal pain, affecting chronic cannabis users. The clinical picture mimics an acute abdomen, usually leading to multiple assessments in the emergency department. Several complementary diagnostic examinations are performed with non-specific results, making differential diagnosis puzzling. We present a case of a 42-year-old man, who has been admitted multiple times to the emergency department in the last 3 months for abdominal pain, nausea and vomiting, without triggering factors and improving only with hot water baths. He was evaluated by different specialties, the various complementary diagnostic tests performed showed no significant results, and no definitive diagnosis was obtained. Treatment resulted only in a partial and transient resolution of symptoms. A more detailed medical history revealed cannabis use for more than 5 years, with a recent increase in the amount consumed. After psychoeducation, explaining the risks associated with consumption and its relationship with the clinical symptoms, which resulted in complete suspension of cannabis, there have been no new symptomatic episodes since then. We present an illustrative case of a poorly reported clinical entity despite having a probable significant prevalence, raising awareness in order that clinicians identify and properly manage these cases.

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Effectiveness of mebeverine in patients with post-cholecystectomy gastrointestinal spasm: results of prospective observational program “odyssey”

Terapevticheskii arkhiv ◽

10.26442/terarkh201890840-47 ◽

2018 ◽

Vol 90 (8) ◽

pp. 40-47 ◽

Cited By ~ 1

Author(s):

I V Maev ◽

Yu A Kucheravy ◽

V V Tsukanov ◽

E Yu Eremnia ◽

D N Andreev ◽

...

Keyword(s):

Quality Of Life ◽

Abdominal Pain ◽

Surgical Treatment ◽

Rating Scale ◽

Clinical Symptoms ◽

Gastrointestinal Symptoms ◽

Marked Change ◽

Numeric Rating Scale ◽

Observational Assessment

Aim: to assess the effectiveness of mebeverine 200 mg BID in patients with post-cholecystectomy gastrointestinal spasm not requiring surgical treatment. Materials and methods. 218 patients were included in 16 clinical centers in 14 cities in Russia. All patients had post-cholecystectomy gastrointestinal spasms, not requiring surgical treatment and received mebeverine (Duspatalin®) 200 mg BID. The observational assessment period lasted from the moment of their inclusion into the study up to 6 weeks post inlusion. The therapy results were evaluated using visual analog scales (GPA and 11-point numeric rating scale) by patient self-assessment of the dynamics of spasm/discomfort and other post-cholecystectomic gastrointestinal symptoms after 2 and 6 weeks of treatment. Gastrointestinal Quality of Life Index (GIQLI) was used to assess patient quality of life. Results and discussion. All 218 patients completed the 2-week mebeverine treatment course, 101 of them finished the 6-week course (“prolonged population”). Significant positive changes in the relief of abdominal pain and dyspepsia were noted as well as normalization of stool frequency and consistency. A more marked change in values was observed during prolonged (up to 6 weeks) therapy. Both 2-week and 6-week mebeverine courses led to a normalization of patient quality of life. After 6 week therapy, an effect of mebeverine on the quality of life 91% of patients was observed comparable to cholecystectomy itself, speficially related to the quality of life subscore ‘symptoms’. Conclusion. The results of our study demonstrate that mebeverine (Duspatalin®) therapy leads to an effective elimination of clinical symptoms associated with post-cholecystectomy GI-spasm disorders, like abdominal pain, symptoms of dyspepsia and stooldisorders. A more marked change in values was observed during prolonged (up to 6 weeks) therapy.

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Case report of von willebrand disease after tonsillotomy and adenotomy in a child

Russian otorhinolaryngology ◽

10.18692/1810-4800-2021-1-89-92 ◽

2021 ◽

Vol 20 (1) ◽

pp. 89-92

Author(s):

S. S. Makhmudov ◽

◽

A. A. Ochilzoda ◽

F. P. Dzhamolov ◽

A. Z. Mutalibov ◽

...

Keyword(s):

Case Report ◽

Clinical Practice ◽

Surgical Treatment ◽

Clinical Case ◽

Clinical Manifestations ◽

Von Willebrand Disease ◽

Rare Occurrence ◽

Von Willebrand

The authors present a clinical case of von Willebrand disease detected after tonsillotomy and adenotomy in a child. The peculiarity of this observation lies in the rare occurrence of von Willebrand disease in clinical practice, as well as the manifestation of the clinical manifestations of this pathology against the background of surgical treatment in a child.

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Cystic form of biliary atresia. Treatment experience

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care ◽

10.17816/psaic603 ◽

2020 ◽

Vol 10 (1) ◽

pp. 17-24

Author(s):

Irina I. Borisova ◽

Anatoliy V. Kagan ◽

Svetlana A. Karavaeva ◽

Aleksey N. Kotin

Keyword(s):

Surgical Treatment ◽

Bile Duct ◽

Common Bile Duct ◽

Biliary Atresia ◽

Bile Ducts ◽

Surgical Intervention ◽

Ultrasound Examination ◽

Duct Cyst ◽

Cystic Form ◽

The Common

Background. The cystic form of biliary atresia is a rare form of atresia of the biliary tract, which is a relatively favorable variant of the defect and can be diagnosed antenatally. In practice, it is important not only to suspect this diagnosis, but also to differentiate this variant of impaired development of the external bile duct from the cyst of the common bile duct. This is due to the difference in approaches and methods of surgical treatment of choledochal cysts and biliary atresia. Obliteration (atresia) of the bile ducts in the absence of timely surgical intervention quickly leads to the progression of cirrhosis and the development of liver failure. The method of choice in the treatment of AD is Kasai surgery, often palliative in nature, but allowing to delay the time until liver transplantation. The cyst of the common bile duct rarely requires early surgical treatment, and the risk of cirrhosis is significantly lower. Surgical intervention is aimed at removing the cyst and restoring the flow of bile by anastomosing the external bile ducts with the intestines, which is a radical method of treatment and leads to the recovery of the child. External similarity in ultrasound examination of the fetus and newborn baby of the cystic form of biliary atresia of the bile ducts with a cyst of the common bile duct does not always allow differentiation of one defect from another, which can lead to untimely correction of the defect and an unfavorable outcome. Aim. Demonstrate a rare type of biliary atresia. Materials and methods. Between 2001 and 2019, 33 patients with biliary atresia were treated in the Childrens City Multidisciplinary Clinical Specialized Center for High Medical Technologies in St. Petersburg, only two patients had a cystic form. Both children were initially treated as patients with bile duct cyst. Children were operated on at the age of 2 and 3.5 months. The first patient underwent surgery Kasai, the second hepaticoyunoanastomosis. Results. During the observation period (9 years and 4 years), the synthetic function of the liver is normal, and there are currently no indications for transplantation. Conclusion. If a fetus or a newborn with neonatal jaundice is detected during ultrasound examination of a cystic formation in the gates of the liver, it is very important to correctly and quickly make a differential diagnosis between the cystic form of biliary atresia of the biliary tract and the common bile duct cyst.

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