scholarly journals LAMN as a differential diagnosis for abdominal pain: a case report from Syria

2022 ◽  
Vol 2022 (1) ◽  
Author(s):  
Joudi Tarabishi ◽  
Alma Douedari ◽  
Tahreer Almasalmeh ◽  
Mario Tarzi
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Adnexal Mass ◽  
Right Hemicolectomy ◽  
Low Grade ◽  
Computed Tomography Scan ◽  
Mucinous Neoplasms ◽  
Retroperitoneal Tumors ◽  
Tomography Scan

Abstract Low-grade appendiceal mucinous neoplasms (LAMNs) are papillary or flat mucinous tumors with low-grade cytologic atypia found in <0.3% of appendectomy specimens among older population. They are the most frequent source of pseudomyxoma peritonei. They can be easily misdiagnosed, due to unspecific symptoms, with acute appendicitis, retroperitoneal tumors or adnexal mass. Macroscopically, the appendix may appear normal or be variably dilated. Microscopic study determines whether the studied specimen is LAMN or mucinous adenocarcinomas. We report a 77-year-old patient presented with 15-day abdominal pain accompanied with chills and hyperthermia. Decision was made for right hemicolectomy as a result of the findings on ultrasound and computed tomography scan. Diagnosis was made after the pathologic study, which revealedLAMN.

scholarly journals Neglected Appendicitis? One Patient Two Diagnosis? Differential Diagnosis of Acute Abdominal Pain

2020 ◽  
Author(s):  
Eunice Vieira e Monteiro ◽  
Cláudia Paiva ◽  
Paulo Soares
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Physical Examination ◽  
Female Patient ◽  
Laparoscopic Appendectomy ◽  
Acute Abdominal Pain ◽  
Computed Tomography Scan ◽  
Tomography Scan

Authors present a case report of a female patient, with 38-years-old, admitted with alithiasic acute pancreatitis.During the hospitalization on day 6 she referred migration of the pain to the lower right quadrant and had pain in decompression; she underwent a computed tomography scan that was compatible with acute appendicitis.She was admitted to the operating room and laparoscopic appendectomy was performed. Surgery and hospitalization were uneventful and she was discharged on the 10th day after admission.The purpose to present this case is related to need to draw doctors’ attention to do an accurate physical examination and a selective interpretation of diagnostic exams in order to make a correct differential diagnosis and guide treatment.

An Infant with COVID-19-Associated Intussusception

2021 ◽  
pp. 000313482110474
Author(s):  
Gwyneth A. Sullivan ◽  
Nicholas J. Skertich ◽  
Kody B. Jones ◽  
Michael Williams ◽  
Brian C. Gulack ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Lymphoid Hyperplasia ◽  
Computed Tomography Scan ◽  
Ileocolic Intussusception ◽  
Common Cause ◽  
Caregiver Education ◽  
Intermittent Abdominal Pain ◽  
The Right ◽  
Tomography Scan

Intussusception is the most common cause of bowel obstruction in infants four to ten months old and is commonly idiopathic or attributed to lymphoid hyperplasia. Our patient was a 7-month-old male who presented with two weeks of intermittent abdominal pain associated with crying, fist clenching and grimacing. Ultrasound demonstrated an ileocolic intussusception in the right abdomen. Symptoms resolved after contrast enemas, and he was discharged home. He re-presented similarly the next day and was found to be COVID-19 positive. Computed tomography scan demonstrated a left upper quadrant ileal-ileal intussusception. His symptoms spontaneously resolved, and he was discharged home. This suggests that COVID-19 may be a cause of intussusception in infants, and infants presenting with intussusception should be screened for this virus. Additionally, recurrence may happen days later at different intestinal locations. Caregiver education upon discharge is key to monitor for recurrence and need to return.

scholarly journals The clicking chest: what exactly did Hamman hear? A case report of a left-sided pneumothorax

2020 ◽  
Author(s):  
Nadeem Jimidar ◽  
Patrick Lauwers ◽  
Emmanuela Govaerts ◽  
Marc Claeys
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Case Report ◽  
Case Reports ◽  
Gunshot Wounds ◽  
Computed Tomography Scan ◽  
Imaging Studies ◽  
Left Chest ◽  
Case Summary ◽  
Tomography Scan

Abstract Background Hamman’s sign is a rare phenomenon. Louis Hamman described this pathognomonic clicking chest noise in association with pneumomediastinum in 1937. This typical noise can also be present in left-sided pneumothorax. Clinical cases already mention this pericardial knock in 1918 in gunshot wounds of the left chest and in 1928 in cases of spontaneous left-sided pneumothorax. However, the sound itself has only rarely been recorded. Case summary We describe a case of a young man with no significant medical history who was referred to the hospital with chest pain and audible clicks, documented with his smartphone. Imaging studies including chest radiograph and computed tomography scan revealed a left-sided pneumothorax. The patient underwent semi-urgent insertion of a thorax drain. His clinical outcome was excellent. Discussion In recent years only a few case reports describe Hamman’s sign, as it is rare and happens only transiently. This case report includes the audible clicks recorded by the patient with his smartphone. We stress the importance of thoracic clicking sounds as key symptom in the differential diagnosis of left-sided pneumothorax, pneumomediastinum, and valvular pathology such as mitral valve prolapse.

scholarly journals Necrotizing sarcoid granulomatosis: A case report

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Sofia O. Correia ◽  
Daniel Pereira ◽  
José Miguel Maia ◽  
Ana Sofia Cipriano ◽  
Maria Manuela França ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Case Report ◽  
Computed Tomography Scan ◽  
Persistent Cough ◽  
Tomography Scan

We report a case of a 22-year-old man with persistent cough and sarcoidosis-like changes in computed tomography scan. An extensive differential diagnosis is discussed and its evolution and treatment is presented.

scholarly journals Differential diagnosis of COVID-19 at the chest computed tomography scan: A review with special focus on cancer patients

2021 ◽  
Vol 13 (8) ◽  
pp. 243-257
Author(s):  
Fabiana Perrone ◽  
Maurizio Balbi ◽  
Chiara Casartelli ◽  
Sebastiano Buti ◽  
Gianluca Milanese ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Cancer Patients ◽  
Special Focus ◽  
Computed Tomography Scan ◽  
Chest Computed Tomography ◽  
Tomography Scan

scholarly journals Left flank pain during pregnancy with an unpredictable etiology: think of nonhemorrhagic adrenal infarction

2021 ◽  
pp. FSO718
Author(s):  
Myriam Jerbaka ◽  
Tracy Slaiby ◽  
Zahraa Farhat ◽  
Yara Diab ◽  
Nawal Toufayli ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Pregnant Woman ◽  
Pregnant Patient ◽  
Flank Pain ◽  
Computed Tomography Scan ◽  
Left Flank ◽  
Left Flank Pain ◽  
Tomography Scan ◽  
Adrenal Infarction

Abdominal pain is the most presenting complaint during pregnancy with multiple etiologies. The diagnosis could be unpredictable. We present a case of 36-year-old pregnant woman gravida 10 para 7 abortus 2 at 36 + 5 weeks of gestation presenting twice for an increasing left abdominal pain, not relieved despite analgesics. She was delivered for severe oligohydramnios. After delivery, she was found to have a left adrenal infarction on computed tomography scan. She was found to have two mutations of the gene  MTHFR 677CC. Our presented case should remind physicians to consider the presence of thromboembolic state during pregnancy. The diagnosis of adrenal infarction should be among the differentials of an ambiguous flank pain that is resilient to medical therapy. Diagnosis in a pregnant patient can be easily confirmed with MRI, after which anticoagulation should be started and the workup for hypercoagulable state investigated.

scholarly journals Small bowel perforation after low-velocity trauma: a case report

2021 ◽  
Vol 2021 (4) ◽  
Author(s):  
S Sinz ◽  
L Benigno ◽  
M A Zadnikar ◽  
M E Biraima-Steinemann
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Small Bowel ◽  
Diagnostic Laparoscopy ◽  
Bowel Perforation ◽  
Small Bowel Perforation ◽  
Computed Tomography Scan ◽  
Low Velocity ◽  
Tomography Scan

Abstract We report the case of a 63-year-old patient with a low-velocity abdominal trauma and bowel perforation. The patient slipped on a wet floor and fell down the stairs. On admission, the patient complained about abdominal pain. A computed tomography scan showed traumatic hematoma of the jejunum in the left upper quadrant and a small amount of intra-abdominal air. Also rib fractures on the left side were diagnosed. We performed a diagnostic laparoscopy and found a bowel perforation, which was manually repaired.

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