Case 9.20

2014 ◽  
pp. 458-460
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Sigmoid Colon ◽  
Signal Intensity ◽  
Lower Abdominal Pain ◽  
The Past ◽  
Bladder Dome ◽  
T2 Weighted Images

70-year-old woman with 20-lb weight loss over the past 6 months and crampy lower abdominal pain Axial fat-suppressed FSE T2-weighted images (Figure 9.20.1) and postgadolinium axial (Figure 9.20.2) and sagittal (Figure 9.20.3) 3D SPGR images demonstrate a large, heterogeneously enhancing mass in the pelvis, with markedly increased T2-signal intensity and multiple cystic regions on postcontrast images. The origin of the lesion from the sigmoid colon is difficult to discern, but it is probably best appreciated on the axial postgadolinium images. Note the invasion of the bladder dome, with a gas pocket in the anterior bladder....

Case 9.2

2014 ◽  
pp. 423-424
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Weight Loss ◽  
Signal Intensity ◽  
B Value ◽  
Distal Esophagus ◽  
Solid Food ◽  
Axial Diffusion ◽  
The Past ◽  
Diffusion Weighted Images ◽  
Diffusion Weighted ◽  
T2 Weighted Images

56-year-old man with progressive solid-food dysphagia and a 15-lb weight loss over the past 3 months Axial fat-suppressed FSE T2-weighted images (Figure 9.2.1) show circumferential thickening and mildly increased signal intensity in the distal esophagus. Axial diffusion-weighted images with a b value of 600 s/mm...

Case 11.17

2014 ◽  
pp. 557-558
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Abdominal Pain ◽  
Signal Intensity ◽  
Lower Abdominal Pain ◽  
Cystic Component ◽  
History Of ◽  
T2 Weighted Images

51-year-old woman with a 1-month history of increasing lower abdominal pain Axial oblique FSE T2-weighted images (Figure 11.17.1) reveal enlarged ovaries bilaterally that contain elements of high and low signal intensity, as well as a small cystic component in the inferior right ovary. Axial oblique postgadolinium 2D SPGR images (...

Case 5.1

2014 ◽  
pp. 245-246
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Diabetes Mellitus ◽  
Abdominal Pain ◽  
Signal Intensity ◽  
Recurrent Abdominal Pain ◽  
Iron Deposition ◽  
History Of ◽  
T2 Weighted Images

35-year-old man with a long history of diabetes mellitus and recent episode of peritonitis now presents with recurrent abdominal pain and fever Axial fat-suppressed FSE T2-weighted images (Figure 5.1.1) show multiple hyperintense lesions in the spleen. The diffuse, decreased signal intensity throughout the remainder of the spleen is due to hemosiderosis and iron deposition. Gadolinium-enhanced axial 3D SPGR images (...

Possible GoLytely-Associated Cardiac Arrest: A Case Report and Literature Review

2019 ◽  
Vol 33 (3) ◽  
pp. 364-367 ◽  
Author(s):  
Yoonsun Mo ◽  
Shiv Gandhi ◽  
Jose Orsini
Keyword(s):  
Cardiac Arrest ◽  
Abdominal Pain ◽  
Sudden Cardiac Arrest ◽  
Lower Abdominal Pain ◽  
The Past ◽  
Life Threatening ◽  
History Of ◽  
Artery Disease ◽  
Possible Cause

Purpose: To report a case of sudden cardiac arrest possibly associated with the administration of GoLytely® (polyethylene glycol 3350 and electrolytes). Summary: A 60-year-old male with a history of hypertension, hyperlipidemia, type 2 diabetes, and coronary artery disease presented to the emergency department with complaints of constipation and lower abdominal pain over the past week, and the inability to urinate over the past day. The patient had received GoLytely as treatment to alleviate symptoms of constipation and abdominal pain. However, several hours after administration of the bowel prep solution, the patient suffered an episode of cardiac arrest. After ruling out other possible etiologies, GoLytely was suspected as a possible cause of cardiac arrest. The patient had suffered an anoxic brain injury and remained intubated and unconscious until he eventually expired, 20 days after the event. Conclusion: Although GoLytely appears to be a safe agent with fewer side effects, clinicians need to be mindful of potential life-threatening adverse events following GoLytely administration and monitor patients closely during and after administration.

scholarly journals Inflammatory Myofibroblastic Tumor of the Urinary Bladder with Atypical Clinical and Pathological Features: a Case Report

2021 ◽  
Author(s):  
Zhu Xingwang ◽  
Wang Yixiang ◽  
Liu Yili
Keyword(s):  
Abdominal Pain ◽  
Urinary Bladder ◽  
Clinical Features ◽  
Inflammatory Myofibroblastic Tumor ◽  
Lower Abdominal Pain ◽  
Partial Cystectomy ◽  
Ki 67 ◽  
Case Presentation ◽  
Anaplastic Lymphoma ◽  
Bladder Dome

Abstract Background: The inflammatory myofibroblastic tumor (IMT) of urinary bladder is very rare, this case and often misdiagnosed as bladder cancer. We report a patient with atypical clinical features with dysuria and lower abdominal pain. Case presentation: A 32-year-old man presented with dysuria and lower abdominal pain. Computed tomography (CT) demonstrated that a solitary non-papillary tumor was located at the wall of the bladder dome. Partial cystectomy was successfully managed. Immunohistochemically, positivity of the tumor cells for anaplastic lymphoma kinase (ALK), Actin (SM), vimentin, cytokine (CK), epithelial membrane antigen (EMA) and Ki-67. Based on the the above clinical features、histopathology and immunohistochemical, the tumor was definitively diagnosed as bladder’s IMT. After 24 months, there was no signs of recurrence and metastasis with CT and cystoscopy.Conclusion: A rare case of inflammatory myofibroblastic tumor of urinary bladder after partial cystectomy was reported. It is essential for urologists and scientists to entirely understand the characteristics of the inflammatory myofibroblastic tumor and make a better clinical guideline, to avoid over treatments.

scholarly journals Mesosalpinx hernia of the sigmoid colon: A cause of lower abdominal pain in women

2020 ◽  
Vol 8 (5) ◽  
pp. 855-857
Author(s):  
Taiki Higaki ◽  
Seigo Urushidani ◽  
Akira Kuriyama ◽  
Tetsunori Ikegami
Keyword(s):  
Abdominal Pain ◽  
Sigmoid Colon ◽  
Lower Abdominal Pain

scholarly journals 10-Pound Weight Loss and Lower Abdominal Pain

2016 ◽  
Vol 181 (8) ◽  
pp. 724-725
Author(s):  
Richard P. Moser ◽  
Maria Elena Pace
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Lower Abdominal Pain

scholarly journals Two cases of primary leiomyosarcoma of sigmoid colon treated with laparoscopic surgery: a case report and a review of literature

2021 ◽  
Author(s):  
Ali-Mohammad Bananzadeh ◽  
Maral Mokhtari ◽  
Maryam Sohooli ◽  
Ramin Shekouhi
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Laparoscopic Surgery ◽  
Sigmoid Colon ◽  
Rectal Bleeding ◽  
Anal Verge ◽  
Muscularis Propria ◽  
Laparoscopic Approach ◽  
Oncologic Outcome ◽  
Primary Leiomyosarcoma

Abstract Background Leiomyosarcoma (LMS) of the colon is an unbelievably rare and highly invasive tumor arising from the muscularis propria of the gastrointestinal tract. After the introduction of the oncogenic role of KIT by immunohistochemistry (IHC), the reported cases of gastrointestinal leiomyosarcoma were limited. True LMS of the colon is such a rare disorder that there isn’t enough description of its nature. The classical colon LMS presents with a vast majority of non-specific symptoms including mild abdominal pain, fresh/obscure rectal bleeding, and weight loss. Case presentation: we experienced two extremely rare cases of colonic LMS. First patient was a 48-year-old man referred to our surgical outpatient clinic with mild intermittent abdominal pain and occasional rectal bleeding. After the initial investigation patient underwent colonoscopy that was suggestive of a large polypoid mass in 15 centimeters from the anal verge. Histopathology and Subsequent immunohistochemistry were in favor of LMS of sigmoid colon, and he underwent Laparoscopic anterior resection. The second patient was a 49-year-old man with 3-month history of fatigue, melena, and unintentional weight loss. Colonoscopy revealed a large circumferential mass in sigmoid colon 40 cm from the anal verge with the diagnosis of LMS. He underwent Laparoscopic left hemicolectomy. Conclusion: Herein, we reported two rare cases of primary leiomyosarcoma of sigmoid colon treated with laparoscopic surgery. The tumors were surgically removed via laparoscopic approach. Overall, colonic LMS is a highly invasive neoplasm with poor oncologic outcome.

scholarly journals Spontaneous Intraluminal Migration of Gossypiboma

2011 ◽  
Vol 02 (01) ◽  
pp. 022-024
Author(s):  
Sebastian Saji
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Sigmoid Colon ◽  
Chronic Diarrhea ◽  
Lower Abdominal Pain ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Intraluminal Migration

ABSTRACTRetained surgical mops following surgery is an avoidable but serious complication. They are seldom reported because of medicolegal implications but clinicians need to be aware about varied presentations of this entity to avoid unnecessary morbidity. We report a case of a 28-year-old woman who presented with chronic diarrhea and lower abdominal pain due to intraluminal migration of the surgical mop into the sigmoid colon 6 months after myomectomy of the uterus. The possibility of gossypiboma was suggested by the contrast-enhanced CT scan of the abdomen. Flexible sigmoidosocpy showed the remnants of the mop inside the lumen of the sigmoid colon. She underwent laparotomy and removal of the surgical mop and became completely asymptomatic. Though gossypiboma is rare clinicians should keep it in mind in patients who had undergone laparotomy previously. (J Dig Endosc2011;2(1):22-24)

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