scholarly journals A rare case of adult colocolonic intussusception of the descending colon

2019 ◽  
Vol 12 (11) ◽  
pp. e231590
Author(s):  
Randa Taher ◽  
Yael Kopelman ◽  
Aurwa Younis ◽  
Daniel Sheffer
Keyword(s):  
Rare Case ◽  
Pathological Condition ◽  
Primary Anastomosis ◽  
Colonic Obstruction ◽  
Exploratory Laparotomy ◽  
Tubulovillous Adenoma ◽  
Abdominal Ct ◽  
Diffuse Abdominal Pain ◽  
Abdominal Ct Scan ◽  
Descending Colon

A 28-year-old woman approached the emergency department because of recent diffuse abdominal pain and diarrhoea. Peritoneal signs on physical exam led to abdominal CT scan which demonstrated colonic obstruction, resulting from colocolonic intussusception of the descending colon. An exploratory laparotomy confirmed the diagnosis as well as the aetiology of a 4 cm intraluminal polyp. Left hemicolectomy with primary anastomosis was performed. The final pathology revealed a tubulovillous adenoma with multiple foci of high-grade dysplasia. Intussusception is a rare cause for colonic obstruction, and ~90% of cases in adults are secondary to an anatomical or pathological condition. Therefore, we recommend oncological resection of the affected part.

A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

2020 ◽  
pp. 1-3
Author(s):  
Jinping Xu ◽  
Jinping Xu ◽  
Ruth Wei ◽  
Salieha Zaheer
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Femoral Hernia ◽  
Rare Case ◽  
Hernia Recurrence ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
History Of

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

scholarly journals An unusual case of pediatric abdominal pain

CJEM ◽  
2011 ◽  
Vol 13 (02) ◽  
pp. 133-138 ◽  
Author(s):  
Lars P. Bjoernsen ◽  
M. Bruce Lindsay
Keyword(s):  
Abdominal Pain ◽  
Colonic Obstruction ◽  
Exploratory Laparotomy ◽  
Symptomatic Treatment ◽  
Systematic Evaluation ◽  
White Female ◽  
Symptomatic Therapy ◽  
Regional Lymph Nodes ◽  
Diffuse Abdominal Pain ◽  
Gastrografin Enema

ABSTRACTChronic and recurrent abdominal pains are common complaints in children and adolescents, but the evaluation in the emergency department (ED) can be challenging. We present a rare yet serious case of a 17-year-old white female who presented to the ED with a 2-day history of diffuse abdominal pain, nausea, and intractable vomiting. Abdominal examination and imaging, including computed tomography (CT), were negative during an episode 6 weeks previously. This was her fifth similar episode in a 2-month period, and she had been seen at three different hospitals and admitted on each occasion. Three days prior to presentation to our ED, she was seen at a gastroenterology clinic and diagnosed with irritable bowel syndrome and an ovarian cyst. Symptomatic therapy during the current presentation, with intravenous fluids, antiemetics, and parenteral narcotics, failed to alleviate her abdominal pain and vomiting. Emergent CT evaluation revealed a high-grade colonic obstruction with focal circumferential narrowing in the transverse colon and a lower gastrointestinal follow-through radiograph with Gastrografin enema showed a classic “apple-core” lesion. Colonic adenocarcinoma with positive regional lymph nodes was found during emergent exploratory laparotomy. Pediatric patients with recurrent, episodic abdominal pain should undergo systematic evaluation and symptomatic treatment. A previous negative workup should not dissuade emergency physicians from proceeding with a systematic and thorough evaluation of the pediatric patient presenting with abdominal pain and vomiting.

scholarly journals Obstructed descending colon mass pretended with Bockdalek hernia: a case report

2021 ◽  
Author(s):  
mohammad eslamian ◽  
Mohsen kolahdouzan
Keyword(s):  
Diaphragmatic Hernia ◽  
Abdominal Pressure ◽  
Right Colon ◽  
Abdominal Ct ◽  
Midline Laparotomy ◽  
Abdominal Ct Scan ◽  
Descending Colon ◽  
The Right ◽  
Thoracic And Abdominal ◽  
Diaphragmatic Hernias

Abstract Introduction: Adult Bochdalek hernia is one of the right-sided diaphragmatic hernias that less than 30 cases reported until now.Case: I herein report a 64-year-old female patient who had dyspnea, abdominal pain, and nausea. Primary imaging (thoracic and abdominal CT scan) showed a right-sided diaphragmatic hernia that was contained the liver and right colon. The patient underwent right posterior thoracotomy at first, so the 5*5 cm diaphragmatic defect was repaired. Due to peritonitis that happened after two days, a midline laparotomy was performed. Finally, it was cleared that the main problem was the obstructed and perforated descending colon mass that was presented with Bockdalek hernia. Unfortunately, she died.Conclusion It is important to determine the reason for the presentation of the symptomatic diaphragmatic hernia in adult patients. It should be considered that an increase of intra-abdominal pressure like the presence of obstructed colon mass can cause it.

scholarly journals Jejunal Intussusception: A Rare Presentation of Carcinoid Tumor

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Umashankkar Kannan ◽  
Amir A. Rahnemai-Azar ◽  
Ashish N. Patel ◽  
Vinaya Gaduputi ◽  
Ajay K. Shah
Keyword(s):  
Primary Anastomosis ◽  
Exploratory Laparotomy ◽  
Sudden Onset ◽  
Pathological Examination ◽  
Rare Presentation ◽  
Metastatic Carcinoid ◽  
Diffuse Abdominal Pain ◽  
Well Differentiated ◽  
Small Bowel Segment ◽  
Distal Jejunum

A 55-year-old male presented to the emergency department with sudden onset of diffuse abdominal pain for one day. Physical examination was remarkable for tenderness in the umbilical region. A CT scan of the abdomen showed intussusception involving the jejunum without any mass. The patient then underwent an exploratory laparotomy. During surgery, the distal jejunum was intussuscepted with mesenteric lymphadenopathy. Liver showed nodular deposits in both lobes of the liver. The involved small bowel segment was resected with primary anastomosis and liver was biopsied. Pathological examination showed multifocal deposits of well-differentiated carcinoids in the jejunum. The liver and mesenteric deposits were positive for metastatic carcinoid. Patient recovered well without any complications.

scholarly journals Sigmoid Colonic Perforation with Faecal Peritonitis due to Faecaloma

2014 ◽  
Vol 4 (3) ◽  
pp. 188-190
Author(s):  
Ibrahim Khalil ◽  
Deb Proshad Paul ◽  
Kazi Shohel Iqbal ◽  
Debashish Das
Keyword(s):  
Rare Case ◽  
Colonic Obstruction ◽  
Exploratory Laparotomy ◽  
Causative Factor ◽  
Colonic Perforation ◽  
Colon Perforation ◽  
Faecal Peritonitis ◽  
Stercoral Perforation ◽  
Amoebic Colitis ◽  
Severe Chronic Constipation

Colon perforation is an uncommon event usually caused by malignancy, diverticular disease, amoebic colitis, steroid therapy, trauma and ulcerative colitis, but stercoral perforation is very rare. Severe chronic constipation is considered to be the main causative factor in development of stercoral perforation of colon. Sometimes it can also produce catastrophic complications like colonic obstruction, faecal peritonitis and septicaemia. We report a rare case of sigmoid colonic perforation with faecal peritonitis and pneumoperitonium due to faecaloma which was diagnosed after exploratory laparotomy. DOI: http://dx.doi.org/10.3329/jemc.v4i3.20959 J Enam Med Col 2014; 4(3): 188-190

scholarly journals Uncommon Solitary Mesenteric Mass: Mesenteric Panniculitis

2013 ◽  
Vol 52 (189) ◽  
pp. 288-291
Author(s):  
Abhishek Shah ◽  
Dianbo Cao ◽  
Deepa Shah ◽  
Wenbin Sun
Keyword(s):  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Unknown Etiology ◽  
Resected Specimen ◽  
Rapid Progression ◽  
Mesenteric Panniculitis ◽  
Abdominal Ct ◽  
Mesenteric Fat ◽  
Abdominal Ct Scan ◽  
Mesenteric Mass

Mesenteric panniculitis is a rare, benign disease characterized by a chronic non-specific inflammatory process of mesenteric fat tissue with unknown etiology. Its clinical outcome ranges from complete resolution without any treatment to rapid progression culminating in death. So far, there is no established treatment available for its management. A 53-year-old female was admitted to our hospital because of intermittent abdominal pain, abdominal distension and early satiety for three months. Her abdominal CT scan revealed a solitary, well-defined, heterogeneous mass with a diameter of approximately 3.5cm x 2.8cm in the mesentery of small bowel. Exploratory laparotomy revealed yellowish-grey mass with a gritty consistency and histopathology of the resected specimen confirmed it to be mesenteric panniculitis. An increased awareness may lead to the use of a less invasive diagnostic approach and optimal management of this rare disease entity. Keywords: Computerized Tomography (CT); Mesenteric Panniculitis (MP); treatment.

scholarly journals Endometriosis of the rectus abdominis muscles: a rare case of dual location

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Saad Slaiki ◽  
Jihad Jamor
Keyword(s):  
Early Diagnosis ◽  
Ct Scan ◽  
Abdominal Wall ◽  
Rare Case ◽  
Rare Entity ◽  
Abdominal Ct ◽  
Postoperative Course ◽  
Dual Localization ◽  
Abdominal Ct Scan ◽  
Obstetric Surgery

Abstract Endometriosis of the abdominal wall is a rare entity, the etiopathogenesis remains unclear. It most often occurs after gynecological or obstetric surgery. We report the case of a patient with a dual localization of endometriosis in the abdominal wall, the diagnosis was made by abdominal CT scan. The treatment was surgical. The pathology study confirmed the diagnosis of parietal endometriosis. The postoperative course was uneventful with a favorable outcome for 2 years without recurrence. Through our case, we will discuss the characteristics of this entity in order to understand the interest of an early diagnosis and management to deduce possible means of prevention during each gynecological or obstetric surgery.

scholarly journals Meckel’s diverticulum: a rare cause of small bowel obstruction in an adult

2021 ◽  
Vol 8 (4) ◽  
pp. 1289
Author(s):  
Nusrat Jabeen ◽  
Hussain Adnan Abdulla ◽  
Asma Alqaseer ◽  
Mohamed Ayed Abushwemeh ◽  
Amal Alrayes
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Congenital Abnormality ◽  
Rare Case ◽  
Primary Anastomosis ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
High Index Of Suspicion

Meckel’s diverticulum is the most common congenital abnormality of the gastrointestinal tract. Complications involving Meckel’s diverticulum include bleeding, bowel obstruction and inflammation. We present a rare case of small bowel obstruction caused by Meckel’s diverticulum. A 50-year-old male presented to the emergency department with abdominal pain and vomiting. Computed tomography (CT) abdomen showed dilated small bowel loops with transition zone at the mid ileum, consistent with small bowel obstruction. The patient was taken to the operating theatre for exploratory laparotomy and was found to have a Meckel’s diverticulum causing mechanical small bowel obstruction, which was resected with primary anastomosis. The patient recovered with no postoperative complications and was discharged home. Meckel’s diverticulum is difficult to diagnose preoperatively since most patients are asymptomatic and requires a high index of suspicion. In patients presenting with an acute abdomen, it may be overlooked because of nonspecific symptoms. In the case of small bowel obstruction, Meckel’s diverticulum should be kept in mind as part of the differential diagnosis.

Pancreatic microcystic serous cystadenoma: a lethal disease? Rare case of a life-threatening haemorrhage

2020 ◽  
Vol 13 (3) ◽  
pp. e233562
Author(s):  
Maria João Amaral ◽  
Marco Serôdio ◽  
Fátima Ramalhosa ◽  
José Guilherme Tralhão
Keyword(s):  
Rare Case ◽  
Serous Cystadenoma ◽  
Abdominal Ct ◽  
En Bloc ◽  
Abdominal Ct Scan ◽  
Life Threatening ◽  
History Of ◽  
Left Pancreatectomy ◽  
Life Threatening Complication ◽  
Benign Tumours

Serous pancreatic cystadenomas are benign tumours and most cases are detected incidentally. Complications are unusual. A patient with a history of a large pancreatic serous cystadenoma (SCA) presented to the emergency department with abdominal pain and haemodynamic shock. After haemodynamic stabilisation, an urgent abdominal CT scan revealed a large hemoperitoneum but the origin of the bleeding was not found. The patient was submitted to an angiography that revealed a bleeding hypervascular pancreatic mass and an embolisation was done successfully. After 3 weeks, the patient underwent a laparotomic left pancreatectomy with en bloc splenectomy. The anatomopathological results were consistent with a microcystic SCA of the pancreas. Despite the high vascularity of pancreatic SCA, haemorrhage is a very rare but life-threatening complication.

TRAUMA GINJAL

2020 ◽  
Vol 4 (1) ◽  
pp. 52-57
Author(s):  
Noflih Sulistia ◽  
Bambang Soeprijanto ◽  
Indrastuti Normahayu ◽  
Lenny Violetta
Keyword(s):  
Ct Scan ◽  
Pediatric Patients ◽  
Radiological Examination ◽  
Renal Trauma ◽  
Abdominal Ct ◽  
Abdominal Ct Scan

Renal trauma in children is more common than in adults. Clinically in pediatric patients with renal trauma do not always describe the degreeof trauma. Radiological examination, especially abdominal CT-scan with contrast, can help evaluate the damage to the kidneys so that it candetermine the degree of trauma.

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