Metastatic malignancy mimics: a rare case of traumatic splenosis mimicking intra-abdominal malignancy

We present a case of a patient, undergoing imaging for an unrelated presentation, whose adolescent abdominal trauma had caused an unrecognised disseminated intra-abdominal splenosis, resulting in an imaging presentation on CT that suggested intra-abdominal malignancy. The lack of correlative symptoms of disseminated malignancy, in addition to imaging findings suggesting previous upper abdominal trauma, led to a suggestion that the intra-abdominal lesion might represent spleen tissue. A denatured red cell scan with radio-labelled technetium-99m, allowed this tissue to be confirmed as splenic in nature, and an invasive, and potentially risky biopsy was averted.

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EP.FRI.543 A rare case of acute jejuno-jenual intussusception in a patient with Roux-en-Y bypass secondary to a benign polyp

British Journal of Surgery ◽

10.1093/bjs/znab312.091 ◽

2021 ◽

Vol 108 (Supplement_7) ◽

Author(s):

Armin Fardanesh ◽

Jamie Powell ◽

Maitham Al-Whouhayb

Keyword(s):

Small Bowel ◽

Rare Case ◽

Exploratory Laparotomy ◽

Lead Point ◽

Benign Polyp ◽

Small Bowel Intussusception ◽

Pathological Lead Point ◽

Malignant Lesions ◽

Ectopic Pacemaker ◽

Upper Abdominal

Abstract Introduction Roux-en-Y Gastric bypass (REYGB) amounts for a third of surgical bariatric interventions. Small bowel obstruction (SBO) is a long-term complication in REYGB and can be caused by intussusception of bowel, in approximately 0.5% of procedures. Intussusception in REYBG is mostly attributed to dysmotility. This report demonstrates a rare case of intussusception in REYGB secondary to a benign polyp. Case description A 45 year old female, three years post REYGB, presented to A&E with acute, extreme upper abdominal pain, with three days absolute constipation. She was tender on examination with normal blood tests. CT scan demonstrated small bowel intussusception. Initial concerns were of intussusception of the jejuno-jejunostomy anastomosis causing SBO. She had an exploratory laparotomy, which confirmed intussusception, however this was 20cm distal to the jejuno-jejunostomy. Bowel was gently reduced, and deemed viable. On thorough run-through, a small segment at the transition point, was considered abnormal on palpation. This region was resected and a 1x1cm intraluminal polyp was identified as the causative lead point. The patient did well postoperatively. Discussion Small bowel intussusception in adults is typically attributed to pathological lead point, such as benign or malignant lesions. Intussusception in REYBG is a rare but well-documented cause of intestinal obstruction, usually attributed to dysmotility, secondary to ectopic pacemaker cells particularly around anastomoses. In this case, the intussusception was caused by an unusual pathology separate from the jejuno-jejunal anastomosis. We recommend thorough examination of all adjacent bowel to exclude lesions, in this case a polyp, which could result in recurrence.

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Shoulder Pain in an Elderly Smoker May be an Alarm: a Rare Case of Pancoast Tumor

The Journal of Sylhet Women’s Medical College ◽

10.47648/jswmc2021v1102-09 ◽

2021 ◽

Vol 11 (Number 2) ◽

pp. 72-77

Author(s):

Mashuq Ahmad Jumma ◽

Mahjuba Umme Salam ◽

Imran Hussain ◽

Abu Saleh Shimon ◽

Farzana Ahmed Bristy ◽

...

Keyword(s):

General Practitioner ◽

Pain Management ◽

Shoulder Pain ◽

Rare Case ◽

Poor Response ◽

Chest Imaging ◽

Imaging Findings ◽

Pancoast Tumor ◽

Shoulder Region ◽

Underlying Pathology

Patients with shoulder pain commonly present to a general practitioner and/or in the orthopedic department. In some instances, pain in the shoulder region can indicate serious underlying pathology. This article describes an elderly smoker presenting with progressively worsening shoulder pain not conforming to musculoskeletal, neuropathic or mechanical type pain and with poor response to conventional pain management protocols. Evaluation with meticulous history, physical signs, chest imaging findings, and histopathology confirmed the diagnosis of a rare clinical condition the Pancoast tumor.

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A very rare case: Hydatid cyst surrounding uterus and magnetic resonance imaging findings in the pregnant patient

Radiology Case Reports ◽

10.1016/j.radcr.2018.09.020 ◽

2019 ◽

Vol 14 (2) ◽

pp. 168-170

Author(s):

Ali Fuat Tekin ◽

Hakan Yilmaz ◽

Turgay Kara ◽

Erdi Seçkin ◽

Muhsin Nuh Aybay ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Hydatid Cyst ◽

Rare Case ◽

Pregnant Patient ◽

Imaging Findings ◽

Resonance Imaging

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Falx Cerebelli Meningioma: Technical Note

Romanian Neurosurgery ◽

10.2478/romneu-2014-0046 ◽

2014 ◽

Vol 21 (3) ◽

pp. 337-340

Author(s):

Amit Agrawal

Keyword(s):

Dura Mater ◽

Rare Case ◽

Technical Note ◽

Imaging Findings ◽

Tentorium Cerebelli ◽

History Of

Abstract The falx cerebelli is a small sickle-shaped fold of dura mater below the tentorium cerebelli, which projects forward into the posterior cerebellar notch. We report a rare case of 28 year female presented with the history of headache of six months duration off and it increased in severity and frequency over last 15 days. Imaging findings were suggestive of meningiona arising from the falx cerebelli. The lesion could be excised totally and safely.

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A rolling stone: vomiting of a gallstone without the presence of a biliary-enteric fistula

Oxford Medical Case Reports ◽

10.1093/omcr/omaa125 ◽

2021 ◽

Vol 2021 (1) ◽

Author(s):

Athina A Samara ◽

Konstantinos Perivoliotis ◽

Ioanna-Konstantina Sgantzou ◽

Alexandros Diamantis ◽

Theodoros Floros ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Gastrointestinal Tract ◽

Bowel Obstruction ◽

Rare Case ◽

Ampulla Of Vater ◽

Retrograde Flow ◽

Imaging Findings ◽

Enteric Fistula ◽

Elective Laparoscopic Cholecystectomy ◽

Biliary Enteric Fistula

ABSTRACT Gallstones may pass into the gastrointestinal tract spontaneously through the ampulla of Vater or through a biliary-enteric fistula. This report describes an extremely rare case of a patient vomiting a gallstone without the presence of a fistula between the gallbladder and the gastrointestinal tract. Furthermore, no imaging findings of gallstones disease appeared. The patient has been treated conservatively and all symptoms subsided. The patient remains asymptomatic 3 months after treatment and an elective laparoscopic cholecystectomy was arranged. Including this reported case, only three cases have been described in the literature worldwide. However, our case is the only one characterized by retrograde flow of the gallstones into the stomach without symptoms of bowel obstruction or other underlying pathologies.

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A Pyogenic Liver Abscess Leading to Massive Pleural Effusion: A Case Report

Journal of Clinical and Medical Research ◽

10.37191/mapsci-2582-4333-3(6)-093 ◽

2021 ◽

Author(s):

Ahmad E Al-Mulla

Keyword(s):

Abdominal Pain ◽

Pleural Effusion ◽

Rare Case ◽

Pyogenic Liver Abscess ◽

Klebsiella Pneumonia ◽

Liver Abscesses ◽

Massive Pleural Effusion ◽

Atypical Presentations ◽

Upper Abdominal ◽

To Receive

Pyogenic liver abscesses are common in tropical developing countries. They are typically present with right and upper abdominal pain; nevertheless, occasionally, we encounter atypical presentations. Here we present a rare case of complicated large liver abscesses caused by Klebsiella pneumonia, which manifests in massive pleural effusion in a young, healthy gentleman. The patient stayed ten days in the hospital for drainage and to receive appropriate antibiotics.

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Upper Abdominal Malignancy Pain and Its Management

Symptom Oriented Pain Management ◽

10.5005/jp/books/11597_26 ◽

2012 ◽

pp. 242-242

Author(s):

DK Baheti

Keyword(s):

Abdominal Malignancy ◽

Upper Abdominal

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A right atrial myxoma presenting with misleading features of acalculous cholecystitis

Oxford Medical Case Reports ◽

10.1093/omcr/omaa012 ◽

2020 ◽

Vol 2020 (2) ◽

Author(s):

Ioannis G Lempesis ◽

Anna Naxaki ◽

Eirini Koukoufiki ◽

Ioanna Karagkouni ◽

Amalia Tzanatou ◽

...

Keyword(s):

Clinical Laboratory ◽

Epigastric Pain ◽

Acalculous Cholecystitis ◽

Gallbladder Wall ◽

Atrial Myxoma ◽

Right Atrial ◽

Imaging Findings ◽

Markers Of Inflammation ◽

Upper Abdominal ◽

The Right

Abstract Diffuse thickening, a layered appearance of the gallbladder wall and the accumulation of surrounding fluid are considered as sensitive and relatively specific imaging findings of gallbladder inflammation. In the absence of gallstones, the diagnosis of acalculous cholecystitis can be further supported by the presence of fever, epigastric pain, right upper abdominal quadrant (RUQ) tenderness on inspiration and elevated markers of inflammation. In this report, we describe a 35-year-old schoolteacher who presented with all of the above clinical, laboratory and imaging findings that were eventually attributed to gallbladder oedema and liver congestion (abdominal imaging and RUQ tenderness) caused by an atrial myxoma interfering, with the atrioventricular circulation of the right heart and causing constitutional manifestations (fever and elevated markers of inflammation).

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