Duplication cyst with midgut volvulus in a neonate: an unusual presentation

2020 ◽  
Vol 13 (8) ◽  
pp. e235526
Author(s):  
Nitin G Pai ◽  
Santosh Prabhu ◽  
Pavithra Prabhakar ◽  
Vijay Kumar
Keyword(s):  
Surgical Intervention ◽  
Case Reports ◽  
Anorectal Malformations ◽  
Duplication Cyst ◽  
Midgut Volvulus ◽  
Rare Association ◽  
Internal Hernias ◽  
Gastrointestinal Duplication Cyst ◽  
Resection And Anastomosis ◽  
Gastrointestinal Duplication

Incomplete intestinal fixation or malrotation of gut with midgut volvulus is one of the important causes of bilious vomiting in neonates. The incidence of malrotation of gut in population is 4% and that of duplication cyst is 1:4500. Patients with malrotation are prone to develop midgut volvulus due to their narrow mesenteric base demanding urgent surgical intervention. Common associated anomalies are intrinsic duodenal obstruction, internal hernias, caecal volvulus, anorectal malformations and Hirschsprung’s disease. The present case refers to a 4-day-old neonate who presented with malrotation of gut with reverse volvulus and an associated gastrointestinal duplication cyst, which is a rare association with only few reported case reports. After imaging with ultrasound and contrast radiograph, the baby underwent prompt surgical intervention in the form of Ladd’s procedure with resection and anastomosis of jejunal duplication cyst.

scholarly journals A rare cause of respiratory distress in pediatric palliative care: Thoracic Duplication Cyst

2021 ◽  
Author(s):  
Nilgün Harputluoğlu ◽  
Tanju Çelik ◽  
Günyüz Temir ◽  
Münevver Hoşgör
Keyword(s):  
Palliative Care ◽  
Respiratory Distress ◽  
Neonatal Period ◽  
Correct Diagnosis ◽  
Duplication Cyst ◽  
Pediatric Palliative Care ◽  
Shortness Of Breath ◽  
Vertebral Anomalies ◽  
Gastrointestinal Duplication Cyst ◽  
Gastrointestinal Duplication

Gastrointestinal duplication cysts are actually rare congenital anomalies that can accompany various anomalies and are most frequently seen in the small intestine. Gastrointestinal duplication may accompany anomalies such as vertebral anomalies, spinal cord malformations. Depending on the location, symptoms such as chest pain, shortness of breath, cough, asthma-like symptoms, hemoptysis, cyanosis, vomiting, difficulty swallowing, weight loss, hematemesis and melena can be observed. To our knowledge, we report a rare case that has not been reported in pediatric palliative care. We present a case operated for diaphragmatic hernia in the neonatal period. A 3-month-old patient with respiratory distress who was followed up in pediatric palliative care was reoperated and pathologically diagnosed as gastrointestinal duplication cyst. Thoracic cysts can have a wide variety of etiology. The correct diagnosis can be made by performing further examinations and appropriate surgery.

scholarly journals Gastric Duplication Cyst Associated with Esophageal Atresia and Anorectal Malformations: A Rare Association

2018 ◽  
Vol 7 (3) ◽  
pp. 36
Author(s):  
Rajat Piplani ◽  
Deepak Bagga ◽  
Samir K Acharya
Keyword(s):  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Abdominal Distension ◽  
Anorectal Malformations ◽  
Duplication Cyst ◽  
Gastric Duplication ◽  
Gastric Duplication Cyst ◽  
Rare Association ◽  
Good Outcome ◽  
Post Operative Period

Esophageal atresia (EA) and tracheoesophageal fistula (TEF) and anorectal malformations (ARM) in a newborn usually present with frothing of saliva and massive abdominal distension rendering it difficult to diagnose associated intrabdominal pathologies. We report a large gastric duplication (GD) cyst in a 2-day-old neonate with EA and TEF. GD cyst was detected in the early post-operative period as the abdominal distension persisted after repair of EA and TEF. The baby underwent excision of GD cyst with good outcome thereafter.

scholarly journals Mimicry of an acute pseudocyst by a gastrointestinal duplication cyst in a 14-year-old boy

Endoscopy ◽  
2021 ◽  
Author(s):  
Thomas Billiet ◽  
Ann Elewaut ◽  
François d’Heygere ◽  
Gert de Hertogh ◽  
Raymond Aerts ◽  
...  
Keyword(s):  
Duplication Cyst ◽  
Gastrointestinal Duplication Cyst ◽  
Gastrointestinal Duplication

scholarly journals Anorectal malformation with apple peel atresia: case report of a rare association

2018 ◽  
Vol 5 (11) ◽  
pp. 3778
Author(s):  
Archana M. Kamble ◽  
Rajendra Saoji
Keyword(s):  
Surgical Intervention ◽  
Anorectal Malformations ◽  
Anal Atresia ◽  
Renal Anomalies ◽  
Rare Association ◽  
Distended Abdomen ◽  
Apple Peel ◽  
Vertebral Anomalies ◽  
Wide Gap ◽  
Apple Peel Atresia

Anorectal malformations (ARM) are common congenital malformations. They are mostly associated with other congenital anomalies including but not limited to vertebral anomalies, cardiac malformations, Tracheoesophageal fistula, esophageal atresia, Renal anomalies, limb anomalies and aneuploidy (Trisomy 21). Apple-peel atresia or ‘Christmas-tree deformity’ consists of a high jejunal atresia with discontinuity of the small bowel and a wide gap in the mesentery. Association of Apple peel atresia with ARM has been reported by many authors in past and in any neonate presenting with ARM proximal atresia needs to be ruled out before surgical intervention is undertaken and newborns with ARM and presenting with drooling of saliva, bilious or non-bilious vomiting in presence of non-distended abdomen must give rise to a suspicion of associated atresia. We are reporting this case of high anal atresia with apple peel atresia of terminal ileum who was treated by double barrel ileostom to emphasize the importance of knowing this association.

scholarly journals Therapeutic Management of a Substantial Pelvic Aneurysmatic Bone Cyst Including the Off-Label Use of Denosumab in a 35-Year-Old Female Patient

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
D. Ntalos ◽  
M. Priemel ◽  
C. Schlickewei ◽  
D. M. Thiesen ◽  
J. M. Rueger ◽  
...  
Keyword(s):  
Monoclonal Antibody ◽  
Female Patient ◽  
Therapeutic Agent ◽  
Surgical Intervention ◽  
Case Reports ◽  
Bone Cyst ◽  
Off Label Use ◽  
Aneurysmal Bone Cysts ◽  
Promising Therapeutic Agent

Aneurysmal bone cysts (ABC) are benign bone tumors, which are highly vascularized. The main course of treatment is curettage followed by bone grafting or cement insertion. Still recurrence remains a main problem for patients. Denosumab is a monoclonal antibody, which acts as an inhibitor of the RANK/RANKL pathway, diminishing bone turnover. Recent case reports have shown that Denosumab can be a promising therapeutic agent for people suffering from therapy-resistant ABC. We report the case of a 35-year-old female patient presenting with a pronounced ABC of the pelvis. Since the tumor was inoperable, Denosumab was administered, leading to a significant shrinkage of the lesion, which allowed surgical intervention. Upon recurrence, Denosumab was restarted putting the patient once more into remission. Follow-up was four years overall with a clinical and radiological stable disease for fifteen months after final discontinuation of the monoclonal antibody. Therefore, our case further underlines the potential of Denosumab in the treatment of ABC.

Intracardiac Self Insertion of a Darning Needle in a Psychiatric Patient

2021 ◽  
Vol 4 (5) ◽  
pp. 01-13
Author(s):  
Avra Laarakker
Keyword(s):  
Left Ventricle ◽  
Psychiatric Patient ◽  
Surgical Intervention ◽  
Case Reports ◽  
Interventricular Septum ◽  
Intravenous Drug User ◽  
Standard Of Care ◽  
Pubmed Search ◽  
Needle Entry ◽  
The Right

Objective: We report a case of self inserted needle into the left ventricle of the heart and a description of our surgical intervention in a psychiatric patient without decision-making capacity. We discuss issues regarding obtaining consent in this patient with a sub-acute presentation, report our operative approach, and summarize a treatment approach based on a review of current literature. Methods: A PubMed search using terms “needle, “heart”, “insertion”, “intracardiac foreign object”, yielded 69 relevant papers. 67 of these were case reports yielding 72 individual cases. Age, gender, cause of the needle entry (Accidental Plus (A+), Intravenous Drug User [IVDU], Self-inflicted (SI)), type of needle, location in heart, neuropsychiatric history, treatment, and outcome were documented. Results: Within the SI category, there were a total of 28 cases, 89.3% had a neuropsychiatric history whereas only there were only 2 such patients in both the IVDU and A+ group. The location of the needle in the heart in all 72 cases was as follows: right ventricle 40.3%, other 20.8%, left ventricle 19.4 %, ventricle and interventricular septum 16.7% and the right and left atrium were each 1.4 %. In all three groups (n=72), 77.8% of patients underwent surgery, with 92.9% having a stable outcome. Conclusion: Our case and review demonstrates that management of such cases, particularly when active mental health issues are present, requires a case-by-case evaluation and treatment as a specific standard of care has not been established. Surgical intervention appears to be the preferred management regardless of presentation with good outcomes. Running Title: Intracardiac Self Insertion of a Darning Needle in a Psychiatric Patient

scholarly journals Segmental Arterial Mediolysis: An Under-Recognized Cause of Chronic Abdominal Pain

2020 ◽  
Author(s):  
Tulika Chatterjee ◽  
Johnathon Stephens ◽  
Moni Roy
Keyword(s):  
Abdominal Pain ◽  
Medical Management ◽  
Surgical Intervention ◽  
Case Reports ◽  
Healthcare Providers ◽  
Chronic Abdominal Pain ◽  
Segmental Arterial Mediolysis ◽  
The Past ◽  
Missed Diagnosis ◽  
Abdominal Arteries

Segmental arterial mediolysis (SAM) is a non-inflammatory, non-atherosclerotic vasculopathy mostly involving the abdominal arteries. SAM was recently recognized as a more prevalent aetiology of abdominal pain than initially thought by healthcare providers. It is still a commonly missed diagnosis in patients with recurrent emergency room (ER) visits for abdominal pain. Most published case reports in the past have highlighted catastrophic sequelae such as intra-abdominal haemorrhage requiring surgical intervention. We report a case of SAM where the diagnosis was initially missed. After diagnosis, conservative medical management was offered which led to clinical improvement.

scholarly journals Ocular dirofilariasis in practical ophthalmology

The Eye ◽  
2020 ◽  
Vol 22 (3(131)) ◽  
pp. 23-25
Author(s):  
T. A. Sharova
Keyword(s):  
Immune Response ◽  
Surgical Intervention ◽  
Clinical Course ◽  
Case Reports ◽  
Research Data ◽  
Medical Professionals ◽  
Parasitic Diseases ◽  
Host Parasite

Parasitic diseases of the eye are a widespread and poorly studied problem. This article is intended to systematize the possible mechanisms of infection and to determine the features of the clinical course and treatment of an ocular dirofilariasis. For this purpose, case reports and research data from medical professionals from Europe and Asia are presented. Conclusions were drawn regarding the dependence of the clinical course on the host  – parasite interaction and immune response and that the only applicable method of treatment in all the cases considered was surgical intervention.

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