scholarly journals A Rare Cause of Acute Abdomen: An Isolated Falciform Ligament Necrosis

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Ziya Taner Ozkececı ◽  
Mustafa Ozsoy ◽  
Bahadır Celep ◽  
Ahmet Bal ◽  
Coskun Polat
Keyword(s):  
Acute Abdomen ◽  
Leukocyte Count ◽  
Exploratory Laparotomy ◽  
Falciform Ligament ◽  
Test Results ◽  
Imaging Studies ◽  
Anatomical Structures ◽  
Case Presentation ◽  
Air Density ◽  
Laboratory Test Results

The falciform ligament is one of the anatomical structures which attach the liver to the diaphragm and anterior abdominal wall. Primary falciform ligament is very rare. In this article, we present a case of an isolated falciform ligament necrosis, a rare primary pathology of the falciform ligament, who was admitted with acute abdomen. Case presentation: A 64-year-old female patient was admitted with the complaints of pain. Laboratory test results showed a leukocyte count of 17,000/mm3. Imaging studies demonstrated intra-abdominal reactionary fluid along with a heterogeneous mass localized in the falciform ligament. Exploratory laparotomy revealed a necrotic mass of the falciform ligament. No other pathology responsible for falciform ligament necrosis was found. We believe that falciform ligament necrosis should be considered a preliminary diagnosis, if any ligament abnormality, tumor, intraligament air density, or the presence of reactionary fluid surrounding the ligament is detected through abdominal imaging studies.

scholarly journals Atypical anti-glomerular basement membrane disease with anti-GBM antibody negativity and ANCA positivity: a case report

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Na Guo ◽  
Qinghua Yin ◽  
Song Lei ◽  
Yanjun He ◽  
Ping Fu
Keyword(s):  
Basement Membrane ◽  
Glomerular Basement Membrane ◽  
Rare Case ◽  
Test Results ◽  
Serum Samples ◽  
Tissue Samples ◽  
Case Presentation ◽  
Severe Renal Insufficiency ◽  
Laboratory Test Results ◽  
Organ Specific

Abstract Background Anti-glomerular basement membrane (anti-GBM) disease is an organ-specific autoimmune disease that involves the lung and kidneys and leads to rapid glomerulonephritis progression, with or without diffuse alveolar hemorrhage, and even respiratory failure. Classic cases of anti-GBM disease are diagnosed based on the presence of the anti-GBM antibody in serum samples and kidney or lung biopsy tissue samples. However, atypical cases of anti-GBM disease are also seen in clinical practice. Case presentation We herein report the rare case of a patient with atypical anti-GBM disease whose serum was negative for the anti-GBM antibody but positive for the myeloperoxidase (MPO) anti-neutrophil cytoplasmic antibody (p-ANCA) and another atypical ANCA. Laboratory test results showed severe renal insufficiency with a creatinine level of 385 μmol/L. Renal biopsy specimen analysis revealed 100% glomeruli with crescents; immunofluorescence showed immunoglobulin G (IgG) linearly deposited alongside the GBM. Finally, the patient was discharged successfully after treatment with plasmapheresis, methylprednisolone and prednisone. Conclusion This patient, whose serum was negative for the anti-GBM antibody but positive for p-ANCA and another atypical ANCA, had a rare case of anti-GBM disease. Insights from this unusual case might help physicians diagnose rare forms of glomerulonephritis and treat affected patients in a timely manner.

Mucinous cystadenoma of the appendix – case report

2017 ◽  
Vol 89 (2) ◽  
pp. 65-68 ◽  
Author(s):  
Dariusz Janczak ◽  
Mateusz Szponder ◽  
Dawid Janczak ◽  
Michał Leśniak ◽  
Agnieszka Ziomek ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Benign Tumor ◽  
Mucinous Cystadenoma ◽  
Benign Neoplasm ◽  
Test Results ◽  
Imaging Studies ◽  
Laboratory Test Results ◽  
Long Term Prognosis

Tumors of the appendix are extremely rare and constitute about 0.4% of all tumors of the gastrointestinal tract. The most common benign neoplasm is mucinous cystadenoma, which can be found in 0.6% of all excised appendices and it rarely produces any symptoms. We present the case of a female patient who underwent surgery in the Department of Surgery due to suspicion of an appendicular abscess. On the postoperative pathology study, the diagnosis of a tumor of the appendix (mucinous cystadenoma) was made. Mucinous cystadenoma is rarely included in the differential diagnosis of a non-specific abdominal pain accompanied by non-characteristic laboratory test results and imaging studies. There are no unequivocal guidelines and algorithms of managing this disease. Long-term prognosis is good in the case of a benign tumor.

scholarly journals Cold agglutinin-induced hemolytic anemia during room temperature fluid resuscitation: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Yosuke Kawai ◽  
Miyoshi Deguchi ◽  
Naoko Mizouchi ◽  
Satoru Yoshida ◽  
Ken Kumagai ◽  
...  
Keyword(s):  
Hemolytic Anemia ◽  
Fluid Resuscitation ◽  
Room Temperature ◽  
Cold Agglutinin ◽  
Test Results ◽  
Cold Agglutinin Disease ◽  
Cell Agglutination ◽  
Case Presentation ◽  
Laboratory Test Results ◽  
Old Japanese

Abstract Background Cold agglutinin disease can cause the agglutination of red blood cells and hemolytic anemia due to cold temperature. Herein, we report a case of progressive hemolytic anemia due to cold agglutinin disease during fluid resuscitation and in the absence of exposure to cold. Case presentation A 71-year-old Japanese man was admitted to the emergency department with signs of hypotension and disturbed consciousness. He was diagnosed with diabetic ketoacidosis, and treatment with fluid resuscitation and insulin infusion was initiated. Laboratory test results obtained the following day indicated hemolytic anemia. On day 5 after admission, red blood cell agglutination was detected, and the patient was diagnosed with cold agglutinin disease. Conclusions Cold agglutinin disease should be considered in the differential diagnosis of progressive hemolytic anemia during fluid resuscitation, even if the solution is at room temperature.

scholarly journals Right ovarian torsion and oophorectomy in second trimester of pregnancy with subsequent live birth at term

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Omotade A Ijarotimi ◽  
◽  
Olumide A Adeniyi Omitinde ◽  
Stephen O Omitinde ◽  
Akaninyene E Ubom ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Live Birth ◽  
Surgical Intervention ◽  
Delayed Diagnosis ◽  
Exploratory Laparotomy ◽  
First Trimester ◽  
Ovarian Torsion ◽  
Polycystic Ovaries ◽  
Case Presentation ◽  
In Pregnancy

Introduction: Ovarian torsion is a cause of acute abdomen in pregnancy with an incidence of less than 1% occurring most commonly in the first trimester. The symptoms are non-specific with a propensity for missed or delayed diagnosis which may worsen the morbidity associated with this condition. Management is mainly surgical and pregnancy outcome is usually satisfactory. Case presentation: We present the case of a 29-year-old G2 P0 +1 with background polycystic ovaries who complained of abdominal pains at an Estimated Gestational Age (EGA) of 21 weeks in pregnancy. Clinical suspicion was confirmed with a 2D abdominopelvic ultrasound and she subsequently had emergency exploratory laparotomy with right oophorectomy. Pregnancy progressed well and she had a live birth at term. Conclusion: Ovarian torsion is rare in pregnancy. Complications following prompt surgical intervention are however, few and pregnancy outcomes are usually favourable. Keywords: Ovarian cyst; torsion; acute abdomen; cyst accident; pregnancy.

A rare case of intestinal obstruction due to ascariasis in Niš, south Serbia

Open Medicine ◽  
2011 ◽  
Vol 6 (4) ◽  
pp. 390-394 ◽  
Author(s):  
Miroslava Stojanovic ◽  
Andjelka Slavkovic ◽  
Miroslav Stojanovic ◽  
Zoran Marjanovic ◽  
Milan Bojanovic
Keyword(s):  
Intestinal Obstruction ◽  
Rare Case ◽  
Exploratory Laparotomy ◽  
Gastrointestinal Complication ◽  
Test Results ◽  
Laboratory Test Results ◽  
Helminthic Infection ◽  
Abdominal Radiographs ◽  
Intraluminal Mass ◽  
Abdominal Examination

AbstractAscariasis is a helminthic infection of global distribution, and intestinal obstruction is its most common gastrointestinal complication. This is a case of a 7-year-old boy admitted to Pediatric Surgery because of intestinal obstruction caused by ascariasis. On admission, the patient presented with colicky abdominal pain, bile-stained vomiting and meteorism. On physical examination, the patient was thin, pale, and dehydrated. An abdominal examination showed distention and diffuse tenderness. After admission, the patient had fecal vomiting and expulsion of worms through the mouth. Laboratory-test results showed leucocytosis, eosinophilia, hypoalbuminaemia, and hypochloremia. Abdominal radiographs and ultrasound studies were indicative of small-bowel obstruction due to roundworms, which led to the performance of an exploratory laparotomy. On bowel exploration, an intraluminal mass, 10 by 6 cm in diameter, consisting of roundworms in the middle third of the ileum was found. A longitudinal enterotomy was performed, and the worms were meticulously extracted manually. Postoperatively, broad-spectrum antibiotics and antihelminthic drugs were administered. Our case of intestinal obstruction caused by ascariasis is the first to be reported in Serbia, according to the Serbian literature.

scholarly journals Positive RT-PCR Test Results in Discharged COVID-19 Patients: Reinfection or Residual?

2020 ◽  
Author(s):  
jiejie tao ◽  
Zhishan Hu ◽  
Jinjin Liu ◽  
Peipei Pang ◽  
Gangze Fu ◽  
...  
Keyword(s):  
Lower Respiratory Tract ◽  
Clinical Course ◽  
Test Results ◽  
Rt Pcr ◽  
Case Presentation ◽  
Radiological Features ◽  
Discharge Management ◽  
Laboratory Test Results ◽  
Discharged Patients ◽  
Pcr Test

Abstract Background: The coronavirus disease-19 (COVID-19) is a highly infectious disease. Moreover, 14% of the discharged patients tested virus positive again. However, the underlying clinical mechanisms are still under investigation. Case presentation: The current study summarized the clinical course, radiological features and laboratory test results of two COVID-19 patients who tested positive again during the quarantine after hospital discharge. We found that while all symptoms were relieved, their lesions in lungs were not fully recovered, and both of them had slight coughs. In addition, when the lesions were further recovered and the cough symptoms were further remitted, they tested virus negative again. Conclusions: These results implied that the positive result is unlikely caused by the reinfection from others or the remained virus. Rather, it may derive from the remained virus transferred from the lower respiratory tract to the throat or nose with coughs. Accordingly, we proposed some suggestions regarding the discharge management. This study enhances our knowledge of the progress of COVID-19 and benefit the control of this disease.

Effect of Ibuprofen on Serum Laboratory Test Results

1983 ◽  
Vol 40 (6) ◽  
pp. 1025-1034
Author(s):  
Carol L. Colvin ◽  
Raymond J. Townsend ◽  
William R. Gillespie ◽  
Kenneth S. Albert
Keyword(s):  
Laboratory Test ◽  
Test Results ◽  
Laboratory Test Results

scholarly journals Delayed bowel perforation after instilling over warmed peritoneal dialysate

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Xueli Lai ◽  
Mingming Nie ◽  
Xiaodong Xu ◽  
Yuanjie Chen ◽  
Zhiyong Guo
Keyword(s):  
Peritoneal Dialysis ◽  
Bowel Perforation ◽  
Exploratory Laparotomy ◽  
Peritoneal Dialysis Patient ◽  
Case Presentation ◽  
Abdominal Organs ◽  
Home Based ◽  
Dialysis Solution ◽  
Stage Renal Disease ◽  
End Stage

Abstract Background Peritoneal dialysis (PD) is a safe and home-based treatment for end-stage renal disease (ESRD) patients. The direct thermal damage of abdominal organs is very rare. Case presentation We report a peritoneal dialysis patient presented abdominal pain and feculent effluent 3 weeks after he instilled hot dialysis solution. In spite of emergency exploratory laparotomy and active treatment, the patient died of septic shock. Biopsy revealed necrosis and perforation of the intestines. Conclusions Delayed bowel perforation by hot fluid is very rare. Standardized performance is of the first importance for peritoneal dialysis patients.

Quality benchmarking of smartphone laboratory medicine applications: comparison of laboratory medicine specialists’ and non-laboratory medicine professionals’ evaluation

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Snežana Jovičić ◽  
Joanna Siodmiak ◽  
Marta Duque Alcorta ◽  
Maximillian Kittel ◽  
Wytze Oosterhuis ◽  
...  
Keyword(s):  
Information Quality ◽  
Rating Scale ◽  
Laboratory Medicine ◽  
Test Results ◽  
Content Quality ◽  
Laboratory Test Results ◽  
System Usability Scale ◽  
Mobile Health Applications ◽  
Fit For Purpose ◽  
Health Applications

AbstractObjectivesThere are many mobile health applications (apps) now available and some that use in some way laboratory medicine data. Among them, patient-oriented are of the lowest content quality. The aim of this study was to compare the opinions of non-laboratory medicine professionals (NLMP) with those of laboratory medicine specialists (LMS) and define the benchmarks for quality assessment of laboratory medicine apps.MethodsTwenty-five volunteers from six European countries evaluated 16 selected patient-oriented apps. Participants were 20–60 years old, 44% were females, with different educational degrees, and no professional involvement in laboratory medicine. Each participant completed a questionnaire based on the Mobile Application Rating Scale (MARS) and the System Usability Scale, as previously used for rating the app quality by LMS. The responses from the two groups were compared using the Mann-Whitney U test and Spearman correlation.ResultsThe median total score of NLMP app evaluation was 2.73 out of 5 (IQR 0.95) compared to 3.78 (IQR 1.05) by the LMS. All scores were statistically significantly lower in the NLMP group (p<0.05), except for the item Information quality (p=0.1631). The suggested benchmarks for a useful appear: increasing awareness of the importance and delivering an understanding of persons’ own laboratory test results; understandable terminology; easy to use; appropriate graphic design, and trustworthy information.ConclusionsNLMP’ evaluation confirmed the low utility of currently available laboratory medicine apps. A reliable app should contain trustworthy and understandable information. The appearance of an app should be fit for purpose and easy to use.

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