Intestinal Obstruction and Ileocolic Fistula due to Intraluminal Migration of a Gossypiboma

Gossypiboma refers, as a term, to a retained surgical sponge. It is considered as a rare surgical complication which can occur despite precautions. We report a case of a 36-year-old woman who was admitted to our surgical department with symptoms of abdominal pain associated with episodes of nausea and vomiting that lasted for 2 months. Six months ago she had undergone a cesarean section in a private clinic. Computed tomography revealed a high-density mass occupying a portion of the intestinal lumen, which was reported as a “calcified parasite.” The patient was subjected to laparotomy. The intraoperative findings included signs of obstructive ileus and ileosigmoid fistula and a large sponge was found at the resected portion of the small intestine. Although gossypiboma is a rare entity, it should be included in the differential diagnosis.

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Intraluminal Meigration of Gossypiboma without Intestinal Obstruction for Fourteen years

Journal of Nepal Medical Association ◽

10.31729/jnma.315 ◽

2008 ◽

Vol 47 (171) ◽

Author(s):

Romeo Kansakar ◽

P Thapa ◽

S Adhikari

Keyword(s):

Computed Tomography ◽

Abdominal Pain ◽

Foreign Body ◽

Intestinal Obstruction ◽

Fistulous Tract ◽

Exploratory Laparotomy ◽

Surgical Sponge ◽

External Communication ◽

Upper Abdominal ◽

Intraluminal Migration

A 55 years lady presented with dull aching right upper abdominal pain with intermittent episodes of diarrhea following cholecystectomy which she underwent fourteen years back. Ultrasound and computed tomography findings were suggestive of foreign body in right subhepatic space. Exploratory laparotomy revealed circumvented loop of ileum with intra luminal mass sized 5x10 cm, resection anastomosis of the segment of ileum was performed. When opened it contained a surgical sponge with no external communication but an internal fistulous tract was present between the proximal and distal loops beyond the mass. Though intraluminal migration of retained surgical sponge has often been reported, complete intraluminal migration without features of obstruction or external opening is rarely seen.JNMA J Nepal Med Assoc. 2008 Jul-Sep;47(171):136-138.

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MUCINOUS MESENTERIC CYST OF SIGMOID MESOCOLON : A RARE ENTITY

10.36106/gjra/8000880 ◽

2021 ◽

pp. 22-23

Author(s):

K.Prasanth Kumar ◽

A.D.V. Lavanya ◽

P.Surendra Reddy

Keyword(s):

Computed Tomography ◽

Abdominal Pain ◽

Small Bowel ◽

Physical Examination ◽

Mesenteric Cyst ◽

Rare Entity ◽

Small Bowel Mesentery ◽

Mesenteric Cysts ◽

Sigmoid Mesocolon

Mesenteric cysts are rare and occur in patients of any age. They are asymptomatic and found incidentally or during the management of their complications. They commonly originate from the small bowel mesentery, although a proportion of them have been found to originate from the mesocolon (24%) and the retroperitoneum [1] [2,3,4,5] (14.5%). A mesenteric cyst originating in the sigmoid mesocolon is a very rare nding. They are a rare cause of abdominal pain and are discovered incidentally. If symptomatic, patients with these cysts present with abdominal pain, vomiting and low backache. Performing a thorough physical examination and conducting radiological investigations like ultrasonography (USG), computed tomography (CT) are keys in diagnosing the mesenteric cysts.

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Cyriax syndrome: a misdiagnosed condition of the chest wall

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492319858876 ◽

2019 ◽

Vol 27 (7) ◽

pp. 609-611

Author(s):

Sarra Zairi ◽

Mariem Hadj Dahmane ◽

Monia Attia ◽

Amira Dridi ◽

Taher Mestiri ◽

...

Keyword(s):

Differential Diagnosis ◽

Abdominal Pain ◽

Young People ◽

Physical Examination ◽

Chest Wall ◽

Rare Entity ◽

Hypochondriac Region ◽

The Right

Cyriax syndrome is a rare entity of the chest wall, which mainly affects young people. It can manifest as abdominal pain in the right or left hypochondriac region, which may be very intense, and often causes problems in the differential diagnosis. We report the case of a 36-year-old man who presented with intense left hypochondrial pain, worsening on exercise. After multiple specialized consultations and several unnecessary and expensive investigations, a diagnosis of Cyriax syndrome was obtained. A thorough physical examination might have been sufficient to evoke the diagnosis.

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Etiology of Small Bowel Thickening on Computed Tomography

Canadian Journal of Gastroenterology ◽

10.1155/2012/282603 ◽

2012 ◽

Vol 26 (12) ◽

pp. 897-901 ◽

Cited By ~ 12

Author(s):

Lee Finkelstone ◽

Ellen Wolf ◽

Marjorie W Stein

Keyword(s):

Computed Tomography ◽

Differential Diagnosis ◽

Abdominal Pain ◽

Small Bowel ◽

Small Bowel Obstruction ◽

Medical Records ◽

Final Diagnosis ◽

Ct Scans ◽

Common Cause ◽

One Year

BACKGROUND: Abdominal pain is often evaluated using imaging, most often with computed tomography (CT). While CT is sensitive and specific for certain diagnoses, small bowel thickening is a nonspecific finding on CT with a broad differential diagnosis including infection, inflammation, ischemia and neoplasm.METHOD: A review of medical records of patients who underwent CT scans of the abdomen and pelvis over a one-year period and exhibited small bowel thickening were retrospectively evaluated to determine the final diagnosis.RESULTS: The etiologies of small bowel thickening on CT were as follows: infection (113 of 446 [25.34%]); reactive inflammation (69 of 446 [15.47%]); primary inflammation (62 of 446 [13.90%]); small bowel obstruction (38 of 446 [8.52%]); iatrogenic (33 of 446 [7.40%]); neoplastic (32 of 446 [7.17%]); ascites (30 of 446 [6.73%]); unknown (28 of 446 [6.28%]); ischemic (24 of 446 [5.38%]); and miscellaneous (17 of 446 [3.81%]).CONCLUSION: Infectious and inflammatory (primary or reactive) conditions were the most common cause of small bowel thickening in the present series; these data can be used to formulate a more specific differential diagnosis.

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Watch What You Swallow!—A Rare Cause of Not So Rare Entity Presenting to the Emergency Room

Journal of Gastrointestinal and Abdominal Radiology ◽

10.1055/s-0038-1676408 ◽

2019 ◽

Vol 02 (01) ◽

pp. 049-052

Author(s):

Pratik Mukherjee ◽

Daniel Wu Peng ◽

Ashish Chawla

Keyword(s):

Computed Tomography ◽

Abdominal Pain ◽

Foreign Body ◽

Acute Appendicitis ◽

Emergency Room ◽

Complete Recovery ◽

Foreign Body Ingestion ◽

Rare Entity ◽

Inflammatory Changes

AbstractForeign-body ingestion is a rare cause for acute appendicitis. The authors report a case of a 48-year-old man who presented with abdominal pain for 3 days. Computed tomography (CT) revealed a foreign body in the appendix with peri-appendicular inflammatory changes. The patient underwent a successful appendectomy with complete recovery.

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Multiple infarcted regenerative nodules in liver, spleen and kidney after gastric and oesophageal bleeding: A case report

Journal of International Medical Research ◽

10.1177/0300060520942394 ◽

2020 ◽

Vol 48 (8) ◽

pp. 030006052094239

Author(s):

Anlong Wang ◽

Yefei Shu

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Differential Diagnosis ◽

Liver Cirrhosis ◽

Abdominal Pain ◽

Rare Condition ◽

Sudden Onset ◽

Gastric Bleeding ◽

Regenerative Nodules ◽

Hepatic Lesions

Infarcted regenerative nodules in a cirrhotic liver is a rare condition that may be confused with hepatocellular carcinoma on imaging. We report here a case of a 58-year-old man with live cirrhosis who presented with abdominal pain and distension and sudden onset of haematemesis. Computed tomography (CT) showed diffuse multinodular infarcted regenerative nodules and gastric bleeding. Physicians should include infarcted regenerative nodules in any differential diagnosis of multiple hepatic lesions in liver cirrhosis, particularly in patients with gastrointestinal varices.

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Utility of the CT Scan in Diagnosing Midgut Volvulus in Patients with Chronic Abdominal Pain

Case Reports in Surgery ◽

10.1155/2017/1079192 ◽

2017 ◽

Vol 2017 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Ehsan Shahverdi ◽

Mehdi Morshedi ◽

Maryam Allahverdi Khani ◽

Mohammad Baradaran Jamili ◽

Fatemeh Shafizadeh Barmi

Keyword(s):

Computed Tomography ◽

Differential Diagnosis ◽

Abdominal Pain ◽

Ct Scan ◽

Mesenteric Artery ◽

Chronic Abdominal Pain ◽

Intestinal Malrotation ◽

Midgut Volvulus ◽

Common Complication ◽

Preoperative Ct

Symptomatic intestinal malrotation first presenting in the adults is rare. Midgut volvulus is the most common complication of malrotation in the adults. Because of more differential diagnosis, Computed Tomography (CT) scan can play an important role in the evaluation of patients with this abnormality. The whirl pattern around the superior mesenteric artery found on CT scan in patients with midgut volvulus is pathognomonic and diagnostic. We describe a case of intestinal malrotation complicated by midgut volvulus in an adult patient. The preoperative CT findings were pathognomonic.

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Inflammation and obstruction of the small intestine due to phytobezoar

10.21203/rs.3.rs-815277/v1 ◽

2021 ◽

Author(s):

Van Trung Hoang ◽

The Huan Hoang ◽

Ngoc Trinh Thi Pham ◽

Vichit Chansomphou ◽

Duc Thanh Hoang

Keyword(s):

Computed Tomography ◽

Small Intestine ◽

Abdominal Pain ◽

Small Bowel ◽

Intestinal Obstruction ◽

Bowel Obstruction ◽

Rare Entity ◽

Imaging Studies ◽

Case Presentation ◽

Characteristic Imaging

Abstract Background: Bezoar bowel obstruction is a rare entity and remains difficult to detect on imaging studies. Recognition of its characteristic imaging pattern will be useful for diagnosis and management in the setting of intestinal obstruction.Case presentation: We report a 68-year-old female patient who was admitted to the hospital with signs of intestinal obstruction including abdominal pain, nausea, vomiting, and abdominal distention. She was diagnosed with phytobezoar small bowel obstruction on computed tomography (CT) imaging. The patient underwent surgery to confirm the diagnosis and subsequently recovered well.Conclusions: Bezoar is indicated by the sign of floating fat-density debris sign on CT images. It needs to be differentiated from small-bowel feces sign in intestinal obstruction.

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Torsion of the Gallbladder Diagnosed by Magnetic Resonance Cholangiopancreatography

International Surgery ◽

10.9738/cc151.1 ◽

2012 ◽

Vol 97 (3) ◽

pp. 235-238 ◽

Cited By ~ 3

Author(s):

Minoru Fukuchi ◽

Kenji Nakazato ◽

Hisanori Shoji ◽

Hiroshi Naitoh ◽

Hiroyuki Kuwano

Keyword(s):

Computed Tomography ◽

Blood Flow ◽

Differential Diagnosis ◽

Laparoscopic Cholecystectomy ◽

Surgical Treatment ◽

Magnetic Resonance ◽

Magnetic Resonance Cholangiopancreatography ◽

The Elderly ◽

Rare Entity ◽

Torsion Of The Gallbladder

Abstract Torsion of the gallbladder is a rare entity that is difficult to diagnose preoperatively, the principal differential diagnosis being cholecystitis. The condition occurs most often in the elderly. Although its etiology is unknown, the presence of a redundant mesentery is a prerequisite for torsion. Computed tomography, ultrasound, and magnetic resonance cholangiopancreatography can provide important diagnostic clues. Torsion of the gallbladder occurs when it twists axially, with subsequent occlusion of bile or blood flow. Therefore, prompt surgical treatment is necessary in order to prevent necrosis and perforation. In the present study, we report a case of torsion of the gallbladder diagnosed by magnetic resonance cholangiopancreatography. This condition was successfully treated by laparoscopic cholecystectomy.

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TRANSIENT ISCHEMIC JEJUNITIS DUE TO SYMPTOMATIC ISOLATED SUPERIOR MESENTERIC ARTERY DISSECTION: CASE REPORT AND REVIEW OF LITERATURE

Medicine and Pharmacy Reports ◽

10.15386/cjmed-719 ◽

2016 ◽

Vol 90 (1) ◽

pp. 107-112

Author(s):

Mihaela Mocan ◽

Ionuț Isaia Jeican ◽

Mihai Moale ◽

Romeo Chira

Keyword(s):

Differential Diagnosis ◽

Abdominal Pain ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Acute Abdominal Pain ◽

Rare Condition ◽

Artery Dissection ◽

Review Of Literature ◽

Surgical Department ◽

Superior Mesenteric Artery Dissection

Acute abdominal pain is one of the most common conditions encountered in the emergency department. The differential diagnosis of acute abdominal pain is extensive and identifying the underlying etiology can be challenging. We report a case of acute transient ischemic jejunitis due to symptomatic isolated superior mesenteric artery dissection in a patient with no cardiovascular risk factors or autoimmune diseases. Symptomatic isolated superior mesenteric artery dissection is a rare cause of acute abdominal pain usually treated in the surgical department. The patient had criteria for conservative treatment and rapidly recovered. We highlight a rare condition which should be taken into account for the differential diagnosis of acute abdominal pain.

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