scholarly journals Unusual Case of a Torted Mesenteric Fibroid

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Rawan Bajis ◽  
Gregg Eloundou
Keyword(s):  
Unusual Case ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Growth Patterns ◽  
Diagnostic Challenge ◽  
Presumptive Diagnosis ◽  
Obstetrics And Gynaecology ◽  
Colorectal Surgeon ◽  
Ileocaecal Junction ◽  
Palpable Abdominal Mass

Extrauterine leiomyomas are very rare and present a clinical and diagnostic challenge due to their unusual growth patterns and behaviours. A 47-year-old woman was transferred to our tertiary specialist obstetrics and gynaecology hospital with acute abdominal pain and a palpable abdominal mass. She was taken immediately to theatre with the presumptive diagnosis of an ovarian torsion. Intraoperatively, a large necrotic mass originating from the mesentery and attachments to the bowel at the ileocaecal junction was noted. When converted to laparotomy due to limited access and poor visualisation, the uterus, ovaries, and tubes were found to be normal. A right partial hemicolectomy was performed with the assistance of the colorectal surgeon due to suspicion of bowel malignancy. Histology revealed a benign infarcted leiomyoma with adhesions to the adjacent ileum. The diagnosis of a primary torted mesenteric fibroid was made.

scholarly journals Ossifying Renal Tumor of Infancy: Laparoscopic Treatment and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Ali Hajiran ◽  
Morris Jessop ◽  
Zachary Werner ◽  
Chad Crigger ◽  
John Barnard ◽  
...  
Keyword(s):  
Renal Mass ◽  
Unusual Case ◽  
Renal Tumor ◽  
Abdominal Mass ◽  
Renal Ultrasound ◽  
Lower Pole ◽  
Review Of The Literature ◽  
Laparoscopic Treatment ◽  
Gross Hematuria ◽  
Palpable Abdominal Mass

We present an unusual case of a rare ossifying renal tumor of infancy. A 6-month-old male initially presented with gross hematuria and without any palpable abdominal mass. Renal ultrasound and MRI showed a right lower pole, calcified, endophytic renal mass. Laparoscopic radical nephrectomy was performed without complications. Pathology demonstrated an ossifying renal tumor of infancy. We report this case, in addition to a review of the literature for similar cases, to highlight a rare renal tumor in infancy that can be managed laparoscopically.

scholarly journals Perforated appendicitis with peri-appendicular abscess within an incisional hernia: a report of an unusual case

2018 ◽  
Vol 6 (1) ◽  
pp. 299
Author(s):  
Tousif Kabir ◽  
Wong Kar Yong
Keyword(s):  
Incisional Hernia ◽  
Unusual Case ◽  
Abdominal Mass ◽  
Perforated Appendicitis ◽  
Right Hemicolectomy ◽  
Amyand’S Hernia ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
Paramedian Incision ◽  
Hernial Appendicitis

Amyand’s hernia is a rare phenomenon referring to the presence of an appendix within an inguinal hernia. Hernial appendicitis occurs even more rarely in 0.07-0.13% of cases. Cases have been described in incisional hernias of laparoscopic port sites, nephrectomies and various other incisions. Author described an unusual case of an elderly lady who presented with nausea, fever and a tender abdominal mass over a previous paramedian incision. She was thought to have an incarcerated incisional hernia and was counselled for emergency surgical repair. Intra-operatively, she was found to have a perforated appendicitis with a large peri-appendicular abscess within an incisional hernia. The base of the appendix was unhealthy thus a limited right hemicolectomy was performed and the hernia was repaired primarily. Such cases present atypically and present a diagnostic challenge. Delays in recognition and timely intervention may lead to high morbidity and mortality. The authors hoped to raise awareness of this condition and contribute to the medical literature surrounding this unusual pathology.

scholarly journals Actinomycosis: an unusual cause of unresectable rectal cancer

2013 ◽  
Vol 95 (6) ◽  
pp. e4-e6
Author(s):  
T Grey ◽  
K Lindsay ◽  
A Bhowmick
Keyword(s):  
Rectal Cancer ◽  
Unusual Case ◽  
Intrauterine Contraceptive Device ◽  
Current Evidence ◽  
Contraceptive Device ◽  
Diagnostic Challenge ◽  
Oncological Treatment ◽  
Intrauterine Contraceptive ◽  
Pelvic Actinomycosis ◽  
Long Course

We present a very unusual case of a woman with an intrauterine contraceptive device (IUCD) who developed pelvic actinomycosis during long course chemoradiotherapy for rectal cancer, which presented a significant diagnostic challenge and eventually rendered the cancer unresectable. IUCDs are often implicated in the development of pelvic actinomycosis but there is no current evidence or guideline to suggest that they should be removed prior to oncological treatment. Owing to the devastating consequences of this combination of disease, we suggest that it may be prudent to remove IUCDs in this setting.

scholarly journals CMV Colitis in Immunocompetent Patients: 2 Cases of a Diagnostic Challenge

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Maria Paparoupa ◽  
Viola Schmidt ◽  
Helgard Weckauf ◽  
Huy Ho ◽  
Frank Schuppert
Keyword(s):  
Crohn’S Disease ◽  
Unusual Case ◽  
Treatment Strategies ◽  
Diagnosis And Treatment ◽  
Diagnostic Challenge ◽  
Unsuccessful Treatment ◽  
Benign Stenosis ◽  
The Right ◽  
Cmv Colitis ◽  
Immunocompetent Patients

CMV infections are generally thought to be opportunistic by immunosuppression. Many literature cases though indicate that CMV infections can be also observed in immunocompetent patients. We present an unusual case of an extensive concentric benign stenosis due to CMV colitis and a case of coexistence with Crohn’s Disease, both observed in nonimmunosuppressed individuals. The right diagnosis was set after implementation of multiple unsuccessful treatment strategies. Our purpose is therefore to familiarize clinicians involved with the diagnosis and treatment of gastroenterological diseases with this entity.

INTUSSUSCEPTION IN CHILDHOOD

PEDIATRICS ◽  
1960 ◽  
Vol 25 (4) ◽  
pp. 592-597
Author(s):  
M. Moreno Robins ◽  
Henry P. Plenk
Keyword(s):  
Abdominal Pain ◽  
Barium Enema ◽  
Abdominal Mass ◽  
Signs And Symptoms ◽  
Safe Procedure ◽  
General Hospitals ◽  
Small Series ◽  
Bloody Stools ◽  
Palpable Abdominal Mass ◽  
Roentgenographic Examination

A city-wide study of intussusception in childhood is reported. The classic signs and symptoms (vomiting, abdominal pain, bloody stools, palpable abdominal mass) are reported in percentages approximating those previously reported by other authors. Intussusception in childhood occurred about once in every 13,000 admissions to general hospitals. Of 26 cases, 3 had surgery without barium enema. In 11 of 23 patients who had roentgenographic examination the intussusception was reduced by enemas (48%). In one patient the lesion recurred after 24 hours. No deaths were encountered in this small series. Provided certain precautions are followed, barium enema is a safe procedure which will save about one-half of the patients a surgical procedure and unnecessary prolonged hospitalization.

Constipation With a Palpable Abdominal Mass in a Young Woman

2019 ◽  
Vol 157 (4) ◽  
pp. e12-e13
Author(s):  
Yan-Jiun Huang ◽  
Hwa-Lin Kao ◽  
Wen-Ke Wang
Keyword(s):  
Young Woman ◽  
Abdominal Mass ◽  
Palpable Abdominal Mass

scholarly journals Lipoleiomyosarcoma an extremely unusual sarcoma of uterus: A case report

1970 ◽  
Vol 2 (1) ◽  
pp. 67-70 ◽  
Author(s):  
Abhimanyu Jha ◽  
Gita Sayami ◽  
Deepti Adhikari
Keyword(s):  
Smooth Muscle ◽  
Abdominal Pain ◽  
Case Report ◽  
Postmenopausal Woman ◽  
Unusual Case ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Lower Abdominal Pain ◽  
First Case ◽  
Well Differentiated

Uterine lipoleiomyosarcoma is a heterologous sarcoma composed of variable proportions of malignant lipoblasts histologically corresponding to well differentiated liposarcoma and malignant smooth muscle cells corresponding to leiomyosarcoma. Finding of benign lipomatous component in a typical leiomyoma (lipoleiomyoma) is not an uncommon, however, lipoleiomyosarcoma is an extremely rare malignant tumor and only very few cases have been reported so far. We report a case of lipoleiomyosarcoma of uterine corpus in a postmenopausal woman presenting with lower abdominal pain and abdominal mass. Diagnosis of lipoleiomyosarcoma was confirmed by histopathological examination of hysterectomy specimen. This is the first case of lipoleiomyosarcoma of uterus reported from Nepal. Keywords: Lipoleiomyosarcoma, uterus, histopathology, unusual case.   doi:10.3126/njog.v2i1.1482    N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 67 - 70 May -June 2007

Case 2: Early-onset Liver Failure With Palpable Abdominal Mass in a Neonate

NeoReviews ◽  
2016 ◽  
Vol 17 (10) ◽  
pp. e624-e626
Author(s):  
Amitava Sur ◽  
Meghan Gilley ◽  
S. Rod Rassekh ◽  
Horacio Osiovich
Keyword(s):  
Liver Failure ◽  
Early Onset ◽  
Abdominal Mass ◽  
Palpable Abdominal Mass
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