scholarly journals Massive Lipomatosis of the Small Intestine Causing Intussusception

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Michael Pagacz ◽  
Irvin Willis ◽  
John Alexis
Keyword(s):  
Adipose Tissue ◽  
Abdominal Pain ◽  
Rare Condition ◽  
Abdominal Ct ◽  
Intestinal Involvement ◽  
Abdominal Ct Scan ◽  
Mucosal Folds ◽  
Resected Bowel ◽  
Left Abdomen ◽  
Fecal Urgency

Lipomatosis is a rare condition characterized by diffuse, unencapsulted adipose tissue deposition. Intestinal involvement is rare, and presentation as intussusception is rarer still. We report a 40-year-old man who presented with abdominal pain and fecal urgency. Abdominal CT scan showed a protuberant ileo-cecal valve, with intussusception of the ileum into the cecum. The mucosal surface of the resected bowel was bulbous and protuberant, showing loss of mucosal folds, and there was an 8 × 5 × 5 cm mass prolapsing into the ileo-cecal valve. Microscopically there was abundant adipose tissue in the submucosa with an unremarkable mucosa. The patient recovered uneventfully with only occasional cramping in the left abdomen.

A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

2020 ◽  
pp. 1-3
Author(s):  
Jinping Xu ◽  
Jinping Xu ◽  
Ruth Wei ◽  
Salieha Zaheer
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Femoral Hernia ◽  
Rare Case ◽  
Hernia Recurrence ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
History Of

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

Extramedullary haematopoiesis presenting as a periportal mass

2020 ◽  
Vol 13 (7) ◽  
pp. e235064
Author(s):  
Faranak Rafiee ◽  
Sara Haseli ◽  
Seyed Hamed Jafari ◽  
Pooya Iranpour
Keyword(s):  
Bone Marrow ◽  
Abdominal Pain ◽  
Histopathological Examination ◽  
Final Diagnosis ◽  
Extramedullary Haematopoiesis ◽  
Abdominal Ct ◽  
Rare Presentation ◽  
Abdominal Ct Scan ◽  
History Of ◽  
Vague Abdominal Pain

Extramedullary haematopoiesis (EMH) is defined as haematopoiesis occurring in organs outside the bone marrow. The liver is one of the rare sites of EMH, and to the best of our knowledge, a few cases of adult EMH of the liver have been reported in the last 20 years. Here, we reported the case of a 68-year-old man with a known history of myelofibrosis presented with vague abdominal pain. An abdominal CT scan showed a hypoattenuating periportal mass encasing the portal vein. The final diagnosis of EMH was made through the histopathological examination. This is a rare presentation of EMH, which may be easily mistaken for other pathologies such as metastases. Familiarity with this type of presentation aids in correctly diagnosing it in an appropriate clinical setting.

scholarly journals Hereditary Angioedema Type II: First Presentation in Adulthood with Recurrent Severe Abdominal Pain

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Mohamed Abuzakouk ◽  
Nada AlMahmeed ◽  
Esat Memisoglu ◽  
Martine McManus ◽  
Aydamir Alrakawi
Keyword(s):  
Abdominal Pain ◽  
Family History ◽  
Hereditary Angioedema ◽  
Positive Family History ◽  
Cleveland Clinic ◽  
Severe Abdominal Pain ◽  
Type Ii ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
History Of

A 27-year-old Emirate man presented to Cleveland Clinic Abu Dhabi emergency department with a 4 year history of recurrent episodes of severe swellings affecting different parts of his body. He used to get 2 swelling episodes every week affecting either his face, hands, feet or scrotum and severe abdominal pain twice a week. Abdominal CT scan and a colonoscopy showed bowel wall oedema. There was no family history of similar complaint or of hereditary angioedema (HAE). Complement studies confirmed the diagnosis of HAE type II. He was commenced on danazol 100 mg twice daily and his symptoms resolved. This case report highlights the importance of considering HAE in patients with recurrent unexplained abdominal pain even in the absence of positive family history of HAE.

964 Prevalence of Opioid Analgesic Use Among Patients Presenting to Emergency Department With Abdominal Pain That Is Investigated With Emergent Abdominal CT Scan

2016 ◽  
Vol 150 (4) ◽  
pp. S192-S193 ◽  
Author(s):  
Disha Khemani ◽  
Ana Roldan ◽  
Alfred D. Nelson ◽  
Seon-Young Park ◽  
Andres Acosta ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Opioid Analgesic ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
Analgesic Use

Cecal Epiploic Appendagitis: A Diagnostic and Therapeutic Dilemma

2007 ◽  
Vol 73 (8) ◽  
pp. 828-830 ◽  
Author(s):  
Vijaykumar G. Patel ◽  
Arundathi Rao ◽  
Reginald Williams ◽  
Radha Srinivasan ◽  
James K. Fortson ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Ct Scan ◽  
Abdominal Ct ◽  
Lower Quadrant ◽  
Radiographic Findings ◽  
Epiploic Appendagitis ◽  
Abdominal Symptoms ◽  
Abdominal Ct Scan ◽  
Limiting Condition

Acute epiploic appendagitis (EA) is a rare and often misdiagnosed cause of acute abdominal pain. Though a benign and often self-limiting condition, EA's ability to mimic other disease processes makes it an important consideration in patients presenting with acute abdominal symptoms. Careful evaluation of abdominal CT scan findings is crucial in the accurate diagnosis of epiploic appendagitis, thus avoiding unnecessary surgical intervention. We report a case of a 29-year-old male presenting with a two day history of generalized abdominal pain. Physical exam revealed a diffusely tender abdomen with hypoactive bowel sounds. The patient had a leukocytosis of 18,000 and abdominal CT scan revealed right lower quadrant inflammatory changes suggestive of acute appendicitis. Laparoscopic exploration revealed an inflamed gangrenous structure adjacent to the ileocecal junction. Pathologic evaluation revealed tissue consistent with epiploic appendagitis. Retrospective review of the CT scan revealed a normal appearing appendiceal structure superolateral to the area of inflammation. The patient recovered uneventfully with resolving leukocytosis. We present a case of cecal epiploic appendagitis mimicking acute appendicitis and review the current literature on radiographic findings, diagnosis, and treatment of this often misdiagnosed condition. General surgeons should be aware of this self-limiting condition and consider this in the differential diagnosis.

Annular Pancreas in the Adult: Management with Laparoscopic Gastrojejunostomy

2006 ◽  
Vol 72 (1) ◽  
pp. 71-73 ◽  
Author(s):  
Daniel A. De Ugarte ◽  
Eric P. Dutson ◽  
Darryl T. Hiyama
Keyword(s):  
Magnetic Resonance Imaging ◽  
Congenital Anomaly ◽  
Abdominal Pain ◽  
Operative Management ◽  
Duodenal Atresia ◽  
Annular Pancreas ◽  
Resonance Imaging ◽  
Abdominal Ct ◽  
Laparoscopic Gastrojejunostomy ◽  
Abdominal Ct Scan

Annular pancreas is an uncommon congenital anomaly associated with duodenal atresia in neonates. Rarely, the condition may manifest later in life. These symptoms include abdominal pain, nausea, and vomiting and usually arise due to obstruction to gastric emptying. Abdominal CT scan with high resolution and angiography protocol and magnetic resonance imaging are useful in confirming the presence of annular pancreas. Operative management involves bypassing the obstructed duodenum. Duodenoduodenostomy is routinely performed in neonates with annular pancreas. In adults, the duodenum is less mobile, and duodenojejunostomy or gastrojejunostomy are recommended. We report two cases of annular pancreas in adults treated with laparoscopic gastrojejunostomy.

scholarly journals Dextrocardia with Situs Inversus in an 18-Year-Old Nigerian Female: The Computed Tomographic Findings and a Case Report

2021 ◽  
Vol 2 (2) ◽  
pp. 01-03
Author(s):  
Sule MB
Keyword(s):  
Situs Inversus ◽  
Congenital Abnormalities ◽  
Rare Condition ◽  
Abdominal Ct ◽  
Computed Tomographic ◽  
Abdominal Ct Scan ◽  
Displaced Spleen ◽  
Upper Abdominal ◽  
The Right ◽  
Extracardiac Abnormalities

Dextrocardia is a cardiac positional anomaly in which the heart is located in the right hemithorax with its base to apex axis directed to the right and caudad. The malposition is intrinsic to the heart and not caused by extracardiac abnormalities. Dextrocardia is a rare condition and usually found incidentally and in association with other congenital abnormalities. It has an incidence of less than 1%. This is an 18 year old Nigerian female who was referred for computed tomography (CT) of the chest on account of prolonged and recurrent cough with a suspicion of diffuse interstitial lung disease. The chest and upper abdominal CT scan showed dextrocardia with a right placed heart, displaced spleen and stomach to the right hemi-abdomen and liver displaced to the left hemi-abdomen; confirming the diagnosis of dextrocardia with situs inversus. We present this case of dextrocardia with abdominal situs inversus due to its rarity in literature.

scholarly journals ECTOPIC KIDNEY DISCOVERED AFTER ABDOMINAL TRAUMA: ABOUT ONE CASE REPORT

2020 ◽  
Vol 8 (11) ◽  
pp. 504-505
Author(s):  
H. Zahi ◽  
◽  
S.El Haddad ◽  
N. Allali ◽  
L. Chat ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Urinary Tract ◽  
Upper Urinary Tract ◽  
Pelvic Kidney ◽  
Ectopic Kidney ◽  
Abdominal Ct ◽  
Urinary Tract Abnormalities ◽  
Abdominal Ct Scan ◽  
Upper Urinary Tract Abnormalities

Pelvic kidney ectopia is one of most frequent upper urinary tract abnormalities exposed to trauma injuries.In that matter a patient presented with hematuria and abdominal pain in a trauma setting should make us consider this diagnosis.The abdominal CT scan is the key to make the diagnosis and allows to assess the type and severity of the lesions.

Cytomegalovirus (CMV)-associated portal vein thrombosis in a healthy, immunocompetent man

2020 ◽  
Vol 13 (12) ◽  
pp. e238645
Author(s):  
Caroline Burkey ◽  
Catherine Teng ◽  
Khalil Ian Hussein ◽  
James Sabetta
Keyword(s):  
Abdominal Pain ◽  
Literature Review ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Anticoagulation Therapy ◽  
Abdominal Ct ◽  
Vein Thrombosis ◽  
Abdominal Ct Scan ◽  
Specific Symptoms ◽  
Acute Cytomegalovirus

We present a previously healthy man in his 30s who presented with typical viral prodrome symptoms and worsening abdominal pain. He was found to have portal vein thrombosis, with extensive hypercoagulability workup performed. It was determined that the aetiology of thrombus was secondary to acute cytomegalovirus infection. The patient was started on anticoagulation therapy, with later clot resolution demonstrated on abdominal Doppler ultrasound and abdominal CT scan. Given the atypical presentation of this common virus, we performed a literature review of cytomegalovirus-associated portal vein thrombosis in healthy individuals; we found that most patients present with non-specific symptoms of fever and abdominal pain in the setting of a viral prodrome. This case and literature review suggest physicians must consider cytomegalovirus-associated portal vein thrombosis as a potential diagnosis when patients present with abdominal pain and viral symptoms. The literature highlights the need for a consensus on anticoagulation and antiviral therapy.

scholarly journals A Case of Unresolved and Worsening Retroperitoneal Abscess

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Raghav Bansal ◽  
Mohamed Barakat ◽  
Soohwan Chun ◽  
Sonam Rosberger ◽  
Joel Baum ◽  
...  
Keyword(s):  
Ct Scan ◽  
Rare Complication ◽  
Duodenal Bulb ◽  
Rare Condition ◽  
Distal Portion ◽  
Retroperitoneal Abscess ◽  
Gallstone Pancreatitis ◽  
Abdominal Ct ◽  
Lower Quadrant ◽  
Abdominal Ct Scan

Retroperitoneal abscess is a rare condition which is difficult to diagnose and treat because of its insidious onset. Herein, we present a case of retroperitoneal abscess secondary to a perforation that occurred during an ERCP. A 54-year-old female patient was admitted to an outside hospital with gallstone pancreatitis and underwent ERCP with sphincterotomy followed by laparoscopic cholecystectomy. An abdominal CT scan was performed at the outside hospital 10 days later for worsening abdominal pain which showed multiple loculated pockets in the right upper and lower quadrant. Her condition improved after IV antibiotics and percutaneous drainage. Her symptoms recurred a month later and she presented to our hospital. Repeat abdominal CT scan at our hospital revealed recurrence of her abscesses. Multiple drains were placed and the abscess cavity was washed out without much improvement. EGD revealed a small mucosal defect in the distal portion of the duodenal bulb which was closed successfully using an over-the-scope clip. Repeat CT scan after 8 weeks from the endoscopic closure showed near complete resolution of the abscess. ERCP-associated perforation is a rare complication and can be challenging to diagnose and treat; prompt recognition is mandatory for favorable prognosis. Our patient was managed successfully via nonsurgical approach.

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