scholarly journals Neutropenic Enterocolitis Disclosing an Underlying Cyclic Neutropenia

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Fatima Ezzahra Lahlimi ◽  
Khawla Khalil ◽  
Soumia Lahiaouni ◽  
Illias Tazi
Keyword(s):  
Abdominal Pain ◽  
Supportive Care ◽  
Medical History ◽  
Intestinal Perforation ◽  
Surgical Intervention ◽  
Neutropenic Patient ◽  
Recurrent Fever ◽  
Cyclic Neutropenia ◽  
Neutropenic Enterocolitis ◽  
History Of

Neutropenic enterocolitis is a syndrome characterized by fever and abdominal pain in a neutropenic patient. It is often reported in children treated for leukemia and rarely reported in patients with other diseases. Herein, we report the case of a 9-year-old patient with a medical history of recurrent fever and mouth ulcers since the age of 4, who presented with neutropenic enterocolitis complicated with intestinal perforation which all leaded to disclose cyclic neutropenia. The patient was successfully treated by aggressive supportive care combined with surgical intervention. Neutropenic enterocolitis with possible complications should be considered and promptly managed in every neutropenic patient and may reveal a rare cause of neutropenia as cyclic neutropenia.

scholarly journals A rare cause of small bowel diaphragm disease presenting with palpated abdominal mass

2019 ◽  
Vol 2019 (8) ◽  
Author(s):  
Aghyad K Danial ◽  
Ahmad Al-Mouakeh ◽  
Yaman K Danial ◽  
Ahmad A Nawlo ◽  
Ahmad Khalil ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Medical History ◽  
Rare Complication ◽  
Abdominal Mass ◽  
Past Medical History ◽  
Abdominal Symptoms ◽  
Diaphragm Disease ◽  
History Of ◽  
Specific Symptoms

Abstract Small bowel diaphragm disease is a rare complication related to non-steroidal anti-inflammatory drug (NSAID) use. It presents with non-specific symptoms such as vomiting, abdominal pain, subacute bowel obstruction and occasionally as an acute abdominal condition. We report a case of diaphragm disease in a 33-year-old female who presented with vomiting, constipation and abdominal pain started 5 days earlier. Physical examination revealed palpated abdominal mass. The patient’s past medical history was remarkable for NSAID use. The patient was managed by surgical resection of involved intestine and diagnosis was confirmed by histological examination. Although there are few published cases of diaphragm disease in the medical literature, we recommend that this disease should be considered as one of the differential diagnoses when assessing patients presenting with non-specific abdominal symptoms with remarkable past medical history of NSAID use.

scholarly journals Endometriosis of the appendix causing small bowel obstruction in a virgin abdomen

2019 ◽  
Vol 12 (7) ◽  
pp. e230496 ◽  
Author(s):  
Joseph Do Woong Choi ◽  
Michael Yunaev
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Oestrogen Receptor ◽  
Surgical Intervention ◽  
Prior History ◽  
Good Recovery ◽  
History Of

A 29-year-old, otherwise well, nulligravid woman presented to the emergency department with 1-day history of generalised abdominal pain and vomiting. She had similar symptoms 6 months prior following recent menstruations, which resolved conservatively. She had no prior history of abdominal surgery or endometriosis. CT scan demonstrated distal small bowel obstruction. A congenital band adhesion was suspected, and she underwent prompt surgical intervention. During laparoscopy, a thickened appendix was adhered to a segment of distal ileum. There was blood in the pelvis. Laparoscopic adhesiolysis and appendicectomy were performed. Histopathology demonstrated multiple foci of endometriosis of the appendix with endometrial glands surrounded by endometrial stroma. Oestrogen receptor and CD10 immunostains highlighted the endometriotic foci. The patient made a good recovery and was referred to a gynaecologist for further management.

scholarly journals A rare cause of neutropenic enterocolitis: Propylthiouracil-induced agranulocytosis

2018 ◽  
Vol 25 (5) ◽  
pp. 286-289 ◽  
Author(s):  
Vermi Degerli ◽  
Fulya Yilmaz Duran ◽  
Mustafa Kucuk ◽  
Ibrahim Atasoy
Keyword(s):  
Abdominal Pain ◽  
Complete Blood Count ◽  
Multiple Organ ◽  
Antithyroid Drugs ◽  
Gastrointestinal Complication ◽  
Emergency Physicians ◽  
Neutropenic Enterocolitis ◽  
High Clinical Suspicion ◽  
Life Threatening ◽  
History Of

Introduction: Neutropenic enterocolitis is a life-threatening gastrointestinal complication of neutropenia that is rarely seen in adults. Neutropenic enterocolitis is more common in oncology patients, especially in those with leukemia. Antithyroid drugs are widely used to treat hyperthyroidism, but they can rarely cause agranulocytosis. Although the pathophysiology is not well understood, high clinical suspicion and immediate and appropriate treatment responses are essential to reduce the mortality rate of neutropenic enterocolitis. Case presentation: We present a case of a 57-year-old male patient who developed neutropenic enterocolitis as a result of agranulocytosis caused by the use of propylthiouracil. He had history of hyperthyroidism and was on propylthiouracil. He presented to the emergency department with abdominal pain but eventually died due to rapid deterioration of sepsis and multiple organ failure despite medical and surgical treatment. Discussion: Thioamides can cause agranulocytosis which can result in serious complication including neutropenic enterocolitis. Complete blood count must be monitored in patients receiving thioamides, and these patients should be educated on symptoms of agranulocytosis. Conclusion: Since patients with neutropenic enterocolitis are often evaluated first by emergency physicians, emergency physicians must be vigilant for neutropenic enterocolitis in patients with neutropenia and abdominal pain.

Magnet Ingestion in Dogs: Two Cases

2010 ◽  
Vol 46 (3) ◽  
pp. 181-185 ◽  
Author(s):  
Kristina Kiefer ◽  
Heidi Hottinger ◽  
Tony Kahn ◽  
Mary Ngo ◽  
Ron Ben-Amotz
Keyword(s):  
Intestinal Perforation ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Gastrointestinal Perforation ◽  
History Of Or ◽  
Magnetic Attraction ◽  
Abdominal Radiographs ◽  
History Of ◽  
Magnet Ingestion ◽  
Gastrointestinal Tissue

Two dogs that had ingested foreign bodies were presented with vomiting. The foreign bodies appeared as metal and dense on abdominal radiographs. Abdominal exploratory identified intestinal perforation in one case and gastrointestinal tissue trapped between the two foreign bodies adhered to each other in the second case. The foreign bodies were identified as magnets in one case and magnets and other metallic foreign bodies in the second case. Both dogs had excellent outcomes following surgical intervention. These cases demonstrate the danger of tissue entrapment between the foreign bodies as a result of the magnetic attraction between two objects. Dogs that are presented with a history of or are suspect for ingesting multiple magnets or a magnet and metal foreign bodies should be treated with surgical intervention because of the risk of gastrointestinal perforation as a result of magnetic attraction between the foreign bodies.

scholarly journals Primary omental infarction: a report of a series of cases in an Indian tertiary care hospital

2020 ◽  
Vol 7 (5) ◽  
pp. 1623
Author(s):  
Ruru Ray ◽  
Ann Sunny ◽  
Giridhar Ashwath ◽  
Anthony Prakash Rozario ◽  
Rahul Sima
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Surgical Intervention ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Abdominal Abscess ◽  
Short History ◽  
Omental Infarction ◽  
History Of

Primary omental infarction is a relatively rare and often presents as right sided abdominal pain. It is often diagnosed as appendicitis and is usually picked up intra-operatively, or - as often seen nowadays - on imaging. We describe a series of four cases of primary omental infarction that presented to us with varying clinical features. Three of them had a short history of right sided abdominal pain, whereas the fourth patient had a longer history of left sided abdominal pain. All 4 were managed operatively, with the fourth having presented with an intra-abdominal abscess that required laparotomy. Primary omental infarction is a diagnosis which must be considered in any case of acute abdomen. Cases diagnosed with certainty on imaging may be managed conservatively but must be followed up closely. Need for surgical intervention should be considered in select cases.

scholarly journals Homoeopathic management of chronic replapsing pancreatitis in a paediatric patient: A case report

2022 ◽  
Vol 4 ◽  
pp. 133-141
Author(s):  
Bipin Sohanraj Jain ◽  
Akshata Damodar Nayak
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Acute Exacerbation ◽  
Recurrent Fever ◽  
Age Group ◽  
Patient Reported ◽  
Paediatric Age ◽  
History Of ◽  
Chronic Relapsing Pancreatitis ◽  
Over Time

Chronic relapsing pancreatitis in the paediatric age group is a challenging case, especially when presenting in its acute exacerbation. This case report highlights the management of chronic relapsing pancreatitis in a 9-year-old female patient with homoeopathic treatment. The patient reported a year-long history of recurrent fever, abdominal pain, and raising titres of lipase and amylase; she had been admitted to a higher centre twice. The totality was constructed on day 1 and a homoeopathic remedy was prescribed. Detailed case taking, done after a week, confirmed the same remedy. Later, when the patient had an acute exacerbation, the same remedy-frequently repeated, helped settle the acute episode in a couple of days. The patient has been following up regularly for 3 years; the frequency and intensity of relapses reduced considerably over time and there have been no episodes for more than a year.

scholarly journals Tuberculous Colitis: A Case Report

2020 ◽  
Vol 5 (4) ◽  
Keyword(s):  
Abdominal Pain ◽  
Medical History ◽  
Joint Pain ◽  
Past Medical History ◽  
Food Ingestion ◽  
Urine Color ◽  
History Of ◽  
Bleeding Per Rectum ◽  
H Pylori ◽  
Tuberculous Colitis

21-year old Bangladeshi man with no past medical history presented with abdominal pain for 10 days. He described his abdominal pain as a periumbilical colicky in nature, started mild then progressed to severe 4 days prior to ED presentation. It worsened with food ingestion. He had lost around 6 kilograms over a month. The pain was not associated with diarrhea, nausea or vomiting. He did not have dysuria, change in urine color, nor fever. He did not have history of black stool, fresh bleeding per rectum. He did not have sick contact, and he did not have skin rash or joint pain. His past medical history is significant for Helicobacter pylori (H. pylori) associated gastritis, which was treated successfully, 3 years ago.

scholarly journals Presacral myelolipoma as a possible parasymptom of cancer: A case report

Rare Tumors ◽  
2018 ◽  
Vol 10 ◽  
pp. 203636131877212
Author(s):  
Akio Sakamoto ◽  
Iori Nagamatsu ◽  
Eisuke Shiba ◽  
Takeshi Okamoto ◽  
Masanori Hisaoka ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Computed Tomography ◽  
Abdominal Pain ◽  
Medical History ◽  
Lung Metastases ◽  
High Signal ◽  
Endocrine Disorders ◽  
History Of ◽  
T2 Weighted Images

Presacral myelolipomas are rare, benign, asymptomatic tumors composed of mature adipose tissue and hematopoietic elements. Presacral myelolipomas can occur in patients with a medical history of malignancy, steroid use, and/or endocrine disorders including diabetes mellitus. A 65-year-old man with no specific medical history experienced temporal abdominal pain without bowel symptoms that lasted a few hours. By the time he visited a hospital, the pain had diminished. Computed tomography failed to detect any abnormality in the abdominal or pelvic organs that would have caused the abdominal pain but revealed a lesion 4 cm in diameter in the frontal sacrum. Magnetic resonance imaging showed that the lesion contained fat elements with a high signal intensity on T1- and T2-weighted images, which was decreased on fat-suppression T2-weighted images. Computed tomography–guided biopsy and imaging allowed a diagnosis of presacral myelolipoma. After 3 months, hematochezia was observed, and follow-up examination revealed rectal carcinoma with multiple lung metastases. He died due to spread of the cancer despite chemotherapy, 6 months after the cancer was found. Considering the possible association between presacral myelolipoma and cancer, presacral myelolipoma might be a cancer parasymptom. Checking for possible malignancy may therefore be warranted in patients with presacral myelolipoma, especially in those without diabetes mellitus.

scholarly journals Subhepatic appendix: an ectopic topography not to be disregarded: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Abdoul Kadir Ibrahim Mamadou ◽  
Souleymane Mounkaila ◽  
Nouhou Hama Aghali ◽  
Mahaman Laouali Harouna Amadou ◽  
Ousseini Adakal
Keyword(s):  
Elderly Patient ◽  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Case Report ◽  
Surgical Intervention ◽  
Quadrant Pain ◽  
Case Presentation ◽  
Perforated Appendix ◽  
History Of ◽  
The Right

Abstract Introduction Subhepatic appendix is most often due to an anomaly of rotation of the primary intestine occurring during embryogenesis. This ectopic topography associated with advanced age can be a serious diagnosis problem at the stage of appendicitis or appendicular peritonitis. Case presentation We report the case of a 60-year-old melanoderm man, with a history of urinary pathology and peptic ulcer, referred from a health district for abdominal pain of the right hypochondrium evolving for about 5 days, secondarily generalized, in whom we suspected peritonitis, the etiology of which remains to be determined. During the surgical intervention, after preoperative resuscitations measures, a phlegmonous perforated appendix was found under the liver. No postoperative complication was noted, and he was discharged home 8 days after his operation. Conclusion Subhepatic appendicular peritonitis occurring in an elderly patient poses enormous diagnostic problems. When faced with right upper quadrant pain, considering acute ectopic appendicitis would significantly reduce complications.

scholarly journals Spontaneous Intestinal Perforation: An Atypical Presentation of Neutropenic Enterocolitis—A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Aylin Canbolat Ayhan ◽  
Cetin Timur ◽  
Ersin Bocu ◽  
Neslihan Gulcin
Keyword(s):  
Abdominal Pain ◽  
Intestinal Perforation ◽  
Lymphoblastic Leukemia ◽  
Severe Neutropenia ◽  
Atypical Presentation ◽  
Neutropenic Enterocolitis ◽  
Gastrointestinal Complications ◽  
Case Presentation ◽  
Underlying Factor ◽  
Spontaneous Intestinal Perforation

Background. Neutropenic enterocolitis is one of the most common gastrointestinal complications seen in patients who are receiving chemotherapy for leukemia. Severe neutropenia is the main underlying factor of this pathology. It is characterized by fever and abdominal pain.Case Presentation. Herein, we report a case of neutropenic enterocolitis which presented with intestinal perforation in an afebrile patient who was diagnosed with acute lymphoblastic leukemia and was receiving induction chemotherapy.Conclusion. We aimed to emphasize the importance of enterocolitis and increase awareness against such severe complications which could have unexpected presentations.

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