Tubular colonic duplication in an adult: case report and brief literature review

Gastrointestinal tract duplication is a rare congenital anomaly that can occur anywhere along the alimentary tract. Most of the reported patients present with acute abdomen during childhood. We describe a case of tubular colonic duplication in an adult. The patient was a 25-year-old woman who presented with abdominal pain, bloating, nausea, and emesis for 3 days. The physical examination was remarkable for abdominal distension, tenderness, and rigidity. Abdominal computed tomography scan revealed abnormal intestinal dilatation. Exploratory laparotomy was performed, and tubular colonic duplication was identified intraoperatively. The diagnosis was verified by postoperative pathology results. The patient was discharged on postoperative day 14 and followed for 2 years without specific events or complications. Furthermore, we reviewed the published literature on colorectal duplication in adults for the past two decades.

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Dysgerminoma in Pseudohermaphroditism: A Case Report

Nepalese Medical Journal ◽

10.3126/nmj.v3i2.34909 ◽

2020 ◽

Vol 3 (2) ◽

pp. 384-387

Author(s):

Rashmey Pun ◽

Sujata Pudasaini ◽

Rita Mahaseth ◽

Kriti Shrestha

Keyword(s):

Cystic Lesion ◽

Abdominal Distension ◽

Exploratory Laparotomy ◽

Cell Tumor ◽

The Body ◽

Adrenal Hyperplasia ◽

Computed Tomography Scan ◽

Adrenogenital Syndrome ◽

Platinum Based Chemotherapy ◽

Tomography Scan

Female pseudohermaphroditism occurs when normal ovaries are present but the body is partially masculinized as individuals with congenital adrenal hyperplasia, also known as adrenogenital syndrome. This is an inherited disorder that accounts for about one-half of all cases of human intersexuality. We report a case of a 24-year-old male presenting with abdominal pain and increasing abdominal distension for one month. Computed tomography scan revealed large multiloculated heterogeneously enhancing solid –cystic lesion in the abdominopelvic cavity– malignant gonadal mass, gross ascites, and visualization of the poorly formed elongated uterus-like structure in the recto-uterine pouch and phallus-like structure with non-visualization of bilateral testes. Histopathology report suggested germ cell tumor and immunohistochemistry confirmed the diagnosis of dysgerminoma. Since dysgerminoma is sensitive to platinum-based chemotherapy patient was subjected to chemotherapy and the patient showed a good response. The patient underwent exploratory laparotomy with right salpingo-oophorectomy with omentectomy and appendectomy.

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Fulminant amoebic colitis in the era of computed tomography scan: A case report and review of the literature

South African Journal of Radiology ◽

10.4102/sajr.v22i1.1354 ◽

2018 ◽

Vol 22 (1) ◽

Author(s):

Suman Mewa Kinoo ◽

Vikesh V. Ramkelawon ◽

Jaynund Maharajh ◽

Bugwan Singh

Keyword(s):

Computed Tomography ◽

Bowel Wall ◽

Abdominal Distension ◽

Review Of The Literature ◽

Computed Tomography Scan ◽

Fulminant Colitis ◽

Bowel Necrosis ◽

Amoebic Colitis ◽

History Of ◽

Tomography Scan

Amoebic colitis, caused by ingestion of water or food contaminated with the protozoan Entamoeba histolytica, can progress to a fulminant colitis. Computed tomography (CT) findings reported in the literature on this type of colitis are sparse. We present a 59-year-old male patient with a one-week history of progressive abdominal pain, abdominal distension and associated watery and bloody diarrhoea. A CT scan revealed deep ulcerations with submucosal and intramural tracking of contrast. Colonoscopy and biopsy confirmed a diagnosis of Amoebic colitis. The patient required a laparotomy and demised. Deep ulcerations with submucosal and intramural tracking of contrast on CT are diagnostic of fulminant amoebic colitis. Although not demonstrated at CT in this case, discontinuous bowel necrosis, omental wrapping (seen at laparotomy in our case) and neovascularisation of the bowel wall may be other features to look out for.

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The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after Chemotherapy

Case Reports in Medicine ◽

10.1155/2018/1384029 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Samid M. Farooqui ◽

Houssein Youness

Keyword(s):

Fungal Infections ◽

Left Lung ◽

Sporothrix Schenckii ◽

Computed Tomography Scan ◽

Dimorphic Fungus ◽

Carcinoma Of The Esophagus ◽

Case Presentation ◽

The Past ◽

Thoracic Computed Tomography ◽

Tomography Scan

Background. Pulmonary sporotrichosis is a rare disease caused by a dimorphic fungus, Sporothrix schenckii. It is rarely found in association with malignancy. We present a case of pulmonary sporotrichosis recurrence after chemotherapy. Case Presentation. A 44-year-old man, treated for pulmonary sporotrichosis in the past, presented with dysphagia and was found to have squamous cell carcinoma of the esophagus. After undergoing chemotherapy, extensive cavitary lesions were observed on thoracic computed tomography scan. A bronchoalveolar lavage revealed the presence of Sporothrix schenckii sensu lato. Despite treatment with itraconazole, he eventually required a left pneumonectomy for progressive destructive cavitary lesions involving the left lung. Conclusion. This case highlights the importance of considering past fungal infections, albeit cured, in patients initiating immunosuppressive therapy.

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Laryngolith

The Journal of Laryngology & Otology ◽

10.1017/s0022215109004265 ◽

2009 ◽

Vol 123 (2) ◽

Author(s):

A H Hegab

Keyword(s):

Computed Tomography ◽

Case Report ◽

Interesting Case ◽

Rare Entity ◽

Review Of The Literature ◽

Computed Tomography Scan ◽

Unique Case ◽

The Past ◽

Tomography Scan ◽

Biochemical Examination

AbstractObjective:To report an extremely rare and interesting case of a woman who developed a laryngeal stone.Case report:A 44-year-old woman was referred to our ENT clinic complaining of dyspnoea and stridor. She had been treated for chest problems for approximately 30 years. On examination, she had a large, spiky, subglottic lesion compromising the airway. A laryngeal computed tomography scan and histopathological and biochemical examination showed the lesion to be a calcium phosphate stone. Review of the literature from the past 50 years, using several search engines, revealed no similar cases.Conclusion:To the author's knowledge, this is a unique case of a stone that developed in the subglottis. This rare entity was the cause of long-standing chest problems unresponsive to medical treatment. The patient recovered completely from all her symptoms after removal of the laryngolith.

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Diagnosis and Management of a Large Adrenal Myelolipoma

International Journal of Recent Surgical and Medical Sciences ◽

10.1055/s-0040-1721519 ◽

2020 ◽

Vol 6 (02) ◽

pp. 70-73

Author(s):

Imad Ghantous ◽

Melissa Kyriakos Saad ◽

Toufic Saber ◽

Elissa Mahfouz ◽

Imad Matta ◽

...

Keyword(s):

Computed Tomography ◽

Rare Condition ◽

Abdominal Distension ◽

Mass Effect ◽

Caucasian Patient ◽

Computed Tomography Scan ◽

Adrenal Myelolipoma ◽

The Right ◽

Real Challenge ◽

Tomography Scan

AbstractAdrenal myelolipoma is a rare condition. Although benign in nature, these tumors can increase in size and cause a mass effect to nearby structures presenting as abdominal distension and pain. In 90% of cases, adrenal myelolipomas are unilateral. However, the real challenge in management is when bilateral adrenal myelolipoma is present. Herein, we present a case of a 51-year-old male Caucasian patient with bilateral adrenal myelolipoma. The patient had a large left adrenal myelolipoma (23 × 13 cm) and a small one on the right (4.4 × 4 cm). We opted for an open left adrenalectomy due to classical features on computed tomography scan and the mass effect of the tumor.

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Unusual Recto-colonic Tubular Duplication in a Female Neonate

Journal of Neonatal Surgery ◽

10.47338/jns.v8.339 ◽

2019 ◽

Vol 8 (1) ◽

pp. 5

Author(s):

Kechiche Nahla ◽

Rabeb Farhani ◽

Rachida Lamiri ◽

Mongi Mekki ◽

Mohssen Belguith ◽

...

Keyword(s):

Computed Tomography ◽

Barium Enema ◽

Unusual Case ◽

Computed Tomography Scan ◽

Double Contrast ◽

Colonic Duplication ◽

Rectovestibular Fistula ◽

The Common ◽

Tomography Scan

Complete tubular colonic duplication is exceedingly rare. A second ectopic opening in the perineum other than a normally cited anus could be an unusual presentation. We report an unusual case of recto-colonic duplication in a 16-day-old girl who presented with fecal discharge from a vestibular opening in addition to a normally situated anus. The diagnosis of total recto-colonic tubular duplication associated with a rectovestibular fistula and a normal anus was confirmed by barium enema and computed tomography scan with double contrast. At operation, we performed a long transanal incision of the common septum to create an anastomosis between the normal and duplicated colon with complete submucosal excision of the rectovestibular fistula. The patient was doing well at 3-year follow-up examination.

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Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease

Sao Paulo Medical Journal ◽

10.1590/s1516-31802006000400012 ◽

2006 ◽

Vol 124 (4) ◽

pp. 234-236 ◽

Cited By ~ 10

Author(s):

Ruy Jorge Cruz Junior ◽

Jorge Nahas ◽

Luiz Francisco Poli de Figueiredo

Keyword(s):

Computed Tomography ◽

Case Report ◽

Abdominal Wall ◽

Rare Complication ◽

Gallbladder Disease ◽

Computed Tomography Scan ◽

The Past ◽

The Right ◽

High Degree ◽

Tomography Scan

CONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration or cellulitis.

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An Incidental Finding of a Double-Lumen Trachea

Acta Médica Portuguesa ◽

10.20344/amp.12000 ◽

2021 ◽

Vol 34 (3) ◽

pp. 229

Author(s):

Krzysztof Piersiala ◽

Anna Loroch ◽

Joanna Jackowska ◽

Malgorzata Wierzbicka

Keyword(s):

Incidental Finding ◽

Subglottic Stenosis ◽

Unusual Complication ◽

Tracheal Bronchus ◽

Computed Tomography Scan ◽

Double Lumen ◽

Endoscopic Findings ◽

The Past ◽

Post Intubation ◽

Tomography Scan

The aim of this case report is to present an incidental finding of a firm tracheal septum in a 61-year-old woman. The patient was admitted to the hospital with mild dyspnea and a preliminary diagnosis of a tracheal subglottic stenosis. During microlaryngoscopy, just below the subglottic stenosis, a firm, vertical symphysis (septum), forming a double-lumen trachea was found. There was no record of any previous difficulties with intubation. A computed tomography scan performed after the microlaryngoscopy revealed an airway branch arising from the trachea at the level of thyroid gland and joining its lumen below. The radiological and endoscopic findings in the presented case hardly resemble the conditions described in the literature, as the discovered septum does not have a pseudomembranous nature, nor does it form a tracheal bronchus. Therefore, the finding is thought to be an unusual complication of multiple intubations in the past. This is an extremely rare finding and it is important to share our experience in managing a patient with the aforementioned post-intubation complications.

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The chemotherapy effect on embryonal rhabdomyosarcoma in a 2-year-old girl in a development country: A rare case

Indian Journal of Case Reports ◽

10.32677/ijcr.v7i10.3063 ◽

2021 ◽

pp. 439-441

Author(s):

Megasiwi Megasiwi ◽

Widyanti Soewoto ◽

Galih Santoso Putra

Keyword(s):

Wilms Tumor ◽

Solid Organ ◽

Computed Tomography Scan ◽

The Past ◽

Tissue Invasion ◽

Mass Size ◽

Histopathological Results ◽

Solid Organ Malignancy ◽

Tomography Scan ◽

Base Of The Tongue

Rhabdomyosarcoma (RMS) is the third most common solid organ malignancy in children after Wilms tumor and neuroblastoma. It is a highly malignant tumor with local tissue invasion and lymphatic and hematogenous metastases. The main treatment for RMS is complete resection with a combination of chemotherapy and radiotherapy. Here, we present the case of a 2-year-old girl who came to the hospital with a complaint of noisy breathing (Stridor) for the past 2 weeks. Intraoral examination showed an oval mass at the base of the tongue that almost closed the airway, felt soft, and had a bump. A computed tomography scan of the neck was performed, and a solid lesion with clear irregular borders was found in the posterior lingua. Incisional biopsy was performed with histopathological results of embryonal RMS. Two weeks after the biopsy, chemotherapy was performed, and the evaluation after two chemotherapy sessions, the mass size was found to have decreased.

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