scholarly journals Duodenal bulbar necrosis with hemorrhage caused by cholecystolithiasis: a case report

2021 ◽  
Vol 49 (9) ◽  
pp. 030006052110434
Author(s):  
Liang Chen ◽  
Wen Zhang ◽  
Zhenguo Qiao

Gastrointestinal bleeding and gallbladder stones are common diseases of the digestive system. However, duodenal necrosis and bleeding caused by gallbladder stone compression is relatively rare. The present report describes a patient with repeated hematemesis and melena that relapsed after several symptomatic treatments. The patient and his family elected surgical treatment. Intraoperative examination revealed necrosis of the duodenal bulb with hemorrhage, which was related to compression of the gallbladder neck. Because the imaging manifestations of this disease lack specificity, early diagnosis is difficult.

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
A. D. Herrera-Martínez ◽  
R. Bahamondes-Opazo ◽  
R. Palomares-Ortega ◽  
C. Muñoz-Jiménez ◽  
M. A. Gálvez-Moreno ◽  
...  

Primary hyperparathyroidism (PHPT) in pregnant women is an uncommon disease. It could be easily misdiagnosed because of physiologic changes during pregnancy; in some cases, patients could remain asymptomatic maintaining elevated calcium serum levels, and this situation represents a threat to the health of both mother and fetus. We present two cases of PHPT during pregnancy and their evolution after surgical treatment in the second trimester; there were no observed complications during pregnancy or delivery in our patients. Early diagnosis and medical/surgical treatment in PHPT are necessary for avoiding maternal and fetal complications which could not be predicted based on duration or severity of hypercalcemia. An appropriate management of PHPT during pregnancy is necessary for preserving the health of both the woman and the fetus.


1982 ◽  
Vol 91 (4) ◽  
pp. 389-391 ◽  
Author(s):  
Julius N. Hicks ◽  
E. Earl Walker ◽  
E. Eugene Moor

Tumors of cartilage rarely occur in the larynx. Most laryngologists see no more than one of these tumors. Therefore, information about the general knowledge, early diagnosis, and surgical treatment of these tumors accumulates slowly. In this paper we will discuss one type of cartilaginous tumor: chondrosarcoma of the cricoid cartilage. We will review general diagnostic information about this tumor, present a case report, and describe a method of conservative surgical excision.


2018 ◽  
Vol 46 (8) ◽  
pp. 3480-3486 ◽  
Author(s):  
Paul Andrei Ţenţ ◽  
Mihai Juncar ◽  
Ovidiu Mureșan ◽  
Oana Cristina Arghir ◽  
Dan Marcel Iliescu ◽  
...  

Necrotizing fasciitis (NF) is a severe infection involving the superficial fascial layers, subcutaneous cellular tissue, and possibly skin. It usually has a fulminant evolution, rapidly leading to death in the absence of early diagnosis and aggressive surgical treatment. We herein report a rare case of NF secondary to a traumatized occipital psoriatic plaque in an alcoholic 47-year-old woman and compare this case with the published literature. The NF extended to the entire scalp, right face, and posterior and lateral cervical region. Despite the initially guarded prognosis, the patient’s survival emphasizes the importance of aggressive surgical treatment with wide excision of all necrotic structures without any aesthetic compromise.


Surgery ◽  
1998 ◽  
Vol 124 (5) ◽  
pp. 929-931
Author(s):  
Hitoshi Yamamura ◽  
Yasushi Nakamori ◽  
Atsushi Hiraide ◽  
Toshiharu Yoshioka ◽  
Hisashi Sugimoto

2003 ◽  
Vol 56 (1-2) ◽  
pp. 89-91
Author(s):  
Berislav Vekic ◽  
Dragan Radovanovic ◽  
Jovan Zivanovic

Introduction Small bowel neoplasms are relatively rare, considering digestive system neoplasms. The aim of this case report was to point to clinical manifestations, significance and treatment patterns of small bowel lymphomas. Material and methods This is a case report of a sixty-eight year old patient who had undergone surgical treatment due to clinical and radiological findings of small bowel obstruction. Results Histological findings revealed a malignant lymphoma. Primary small intestine lymphomas are treated by radiochemotherapy followed by surgical treatment (partial resection).


2018 ◽  
Vol 6 ◽  
pp. 2050313X1877558
Author(s):  
Francesco Manfreda ◽  
Paolo Ceccarini ◽  
Marco Corzani ◽  
Rosario Petruccelli ◽  
Pierluigi Antinolfi ◽  
...  

We report the case of a 66-year-old male patient with massive ossification of the distal portion of the Achilles tendon, as a late consequence of a surgical release for club foot conducted in his childhood. The singularity of the case report derives from its clinical features: the bone mass was of abnormal dimensions, almost substituting the entire tendon; the condition had always been asymptomatic, without deficits in range of motion, in absence of either pain or biomechanical defects with age. In fact, the condition was diagnosed just recently as a consequence of a tear. Despite an ultrasound diagnosis after the injury, only during the surgical treatment, a proper evaluation of the entity of the pathology was possible. Although the ossification of Achilles tendon is a rare clinical condition with a complex multifactorial etiology, in our case report, some of the elements in the patient’s medical history could be useful for the pathogenesis and early diagnosis of the disease. The aim of this case report is to emphasize the importance both of a correct evaluation of clinical history and of an accurate diagnosis, in order to conduct a proper management of this pathology.


2016 ◽  
Vol 37 (03) ◽  
pp. 239-241
Author(s):  
Klisman Hilleshein ◽  
Vinícius Santin ◽  
Fabrício Silva

AbstractRosai-Dorfman disease is a benign lymphoproliferative disease with rare occurrence in the overall population. The characteristic findings of the disease are emperipolesis on microscopy and S-100 protein positivity on immunohistochemistry. The present report describes the case of a 57-year-old man who presented with repeated seizures, urinary retention, and ataxia. Satisfactory results were obtained with surgical treatment. The diagnosis was confirmed by immunohistochemistry.


2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Ahmad E. Al-Mulla ◽  
Hamad F. Al-Sanea ◽  
Ehab S. Imam ◽  
Omar Shalaby

Gallbladder stones are a typical surgical diagnosis, with over a million procedures performed worldwide. Laparoscopic cholecystectomy is considered the firstchoice treatment and procedure. The size of gallbladder stones varies from a few millimetres to giant/large stones. Larger stones have complex anatomy and adhesions, so the laparoscopic approach can be challenging, rare, and requires higher surgical experience.


2018 ◽  
Vol 21 (1) ◽  
pp. 001
Author(s):  
Lana Maričić ◽  
Grgur Dulić ◽  
Sandra Makarović ◽  
Vlatka Periša ◽  
Livija Susic

Atypical presentation of myxomas in the two cases described here arise from the fact that both patients were asymptomatic and both showed unexpected echocardiographic findings. Asymptomatic presentation is very rare, and occurs in only about 10% of individuals. Atrial myxomas discovered on incidental echocardiography is also a rare phenomenon, as seen in our cases. Early diagnosis and timely surgical treatment allow these patients to live a completely asymptomatic life.


2018 ◽  
Vol 53 ◽  
pp. 354-357 ◽  
Author(s):  
Catarina Melo ◽  
Carolina Canhoto ◽  
Fernando Manata ◽  
António Bernardes

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