Congenital Segmental Intestinal Dilatation: A Clinical Dilemma

2021 ◽  
pp. 097321792110406
Author(s):  
Bhavya Kukreja ◽  
Ajay Prakash Mehta ◽  
Harsh Wardhan ◽  
Bhawna Sachdeva Narula ◽  
Poonam Sidana
Keyword(s):  
Differential Diagnosis ◽  
Neonatal Period ◽  
Case Reports ◽  
Rare Condition ◽  
Rare Clinical Entity ◽  
Preterm Baby ◽  
Neonatal Intestinal Obstruction ◽  
Segmental Dilatation ◽  
Clinical Dilemma ◽  
Segmental Dilatation Of Intestine

Congenital segmental dilatation of intestine is a rare clinical entity encountered in neonates with very few case reports from world over. It usually presents with symptoms of partial or total obstruction in neonatal period or infancy. We report a case of a preterm baby with segmental dilatation of intestine which was managed surgically. Diagnosis was confirmed intraoperatively as well as histologically. Consideration of this entity in differential diagnosis of neonatal intestinal obstruction may enable for better understanding and more reporting of this rare condition.

scholarly journals Congenital segmental dilatation of intestine with different morphology: A case report

2021 ◽  
Vol 10 ◽  
pp. 41
Author(s):  
Muhammad Bilal Mirza ◽  
Sumaira Noor Maham ◽  
Nabila Talat
Keyword(s):  
Rare Entity ◽  
Repeat Surgery ◽  
Case Presentation ◽  
Postoperative Course ◽  
Initial Surgery ◽  
Neonatal Intestinal Obstruction ◽  
Complete Surgical Resection ◽  
Segmental Dilatation ◽  
Male Neonate ◽  
Segmental Dilatation Of Intestine

Background: Congenital segmental dilatation of intestine is a rare entity characterized by a localized dilated segment of the intestine. It manifests as neonatal intestinal obstruction. Occurrence with another surgical anomaly may masquerade it and complicate the treatment course. Case Presentation: A 1-day-old male neonate with anorectal malformation underwent colostomy as first stage of the treatment. The stoma did not function postoperatively. At repeat surgery, congenital segmental dilatation of the ileum, with slightly different morphology, was found. Resection of the lesion and ileostomy were formed. Postoperative course remained uneventful. Conclusion: Congenital segmental dilatation of intestine may be missed at initial surgery. Complete surgical resection is curative.

scholarly journals Ectopic thyroid - two case reports

2012 ◽  
Vol 18 (2) ◽  
pp. 193-199
Author(s):  
DGM Akaiduzzaman ◽  
Md Zahedul Alam ◽  
Manilal Aich
Keyword(s):  
Differential Diagnosis ◽  
Thyroid Hormone ◽  
Thyroid Gland ◽  
Case Reports ◽  
Management Strategies ◽  
Rare Condition ◽  
Ectopic Thyroid ◽  
Rare Entity ◽  
Thyroid Scintigraphy ◽  
Rare Finding

Bachground: Ectopic thyroid is a rare entity resulting from maldescent of the thyroid gland & can be found anywhere between the foramen cecum & the normal pretracheal position of the thyroid gland, as well as in distant places such as the mediastinum and the subdiaphragmatic organs. Although most cases are asymptomatic, obstructive symptoms may appear. Any disease affecting the thyroid gland may also involve the ectopic thyroid, including malignancy. Hypothyroidism is frequent but hyperthyroidism is an exceptionally rare finding. The clinician must distinguish between ectopic thyroid and metastatic deposits emerging from an orthotopic gland, as well as other benign or malignant masses. Thyroid scintigraphy plays the most important role in diagnosing ectopy, but ultrasonography contributes as well. Treatment is indicated in the presence of symptoms & consists initially of full replacement thyroid hormone therapy. Severe or unresponsive cases require excision.Case reports: We present here two case reports & review of the literature.Conclusion: This review provides current understanding about the wide clinical spectrum of this rare condition, optimal diagnostic approach, differential diagnosis, and management strategies. DOI: http://dx.doi.org/10.3329/bjo.v18i2.12016 Bangladesh J Otorhinolaryngol 2012; 18(2): 193-199

scholarly journals Delayed diagnosis of postcardiac injury syndrome

2019 ◽  
Vol 12 (2) ◽  
pp. bcr-2018-228877 ◽  
Author(s):  
Mitsushige Nishimura ◽  
Naho Goda ◽  
Keiko Hatazawa ◽  
Kazuhiko Sakaguchi
Keyword(s):  
Differential Diagnosis ◽  
Pleural Effusion ◽  
Pericardial Effusion ◽  
Constrictive Pericarditis ◽  
Case Reports ◽  
Delayed Diagnosis ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Delay In Diagnosis ◽  
Autoimmune Mechanism

Postcardiac injury syndrome (PCIS) is a rare condition that is considered to have a trauma-induced autoimmune mechanism triggered by damage to pericardial and/or pleural tissues. We report a case of PCIS accompanied by systemic oedema after thymectomy. A 73-year-old woman was referred to our hospital for dyspnoea and oedema, 9 months after thymectomy. Evaluation revealed the presence of pericardial effusion, pleural effusion and systemic oedema. Differential diagnosis included constrictive pericarditis (secondary to tuberculosis), serositis caused by collagen disease and malignancy. Detailed investigations led to the diagnosis of PCIS, which was successfully treated with prednisolone. This report focuses on the diagnostic approach to PCIS. Since it took time to make a final diagnosis in our patient, we analysed several past case reports and series to determine the cause of the delay in diagnosis.

scholarly journals Acute Pancreatitis in Pregnancy: Three Case Reports

2020 ◽  
pp. 1-3
Author(s):  
N Lemdaoui ◽  
N Lemdaoui ◽  
M Abdelmoumene ◽  
S Mammouche ◽  
A Bataiche ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Differential Diagnosis ◽  
Systemic Inflammatory Response Syndrome ◽  
Epigastric Pain ◽  
Case Reports ◽  
Rare Condition ◽  
Multiple Organ ◽  
The Third ◽  
Severe Pancreatitis ◽  
In Pregnancy

Acute pancreatitis is a rare condition during pregnancy, with peculiar specificities and particular findings. We report a series of 03 cases of pregnant women, treated for acute pancreatitis from 2016 to 2020. Their average age was 34.33 years and the diagnosis was based on clinical-biological clues: epigastric pain with strong elevation of lipasemia. Biliary etiology was confirmed in all patients initially by ultrasounds. Two patients had benign pancreatitis of favorable evolution. The third patient presented with a clinically severe pancreatitis and systemic inflammatory response syndrome, multiple organ failure syndrome with maternal and fetal deaths. Treatment was mainly symptomatic (medical), followed by cholecystectomy after delivery. Acute pancreatitis during pregnancy is a real threat for both the maternal and fetal prognosis and is a differential diagnosis that must be kept in mind for prompt management.

Malignant tumours as a rare cause of recurrent thrombophlebitis of the great saphenous vein

Phlebologie ◽  
2008 ◽  
Vol 37 (06) ◽  
pp. 297-300
Author(s):  
N. König ◽  
H. J. Stark ◽  
P.-M. Baier
Keyword(s):  
Differential Diagnosis ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Case Reports ◽  
Malignant Tumours ◽  
Nerve Sheath Tumour ◽  
Below The Knee ◽  
Nerve Sheath ◽  
Unfavourable Prognosis ◽  
Peripheral Nerve Sheath Tumour

SummaryWe present two case reports concerning patients who had to undergone surgical treatment according tp the diagnosis of thrombophlebitis with insufficiency of the greater saphenous vein and putative encapsulated haematoma in the lower left leg area. During the operation we found tumours with urgent suspicion of malignancy. The histological examination revealed the diagnosis of mesenchymal chondrosarcoma and malignant peripheral nerve sheath tumour which are extremely malignant, but very rare neoplasmas with unfavourable prognosis. Conclusion: Since both types of tumours are often located below the knee, phlebotomists and vascular surgeons should take them into account as differential diagnosis.

Differential diagnosis of elevated liver enzymes: case reports

2008 ◽  
Vol 46 (05) ◽  
Author(s):  
T Korom ◽  
I Nagy ◽  
É Csajbók ◽  
T Wittmann
Keyword(s):  
Differential Diagnosis ◽  
Liver Enzymes ◽  
Case Reports ◽  
Elevated Liver Enzymes

Fournier's gangrene as Amyand's hernia complication

2019 ◽  
Vol 98 (7) ◽  
pp. 291-296
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Rare Condition ◽  
Sporadic Case ◽  
Fournier’S Gangrene ◽  
Amyand’S Hernia ◽  
Fournier's Gangrene ◽  
Randomized Controlled Studies ◽  
Based Medicine ◽  
Hernia Complication

Introduction: Fournier’s gangrene is a rare but fast deteriorating and serious condition with high mortality. In most cases, it is characterized as necrotizing fasciitis of the perineum and external genitals. Amyand’s hernia is a rare condition where the appendix is contained in the sac of an inguinal hernia. Inflammatory alterations in the appendix account only for 0.1 % of the cases when Amyand’s hernia is verified. Fournier’s gangrene as a complication of a late diagnosis of appendicitis located in the inguinal canal is described in the literature as rare case reports. Case report: The case report of a 70-year-old patient with Fournier’s gangrene resulting from gangrenous appendicitis of Amyand’s hernia. Conclusion: Fournier’s gangrene as a complication of Amyand’s hernia is a rare condition. Only sporadic case reports thereof can be found in the literature. Because of the rarity of this pathology and the lack of randomized controlled studies, it is difficult to determine the optimal treatment according to the principles of evidence-based medicine. An appropriate approach for this condition appears to be the combination of guidelines developed in Amyand’s therapy according to Losanoff and Basson, along with the recommended “gold standard” therapy for Fournier’s gangrene. This means early and highly radical surgical debridement, adequate antibiotic therapy and intensive care.

scholarly journals Fetus in fetu: two case reports from North African country

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Moutaz Ragab ◽  
Omar Nagy Abdelhakeem ◽  
Omar Mansour ◽  
Mai Gad ◽  
Hesham Anwar Hussein
Keyword(s):  
Histopathological Examination ◽  
Case Reports ◽  
Abdominal Mass ◽  
Mature Teratoma ◽  
Surgical Techniques ◽  
Rare Condition ◽  
Mass Effect ◽  
Fetus In Fetu ◽  
Vascular Connection ◽  
First Case

Abstract Background Fetus in fetu is a rare congenital anomaly. The exact etiology is unclear; one of the mostly accepted theories is the occurrence of an embryological insult occurring in a diamniotic monochorionic twin leading to asymmetrical division of the blastocyst mass. Commonly, they present in the infancy with clinical picture related to their mass effect. About 80% of cases are in the abdomen retroperitoneally. Case presentation We present two cases of this rare condition. The first case was for a 10-year-old girl that presented with anemia and abdominal mass, while the second case was for a 4-month-old boy that was diagnosed antenatally by ultrasound. Both cases had vertebrae, recognizable fetal organs, and skin coverage. Both had a distinct sac. The second case had a vascular connection with the host arising from the superior mesenteric artery. Both cases were intra-abdominal and showed normal levels of alpha-fetoprotein. Histopathological examination revealed elements from the three germ layers without any evidence of immature cells ruling out teratoma as a differential diagnosis. Conclusions Owing to its rarity, fetus in fetu requires a high degree of suspicion and meticulous surgical techniques to avoid either injury of the adjacent vital structures or bleeding from the main blood supply connection to the host. It should be differentiated from mature teratoma.

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