scholarly journals A Pediatric Foreign Body Appendicitis Can Cause a Pitfall in Imaging

2018 ◽  
Vol 34 (4) ◽  
pp. 299-302
Author(s):  
Muzaffer Ayaz ◽  
Ahmet Aslan ◽  
Gonca Gercel ◽  
Sıdıka Şeyma Özkanlı ◽  
Çiğdem Ulukaya Durakbaşa
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Foreign Body ◽  
Pathological Examination ◽  
Preoperative Imaging ◽  
Radiologic Evaluation ◽  
Pain Duration ◽  
Operative Findings ◽  
Inflammatory Changes ◽  
Appendiceal Perforation

Although foreign body (FB) ingestion is common in childhood, most cases do not have any clinical significance. Radiologic evaluation is crucial to determine the exact location of a persistent foreign body because it dictates the therapeutic approach. In this case report, we present a child with appendiceal perforation caused by a FB and emphasize pitfalls in preoperative imaging assessment. A 3-year-old boy presented with subtle abdominal pain duration for three months. The preoperative imaging examinations were consistent with an intraluminal metallic pin. However, the operative findings and postoperative pathological examination showed that the pin perforated the appendiceal wall, causing chronic inflammatory changes with an omental reaction around the extraluminal part of the pin. The patient underwent appendectomy with an uneventful course. Foreign body is a rare cause of appendiceal perforation with resultant appendicitis. Imaging may reveal some clues regarding the location, but the interpretation of radiologic data could be quite challenging.

An unusual presentation of epigastric pain due to thrombophlebitis of a recanalised umbilical vein – case report

2019 ◽  
Vol 98 (8) ◽  
pp. 326-327 ◽  
Keyword(s):  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Portal Hypertension ◽  
Liver Disease ◽  
Epigastric Pain ◽  
Umbilical Vein ◽  
History Of ◽  
Clinically Significant ◽  
Inflammatory Changes

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.

scholarly journals Watch What You Swallow!—A Rare Cause of Not So Rare Entity Presenting to the Emergency Room

2019 ◽  
Vol 02 (01) ◽  
pp. 049-052
Author(s):  
Pratik Mukherjee ◽  
Daniel Wu Peng ◽  
Ashish Chawla
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Foreign Body ◽  
Acute Appendicitis ◽  
Emergency Room ◽  
Complete Recovery ◽  
Foreign Body Ingestion ◽  
Rare Entity ◽  
Inflammatory Changes

AbstractForeign-body ingestion is a rare cause for acute appendicitis. The authors report a case of a 48-year-old man who presented with abdominal pain for 3 days. Computed tomography (CT) revealed a foreign body in the appendix with peri-appendicular inflammatory changes. The patient underwent a successful appendectomy with complete recovery.

scholarly journals Calcifying Bowel Inflammation: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-2
Author(s):  
Jacques Klein ◽  
Philippe Morel ◽  
Christian Toso
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Foreign Body ◽  
Sigmoid Colon ◽  
Sigmoid Diverticulitis ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Left Lower Quadrant ◽  
Distended Abdomen

We report about a previously healthy 72 year-old woman, presented with 6 days of left lower quadrant abdominal pain and constipation. There was no report of fever, melena, hematochezia or change in appetite. The physical exam demonstrated a distended abdomen with palpable left lower quadrant pain, without guarding. CT showed images compatible with a sigmoid diverticulitis and a calcification of the sigmoid colon. After antibiotic threatment, a colonoscopy was performed which revealed the presence of a shell in the sigmoid colon. Our case illustrates the need for a colonoscopy following an attack of diverticulitis to look for a cancer or rarely a foreign body.

scholarly journals Hydatid cyst of the pancreas causing both acute pancreatitis and splenic vein thrombosis

2018 ◽  
Vol 100 (7) ◽  
pp. e178-e180 ◽  
Author(s):  
O Ozsay ◽  
F Gungor ◽  
Serkan Karaisli ◽  
Ibrahim Kokulu ◽  
Osman Nuri Dilek
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Splenic Vein ◽  
Final Diagnosis ◽  
Pathological Examination ◽  
Preoperative Imaging ◽  
Splenic Vein Thrombosis ◽  
External Compression ◽  
Vein Thrombosis

Hydatid cyst of the pancreas is a rarely seen entity even in endemic countries. Cyst may causes several symptoms due to external compression or fistulisation to pancreaticobiliary tract or small bowel. A 23-year-old female patient was referred with a complaint of abdominal pain. Preoperative imaging revealed an undefined cyst in the tail of pancreas. She underwent distal pancreatectomy and splenectomy, with a diagnosis of acute pancreatitis due to cystopancreatic duct fistula and also left-sided portal hypertension due to splenic vein thrombosis. Pathological examination reported a final diagnosis of hydatid cyst. To the best of our knowledge, coincidence of cystopancreatic duct fistula and splenic vein thrombosis due to pancreatic hydatid cyst has not previously been reported.

scholarly journals Obstructive Sialadenitis of Submandibular Gland Due to a Nail-like Fish Bone Foreign Body: A Rare Case Report

2019 ◽  
pp. 1-7
Author(s):  
Rosa Mostafavi Tabatabaee ◽  
Majid Sanatkhani
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Submandibular Gland ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Pathological Examination ◽  
Radiographic Examination ◽  
Spontaneous Pain ◽  
Submandibular Region ◽  
Obstructive Sialadenitis

Introduction: Foreign body-associated sialadenitis of submandibular gland is not often and scarce within the literature. In this study, a report of a piece of Nail-like fish bone foreign body entering the Wharton’s duct causing an acute sialadenitis is presented. Foreign bodies must be explored and all suspected areas must be examined carefully for avoiding secondary problems and surgeries in the future. Foreign bodies in the oral and maxillofacial region are often experienced after trauma and dental treatment. Case Report : We describe a case of obstructive sialadenitis in the submandibular gland caused by penetration of a fish bone in a 68-year-old man. He had swelling and spontaneous pain in the left submandibular region. The radiographic examination didn't show foreign body in the submandibular gland. Initially, we diagnosed obstructive sialadenitis in the left submandibular gland and the study suspect that salivary stone might be the cause of this swelling so compressing and milking of Wharton duct. The foreign body measured 1.3 cm *3 mm*2 mm and was a nail-like object. On pathological examination, the foreign body was found to be a fish bone (cartilage-like organic material). Conclusion: This case demonstrated that precise and proper inspection and examination, milking and then paying attention to the secretion of salivary gland lead to proper diagnosis and after that suitable treatment, so this could reduce costly assessment and treatment, also lessen bewilderment of the patient.

scholarly journals Calcified stone in intestinal blind loop after 60 years of surgical treatment of complex jejunal atresia: an attempt to understand an enigma

2020 ◽  
Vol 13 (1) ◽  
pp. e231992
Author(s):  
Syed H Raza ◽  
Elamin Elshaikh ◽  
Mohamed H Ahmed ◽  
Mazhar Raja
Keyword(s):  
Rheumatoid Arthritis ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Previous Surgery ◽  
Jejunal Atresia ◽  
First Case ◽  
Operative Findings

A 60-year-old woman was presented in emergency department with abdominal pain and vomiting for 1 day. She was known to have seropositive rheumatoid arthritis. Importantly, she was treated surgically for complex jejunal atresia and duplication surgery, when she was 6 days old. CT scan showed intestinal obstruction secondary to intussception. Patient had lapartomy and operative findings revealed side-to-side anastomosis with gut duplication 10 cm distal to duodenal jejunum junction (due to her previous surgery during infancy). Redundant part of the loop dilated up to 300 mL with large hard stone (4×3.5 cm) was excised. Patient recovered well postoperatively and was discharged to go home. To our knowledge, this is the first case report to show formation of large stone 60 years after surgical treatment of complex jejunal atresia and duplication surgery in infancy.

scholarly journals A vaginal fornix foreign body in a bitch: a case report

2014 ◽  
Vol 59 (No. 9) ◽  
pp. 457-460 ◽  
Author(s):  
M. Fabbi ◽  
S. Manfredi ◽  
F. Di Ianni ◽  
C. Bresciani ◽  
AM Cantoni ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Foreign Body ◽  
Staphylococcus Epidermidis ◽  
Foreign Bodies ◽  
Clinical Signs ◽  
Abdominal Ultrasound ◽  
Intact Female ◽  
History Of ◽  
Grass Awn

A six-year-old intact female Lagotto Romagnolo was referred with a two-day history of purulent vulvar discharge associated with fever, lethargy, polyuria, polydipsia and signs of abdominal pain. Abdominal ultrasound revealed a grass awn foreign body in the vaginal fornix. Culture swabs obtained from the vagina revealed the presence of Staphylococcus epidermidis as the preponderant organism. Ovariohysterectomy was performed, and the presence of the grass awn was confirmed. A chronic-active vaginitis was found at histological examination. The dog recovered with resolution of all clinical signs.  Differential diagnoses for acute vulvar discharge in bitches should include retention of vaginal foreign bodies. To the authors’ knowledge, this is the first reported case of a grass awn foreign body in the vaginal fornix of a dog.  

scholarly journals Abdominopelvic Actinomycosis Mimicking Peritoneal Carcinomatosis: A Case Report

2020 ◽  
Vol 36 (6) ◽  
pp. 417-420
Author(s):  
Sungjin Kim ◽  
Sung Il Kang ◽  
Sohyun Kim ◽  
Min Hye Jang ◽  
Jae Hwang Kim
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Peritoneal Carcinomatosis ◽  
Histopathological Examination ◽  
Lower Abdominal Pain ◽  
Preoperative Imaging ◽  
Imaging Studies ◽  
Complete Excision ◽  
Pelvic Masses ◽  
History Of

Actinomycosis is a rare chronic bacterial infection primarily caused by <i>Actinomyces israelii</i>. A 47-year-old woman presented to our clinic with a 1-week history of lower abdominal pain. Preoperative imaging studies revealed multiple peritoneal and pelvic masses suggestive of malignancy. The primary tumor could not be identified despite further endoscopic and gynecological evaluation. On exploration for tissue confirmation, excisional biopsies from multiple masses were performed because complete excision was not possible. Histopathological examination confirmed actinomycosis with multiple abscesses, and the patient was treated with antibiotics. We present a case of disseminated peritoneal actinomycosis that mimicked malignant peritoneal carcinomatosis on imaging studies.

scholarly journals Multiple Colonic Radiopaque Foreign Bodies in a 7-Year-Old Child: The Plain Radiographic Features and a Case Report

2021 ◽  
Vol 5 (4) ◽  
pp. 01-03
Author(s):  
Sule MB ◽  
Gele IH ◽  
Shirama YB ◽  
Abacha M ◽  
Ribah MM
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Body Cavity ◽  
The Body ◽  
Abdominal Radiograph ◽  
Behavioral Abnormality ◽  
History Of ◽  
Males And Females

Foreign bodies are uncommon and may be ingested, inserted into a body cavity or deposited in the body by traumatic or iatrogenic injury. Foreign body ingestion is more common in children with equal incidence in males and females, and has a peak incidence in the ages between six months to three years. This is a case of a seven-year-old male child with behavioral abnormality and long history of ingestion of foreign bodies who presented with abdominal pain and discomfort with passage of hard solid stone like particles in feaces. The patient had a conventional abdominal radiograph that showed multiple radiopaque structures of varying sizes, some of which are clump-like in the peripheral abdomen; the large colon and region of the rectum.

scholarly journals CYSTIC LYMPHANGIOMA A CASE REPORT

2021 ◽  
Vol 9 (5) ◽  
pp. 809-812
Author(s):  
Etoka E.C ◽  
◽  
MA Bicane ◽  
Rabbani K ◽  
Lammat H ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Preoperative Diagnosis ◽  
Vascular Tumor ◽  
Cystic Lymphangioma ◽  
Complete Resection ◽  
Pathological Examination ◽  
Cystic Tumor ◽  
Operative Specimen

Cystic lymphangioma of the pancreas is a rare benign vascular tumor. Its histogenesis is still hypothetical and its preoperative diagnosis difficult to establish. We report a case in a 26-year-old boy who presented with abdominal pain with the notion of a constipation-type transit disorder. Radiological investigations showed an intraperitoneal mesenteric cystic tumor. A complete resection of the mass was performed. Pathological examination of the operative specimen confirmed the presence of cystic formations, the wall of no need keep it.to the end which was lined by a squamous, endothelial epithelium with a fibrous wall dotted with a few lymphoid clusters in favor of cystic lymphangioma.

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