scholarly journals Fishbone foreign body ingestion in duodenal papilla: a cause of abdominal pain resembling gastric ulcer

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Lizhi Yi ◽  
Zhengyu Cheng ◽  
Yafei Zhou ◽  
Qin Wang ◽  
Yangyang Liu ◽  
...  

Abstract Background Foreign body ingestion is a common clinical problem. The upper esophagus is the most common site of foreign body, accounting for more than 75% of all cases, but cases with a foreign body in the duodenal papilla or common bile duct are rarely reported. Case presentation Herein, we report a rare case that a patient’s abdominal pain resembling gastric ulcer was caused by a 3 cm long fishbone inserted into the duodenal papilla. Conclusion Fishbone inserted into the duodenal papilla can cause an abdominal pain resembling gastric ulcer. Endoscopy is useful for the diagnosis and treatment of fishbone ingestion in clinical.

2013 ◽  
Vol 4 (3) ◽  
pp. 142-144
Author(s):  
Ravi Meher ◽  
Kanika Rana ◽  
Eishaan Kamta Bhargava

ABSTRACT Foreign body ingestion is a common clinical problem. Here we present an unusual case of a foreign body (needle) that got embedded in the lateral wall of pyriform sinus (PFS) and could not be retrieved via rigid esophagoscopy. The foreign body could not be visualized on neck exploration and was located by palpation of the mucosa of the lateral wall of PFS and use of a sterile magnet. How to cite this article Rana K, Meher R, W adhwa V, Bhargava EK. Foreign Body Pyriform Sinus: A Rare Presentation. Int J Head Neck Surg 2013;4(3):142-144.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Saba ◽  
Joshua Rosenberg ◽  
Gregory Wu ◽  
Gudata Hinika

Abstract Background A sigmoid volvulus occurs when a segment of the colon twists upon its mesentery. This infliction is associated with old age, multiple co-morbidities, and the male sex. We present a rare case of sigmoid volvulus that occurred in a healthy young female. Case presentation A 28-year-old female presented with a one week history of constipation and abdominal pain. Her symptoms suddenly worsened and became associated with vomiting and severe pain. A focused history taking and physical examination showed peritoneal signs that led to timely diagnostic imaging to be implemented. Computed tomography (CT) of the abdomen was consistent with sigmoid volvulus. Our patient underwent emergent laparotomy with a sigmoidectomy and recovered with no post-operative complications. Conclusion This case report emphasizes the importance of clinicians maintaining a sigmoid volvulus as a rare, yet important differential when approaching abdominal pain in young healthy patients.


2004 ◽  
Vol 97 ◽  
pp. S52
Author(s):  
Adarsh Kumar ◽  
Harharpreet Kaur ◽  
Varun Mohan

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Edgar Stroppa Lamas ◽  
Alan Vinicius Gamero Osti

Background. Splenic infarction is a rare clinical condition. It is generally attributed to hematologic, vascular, cardioembolic, and infectious diseases or trauma. Case Presentation. We describe a rare case in an otherwise asymptomatic 41-year-old overweight woman with acute abdominal pain. Imaging work-up revealed splenic infarction. Common etiologies were excluded. A transesophageal echocardiography (TEE) revealed a patent foramen ovale (PFO). The patient was sent to closure with good outcome. Conclusion. Paradoxical embolism due to PFO can be a cause of splenic infarction, and its investigation and subsequent closure may be considered when there are no other causative disorders.


2017 ◽  
Vol 08 (01) ◽  
pp. 39-41
Author(s):  
Chandrasekar Thoguluva Seshadri ◽  
Raja Yogesh Kalamegam ◽  
Viveksandeep Thoguluva Chandrasekar ◽  
Gokul Bollu Janakan

AbstractForeign body ingestion is a common clinical problem met in paediatric practice. Though an expectant line of management is indicated in most instances, ingested button batteries warrant emergency endoscopy and retrieval. When impacted, they can result in mucosal damage as a consequence of mechanical, chemical and electrical injury as well as systemic heavy-metal toxicity. Here we report the case of a three-year-old child who presented with features suggestive of impacted oesophageal foreign body. X ray neck revealed the characteristic features, confirming the diagnosis of an impacted button battery. The battery was successfully retrieved endoscopically with fluoroscopic assistance.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Haibin Zhong ◽  
Yang Zheng ◽  
Feiran Zhang

Abstract Background Monomorphic epitheliotropic intestinal T-cell lymphomas (MEITL) is a rare and aggressive subtype of lymphoma. The most common site of origin is small intestine. Patients are often presented with diagnosis of intestinal perforation with abdominal pain as the main consulting symptoms. Because of the deficiency of specific diagnostic measures and effective management, diagnosis is often confirmed in advanced stage with poor prognosis. Case presentation Here, we introduce a patient who has suffered from abdominal pain and diarrhea, and eventually been diagnosed as Monomorphic epitheliotropic intestinal T-cell lymphomas. Conclusion MEITL is rare in clinical practice with deficiency of early diagnostic measures and poor prognosis. Therefore, any patient with ambiguous gastrointestinal symptoms or perforation of the digestive tract where the primary lesion is difficult to identify should be alert to the possibility of this disease.


2020 ◽  
Vol 4 (3) ◽  
pp. 283-284
Author(s):  
Matthewq Hysell ◽  
Jennifer Finch ◽  
David McClendon

Case Presentation: A 37-year-old man presented from jail reporting foreign body ingestion of a sprinkler head. While initial radiography did not reveal the foreign body, subsequent imaging with computed tomography demonstrated the sprinkler head. When confronted with this discrepancy the patient admitted to having the sprinkler head in his possession and choosing to swallow it after his initial radiography. Discussion: This case demonstrates the importance of maintaining a high threshold for real illness in situations where there is suspected malingering, a situation not infrequently encountered in the emergency department.


2019 ◽  
Vol 02 (01) ◽  
pp. 049-052
Author(s):  
Pratik Mukherjee ◽  
Daniel Wu Peng ◽  
Ashish Chawla

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.


2020 ◽  
Vol 21 (2) ◽  
pp. 105-108
Author(s):  
Richmond Ronald Gomes ◽  
Diapankar Kumar Basak ◽  
Akmat Ali

Hypokalemia is a common clinical problem in endocrinologists’ and nephrologists’ practice. There are many obvious causes of hypokalemia such as diarrhea, vomiting or diuretics abuse. Other causes such as tubulopathies are rarely observed and their diagnosis is more challenging. There are many inherited and acquired tubulopathies causing hypokalemia, sometimes severe and life-threatening. We report a case of a middle aged female patient who presented with weakness of upper and lower limbs, muscle pain and oliguria. On evaluation, she had hypokalemia, hypomagnesemia, metabolic alkalosis and hypocalciuria and diagnosis of Gitelman syndrome was established. In addition, she had acute kidney injury (AKI ) due to rhabdomyolysis secondary to hypokalemia. A short review on the etiology, pathogenesis and management of Gitelman syndrome is presented. J MEDICINE JUL 2020; 21 (2) : 105-108


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