scholarly journals A rare case of neonatal colonic obstruction caused by a solitary intestinal tumor

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yu Sugai ◽  
Yutaka Hirayama ◽  
Yasushi Iinuma ◽  
Kengo Nakaya ◽  
Takato Aikou ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Transverse Colon ◽  
Rare Case ◽  
Colonic Obstruction ◽  
Contrast Material ◽  
Surgical Margin ◽  
Pathological Examination ◽  
Resected Specimen ◽  
Gastrografin Enema ◽  
Neonatal Intestinal Obstruction

Abstract Background Intestinal obstruction caused by a tumor is very rare in newborns, and the preoperative diagnosis is difficult. We herein report a rare case of neonatal colonic obstruction due to solitary intestinal myofibroma with characteristic findings on gastrografin enema and the surgical strategy. Case presentation A 4-day-old female infant presented to our neonatal intensive-care unit with abdominal distention and bilious vomiting after feeding. A gastrografin enema showed that the transverse colon near the hepatic flexure was not delineated at the oral side. When pressure was applied, a small amount of contrast material moved into the mouth in the form of threads. Microcolon was not observed, and stenosis of the transverse colon was found 9 cm from the Bauhin valve. Partial resection and end-to-end anastomosis were performed. A pathological examination of the resected specimen suggested gastrointestinal stromal tumor (GIST). After obtaining a second opinion, the histology and immunohistological markers were deemed characteristic of infantile myofibroma. Conclusion If string sign and a napkin ring appearance are found in a case of neonatal intestinal obstruction, surgery should be performed with a tumor in mind. In cases of neonatal intestinal obstruction caused by a tumor, the lesion should be resected with a sufficient surgical margin before the pathological examination.

scholarly journals Case Report: Mucinous Adenocarcinoma Arising From Congenital Ejaculatory Duct Cyst

2021 ◽  
Vol 27 ◽  
Author(s):  
Hua Shen ◽  
Kai Liao ◽  
Weili Wu ◽  
Gongyu Li ◽  
Shijin Chen ◽  
...  
Keyword(s):  
Case Report ◽  
Embryonic Development ◽  
Mucinous Adenocarcinoma ◽  
Rare Case ◽  
Development Process ◽  
Ejaculatory Duct ◽  
Pathological Examination ◽  
Resected Specimen ◽  
Duct Cyst ◽  
Evidenced Based

Herein we present a previously unreported rare case of mucinous adenocarcinoma arising from a congenital ejaculatory duct cyst. Radiographic and endoscopic examinations revealed the tumor occurred in a cyst running through the prostate. Initially, the immunohistochemical pathology results showed that it was a metastatic mucinous adenocarcinoma, but no other primary lesions were clinically evidenced. Based on the embryonic development process of the male urogenital tract, the malformation of the patient's ejaculatory duct, and the pathological examination of the resected specimen, we considered the tumor to be a primary mucinous adenocarcinoma which originating from the hypoplastic ejaculatory duct. The tumor may have developed from the foci of intestinal metaplasia from cloacal remnants during embryonic development.

scholarly journals Neonatal Solitary Intestinal Myofibromatosis

2018 ◽  
Vol 7 (1) ◽  
pp. 7
Author(s):  
Rachida Laamiri ◽  
Nahla Kechiche ◽  
Meriem Braiki ◽  
Rim Hadhri ◽  
Lassaad Sahnoun ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Rare Case ◽  
Pediatric Population ◽  
Rare Condition ◽  
Good Prognosis ◽  
Segmental Resection ◽  
Neonatal Intestinal Obstruction ◽  
Adequate Management ◽  
Fibrotic Lesion

Solitary intestinal myofibromatosis (SIF) is a very rare condition affecting the pediatric population and carries good prognosis following adequate management based on segmental resection. We describe a rare case who presented with features of neonatal intestinal obstruction due to a solitary stenosing fibrotic lesion originating from the ileum and compatible with SIF.

Congenital fibrosarcoma of the bowel: Sonographic description of a rare case of neonatal intestinal obstruction

2013 ◽  
Vol 42 (6) ◽  
pp. 363-366 ◽  
Author(s):  
Costanza Bruno ◽  
Giuliana Caliari ◽  
Nicola Zampieri ◽  
Diego Segala ◽  
Roberto Pozzi-Mucelli
Keyword(s):  
Intestinal Obstruction ◽  
Rare Case ◽  
Neonatal Intestinal Obstruction ◽  
Congenital Fibrosarcoma

scholarly journals MIDGUT AGENESIA (CLINICAL AND FORENSIC MEDICAL ASPECTS OF A RARE CASE FROM PRACTICE)

2020 ◽  
Author(s):  
Valentin A. Skobelev
Keyword(s):  
Intestinal Obstruction ◽  
Postoperative Period ◽  
Transverse Colon ◽  
Rare Case ◽  
Energy Deficiency ◽  
Antenatal Period ◽  
Protein Energy ◽  
Clinical Diagnoses ◽  
At Home

The authors presented a rare observation from practice - agenesis of the midgut. In the antenatal period, initially, according to ultrasound, the diagnosis of gastroschisis was made, which was not confirmed later. After the birth of a child, he was repeatedly operated on for congenital intestinal obstruction. It was revealed that most of the jejunum, ileum, cecum, ascending, right half of the transverse colon were absent, and a anastomosis between jejunum and transversum was performed. In the postoperative period, it was not possible to cope with the intestinal and protein-energy deficiency, and the child exerted at home. The section has confirmed clinical diagnoses. The authors draw attention to the possibility of resorption of the extraperitoneally located intestine at the end of the first period of intrauterine rotation with a possible vascular and / or ischemic disaster.

scholarly journals A Rare Case of Paratesticular Leiomyosarcoma

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Shankar Haran ◽  
Vikram Balakrishan ◽  
Greg Neerhut
Keyword(s):  
Metastatic Disease ◽  
Rare Case ◽  
Surgical Margins ◽  
Pathological Examination ◽  
Resected Specimen ◽  
High Grade ◽  
Review Of The Literature ◽  
Significant Morbidity ◽  
Scrotal Mass ◽  
Disease Free

Paratesticular leiomyosarcomas are rare and can lead to significant morbidity and mortality, if inadequately diagnosed or treated. We present a case of paratesticular leiomyosarcoma in an 88-year-old man presenting with a left scrotal mass with ultrasound revealing that the mass is extratesticular. Left radical orchidectomy was performed and pathological examination of the resected specimen confirmed the diagnoses of high grade leiomyosarcoma with surgical margins clear of tumour. The patient was free of metastatic disease on further imaging and has been disease-free for 18 months. A review of the literature regarding paratesticular leiomyosarcoma presentation, diagnosis, and treatment is also discussed.

scholarly journals UNUSUAL PRESENTATION OF ACUTE INTESTINAL OBSTRUCTION DUE TO TRANSVERSE COLON VOLVULUS IN LATE PREGNANCY

2020 ◽  
Vol 7 (3) ◽  
pp. 106-109
Author(s):  
Muad Gamil M. Haidar ◽  
Nuha Ahmed H. Sharaf ◽  
Mayada Mohamed Al-Dankali
Keyword(s):  
Intestinal Obstruction ◽  
Transverse Colon ◽  
Primary Anastomosis ◽  
Colonic Obstruction ◽  
Late Pregnancy ◽  
Abdominal Ultrasound ◽  
Fetal Mortality ◽  
Contributing Factors ◽  
Colonic Volvulus ◽  
Colon Volvulus

Transverse colon volvulus is the rarest type of colonic volvulus, with a higher morbidity and mortality rate. In pregnancy, intestinal obstruction due to transverse colon volvulus is rare and seldom reported, and its timely diagnosis can be difficult. We report an unusual case of transverse colon volvulus in a young female at late-term pregnancy. A 28-years-old, pregnant woman, gravida 2, para 1, at 34 weeks of gestation, presented with progressive abdominal pain and distention, commencing about 12 hours prior to admission, associated with vomiting and obstipation.  Vital signs were stable. However, the abdomen was asymmetrically hugely distended.  The initial abdominal ultrasound showed a single viable intrauterine fetus and dilated loops of bowels. As fetal distress progressed throughout the admission, a laparotomy was performed, which revealed an unexpected transverse colonic volvulus. Resection of the twisted segment and primary anastomosis were performed, followed by a cesarean section to deliver the baby. The mother made a satisfactory recovery. Although this patient’s preoperative clinical findings suggested colonic obstruction, the diagnosis of transverse colonic volvulus was only made intraoperatively and has seldom been previously described. Chronic constipation, the enlarging uterus, and the anatomical redundancy of the transverse colon may have been contributing factors. Transverse colon volvulus in late pregnancy is uncommon. Early diagnosis and prompt surgical intervention can significantly minimize maternal and fetal mortality.

scholarly journals Intestinal obstruction with a twist: a rare case of congenital portal vein aneurysm causing intestinal obstruction

2018 ◽  
pp. bcr-2018-225689
Author(s):  
Shanu Chandran ◽  
Manish Kumar ◽  
Tarun John K Jacob ◽  
Ferzine Mohamed
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Intestinal Obstruction ◽  
Transverse Colon ◽  
Congenital Anomalies ◽  
Rare Case ◽  
Newborn Baby ◽  
Midgut Volvulus ◽  
Portal Vein Aneurysm ◽  
Intestinal Rotation

Bilious vomiting is often a presenting feature of upper intestinal obstruction in newborn. We present a case of intestinal obstruction in a newborn baby caused by abnormal vascular band arising from portal vein aneurysm in association with a midgut volvulus. Congenital anomalies of portovenous system are very rare, and it usually presents with portal hypertension in late infancy or childhood. In this particular child, the portal vein aneurysm contributed to intestinal obstruction due to both a failure of intestinal rotation and a mechanical band over the transverse colon.

scholarly journals Rare case of combined laryngocoele masquerading as laryngeal carcinoma: a case report and review of literature

2017 ◽  
Vol 4 (1) ◽  
pp. 292
Author(s):  
Gunjan Dwivedi ◽  
Vikas Gupta ◽  
Inderdeep Singh ◽  
Sunil Goyal ◽  
Manoj Kumar ◽  
...  
Keyword(s):  
Rare Case ◽  
Pathological Examination ◽  
Resected Specimen ◽  
Diagnostic Dilemma ◽  
Benign Condition ◽  
Body Sensation ◽  
Normal Voice ◽  
Risk Of Malignancy ◽  
History Of ◽  
Laryngeal Saccule

<p>Laryngocoele is an abnormal dilatation of the laryngeal saccule. It is a rare entity. Patient generally presents with hoarseness, dysphagia, dyspnea, foreign body sensation in throat and swelling in the neck. It is a benign condition, however the risk of malignancy is always associated with it, especially, if a patient is smoker or tobacco chewer. Once the diagnosis is established, laryngocoele are best treated by surgery.<strong> </strong>We present a rare case of combined laryngocoele in a 62 year old male patient, a chronic smoker, with history of recurrent swelling in neck right side for 2 years and hoarseness for duration of 1 month. It was a diagnostic dilemma as to what we were dealing with, a benign condition or malignancy. Eventually patient underwent excision by external approach. Resected specimen histo-pathological examination was consistent with laryngocoele. Post excision his normal voice was also restored.</p>

scholarly journals Simultaneous Volvulus of Transverse Colon and Cecum in a Patient With Down Syndrome: A Case Report

2019 ◽  
Author(s):  
Sepideh Babaniamansour ◽  
Ehsan Aliniagerdroudbari ◽  
Ghasem Bagherpour ◽  
Forough Kheiry
Keyword(s):  
Down Syndrome ◽  
Case Report ◽  
Side Effects ◽  
Early Diagnosis ◽  
Physical Examination ◽  
Intestinal Obstruction ◽  
Sigmoid Colon ◽  
Transverse Colon ◽  
Rare Case ◽  
Sporadic Case

Volvulus is a rare cause of intestinal obstruction and occurs mostly in sigmoid colon and cecum. It is more common in patients with Down syndrome. In this condition, it is even more challenging to diagnose the cause of intestinal obstruction through history and physical examination alone. Early diagnosis and intervention are critical in this condition to prevent serious side effects. Simultaneous volvulus is a sporadic case in the surgical entity. We report a very rare case of simultaneous volvulus of cecum and transverse colon, its management, and outcomes in a 20-year-old known case of Down syndrome.

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