Laparoscopic Surgery for Diagnosis and Treatment of Acute Right Upper-Quadrant Abdominal Pain Due to Omental Infarction: A Report of a Rare Case in a Single Vietnamese Hospital

Ovarian vein thrombosis (OVT) is a rare cause of abdominal pain, is an entity most commonly diagnosed after pregnancy. It is also associated with gynecological malignancies, caesarean deliveries, abortions, hypercoagulability and pelvic inflammatory disease. Prompt diagnosis and treatment is warranted to avoid serious complications [1]. We report the rare case of idiopathic ovarian right vein thrombosis.

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Falciform ligament abscess: report of a case

Revista do Hospital das Clínicas ◽

10.1590/s0041-87812003000100008 ◽

2003 ◽

Vol 58 (1) ◽

pp. 37-38 ◽

Cited By ~ 8

Author(s):

Valdinaldo Aragão de Melo ◽

Gustavo Barreto de Melo ◽

Renata Lemos Silva ◽

João Fernandes Britto Aragão ◽

José Eraldo Marques Rosa

Keyword(s):

Computed Tomography ◽

Abdominal Pain ◽

Laparoscopic Surgery ◽

Hepatic Abscess ◽

Falciform Ligament ◽

Abscess Drainage ◽

Acute Calculous Cholecystitis ◽

Postprandial Fullness ◽

Quadrant Abdominal Pain ◽

Calculous Cholecystitis

Falciform ligament abscess is rare. We report a case of a 65-year-old man who presented with right upper quadrant abdominal pain, postprandial fullness, and fever. Computed tomography disclosed a cylindrical mass in the anterior abdomen that aroused suspicion of a hepatic abscess. At laparoscopic surgery, an abscess of the falciform ligament was found and drained. Two months later, the patient developed recurrence of the abscess secondary to acute calculous cholecystitis. Abscess drainage and cholecystectomy were performed. The presence of right uppper quadrant abdominal pain, epigastric tenderness, fever, leukocytosis, and a mass in the anterior abdomen should arouse suspicion of falciform ligament abscess. Its treatment consists of abscess drainage.

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Ileal schwannoma causing intussusception in an adult

BMJ Case Reports ◽

10.1136/bcr-2018-226247 ◽

2018 ◽

pp. bcr-2018-226247

Author(s):

Gary Roulston ◽

Hani Elwan ◽

Noor Obeid ◽

Francesca Lirosi

Keyword(s):

Abdominal Pain ◽

Gastrointestinal Bleeding ◽

Rare Case ◽

Reliable Method ◽

Diagnosis And Treatment ◽

Imaging Modalities ◽

Rare Presentation ◽

Rare Tumours ◽

Immunohistochemical Testing

Ileal schwannomas are extremely rare tumours. Very few cases have been previously reported. Most cases present with abdominal pain and gastrointestinal bleeding; intussusception is a rare presentation. Due to limitations in imaging modalities, arriving at a diagnosis preoperatively can be challenging. The only reliable method of diagnosis, and treatment, is resection of the tumour, followed by histological and immunohistochemical testing. This report details the rare case of intussusception as the presenting feature of an ileal schwannoma.

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A rare case of primary hyperaldosteronism associated with chronic kidney disease-difficulties in diagnosis and treatment

Endocrine Abstracts ◽

10.1530/endoabs.63.p863 ◽

2019 ◽

Author(s):

Letiţia Leuştean ◽

Ginuţa Marcela Bălineanu ◽

Cosmina Rimbu ◽

Anamaria Hrişcă ◽

Voroneanu Elena Luminiţa ◽

...

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Rare Case ◽

Primary Hyperaldosteronism ◽

Diagnosis And Treatment

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A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

10.31487/j.jscr.2020.01.03 ◽

2020 ◽

pp. 1-3

Author(s):

Jinping Xu ◽

Ruth Wei ◽

Salieha Zaheer

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Femoral Hernia ◽

Rare Case ◽

Hernia Recurrence ◽

High Morbidity ◽

Diagnostic Challenge ◽

Abdominal Ct ◽

Abdominal Ct Scan ◽

History Of

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

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A case of sigmoid volvulus in an unexpected demographic

Surgical Case Reports ◽

10.1186/s40792-020-01105-3 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Mohammad Saba ◽

Joshua Rosenberg ◽

Gregory Wu ◽

Gudata Hinika

Keyword(s):

Abdominal Pain ◽

Severe Pain ◽

Rare Case ◽

Young Female ◽

Sigmoid Volvulus ◽

Case Presentation ◽

Operative Complications ◽

History Of ◽

Male Sex ◽

Emergent Laparotomy

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.

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Uncommon ‐cause of right lower quadrant abdominal pain

Journal of the American College of Emergency Physicians Open ◽

10.1002/emp2.12447 ◽

2021 ◽

Vol 2 (3) ◽

Author(s):

Zachary Pacheco ◽

Peter Abraham ◽

Brandon Delavar

Keyword(s):

Abdominal Pain ◽

Lower Quadrant ◽

Quadrant Abdominal Pain ◽

Right Lower Quadrant

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Abdominopelvic ectopic spleen with a comprehensive imaging examination: a case report

Journal of International Medical Research ◽

10.1177/03000605211000511 ◽

2021 ◽

Vol 49 (3) ◽

pp. 030006052110005

Author(s):

Hao Guo ◽

Xinru Ba ◽

Peiyou Gong ◽

Guangzhi Wang ◽

Heng Ma ◽

...

Keyword(s):

Case Report ◽

Rare Case ◽

Diagnosis And Treatment ◽

Review Of The Literature ◽

Anatomical Position ◽

Ectopic Spleen ◽

Current State ◽

Imaging Examination ◽

Upper Abdomen ◽

State Of The Field

Ectopic spleen is a rare clinical malformation in which the spleen is relocated from its normal anatomical position to other parts of the abdomen. We report a rare case of abdominopelvic ectopic spleen caused by splenic ligament deficiency. A patient experienced intermittent pain in the left upper abdomen that was progressively aggravated. This was confirmed by comprehensive imaging examinations and postoperative pathology. We also performed a review of the literature on the current state of the field. Our data may help to improve the diagnosis and treatment of ectopic spleen.

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Management of uterine cystic adenomyosis by laparoscopic surgery: case report

BMC Women s Health ◽

10.1186/s12905-021-01341-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Cheng-Zhi Zhao ◽

Bin Wang ◽

Chun-yan Zhong ◽

Shen-tao Lu ◽

Li Lei

Keyword(s):

Laparoscopic Surgery ◽

Rare Case ◽

Cystic Lesion ◽

Ultrasound Examination ◽

Ca 125 ◽

Cystic Lesions ◽

Good Recovery ◽

Case Presentation ◽

Solid Lesions ◽

Uterine Body

Abstract Background Endometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions. The former is common, while the latter is rare, especially for cystic adenomyosis larger than 5 cm. Case presentation A 30-year-old woman was admitted for severe and worsening dysmenorrhea. Ultrasound examination revealed a rare well-circumscribed cystic lesion about 5.5 × 4 × 5.0 cm. CA-125 level was slightly elevated. She accepted laparoscopic surgery and the adenomyotic tissues were excised. The histopathology of the specimen demonstrated the endometrial glands in the walls of cysts and an area of extensive hemorrhage can be seen in the inner wall of cyst. The patient made a good recovery after surgery and her symptoms complete resoluted. Conclusions This is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery.

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