scholarly journals Case Report: Portal cavernoma related to multiple liver hydatidosis: A rare case of fatal cataclysmic haemorrhage.

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 1097
Author(s):  
Alia Zouaghi ◽  
Nawel Bellil ◽  
Khalaf Ben Abdallah ◽  
Dhafer Hadded ◽  
Haithem Zaafouri ◽  
...  
Keyword(s):  
Rare Case ◽  
Varicose Veins ◽  
Abdominal Ultrasound ◽  
Haemorrhagic Shock ◽  
Biological Data ◽  
Haemodynamic Instability ◽  
Hepatic Hydatid Cyst ◽  
Portal Cavernoma ◽  
Lethal Complications ◽  
Liver Hydatidosis

Clinical presentation of liver hydatidosis can vary from asymptomatic forms to lethal complications. We report herein a rare case of a 27-year-old male from a rural Tunisian region who presented with large-abundance haematemesis, haemodynamic instability, and marked biological data of hypersplenism. Endoscopy showed bleeding esophageal varicose veins that were ligated. Abdominal ultrasound concluded the presence of three type CE2 hydatic liver cysts causing portal cavernoma with signs of portal hypertension. Despite resuscitation, the patient died of massive rebleeding leading to haemorrhagic shock. Hepatic hydatid cyst should be considered as an indirect cause of gastrointestinal bleeding in endemic countries. Early abdominal ultrasound in varicose haemorrhage is essential in orienting the diagnosis.

scholarly journals Case Report: Portal cavernoma secondary to multiple liver hydatidosis: A rare cause of cataclysmic haemorrhage in a young adult.

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 1097
Author(s):  
Alia Zouaghi ◽  
Nawel Bellil ◽  
Khalaf Ben Abdallah ◽  
Dhafer Hadded ◽  
Haithem Zaafouri ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Varicose Veins ◽  
Abdominal Ultrasound ◽  
Haemorrhagic Shock ◽  
Haemodynamic Instability ◽  
Hepatic Hydatid Cyst ◽  
Portal Cavernoma ◽  
Lethal Complications ◽  
Liver Hydatidosis ◽  
Hepatic Hydatid

Clinical presentation of liver hydatidosis can vary from asymptomatic forms to lethal complications. We report a rare case of a 27-year-old male from a rural Tunisian region who presented with large-abundance haematemesis, haemodynamic instability, and marked biological signs of hypersplenism. Endoscopy showed bleeding esophageal varicose veins that were ligated. Abdominal ultrasound concluded the presence of three type CE2 hydatic liver cysts causing portal cavernoma with signs of portal hypertension. Despite resuscitation, the patient died of massive rebleeding leading to haemorrhagic shock. Hepatic hydatid cyst should be considered as an indirect cause of gastrointestinal bleeding in endemic countries. Early abdominal ultrasound in varicose haemorrhage is essential in orienting the diagnosis.

scholarly journals Endoscopic ultrasound diagnosis of hydatid membranes in nonobstructive biliary system

2017 ◽  
Vol 08 (01) ◽  
pp. 44-45
Author(s):  
Sharad Chandra ◽  
Urvashi Chandra ◽  
Rajesh Puri
Keyword(s):  
Magnetic Resonance Imaging ◽  
Acute Pancreatitis ◽  
Bile Duct ◽  
Hydatid Cyst ◽  
Abdominal Ultrasound ◽  
Resonance Imaging ◽  
Hepatic Hydatid Cyst ◽  
Quadrant Pain ◽  
Biliary Communication ◽  
Hepatic Hydatid

AbstractBiliary communication in hepatic hydatid cyst is reported in 1–20% of patients. These patients present with fever (70–90%), right upper quadrant pain (80%), cholangitis (20–37%), acute pancreatitis (rare), liver abscess, and septicemia. Diagnosis of biliary rupture is on abdominal ultrasound, computerized tomography, and/or magnetic resonance imaging demonstration of hydatid membranes. We report a case of rupture hydatid cyst where diagnosis was on endosonographic findings and the patient had normal caliber common bile duct.

Ascariasis presenting as Acute Abdomen: A Rare Case

2016 ◽  
Vol 1 (2) ◽  
pp. 75-78
Author(s):  
Ranjan Agrawal ◽  
Parbodh Kumar ◽  
Nitesh Mohan
Keyword(s):  
Acute Abdomen ◽  
Low Socioeconomic Status ◽  
Rare Case ◽  
Intestinal Tract ◽  
Surgical Intervention ◽  
Intestinal Parasite ◽  
Age Groups ◽  
Low Socioeconomic ◽  
Lethal Complications ◽  
Small Intestinal

ABSTRACT Ascaris lumbricoides is a common intestinal parasite found in humans prevalent in countries with low socioeconomic status. The disease can occur in all age groups but is more common in preschool-aged children. It causes significant medical, surgical, and social complications. Reported complications include small intestinal obstruction, volvulus, and intussusception. Obstruction of the intestinal tract by a mass of A. lumbricoides is one of the serious and lethal complications. We present herein a case of A. lumbricoides infestation in a 7-year-old girl, presenting as acute abdomen. Prompt surgical intervention saved the child. How to cite this article A grawal R, K umar P, M ohan N . Ascariasis presenting as Acute Abdomen: A Rare Case. Int J Adv Integ Med Sci 2016;1(2):75-78.

scholarly journals A Rare Adrenal Mass in a 3-Month-Old: A Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Ashish Garg ◽  
Elza Pollak-Christian ◽  
Navneetha Unnikrishnan
Keyword(s):  
Adrenal Mass ◽  
Rare Case ◽  
Adrenal Tumor ◽  
Case Reports ◽  
English Literature ◽  
Abdominal Ultrasound ◽  
Cell Tumor ◽  
Review Of The Literature ◽  
Pediatric Case ◽  
Palpable Mass

A three-month-old female infant presented with abdominal distention for 2 months. A large palpable mass in right upper quadrant was noted on physical exam. Abdominal ultrasound revealed a large heterogeneous mass with multiple cystic components. Mass was surgically excised and pathology was consistent with mature adrenal teratoma. Teratoma is a germ cell tumor mainly found in gonadal tissues. Occurrence of adrenal gland teratoma in children is very rare with less than 10 pediatric case reports in English literature. We present a rare case of primary adrenal tumor in an infant and a review of the literature.

scholarly journals A Rare Case of Life-Threatening Bleeding Caused by a Jejunal GIST

2019 ◽  
pp. 1-2
Author(s):  
Aloka Liyanage ◽  
Aloka Liyanage ◽  
R Kalaiselvan ◽  
R Rajaganeshan ◽  
S P B Thalgaspitiya
Keyword(s):  
Rare Case ◽  
Haemorrhagic Shock ◽  
Gi Tract ◽  
Gastrointestinal Stromal Tumours ◽  
Cross Sectional ◽  
Male Preponderance ◽  
Cross Sectional Imaging ◽  
Life Threatening ◽  
Intermittent Bleeding ◽  
Mesenchymal Tumours

Gastrointestinal Stromal Tumours (GISTs) are rare mesenchymal tumours that are specific to GI tract. GISTs usually associated with advanced age and have a slight male preponderance. GISTs are commonly found in stomach. Jujunal GISTs are the rarest and account for about 0.1-3% of all GI tumours [1]. The most common clinical manifestation of symptomatic GISTs includes intermittent bleeding due to mucosal ulceration. Massive, life threatening gastrointestinal (GI) bleeding is a rare occurrence. We report a rare case of bleeding Jejunal GIST in a 32-year-old female who presented with haemorrhagic shock that required resuscitative laparotomy. Histopathology and immunohistochemistry confirmed the tumour to have features of GIST with clear margins and post-operative cross-sectional imaging excluded any metastatic deposits.

scholarly journals Primary Renal Synovial Sarcoma Presenting as Haemorrhagic Shock

2021 ◽  
Vol 8 (3) ◽  
pp. 1-4
Author(s):  
Ibrahim Alzahrani ◽  
Nasser Albqami ◽  
Abdullah Alkhayal ◽  
Norah AlOudah ◽  
Ali Alyami
Keyword(s):  
Synovial Sarcoma ◽  
Radical Nephrectomy ◽  
Chromosomal Translocation ◽  
Haemorrhagic Shock ◽  
Haemodynamic Instability ◽  
Rare Tumour ◽  
Appropriate Treatment ◽  
Ct Urogram ◽  
Open Radical Nephrectomy

Primary synovial sarcoma (PSS) of the kidney is considered the rarest type of all renal sarcomas with specific chromosomal translocation t (X; 18) (p11.2; q11.2). We report the case of a 65-year-old man with no medical conditions who presented to the emergency department with sudden severe right flank pain associated with haemodynamic instability and haemorrhagic shock. Computed tomography (CT) of the abdomen and pelvis revealed a right renal mass. A right open radical nephrectomy was performed. Histopathology revealed a monophasic synovial sarcoma. The patient received six cycles of docetaxel and gemcitabine as adjuvant chemotherapy. No sign of recurrence was seen on a follow-up CT urogram. This rare tumour often presents atypically, and clear guidelines regarding appropriate treatment are lacking. Our case showed that treatment with docetaxel/gemcitabine after an open radical nephrectomy is promising.

scholarly journals A voluminous portal cavernoma of the hepatic pedicle with severe portal hypertension

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Ibrahima Niang ◽  
◽  
Cheikh Tidiane Diop ◽  
Khadidiatou Ndiaye Diouf ◽  
Mbaye Thiam ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Male Patient ◽  
Variceal Bleeding ◽  
Clinical Presentation ◽  
Abdominal Ultrasound ◽  
Vein Thrombosis ◽  
Cavernous Transformation ◽  
Portal Cavernoma

Portal cavernoma is the cavernous transformation of the portal vein. It is the consequence of chronic portal vein thrombosis and occurs when collateral branches develop to bypass the portal occlusion. The clinical presentation includes hematemesis due to variceal bleeding, ascites or anemia, and splenomegaly. Herein we present images of a 37-year-old male patient received in our department for abdominal ultrasound, following 2 episodes of hematemesis. This case illustrates the ultrasound aspect of a voluminous portal cavernoma with portal hypertension signs.

scholarly journals Management of a hepatic hydatid cyst ruptured into the retroperitoneum and the abdominal wall muscles: A case report

2021 ◽  
Vol 24 (3) ◽  
pp. 149-152
Author(s):  
Seifeddine Baccouche ◽  
◽  
Mohamed Hajri ◽  
Sarraj Achref ◽  
Hammadi Ben Chaabene ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Abdominal Wall ◽  
Biliary Tract ◽  
Hydatid Disease ◽  
Abdominal Ultrasound ◽  
Exceptional Case ◽  
Hepatic Hydatid Cyst ◽  
Posterior Abdominal Wall ◽  
Long Time ◽  
Hepatic Hydatid

Introduction. Hydatid disease is a zoonosis caused by the tapeworm Echinococcus granulosus. The liver is the most commonly involved organ, followed by lungs. The most common complications of hepatic hydatid cyst are rupture into the biliary tract and secondary bacterial infection. However, rupture into the retroperitoneum and the abdominal wall muscles is exceptional. Case presentation. We describe an unusual case of a 27-year-old female who was referred to our department for right flank pain for four months. Abdominal ultrasound and CT scan revealed a huge hydatid cyst in liver segment VI fistulizing to the retroperitoneum and the lateral and posterior abdominal wall muscles, causing anterior displacement of the right kidney, with two other cysts in segment II and VIII. Surgery was performed associated with perioperative antiparasitic chemotherapy. The cysts were unroofed and a resection of the protruding domes was performed. The hydatid material in the retroperitoneum and the muscles were completely evacuated by aspiration. Follow-up showed no recurrence. Discussion. Hepatic hydatid cyst rupture usually occurs into biliary tract, pleural cavity, bronchial tree and intraperitoneal cavity. Rupture into the retroperitoneum and the lateral and posterior abdominal wall muscles is exceptional. To our knowledge, this complication has never been documented before. The hydatid disease may involve insidiously for a long time to lead to such a complication. Surgery was inevitable in our case. It allowed to treat both the hydatid cyst and its complication. Conclusions. A rupture into the retroperitoneum and the abdominal wall muscles as a complication of a liver hydatid cyst is exceptional. In this presentation, we noticed that hydatid cysts can reach an extremely large size while remaining for a long time asymptomatic. We aim to highlight the significance of preventive measures and public health education to fight against the hydatid disease in endemic areas.

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