scholarly journals Abdominal Splenosis Mimicking a Colon Tumour

2021 ◽  
Author(s):  
Joana Braga ◽  
Francesca Pereira ◽  
Cristiana Fernandes ◽  
Marinha Silva ◽  
Teresa Boncoraglio ◽  
...  
Keyword(s):  
Epigastric Pain ◽  
Past History ◽  
Abdominal Ultrasound ◽  
Splenic Tissue ◽  
Surgical Removal ◽  
High Morbidity ◽  
Splenic Trauma ◽  
Benign Condition ◽  
Splenic Parenchyma ◽  
Similar Sign

Splenosis is a benign condition which results from the self-implantation of splenic tissue on intra or extraperitoneal surfaces, after splenic trauma or splenectomy. Patients are usually asymptomatic but may present with varied symptoms related to the implantation site. The diagnosis is a challenge because abdominal splenosis can mimic several diseases, including neoplasm. The gold standard examination for its diagnosis is scintigraphy with 99mTc-labelled heat-denatured erythrocyte. When splenosis is found in an asymptomatic patient, surgical removal is not indicated. A 57-year-old male patient presented with sporadic epigastric pain and a suspected mass in the recto-sigmoid transition. Abdominal ultrasound, CT and MRI identified this mass, its characteristics and location, but failed to distinguish its nature. However, given the patient’s past history of splenectomy and because the mass showed a similar sign to that of the splenic parenchyma, a hypothesis of abdominal splenosis was raised, which was confirmed by scintigraphy with 99mTc-labelled heat-denatured erythrocyte. In this case, the diagnosis was obtained before the patient was subjected to more invasive procedures, which are associated with high morbidity, and, as in most cases, no targeted intervention was necessary.

scholarly journals Toothpick inside the Common Bile Duct: A Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
V. O. Brunaldi ◽  
M. O. Brunaldi ◽  
R. Masagao ◽  
C. Silva ◽  
H. Masuda ◽  
...  
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Foreign Bodies ◽  
Epigastric Pain ◽  
Abdominal Ultrasound ◽  
Mortality Rates ◽  
High Morbidity ◽  
Endoscopic Retrograde ◽  
The Common

The incidence and prevalence of foreign body (FB) ingestion are difficult to estimate. Unlike other foreign bodies, the ingestion of a toothpick is very uncommon and carries high morbidity and mortality rates. We report a case of a 73-year-old female patient presenting mid-term epigastric pain. Abdominal ultrasound revealed a slightly dilated common bile duct (CBD) and magnetic resonance showed an irregular filling failure in distal CBD and gallstones. Endoscopic Retrograde Cholangiopancreatography revealed major papilla on the edge of a diverticulum and confirmed the distal filling failure. After sphincterotomy, a partially intact toothpick was extracted from the CBD. Neither fistulas nor perforation signs were found. Literature related to foreign bodies and toothpick ingestion was reviewed and some hypotheses to explain the reported case were created. To our knowledge, this is the first report of a toothpick lodged inside the biliary tract.

scholarly journals Subcutaneous Splenosis of the Abdominal Wall: Report of a Case and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Evangelia Papakonstantinou ◽  
Vasileios Kalles ◽  
Ioannis Papapanagiotou ◽  
Theodoros Piperos ◽  
Dimitrios Karakaxas ◽  
...  
Keyword(s):  
Splenic Rupture ◽  
Histological Study ◽  
Splenic Tissue ◽  
Surgical Removal ◽  
Review Of The Literature ◽  
Rare Form ◽  
Benign Condition ◽  
Splenic Cell ◽  
Traumatic Splenic Rupture ◽  
Postoperative Scar

Splenosis is a common benign condition that occurs after splenic rupture via trauma or surgery. The mechanism behind splenic cell autotransplantation begins with the splenic rupture, either from trauma or surgical removal. Splenosis is usually found incidentally and, unless symptomatic, surgical therapy is not indicated. Subcutaneous splenosis is an extremely rare form of splenosis, mostly observed in abdominal surgical scars. We report a case of subcutaneous splenosis, as well as a comprehensive review of the literature. In our case, a 43-year-old woman who had splenectomy after traumatic splenic rupture at the age of 7 years old presented for plastic reconstruction of her postoperative scar. Upon surgery, two asymptomatic subcutaneous nodules were incidentally discovered. The presence of splenic tissue was confirmed by the histological study. The nodules were not excised, as the patient was not symptomatic.

Inflammatory Pseudotumor of the Spleen: A Case Report and Review of the Literature

1996 ◽  
Vol 3 (4) ◽  
pp. 289-298 ◽  
Author(s):  
Laura Seijo ◽  
Pamela D. Unger ◽  
James A. Strauchen
Keyword(s):  
World Literature ◽  
Inflammatory Pseudotumor ◽  
Plasma Cells ◽  
Fibrous Tissue ◽  
Splenic Tissue ◽  
Surgical Removal ◽  
Splenic Parenchyma ◽  
Inflammatory Pseudotumors ◽  
Mass Lesions ◽  
Gross Examination

The authors report the case of an inflammatory pseudotumor found incidentally in the spleen of a 53-year-old woman who had undergone splenectomy for the treatment of immune thrombocytopenic purpura. An ultrasound performed 2 months prior to the operation showed a spleen of normal size with no appreciable masses; however, gross examination of morselized splenic tissue removed by laparoscopic splenectomy revealed two small, well-circumscribed, white–tan nodules measuring 0.8 and 1.5 cm admixed with otherwise normal-appearing splenic parenchyma. Microscopically, these mass lesions were inflammatory pseudotumors composed of a variable mixture of polyclonal populations of mature lymphocytes and plasma cells with eosinophils, neutrophils, histiocytes, and fibrous tissue. This case represents a rare splenic lesion in our review of the world literature. Inflammatory pseudotumors of the spleen are usually solitary, often asymptomatic, rarely diagnosed prior to surgical removal, and characterized by a varied but uniformly benign histologic appearance. Recognition of this entity by clinicians and pathologists is important in definitively ruling out malignancy of the spleen.

DEAFNESS FOLLOWING EPIDEMIC PAROTITIS (MUMPS)

PEDIATRICS ◽  
1949 ◽  
Vol 3 (2) ◽  
pp. 177-180
Author(s):  
ROLAND B. SCOTT ◽  
ROBERT P. CRAWFORD
Keyword(s):  
Epigastric Pain ◽  
Past History ◽  
Female Child ◽  
Impaired Hearing ◽  
Parotid Glands ◽  
Ataxic Gait ◽  
Negro Female ◽  
Pediatric Service ◽  
One Year ◽  
Epidemic Parotitis

COMPLICATIONS of epidemic parotitis are unusual before puberty. One of the least commonly reported complications in childhood is deafness. We wish to report such a case and briefly review part of the literature on the subject. [SEE TABLE I and II IN SOURCE PDF]. Case Report E.J., a 10-year-old Negro female, was admitted to the medical pediatric service because of deafness. She was born after a normal gestation and delivery. She walked at 11 mo., talked at one year of age. She had attained Grade IV in school. Her past history included uncomplicated pertussis, uncomplicated measles, frequent colds, and occasional attacks of sore throat. Mother and father were living and well. There was no family history of syphilis or tuberculosis. The present illness began two weeks previously with swelling of both parotid glands. Seven days later she complained of severe epigastric pain. This pain subsided by the next day when the patient vomited twice. Until this time hearing had been apparently normal. Impaired hearing was first noted eight days after the onset of swelling of the parotid glands, and gradually became worse until the patient could not hear the radio and responded only to loud speech. Subsequently, deafness became total and complete. The child complained of tinnitus with the early onset of deafness; and three days later, on getting out of bed, felt weak and had an ataxic gait. As represented in Table I, four siblings developed uncomplicated clinical epidemic parotitis at about the same time as this patient. Physical examination showed a tall, thin, poorly nourished female child, apparently deaf. Temperature was 37.2° C., pulse 108/mm., and BP 110/70 mm.Hg. The epitrochlear, cervical, and submandibular lymph nodes were slightly enlarged. The left parotid gland was slightly enlarged.

Clinical Manifestations of Cholelithiasis in Quito, Ecuador. A Cohort Study

2021 ◽  
pp. 12
Author(s):  
◽  
◽  
Keyword(s):  
Epigastric Pain ◽  
Medical Center ◽  
Clinical Manifestations ◽  
Abdominal Ultrasound ◽  
Common Symptom ◽  
Low Back ◽  
Female Ratio ◽  
Male Female Ratio ◽  
The Right ◽  
A Prospective Study

Introduction: A prospective study was carried out, with the aim of establishing the clinical manifestations of cholelithiasis in the population of Quito, Ecuador. Methods: During the period from January 2012 to October 2017, 534 patients were referred from different outpatient clinics of the Ecuadorian Institute of Social Security to the Batan Medical Center with the diagnosis of cholelithiasis after a clinical assessment and abdominal ultrasound, to be treated surgically. Results: Sixty-nine percent of patients were female with a male-female ratio of 1:2.21. Mean age was 44.9 years. Pain was the most common symptom in our study: 95.7%. Among these patients, pain was located in the epigastrium in 49.8%, in the right hypochondrium in 45.1% and only 0.8% had low back pain. Pain ranged from moderate and even severe. The remaining 4.3% of patients had dyspepsia or were asymptomatic. Conclusions: This finding highlights the fact that epigastric pain must be always considered as a clinical manifestation on cholelithiasis.

scholarly journals Sonographic Discovery of Autotransplanted Splenic Implants in a Pregnant Patient

2018 ◽  
Vol 35 (1) ◽  
pp. 75-78
Author(s):  
Emily M. Downs ◽  
Shane Reeves
Keyword(s):  
Differential Diagnosis ◽  
Pregnant Patient ◽  
Splenic Tissue ◽  
Splenic Trauma ◽  
Sonographic Appearance ◽  
History Of

It is important to include splenic implants in the differential diagnosis of patients with a history of splenic trauma. Autotransplanted splenic implants may have a sonographic appearance similar to that of pathologies such as lymphadenopathy or carcinomatosis. This is the first known case to discuss a pregnant patient with a history of autologous autotransplanted splenic tissue, which was discovered on sonography and confirmed during the patient’s cesearean section.

scholarly journals Large Rhinophyma Treated by Surgical Excision and Electrocautery

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Nabeel K. Al Hamzawi ◽  
Salih M. Al Baaj
Keyword(s):  
Treatment Options ◽  
Psychological Impact ◽  
Treatment Protocol ◽  
Surgical Excision ◽  
Surgical Removal ◽  
Benign Condition ◽  
Secondary Intention ◽  
Short Recovery Time ◽  
Good Treatment Option ◽  
Abnormal Tissue

Rhinophyma is a benign condition characterized by a large, bulbous nose with prominent pores. It is commonly associated with untreated cases of rosacea. The disease can carry a substantial psychological impact that causes patients to seek advice about how to improve their physical appearance. Many treatment options are available for rhinophyma, but there is no standard treatment protocol. Here, we describe the case of a 65-year-old man with a large rhinophyma that caused him cosmetic and psychosocial embarrassment. The condition was treated by surgical excision and bipolar electrocautery. No complications occurred after the procedures, and healing was completed 2 weeks later by secondary intention and reepithelialization. A simple surgical removal using a scalpel to shave off the abnormal tissue with electrocauterization of the bleeding points can be considered as a good treatment option for rhinophyma, as it results in an excellent cosmetic outcome and has short recovery time.

scholarly journals A rare case of perivascular epithelioid cell tumor (PEComa) of the pancreas diagnosed by endoscopic ultrasound

2020 ◽  
Vol 08 (01) ◽  
pp. E25-E28
Author(s):  
J. D. Ulrich ◽  
K. Specht ◽  
A. M. Schlitter ◽  
G. O. Ceyhan ◽  
M. Quante ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Epigastric Pain ◽  
Abdominal Ultrasound ◽  
Needle Aspiration ◽  
Epithelioid Cell ◽  
Cell Tumor ◽  
Perivascular Epithelioid Cell Tumor ◽  
Perivascular Epithelioid Cell ◽  
Hypoechoic Mass ◽  
Ct And Mri

AbstractA 49-year-old woman consulted her general practitioner (GP) regarding epigastric pain that she had experienced for 2 months. Physical examination and laboratory results were unremarkable. An abdominal ultrasound indicated a solid pancreatic tumor, which was confirmed on subsequent CT and MRI. Endoscopic ultrasound (EUS) showed a well-defined heterogeneous, predominantly hypoechoic mass in the pancreatic body, so a neuroendocrine tumor (NET) was suspected. However, EUS-guided fine-needle aspiration (EUS-FNA) was performed and based on (immuno-)histochemical findings, the extremely rare diagnosis of a perivascular epithelioid cell tumor (PEComa) of the pancreas was made. Due to the malignant potential of pancreatic PEComas, laparoscopic left-sided pancreatectomy was performed. We present a case diagnosed by preoperative EUS-FNA highlighting the clinical and endosonographic features which help to distinguish it from its most important differential diagnosis, neuroendocrine tumors (NETs) of the pancreas.

scholarly journals Trans-abdominal ultrasonic findings correlated with CD4+ counts in adult HIV-infected patients in Benin, Nigeria

2009 ◽  
Vol 13 (2) ◽  
pp. 34 ◽  
Author(s):  
B O-E Igbinedion ◽  
T T Marchie ◽  
E Ogbeide
Keyword(s):  
Abdominal Ultrasound ◽  
Cd4 Count ◽  
Hiv Positive ◽  
Abdominal Ultrasonography ◽  
Cd4 Counts ◽  
Splenic Parenchyma ◽  
Ultrasound Findings ◽  
The Common ◽  
Classification Index ◽  
The University

Objective: The objective of this study is to document the abdominal ultrasound findings in HIV infected patients and compare it with their CD4+ count. Patients and method: 300 confirmed HIV positive patients had abdominal ultrasonography done at the University of Benin Teaching Hospital from November 2007 to January 2008. Each patient’s sonographic findings were correlated with their CD4+ category using the WHO’s HIV classification index. Result: Splenomegaly, hepatomegaly, renomegaly, hyperechoic splenic parenchyma, increased renal echogenicity and lymphadenopathy are among the common sonographic findings. However, few of these findings correlated statistically with the CD4+ count. Conclusion: The versatile diagnostic tool, ultrasound, should continue to be an important imaging equipment in several impoverished communities. In the evaluation of HIV infected patients, its use is invaluable and should be promoted.

scholarly journals Preeclampsia: A Possible Complication of Primary Hyperparathyroidism

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Bader Abdullah Alharbi ◽  
Mohammed Ali Alqahtani ◽  
Mohammed Hmoud ◽  
Essam Awadh Alhejaili ◽  
Reema Badros
Keyword(s):  
Primary Hyperparathyroidism ◽  
Epigastric Pain ◽  
Early Recognition ◽  
Surgical Excision ◽  
Surgical Removal ◽  
Fetal Ultrasonography ◽  
Emergency Cesarean ◽  
Biophysical Profile ◽  
Close Observation ◽  
Intravenous Hydration

Background. Primary hyperparathyroidism is rare in pregnancy. An association between primary hyperparathyroidism and preeclampsia has been reported in few cases worldwide.Case. A 28-year-old woman (gravida 2, para 0, and abortus 1) in her 27th week of gestation was hospitalized due to a high reading of blood pressure (194/115 mmHg) that was not accompanied by any symptoms or signs of preeclampsia. Incidentally, she was found to have a high adjusted calcium and serum parathyroid hormone (PTH) level during admission. Ultrasonographic examination of the neck revealed the presence of parathyroid adenoma. She was scheduled for surgical excision after receiving an intravenous hydration. Fetal ultrasonography revealed a growth restricted fetus with normal biophysical profile. On the sixth day of hospitalization, the patient complained of headache and epigastric pain, with elevated BP and proteinuria. The fetal nonstress test was “nonreassuring.” Subsequently, she had an emergency cesarean delivery and surgical removal of the adenoma. The mother and her newborn were then transferred to intensive care, where their clinical course was unremarkable. The mother was discharged after 3 days, while the neonate stayed for close observation for 60 days.Conclusion. Early recognition of primary hyperparathyroidism among women with preeclampsia is important to prevent maternal and fetal morbidity and mortality.

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