Reactive Thrombocytosis after Splenectomy in Hereditary Spherocytosis: Case Report and Literature Review

Reactive thrombocytosis after splenectomy is a feared cause of thrombosis throughout the arterial and venous system. There are many causes of splenomegaly, ranging from cirrhosis to lymphoma to hereditary spherocytosis. In this report, we will discuss a case of reactive thrombocytosis after splenectomy in a patient with hereditary spherocytosis. Splenomegaly is a relatively common finding in HD patients, causing extravascular haemolysis and thus leading to haemolytic anaemia. Splenectomy is usually considered when patients start to manifest severe symptoms such as abdominal pain, jaundice or worsening liver function tests. Our patient was a good surgical candidate and successfully underwent splenectomy but afterwards developed arterial and venous thrombosis due to reactive thrombocytosis. An extensive hypercoagulable work-up was unremarkable. The patient was started on hydroxyurea and anticoagulation with eventual improvement of platelet levels.

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Idiopathic ovarian vein thrombosis causing pulmonary embolism: case report and literature review

Journal of International Medical Research ◽

10.1177/03000605211010649 ◽

2021 ◽

Vol 49 (6) ◽

pp. 030006052110106

Author(s):

Wenrui Li ◽

Saisai Cao ◽

Renming Zhu ◽

Xueming Chen

Keyword(s):

Computed Tomography ◽

Pulmonary Embolism ◽

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Ovarian Vein ◽

Review Of Literature ◽

Vein Thrombosis ◽

Medical Disorder ◽

Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a rare medical disorder, which is most often found in the immediate postpartum period. OVT is rarely considered idiopathic. We report a case of idiopathic OVT with pulmonary embolism in a 33-year-old woman who presented with abdominal pain. Computed tomography and postoperative pathology confirmed the diagnosis of idiopathic OVT. To date, only 12 cases of idiopathic OVT have been reported. In this case report, we present a summary of these cases and a review of literature regarding management of idiopathic OVT.

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Mysterious Gelly Belly: a Case Report of Pseudomyxoma Peritonei and Literature Review

Journal of Gastroenterology & Digestive Systems ◽

10.33140/jgds.04.02.02 ◽

2020 ◽

Vol 4 (2) ◽

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Pseudomyxoma Peritonei ◽

Clinical Condition ◽

Imaging Techniques ◽

Abdominal Distension ◽

Exploratory Laparotomy ◽

Primary Site ◽

Diffuse Abdominal Pain

Pseudomyxoma peritonei (PMP) is a rare clinical condition defined as extensive intraperitoneal spread of mucus associated with a variety of mucinous tumors. Although appendix has usually been implicated as the primary site, some reports found no cause. This case also describes a PMP with no identifiable primary site. A 52-year-old male presented with an abdominal distension evolving for 3 months associated with diffuse abdominal pain, imaging techniques objective intra peritoneal mucoid materials with septated ascites but it failed to identify the primary site. Exploratory laparotomy with Biopsy confirmed PMP but also failed to found the original site.

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Abdominal intussusception associated with coeliac disease: case report and literature review

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20211904 ◽

2021 ◽

Author(s):

Rashid Hameed ◽

Noshine Irrum ◽

Subodhini P. Arachchige ◽

Edwin Tan ◽

Jacinta Tobin

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Coeliac Disease ◽

Recurrent Abdominal Pain ◽

Immune Infiltration ◽

Disease Case ◽

Classical Pattern ◽

History Of

In genetically susceptible individuals, gluten ingestion triggers and immune infiltration and bowel damage in the classical pattern of coeliac disease, with variable symptoms. Intussusception is a condition where one segment of intestine ‘telescopes’ inside of another portion of intestine, which may cause symptoms of abdominal pain due to obstruction. Intussusception has been associated with coeliac disease. We report a 4-year-old girl presented with recurrent abdominal pain of variable severity and found to have intussusception on two occasions, which on both occasions reduced spontaneously during ultrasound examinations. She was later diagnosed with coeliac disease. This case highlights the importance of considering coeliac screening in patients with a history of recurrent abdominal pain and intussusception.

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Gilbert Syndrome in a Young Ethiopian Man: First Case Report

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v31i1.23 ◽

2021 ◽

Vol 31 (1) ◽

Author(s):

Amir Sultan ◽

Kibrewossen Kiflu

Keyword(s):

Case Report ◽

Liver Function ◽

Male Patient ◽

Liver Function Tests ◽

Prolonged Fasting ◽

Unconjugated Hyperbilirubinemia ◽

Gilbert Syndrome ◽

Function Tests ◽

First Case

BACKGROUND፡ Gilbert syndrome is a well-recognized condition causing unconjugated hyperbilirubinemia with otherwise normal transaminases and liver function tests. CASE: A 21 year old male patient presented with recurrent episodes of jaundice over four years. The episodes were preceded by stressful conditions and intercurrent illnesses. All laboratory prameters were normal except an unconjugated hyperbilirubinemia. A diagnosis of Gilbert syndrome was made after careful clinical evaluation.CONCLUSION: Recognizing Gilbert syndrome has important clinical implicaitions by avoiding uncessary and expensive workup of patients with jaundice. Mangement entails avoiding stressful conditions and prolonged fasting.

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A Giant Intradiaphragmatic Bronchogenic Cyst: Case Report and Literature Review

Tumori Journal ◽

10.5301/tj.5000669 ◽

2017 ◽

Vol 103 (1_suppl) ◽

pp. S25-S27 ◽

Cited By ~ 1

Author(s):

Xin Gao ◽

Min Zhai ◽

Haitao Zhang ◽

Yunliang Wang ◽

Jin Zhou

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Chest Pain ◽

Literature Review ◽

Bronchogenic Cyst ◽

Early Embryogenesis ◽

Congenital Lesions ◽

Left Diaphragm ◽

The Right ◽

Bronchogenic Cysts

Bronchogenic cysts are congenital lesions developing during early embryogenesis. The intradiaphragmatic location is extremely rare. We present a giant bronchogenic cyst arising from the left crus of diaphragm. Based on our literature review results, intradiaphragmatic bronchogenic cysts have the following characteristics: 1) they are more common in female patients; 2) the patients are usually asymptomatic, or present with symptoms of chest pain, abdominal pain, and hiccups; 3) the cysts located in the left diaphragm are more than those in the right diaphragm, most of which are located in the area of the left diaphragm crus.

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Disseminated Histoplasmosis in an Elderly Man Presented with Fever, Weight loss, Abdominal Pain and Haemoptysis - A Case Report with Literature Review

Journal of Medicine ◽

10.3329/jom.v12i1.6745 ◽

2011 ◽

Vol 12 (1) ◽

pp. 81-85

Author(s):

Mohammad Robed Amin ◽

Farzana Shumi ◽

Hasibuddin Khan ◽

Syed Ahmed Abdullah ◽

Shafiul Alam ◽

...

Keyword(s):

Elderly Patient ◽

Weight Loss ◽

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Disseminated Histoplasmosis ◽

History Of ◽

Background History ◽

Recurrent Haemoptysis ◽

High Index Of Suspicion

An elderly patient presented with prolonged fever, gross weight loss, recurrent haemoptysis and abdominal pain. He had a background history of adrenal tuberculosis with completion of treatment without any obvious improvement. Clinically he was diagnosed as a case of adrenocotical insufficiency. Evaluation including histopathology revealed the diagnosis as disseminated histoplasmosis involving adrenal gland and lungs. The disease is a rarity without any underneath immunosuppression and hence high index of suspicion with appropriate steps for investigation is the key to achieve a diagnosis of disseminated histoplasmosis in Bangladesh. Keyword: . DOI: 10.3329/jom.v12i1.6936J Medicine 2011; 12 : 81-85

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