scholarly journals Gastric lipoma: a rare cause of haematemesis

2018 ◽  
Vol 100 (3) ◽  
pp. e41-e43 ◽  
Author(s):  
B Krishnaraj ◽  
B Dhanapal ◽  
G Shankar ◽  
SC Sistla ◽  
I Galidevara ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Malignant Transformation ◽  
Preoperative Diagnosis ◽  
Outlet Obstruction ◽  
Gastric Neoplasms ◽  
Accurate Preoperative Diagnosis ◽  
Benign Tumours ◽  
Gastric Lipoma ◽  
Extensive Surgery

Gastric lipomas are rare benign tumours of the stomach, representing less than 3% of all benign gastric neoplasms. They are usually asymptomatic but larger lesions can present with abdominal pain, gastric outlet obstruction and haematemesis. Malignant transformation is extremely rare. Accurate preoperative diagnosis can be established with computed tomography. Being benign, extensive surgery is not necessary and simple excision of the lesion is adequate. Small asymptomatic lesions can be followed up. We present a case of 80-year-old woman with gastric submucosal lipoma who presented with haematemesis.

scholarly journals Enucleation of a giant symptomatic gastric lipoma, a safe surgical approach

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Rafaela Parreira ◽  
Tiago Rama ◽  
Teresa Eloi ◽  
Vítor Carneiro ◽  
Maria Inês Leite
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Clinical Presentation ◽  
Pyloric Obstruction ◽  
Asymptomatic Patients ◽  
Recurrent Vomiting ◽  
Low Incidence ◽  
Diagnostic Modalities ◽  
Benign Tumours ◽  
Gastric Lipoma

Abstract Gastric lipomas are rare, representing 2–3% of all benign tumours of the stomach. Most of these stomach neoplasms are small and detected incidentally during endoscopic or radiology evaluations. Computed tomography is highly specific imaging for lipoma diagnosis. Endoscopy and endoscopic ultrasound are other important diagnostic modalities to confirm the diagnosis. Identifying typical features can avoid biopsy or surgery in asymptomatic patients. In patients with larger lesions, usually more than 2 cm, clinical presentation may encompass haemorrhage, abdominal pain, pyloric obstruction and dyspepsia. As a result of its extreme low incidence, treatment is not standardized, though it is widely accepted that a symptomatic tumour mandates resection. Here, we present the case of a 60-year-old female presenting with abdominal pain and recurrent vomiting due to a giant gastric lipoma (80 × 35 × 35 mm). The patient underwent laparotomy and an enucleation was performed.

scholarly journals Giant Mesenteric Hemangioma without Small Intestinal Involvement Report of a Case and Review of Literature

2021 ◽  
Vol 3 (4) ◽  
pp. 6-7
Author(s):  
Jui-Ten Wu ◽  
Chun-I Tsai ◽  
Swei-Hsiung Tsung
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Preoperative Diagnosis ◽  
English Literature ◽  
Surgical Removal ◽  
Review Of Literature ◽  
Clear Margin ◽  
Intestinal Involvement ◽  
Mild Abdominal Pain ◽  
Small Intestinal

there were approximately twenty cases reported in the English literature, of which five cases were designated as giant hemangioma. We reported another giant mesenteric hemangioma, measuring 35x20x11 cm. with a weight of 5,5 Kilograms. The etiology of mesenteric hemangioma was still debatable. In our case, the patient only experienced mild abdominal pain, without gastrointestinal hemorrhage. Therefore, we were in favor of mesenteric origin as opposed to gastrointestinal origin. The symptoms were non-specific, ranging from abdominal pain, nausea, vomiting, and gastrointestinal bleeding if Gastrointestinal tract was involved. Preoperative diagnosis was very challenging despite the modern images’ technics have become available, such as computed tomography magnetic resonance and ultrasonography. The final diagnoses of mesenteric hemangioma have been exclusively established by histological examination after surgical removal of the tumor. Surgical resection with clear margin is the treatment of choice.

scholarly journals A Curious Case of the Persistent Body Stuffer

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Muhammad Durrani ◽  
Carla Dugas ◽  
Samaresh Dasgupta
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Foreign Body ◽  
Outlet Obstruction ◽  
Oral Contrast ◽  
Foreign Body Removal ◽  
Plastic Bags ◽  
Small Leak ◽  
Body Stuffer

A 29-year-old male presented to our emergency department with complaint of abdominal pain after allegedly ingesting a 4-gram packet of heroin in an attempt to evade detection. Initial evaluation including computed tomography (CT) of the abdomen/pelvis with intravenous and oral contrast, as well as laboratory workup was negative and the patient was discharged. The patient returned 3 days later with complaint of “I feel high” and severe constipation, and demonstrated an opiate toxidrome requiring naloxone with improvement of symptoms. A repeat CT of the abdomen/pelvis, this time without contrast revealed a 2.1 × 1.8 cm foreign body in the gastric antrum. The patient was promptly taken to endoscopy with surgical backup. Foreign body removal included multiple plastic bags encasing heroin, which had sustained a small leak causing a gastric outlet obstruction as well as a slow opiate toxidrome. The foreign body was removed and the patient was observed and discharged with a favorable outcome.

scholarly journals Sclerosing encapsulating peritonitis: three case reports and review of the literature

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094910
Author(s):  
Zhenbin Zhang ◽  
Menglai Zhang ◽  
Ling Li
Keyword(s):  
Computed Tomography ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Preoperative Diagnosis ◽  
Case Reports ◽  
Chronic Abdominal Pain ◽  
Review Of The Literature ◽  
Pathological Analysis ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis

Sclerosing encapsulating peritonitis (SEP) is a disease that is rarely encountered clinically. Preoperative diagnosis of SEP can be difficult. However, with imaging technology, such as computed tomography (CT), this condition can be diagnosed without surgery and pathological analysis. SEP is characterized by small intestine being partially or completely encased by a layer of a thick grayish-white fibrocollagenous membrane similar to a cocoon. The most common symptoms of SEP are abdominal pain, nausea, and vomiting. SEP often leads to intestinal obstruction. Our hospital treated three emergency patients who complained of acute or chronic abdominal pain. CT showed “cauliflower sign” in two cases. The three patients were diagnosed with SEP intraoperatively. In a female patient with ascites, the situation was extremely serious, and this condition had not been reported in detail previously. Fortunately, all patients were discharged without complications. We should pay special attention to patients with SEP who have ascites, which indicates a serious situation.

scholarly journals Accurate preoperative diagnosis of pericardial constriction using cine computed tomography

1990 ◽  
Vol 15 (2) ◽  
pp. A162
Author(s):  
Ron M. Oren ◽  
Robert M. Weiss ◽  
William Stanford ◽  
Maleah Grover-McKay ◽  
Paolo Marzullo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Preoperative Diagnosis ◽  
Accurate Preoperative Diagnosis

scholarly journals Spontaneous Uterine Leiomyoma Torsion: A Challenging Differential Diagnosis for Radiologists

2020 ◽  
Author(s):  
Ekaterini Tavernaraki ◽  
Sofia Athanasiou ◽  
Pavlos Ampatzis
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Laparoscopic Surgery ◽  
Uterine Leiomyoma ◽  
Lower Abdominal Pain ◽  
Uterine Leiomyomas ◽  
Benign Tumours

Uterine leiomyomas are very common gynaecological benign tumours. Spontaneous torsion of a uterine subserosal leiomyoma is a rare cause of acute lower abdominal pain and should be treated immediately with surgery. We report a case of an enlarged subserosal leiomyoma that was first detected by computed tomography (CT) and further confirmed by laparoscopic surgery to be a subserosal leiomyoma with torsion.

scholarly journals Intraluminal Apple as a Rare Cause of Small Bowel Obstruction

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Koichi Inukai ◽  
Akihiro Usui ◽  
Motohiko Yamada ◽  
Koji Amano ◽  
Nobutaka Mukai ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Sexual Behavior ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Preoperative Diagnosis ◽  
Foreign Bodies ◽  
Medical Attention ◽  
Sense Of Shame

Small bowel obstruction due to ingested foreign bodies is rare in adults. A 48-year-old male visited our hospital with abdominal pain and vomiting. Computed tomography revealed intestinal obstruction by a 3 × 4 cm apple-shaped foreign body. Emergency surgery was performed to clear the obstruction which, upon inspection, was caused by a sexual toy made of rubber. Flexible rubber products that are ingested should be carefully followed after they pass thorough the pylorus. For obstructions related to sexual behavior, the patient’s sense of shame often delays the process of seeking medical attention, thereby making preoperative diagnosis difficult.

scholarly journals Accurate preoperative diagnosis of pericardial constriction using cine computed tomography

1993 ◽  
Vol 22 (3) ◽  
pp. 832-838 ◽  
Author(s):  
Ron M. Oren ◽  
Maleah Grover-McKay ◽  
William Stanford ◽  
Robert M. Weiss
Keyword(s):  
Computed Tomography ◽  
Preoperative Diagnosis ◽  
Accurate Preoperative Diagnosis

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

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.

scholarly journals Endoscopic Diagnosis of Bouveret Syndrome

2020 ◽  
Vol 14 (3) ◽  
pp. 683-686
Author(s):  
Felix Hesse ◽  
Mohamed Abdelhafez ◽  
Christoph Schlag ◽  
Roland M. Schmid ◽  
Tobias Lahmer
Keyword(s):  
Computed Tomography ◽  
Female Patient ◽  
Gastric Outlet Obstruction ◽  
Rare Complication ◽  
Gallstone Ileus ◽  
Duodenal Bulb ◽  
Outlet Obstruction ◽  
Endoscopic Diagnosis ◽  
Endoscopic Imaging ◽  
Bouveret Syndrome

Bouveret syndrome is a form of gallstone ileus and a rare complication of chole(cysto)lithiasis. It describes gastric outlet obstruction secondary to an impacted gallstone. Here, we report a case of an 82-year-old female patient with gastric outlet obstruction and penetration of gallstones into the duodenal bulb on endoscopic imaging. Based on these findings Bouveret syndrome was diagnosed and confirmed by computed tomography.

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