S1886 Chilaiditi Syndrome: A Rare Presentation of Recurring Abdominal Pain in a Pediatric Patient With Tetralogy of Fallot

Imperforate hymen is a rare congenital malformation of the female genital tract. The condition poses several diagnostic challenges owing to its low incidence and often atypical presentation. Classical symptoms include amenorrhoea and cyclical abdominal pain. Delayed diagnosis leads to potentially irreversible and lifechanging sequelae including infertility, endometriosis and renal failure. A premenarchal 13-year-old girl with a background of chronic constipation presented with symptoms mimicking acute appendicitis. The underlying cause was imperforate hymen and retrograde menstruation. The diagnosis was made during diagnostic laparoscopy. As with this patient, pre-existing symptoms are often troublesome long before the true diagnosis is made. This case report highlights the importance of recognising imperforate hymen as a potential cause of acute abdominal pain in premenarchal adolescent girls. The clinical picture may present as right or left iliac fossa pain. Early identification reduces the risk of adverse complications and avoids unnecessary and potentially harmful interventions.

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A rare presentation of Erdheim Chester disease in a pediatric patient subsequently cured on the LCH III protocol

Cancer Reports ◽

10.1002/cnr2.1304 ◽

2020 ◽

Author(s):

Aditya Kumar Gupta ◽

Abdul Wajid M ◽

Jagdish P. Meena ◽

Sreedharan T. ArunRaj ◽

Asit Mridha ◽

...

Keyword(s):

Pediatric Patient ◽

Rare Presentation ◽

Erdheim Chester Disease ◽

Erdheim Chester ◽

Chester Disease

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Chilaiditi syndrome in a patient with urological problems: Incidental diagnosis on computed tomography

Canadian Urological Association Journal ◽

10.5489/cuaj.165 ◽

2012 ◽

Vol 6 (2) ◽

Author(s):

Cevahir Özer ◽

Seda Zenger

Keyword(s):

Computed Tomography ◽

Small Intestine ◽

Abdominal Pain ◽

Respiratory Distress ◽

Incidental Diagnosis ◽

Rare Syndrome ◽

Chilaiditi Syndrome ◽

Chilaiditi’S Syndrome ◽

Chilaiditi's Syndrome

A rare syndrome, Chilaiditi’s syndrome is interposition of the colon only or with the small intestine in hepatodiaphragmatic area. It may be asymptomatic, but it may also present with symptoms, such as abdominal pain, nausea, vomiting, constipation and respiratory distress. We present a patient who was admitted with urological problems; he was incidentally diagnosed with Chilaiditi’s syndrome

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Spinal Tuberculosis Presenting as Abdominal Pain: Rare Presentation of a Common Disease

Oman Medical Journal ◽

10.5001/omj.2014.40 ◽

2014 ◽

Vol 29 (2) ◽

Cited By ~ 1

Author(s):

Sanjay Meena ◽

Nilesh Barwar ◽

Tusshar Gupta ◽

Buddhadev Chowdhury

Keyword(s):

Abdominal Pain ◽

Spinal Tuberculosis ◽

Common Disease ◽

Rare Presentation

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Intermittent abdominal pain accompanied by defecation difficulties caused by Chilaiditi syndrome: A case report

World Journal of Clinical Cases ◽

10.12998/wjcc.v6.i15.1042 ◽

2018 ◽

Vol 6 (15) ◽

pp. 1042-1046 ◽

Cited By ~ 1

Author(s):

Xia-Gang Luo ◽

Jing Wang ◽

Wu-Lin Wang ◽

Chun-Zhao Yu

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Intermittent Abdominal Pain ◽

Chilaiditi Syndrome

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A rare presentation of benign Brenner tumor of ovary: a case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182920 ◽

2018 ◽

Vol 7 (7) ◽

pp. 2971

Author(s):

Sumathi Periasamy ◽

Subha Sivagami Sengodan ◽

Devipriya . ◽

Anbarasi Pandian

Keyword(s):

Abdominal Pain ◽

Ovarian Tumor ◽

Ovarian Neoplasms ◽

Pelvic Mass ◽

Ovarian Tumors ◽

Pathological Examination ◽

Rare Presentation ◽

Brenner Tumor ◽

Benign Nature ◽

Brenner Tumors

Brenner tumors are rare ovarian tumors accounting for 2-3% of all ovarian neoplasms and about 2% of these tumors are borderline (proliferating) or malignant. These tumors are commonly seen in 4th-8th decades of life with a peak in late 40s and early 50s. Benign Brenner tumors are usually small, <2cm in diameter and often detected incidentally during surgery or on pathological examination. Authors report a case of a large, calcified benign Brenner tumor in a 55-year-old postmenopausal woman who presented with complaint of abdominal pain and mass in abdomen. Imaging revealed large complex solid cystic pelvic mass -peritoneal fibrosarcoma. She underwent laparotomy which revealed huge Brenner tumor weighing 9kg arising from left uterine cornual end extending up to epigastric region. Myomectomy and hysterectomy with bilateral salphingo oophorectomy, omentectomy done and the specimen was sent for histopathological and immunohistochemistry study which revealed benign Brenner tumor. Brenner tumors are rare ovarian neoplasms accounting for 2-3% of all ovarian tumors. Benign Brenner tumors are usually small and solid whereas borderline and malignant Brenner tumors are usually larger and cystic with solid areas. But it is possible to have a completely benign large Brenner tumor. Therefore, benign nature of the lesion should not be excluded even when the ovarian tumor is very large.

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Extramedullary haematopoiesis presenting as a periportal mass

BMJ Case Reports ◽

10.1136/bcr-2020-235064 ◽

2020 ◽

Vol 13 (7) ◽

pp. e235064

Author(s):

Faranak Rafiee ◽

Sara Haseli ◽

Seyed Hamed Jafari ◽

Pooya Iranpour

Keyword(s):

Bone Marrow ◽

Abdominal Pain ◽

Histopathological Examination ◽

Final Diagnosis ◽

Extramedullary Haematopoiesis ◽

Abdominal Ct ◽

Rare Presentation ◽

Abdominal Ct Scan ◽

History Of ◽

Vague Abdominal Pain

Extramedullary haematopoiesis (EMH) is defined as haematopoiesis occurring in organs outside the bone marrow. The liver is one of the rare sites of EMH, and to the best of our knowledge, a few cases of adult EMH of the liver have been reported in the last 20 years. Here, we reported the case of a 68-year-old man with a known history of myelofibrosis presented with vague abdominal pain. An abdominal CT scan showed a hypoattenuating periportal mass encasing the portal vein. The final diagnosis of EMH was made through the histopathological examination. This is a rare presentation of EMH, which may be easily mistaken for other pathologies such as metastases. Familiarity with this type of presentation aids in correctly diagnosing it in an appropriate clinical setting.

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