Choledochal Cyst Presenting as Recurrent Pancreatitis

Choledochal cyst, or congenital cystic dilatation of the common bile duct, is a rare anomaly usually presenting in the first decade with pain, jaundice, and an abdominal mass. The following is a report of a child with recurrent abdominal pain who showed clinical and biochemical evidence of recurrent pancreatitis. Investigation revealed a congenital choledochal cyst. The abdominal pain and biochemical abnormalities abated after choledochocystojejunostomy. Case Report J.J., a 4-year-old white girl, was admitted to the Children's Hospital of Philadelphia because of recurrent abdominal pain. This pain, located in the epigastrium, first started at the age of 1.5 years and was associated with fever, nausea, and vomiting.

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Case Report: Isolated Cystic Dilatation of the Cystic Duct: A Misdiagnosed Case Preoperatively

Frontiers in Surgery ◽

10.3389/fsurg.2021.686629 ◽

2021 ◽

Vol 8 ◽

Author(s):

Jiankang Zhang ◽

Zeming Hu ◽

Xuan Lin ◽

Dongliang Zhang ◽

Hao Wang ◽

...

Keyword(s):

Abdominal Pain ◽

Bile Duct ◽

Common Bile Duct ◽

Choledochal Cyst ◽

Cystic Duct ◽

Extrahepatic Bile Duct ◽

Cystic Dilatation ◽

Liver Transaminase ◽

Caudal Portion ◽

The Common

A 33-year-old female with a mild elevation of liver transaminase was sent to the general surgery department for medical services due to upper-right abdominal pain for 2 weeks. A liquid dark area ~4 × 3 × 3 cm in size in the theoretical location of the pancreatic segment of the common bile duct was detected by abdominal CT with no enhancement of the cystic wall found in the enhanced CT scan. The patient was then diagnosed with a choledochal cyst based on the results of the radiological images preoperatively. During the operation, the isolated cystic dilatation was found in the middle part of the cystic duct, and its caudal portion was found behind the head of the pancreas and converged into the common bile duct at an acute angle and low insertion. According to the intraoperative evaluation, the female was then diagnosed with a cystic duct cyst (CDC). The surgery was converted to a laparotomy for the unclear structure and the possibility of anatomic variation of the bile duct. The caudal portion of the cystic duct was found communicated with the common bile duct with a narrow base, and the extrahepatic bile duct was not cystic. The CDC was removed in the surgery. One week later, the patient was discharged from the hospital for the disappearance of abdominal pain and normal liver transaminase and did not report any discomfort in the 1-month-long follow-up. The lessons drawn from this case were as follows: (1) the distinction between the relatively frequent choledochal cyst and the isolated CDC should always be taken in mind; (2) a surgical strategy should be given priority for an intraoperatively confirmed CDC; (3) a common bile duct exploration is recommended for patients with choledocholithiasis or jaundice.

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Sclerosing mesenteritis - rare cause of abdominal pain and intra-abdominal mass: a case report

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20150843 ◽

2015 ◽

pp. 2863-2866

Author(s):

Atul Yadgire ◽

Saurabh Tiwari ◽

Narayan Umale

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Abdominal Mass ◽

Sclerosing Mesenteritis

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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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Ileoscopy in the Diagnosis of lleal Lymphosarcoma

PEDIATRICS ◽

10.1542/peds.56.1.127 ◽

1975 ◽

Vol 56 (1) ◽

pp. 127-129

Author(s):

Seymour Katz ◽

Irwin Katzka ◽

Keith Schneider ◽

Mervin Silverberg

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Gastrointestinal Tract ◽

Inflammatory Process ◽

Lower Abdominal Pain ◽

Recurrent Abdominal Pain ◽

Neoplastic Disease ◽

Direct Visualization ◽

Appendiceal Abscess ◽

The Right

Recent advances in flexible fiberoptic endoscopy have permitted direct visualization of segments of the gastrointestinal tract hitherto considered inaccessible. Preoperative diagnoses of diseases of these areas are subject to the vagaries of roentgen interpretation. The following case report illustrates the value of the colonoscope in distinguishing intralumenal ileal neoplastic disease from an inflammatory process (e.g., ileitis, appendiceal abscess). CASE REPORT W. M., a 15-year-old white youth, was referred for eveluation of intermittent lower abdominal pain of six weeks' duration. Prior to his admission, he experienced cramping abdominal pain, fever, cough, emesis, and diarrhea. This gradually abated, leaving a residuum of recurrent abdominal pain which was relieved partially with fiexion of the right thigh.

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Recurrent abdominal pain as the presentation of tumor necrosis factor receptor-associated periodic syndrome (TRAPS) in an Asian girl: A case report and review of the literature

Journal of Microbiology Immunology and Infection ◽

10.1016/j.jmii.2012.07.003 ◽

2014 ◽

Vol 47 (6) ◽

pp. 550-554 ◽

Cited By ~ 4

Author(s):

Yun-Ju Chen ◽

Hsin-Hui Yu ◽

Yao-Hsu Yang ◽

Yu-Lung Lau ◽

Wen-I Lee ◽

...

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Tumor Necrosis Factor ◽

Tumor Necrosis ◽

Tumor Necrosis Factor Receptor ◽

Recurrent Abdominal Pain ◽

Periodic Syndrome ◽

Review Of The Literature ◽

Necrosis Factor

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Nocturnal Hydration—An Effective Modality to Reduce Recurrent Abdominal Pain and Recurrent Pancreatitis in Patients with Adult-Onset Cystic Fibrosis

Digestive Diseases and Sciences ◽

10.1007/s10620-006-9185-2 ◽

2006 ◽

Vol 51 (10) ◽

pp. 1744-1748 ◽

Cited By ~ 1

Author(s):

Kamil Obideen ◽

Mohammad Wehbi ◽

Maarouf Hoteit ◽

Qiang Cai

Keyword(s):

Cystic Fibrosis ◽

Abdominal Pain ◽

Recurrent Abdominal Pain ◽

Adult Onset ◽

Recurrent Pancreatitis

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Lipoleiomyosarcoma an extremely unusual sarcoma of uterus: A case report

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v2i1.1482 ◽

1970 ◽

Vol 2 (1) ◽

pp. 67-70 ◽

Cited By ~ 1

Author(s):

Abhimanyu Jha ◽

Gita Sayami ◽

Deepti Adhikari

Keyword(s):

Smooth Muscle ◽

Abdominal Pain ◽

Case Report ◽

Postmenopausal Woman ◽

Unusual Case ◽

Histopathological Examination ◽

Abdominal Mass ◽

Lower Abdominal Pain ◽

First Case ◽

Well Differentiated

Uterine lipoleiomyosarcoma is a heterologous sarcoma composed of variable proportions of malignant lipoblasts histologically corresponding to well differentiated liposarcoma and malignant smooth muscle cells corresponding to leiomyosarcoma. Finding of benign lipomatous component in a typical leiomyoma (lipoleiomyoma) is not an uncommon, however, lipoleiomyosarcoma is an extremely rare malignant tumor and only very few cases have been reported so far. We report a case of lipoleiomyosarcoma of uterine corpus in a postmenopausal woman presenting with lower abdominal pain and abdominal mass. Diagnosis of lipoleiomyosarcoma was confirmed by histopathological examination of hysterectomy specimen. This is the first case of lipoleiomyosarcoma of uterus reported from Nepal. Keywords: Lipoleiomyosarcoma, uterus, histopathology, unusual case. doi:10.3126/njog.v2i1.1482 N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 67 - 70 May -June 2007

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Ruptured mediastinal pseudocyst- a case report

International Surgery Journal ◽

10.18203/2349-2902.isj20173438 ◽

2017 ◽

Vol 4 (8) ◽

pp. 2865 ◽

Cited By ~ 1

Author(s):

C. Danny Darlington ◽

G. Fatima Shirly Anitha

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Chronic Pancreatitis ◽

Rare Case ◽

Chronic Abdominal Pain ◽

Acute Setting ◽

Surgical Practice ◽

Mass Effects ◽

Massive Haemoptysis ◽

The Common

Pseudocysts are one of the common complications of chronic pancreatitis. Usually they present with chronic abdominal pain and obstructive symptoms. The symptomatology mainly correlates with the location of the pseudocysts. Thoracopantreatic pseudocysts are rarely encountered in surgical practice. They can present in the acute setting with hemoptysis or rupture. They can also have an indolent course with dysphagia and other mass effects. We report a rare case of mediastinal pseudocyst with rupture into the bronchus causing massive haemoptysis.

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