Pyloric Atresia: A Case Report

PEDIATRICS ◽  
1973 ◽  
Vol 51 (3) ◽  
pp. 574-577
Author(s):  
Eng Chuan Saw ◽  
Neil R. Arbegast ◽  
Thomas P. Comer
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Intestinal Obstruction ◽  
Surgical Intervention ◽  
Pyloric Atresia ◽  
High Intestinal Obstruction

A case of pyloric atresia is reported. This brings the total to 30 such cases in the literature and makes this patient the 22nd survivor in the series. Pyloric atresia must be considered in the differential diagnosis of any high intestinal obstruction in the newborn with bile-free emesis. Early diagnosis and surgical intervention give the patient the best chance of survival.

scholarly journals Cecal Volvulus: A Rare Cause of Intestinal Obstruction

2020 ◽  
Vol 14 (1) ◽  
pp. 206-211
Author(s):  
Carolina Solis Rojas ◽  
Ramon Vidrio Duarte ◽  
Diego Martín García Vivanco ◽  
Eduardo E. Montalvo-Javé
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Critical Review ◽  
Surgical Intervention ◽  
Right Hemicolectomy ◽  
Cecal Volvulus ◽  
Review Of The Literature ◽  
Appropriate Treatment ◽  
Early Surgical Intervention

Cecal volvulus is a rare cause of intestinal obstruction, with multifactorial etiologies. This is a case report describing a 52-year-old female with a cecal volvulus diagnosis made during the laparotomy procedure, which was treated with a right hemicolectomy with a side-to-side ileotransverse anastomosis. The aim of this report is to emphasize the importance of a diagnosis and appropriate treatment in this rare pathology in abdominal procedures. In this particular case, the patient benefited from an early surgical intervention without further complications, as well as an adequate postoperative evolution; it is important to acknowledge and consider this pathology during differential diagnosis, and not delay the treatment in patients with cecal volvulus. A critical review of the literature is included and discussed.

scholarly journals Pneumatosis Intestinalis: A Case Report and Approach to Management

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Sean Donovan ◽  
Joseph Cernigliaro ◽  
Nancy Dawson
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Bowel Wall ◽  
Surgical Intervention ◽  
Wide Spectrum ◽  
Pneumatosis Intestinalis ◽  
Rapid Evaluation ◽  
Thought Process ◽  
Diagnostic Dilemma ◽  
Clinical Scenarios

Pneumatosis intestinalis (PI), defined as gas within the bowel wall, is an uncommon radiographic sign which can represent a wide spectrum of diseases and a variety of underlying diagnoses. Because its etiology can vary greatly, management of PI ranges from surgical intervention to outpatient observation (see, Greenstein et al. (2007), Morris et al. (2008), and Peter et al. (2003)). Since PI is infrequently encountered, clinicians may be unfamiliar with its diagnosis and management; this unfamiliarity, combined with the potential necessity for urgent intervention, may place the clinician confronted with PI in a precarious medical scenario. We present a case of pneumatosis intestinalis in a patient who posed a particularly challenging diagnostic dilemma for the primary team. Furthermore, we explore the differential diagnosis prior to revealing the intervention offered to our patient; our concise yet inclusive differential and thought process for rapid evaluation may be of benefit to clinicians presented with similar clinical scenarios.

scholarly journals Vertebral osteomyelitis in an adolescent girl

2020 ◽  
Vol 8 ◽  
pp. 2050313X2094978
Author(s):  
Shafee Salloum
Keyword(s):  
Differential Diagnosis ◽  
Back Pain ◽  
Blood Culture ◽  
Early Diagnosis ◽  
Lower Back Pain ◽  
Bacterial Growth ◽  
Adolescent Girl ◽  
Surgical Intervention ◽  
Vertebral Osteomyelitis ◽  
Lower Back

We present a case of a 13-year-old girl with vertebral osteomyelitis. She had been experiencing lower back pain for 5 weeks, initially thought to be due to muscular causes. The blood culture showed no bacterial growth, and she was treated empirically only with antibiotics. She responded well to treatment and required no surgical intervention. Vertebral osteomyelitis should be in the differential diagnosis in an adolescent who complains of worsening lower back pain. Early diagnosis and treatment are essential in avoiding complications.

scholarly journals Invasive Basidiobolomycosis Presenting as Retroperitoneal Fibrosis: A Case Report

2020 ◽  
Vol 17 (2) ◽  
pp. 535
Author(s):  
Abdulmalek Alsharidah ◽  
Yahya Mahli ◽  
Nayef Alshabyli ◽  
Mohammed Alsuhaibani
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Fungal Infection ◽  
Surgical Intervention ◽  
Retroperitoneal Fibrosis ◽  
Healthy Woman ◽  
Retroperitoneal Mass ◽  
Cutaneous Infection

Basidiobolomycosis is an uncommon emerging fungal infection caused by Basidiobolus ranarum. It frequently causes cutaneous infection, but it rarely infects visceral tissues in humans. Here, a 39-year-old previously healthy woman presented with severe left-sided abdominal pain and weight loss. She had visited several hospitals and had provisionally been diagnosed as having either a retroperitoneal malignancy or retroperitoneal fibrosis before being referred to our hospital. Abdominal computerized tomography and biopsy of the retroperitoneal mass revealed retroperitoneal basidiobolomycosis infection. She was started on antifungal treatment. This led to significant improvement, without surgical intervention. Gastrointestinal basidiobolomycosis can present in many forms, commonly involving the colon and liver with multifocal inflammatory masses. Nonetheless, retroperitoneal basidiobolomycosis presentation is extremely rare and should be considered in the differential diagnosis of a retroperitoneal mass with eosinophilia.

Diagnostic challenges in tuberculous otitis media

2010 ◽  
Vol 124 (8) ◽  
pp. 913-915 ◽  
Author(s):  
I P Tang ◽  
N Prepageran ◽  
C A Ong ◽  
P Puraviappan
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Antibiotic Therapy ◽  
Otitis Media ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Middle Ear Infection ◽  
Clinical Presentations ◽  
Tuberculous Otitis Media ◽  
Systemic Antibiotics

AbstractObjectives:To demonstrate the different clinical presentations of tuberculous otitis media and the management of selected cases.Case report:We report four cases of tuberculous otitis media with different clinical presentations, encountered between 1998 and 2002. None of the cases showed improvement with local or systemic antibiotics. The diagnosis, complications and management of these cases are discussed.Conclusions:A high index of clinical suspicion of tuberculous otitis media is required in patients who do not respond to standard antibiotic therapy for (nontuberculous) chronic middle-ear infection. Early diagnosis and treatment of tuberculous otitis media is important to avoid irreversible complications, surgical intervention and propagation of the disease.

scholarly journals Primary Sternal Tuberculosis Osteomyelitis: A Case Report and Discussion

2009 ◽  
Vol 20 (4) ◽  
pp. e181-e184 ◽  
Author(s):  
Miten Vasa ◽  
Christine Ohikhuare ◽  
Leslea Brickner
Keyword(s):  
United States ◽  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Intervention ◽  
Clinical Manifestations ◽  
The United States ◽  
Typical Case ◽  
Antituberculous Therapy ◽  
Sternal Osteomyelitis ◽  
The World

As immigration to the United States from countries endemic for tuberculosis (TB) increases, the incidence of pulmonary and extrapulmonary TB disease may increase. Primary tuberculous sternal osteomyelitis is one form of extrapulmonary TB that is exceedingly rare throughout the world, and falls under the differential diagnosis for chest wall masses. Management involves standard antituberculous therapy with antibiotics similar to treating other forms of extrapulmonary TB, as well as consideration of surgical intervention depending on the extent of osteomyelitis. A typical case of primary sternal TB osteomyelitis is reported, and the epidemiology, differential diagnosis, clinical manifestations and management are reviewed.

Pyoderma gangrenosum producing saddle nose deformity

1998 ◽  
Vol 112 (9) ◽  
pp. 870-871 ◽  
Author(s):  
George A. Worley ◽  
Michael J. Wareing ◽  
Robert J. Sergeant
Keyword(s):  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Pyoderma Gangrenosum ◽  
Surgical Intervention ◽  
Rare Complication ◽  
Saddle Nose ◽  
Saddle Nose Deformity ◽  
Minor Surgery ◽  
Diagnostic Confusion ◽  
Nose Deformity

AbstractPyoderma gangrenosum affecting the nose is rare and this may lead to diagnostic confusion because of the large differential diagnosis. As diagnosis is made, largely, on the basis of exclusion the treatment of pyoderma gangrenosum may be unduly delayed. The condition is often disfiguring, particularly following inappropriate surgical intervention, and early diagnosis is therefore important.We present a case of pyoderma gangrenosum managed initially in the community with minor surgery and resulting in the rare complication of saddle nose deformity.

Left Lateral and Left Middle Liver Lobe Torsion in a Saint Bernard Puppy

2006 ◽  
Vol 42 (5) ◽  
pp. 381-385 ◽  
Author(s):  
Dirsko J.F. von Pfeil ◽  
L. Ari Jutkowitz ◽  
Joe Hauptman
Keyword(s):  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Surgical Intervention ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Abdominal Discomfort ◽  
Liver Lobe ◽  
Saint Bernard ◽  
Left Middle ◽  
Exploratory Surgery

A 5-month-old, male Saint Bernard was presented for acute collapse and abdominal discomfort. Significant findings were a cranial abdominal mass, hemorrhagic abdominal effusion, anemia, and disseminated intravascular coagulation. An exploratory surgery revealed torsion of both the left lateral and middle liver lobes, a condition that has not been previously described in the veterinary literature. Torsion of one or more hepatic lobes is a rare condition but should be considered as a differential diagnosis for acute abdomen syndrome in both young and mature dogs. Early diagnosis and prompt surgical intervention may be curative.

scholarly journals Chronic intestinal pseudo-obstruction in newborn: a case report

2020 ◽  
Vol 7 (6) ◽  
pp. 1431
Author(s):  
Mahmoud M. Osman ◽  
Ahmed Hassan Sherif ◽  
Mohammed Saleh Alissa ◽  
Suzan Abdel Hamid ◽  
Adel Abdelsalam Alatar
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Intestinal Obstruction ◽  
Mechanical Obstruction ◽  
Imaging Studies ◽  
Primary Defect ◽  
Neonatal Intestinal Obstruction ◽  
Rare Differential Diagnosis ◽  
Intestinal Pseudo Obstruction

Chronic intestinal pseudo-obstruction (CIPO) is a rare and serious disorder of the gastrointestinal tract motility with the primary defect of impaired peristalsis. Symptoms are consistent with a bowel obstruction, although mechanical obstruction cannot be identified. It is a rare differential diagnosis for neonatal intestinal obstruction. Herein we report a case of neonate with non-resolving intestinal pseudo-obstruction, presenting since birth as progressive abdominal distention. The diagnosis was made by exclusion of mechanical causes of intestinal obstruction via thorough imaging studies.

A CASE REPORT: KAZABACH-MERRITT SYNDROME (KMS)

Vestnik ◽  
2021 ◽  
pp. 73-77
Author(s):  
Г.Ж. Бодыков ◽  
Г.Н. Балмагамбетова ◽  
С.А. Лисогор ◽  
В.М. Шмонин
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Clinical Laboratory ◽  
Clinical Manifestations ◽  
Vascular Anomalies ◽  
Diagnosis And Treatment ◽  
Pediatric Practice

Синдром Казабаха - Мерритта в детской практике встречается крайне редко. Клинические проявления многообразны, что затрудняет своевременную диагностику и лечение данного заболевания. Цель: привлечь внимание неонатологов и педиатров к своевременной диагностике редких гематологических синдромов. Материалы и методы. Проведено расширенное обследование ребенка и тщательная дифференциальная диагностика с другими сосудистыми аномалиями. Результаты. На основании оценки анамнеза, клинико - лабораторных и инструментальных методов обследования установлен диагноз СКМ. Выводы. Постановка диагноза СКМ требует проведения расширенного обследования ребенка и тщательной дифференцировки с другими сосудистыми аномалиями. Kazabach-Merritt syndrome is extremely rare in pediatric practice. Clinical manifestations are diverse- and this fact complicates the early diagnosis and treatment of the disease.Purpose: to draw the attention of neonatologists and pediatricians to the early diagnosis of rare hematological syndromes.Materials and methods. An extended examination of the child and a thorough differential diagnosis with other vascular anomalies were carried out. Results. The KMS was diagnosed on the base of: the assessment of the anamnesis, clinical - laboratory and instrumental examination methods.Conclusion. The diagnosis of KMS requires an extended examination of the child and careful differentiation of other vascular anomalies.

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