scholarly journals Colonic intussusception as a rare manifestation of colonic lipoma: Case report

Case reports ◽  
2019 ◽  
Vol 5 (2) ◽  
pp. 115-122
Author(s):  
Horacio Humberto Garzón-Olarte ◽  
Juan Guillermo Holguín-Henao ◽  
Cristina Judith Padilla-Herrera ◽  
David Ricardo Baquero-Zamara

Introduction: Colonic lipomas are low-risk lesions that require endoscopic or surgical management depending on their size and symptoms. However, diagnosing a lipoma­tous lesion in the colon is a difficult task, as the clinical or imaging findings point to a low prevalence of these lesions and a higher fre­quency in the female sex. The laparoscopic approach is the current method of choice as it represents fewer traumas and, therefore, a faster clinical recovery.Case presentation: 43-year-old female patient, Caucasian, from the city of Bogotá, housewife, without any medical history. She presented with acute abdominal pain associated with tarry stools. Diagnostic imaging tests were performed, finding colo-colonic intussusception, originated in a lipomatous lesion located in the transverse colon. This patient underwent an enlarged lap­aroscopic right hemicolectomy.Discussion: This case describes how colonic intussusception constitutes a preoperative complication that requires surgical management since its diagnosis considering the associated mortality rates.Conclusion: The analysis of this case is part of the scientific evidence indispensable to im­prove the diagnostic and therapeutic approach to colonic intussusception, as local and in­ternational literature have not addressed this condition sufficiently.

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Lavinia Domenici ◽  
Violante Di Donato ◽  
Maria Luisa Gasparri ◽  
Francesca Lecce ◽  
Jlenia Caccetta ◽  
...  

Myomectomy is rarely performed during an ongoing pregnancy because of fear of miscarriage and the risk of an uncontrolled haemorrhage necessitating a hysterectomy. In cases where myomectomy is undertaken, most are performed at the time of cesarean section or with a laparoscopic approach. We report a case of a successful laparotomic myomectomy in the 16th week of pregnancy. A 35-year-old primigravida was admitted to our department with acute abdominal pain and hydronephrosis (serum creatinine 1.6 mg/dL). Imaging revealed a large implant myoma compressing the bladder, ureters, rectus, and gestational chamber and causing hydronephrosis. Laparotomic myomectomy was successfully performed and pregnancy continued uneventfully until the 38th week when a cesarean section was performed. Surgical management of myomas during pregnancy is worth evaluating in well-selected and highly symptomatic cases.


2007 ◽  
Vol 51 (8) ◽  
pp. 1349-1354 ◽  
Author(s):  
William F. Young, Jr. ◽  
Geoffrey B. Thompson

Laparoscopic adrenalectomy is one of the most clinically important advances in the past 2 decades for the treatment of adrenal disorders. When compared to open adrenalectomy, laparoscopic adrenalectomy is equally safe, effective, and curative; it is more successful in shortening hospitalization and convalescence and has less long-term morbidity. The laparoscopic approach to the adrenal is the procedure of choice for the surgical management of cortisol-producing adenomas and for patients with corticotropin (ACTH) dependent Cushing's syndrome for whom surgery failed to remove the source of ACTH. The keys to successful laparoscopic adrenalectomy are appropriate patient selection, knowledge of anatomy, delicate tissue handling, meticulous hemostasis, and experience with the technique of laparoscopic adrenalectomy.


2011 ◽  
Vol 27 (4) ◽  
pp. 753-758 ◽  
Author(s):  
Natália Gazzoni Scaraveli ◽  
Ana Maria Passos ◽  
Andréia Royer Voigt ◽  
Andréa do Livramento ◽  
Gabriela Tonial ◽  
...  

This study was carried out to determine the prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) markers among adolescents aged between 10 and 16 years old, who are elementary school students in the city of Chapecó, Santa Catarina State, Brazil. The study involved a cross-sectional survey that included 418 volunteers, from March to July, 2008. Serology comprised HBsAg, anti-HBc, anti-HBs and anti-HCV. Tests were performed using automated Microparticle Enzyme Immunosorbant Assay (Abbott, AxSYM System, Wiesbaden, Germany). The prevalence of HBsAg was found to be 0.2% (95%CI: 0.0-1.3), and the prevalence of anti-HBc was found to be 1.4% (95%CI: 0.5-3.1). Regarding anti-HBs, 48.6% had titers greater than 10UI/L. None of the volunteers presented reactive results for anti-HCV. This study showed a low prevalence of HBV and HCV markers of infection and a great number of volunteers immunized against HBV. Finally this study shows the importance of proper health campaigns and policies in reducing those prevalences.


Pathogens ◽  
2021 ◽  
Vol 10 (10) ◽  
pp. 1302
Author(s):  
Sara Buzo-Domínguez ◽  
Manuel Morales-Yuste ◽  
Ana María Domingo-Hernández ◽  
Rocío Benítez ◽  
Francisco Javier Adroher

The presence of third stage larvae (L3) of Anisakis spp. in wedge sole, Dicologlossa cuneata (Moreau, 1881), purchased in fishmarkets in the city of Granada (Andalusia, southern Spain) was assessed. The wedge sole were caught in two FAO zones: area 27.IXa NE Atlantic (SW Spain coast) and area 34.1.11 CE Atlantic (NW Morocco coast). Only Anisakis larvae, type I, were detected in the largest fish (>20 cm) from the CE Atlantic. These were molecularly identified as A. simplex s.s. The prevalence (P) of Anisakis in this area was 12.5% and the mean intensity (MI) was 1. The presence of Hysterothylacium spp. larvae was also detected in the fish from both areas, with the prevalence being approximately double in the CE Atlantic area (12.5 vs. 5.7). A comparison between the Anisakis-infected and non-infected fish from this area showed that the former were significantly longer than the latter (p < 0.01). These results show that Anisakis parasitization of wedge sole sold in the markets of the city of Granada is of low prevalence and intensity (P = 4.5, MI = 1), especially in those from area 27.IXa (P = 0), indicating that the risk of human infection is low, particularly as this fish is traditionally prepared by deep-frying in oil in Andalusia (southern Spain).


2019 ◽  
Vol 4 (2) ◽  
pp. 63-65
Author(s):  
Noor aisyah Mokhtar ◽  
Kamarul afizi Kosman

Research Highlights Despite of many historical records from Portuguese about the physical of Melaka Malay City, its existence is still doubtful since there is no clear physical evidence that can be used as basis support to its existence. However, to prove that the city was existed, various physical and scientific evidence are required to prove its existence. Thus, this study aims to identify historical evidence that mentioned its existence which based on the first painting of A’Famosa (Malacca Fort City during Portuguese era). The study proposed three hypothesis and results indicated there is a postivie outcome to prove that the Melaka Malay City existed on and around Bukit Melaka (or St Paul Hill now) based on historical records and sketches found.   Research Objectives This paper attempts to uncover and reveal the historical evidence of Melaka Malay (Fort) City before the city was destroyed and rebuilt according to Portuguese terms. This paper was created to identify the differences between designs and layout plans between the Malacca Malay (Fort) City and the world-renowned Fort A’Famosa, thus comparing the hypothesis arguments about the existence of Melaka City. Indeed, there is a clear distinction between the design, layout, character and philosophy of the Malay and Portuguese cities. The scope focuses only on the site of the physical building (which is believed to be historical evidence) of the city at the Melaka River’s estuary where important and significant buildings during Melaka Malay empire was constructed – the palace, mosque, administration buildings, harbors, and different kind of settlements. There is a great probability of continuing this study into the use of satellite technology in determining and identifying the Melaka Malay City with more precise and accurate details. The implication of this study can be a catalyst for continuous and deeper research on the original site of the Melaka Malay City as to prove the validity of its existences.   Methodology In an effort to discuss the existence of this Melaka Malay City, various aspects and methods were conducted to find the most suitable matches and comparisons that almost accurately describe their design then prove its existence. The remains and plans of Melaka City today since the British era will be the basis of its existence. Hence, the study of historical records and sketches of the Melaka City from the Dutch government and subsequently the Portuguese will be made to seek physical evidence of the earliest design of Melaka City. Later, the historical records of the city from Malay Archipelago, Chinese, Portuguese and Dutch sources will be depicted in city design. As a reinforcement, the philosophy of urban design in the Malay World is highlighted as well as presenting the comparison between the other Malay Kingdoms and the Melaka Malay City.   Results The foundations of the Malay cities basically were designed in square or rectangular shape, no matter how far the city was set up (Abdul Halim Nasir, 1990). This is in line with the philosophy in the Malay world that associated with a simple yet sufficient form of compassion that covers the various aspects of the Malay community's facilities and their living that are synonymous with modular systems (Yusoff Hashim, 2010). The first Fort A'Famosa built by the Portuguese was rectangular (G.W.Irwin, 2006). Its position was below the foot of Bukit Melaka and along the estuary of the Melaka River which is also near the bridge stretching the mouth of the Melaka River (Portuguese Documents of Malacca, 11: 6 de Goes, para 11). The city of A'Famosa in the painting has a relatively six-tower on the corner of the city near the bridge. Whereas city fort or bastion on three other city corners are two-storey building. A’Famosa was built on the site of the Great Mosque of Melaka (Portuguese Documents of Malacca, 11: 6 de Goes, the 25th) which features a rectangular shape as the custom of mosques designs in the Malay Archipelago realm at that time, then the A'Famosa was originally built in rectangular over the ruins (or damage) of the Great Mosque Malacca after the success of Portuguese colonization.   Findings The research showed that the design of Melaka City or A'Famosa City was in square or rectangular shape as it was built on the ruins of the Great Mosque of Melaka. The rectangular fort design was synonym with the design of other Malay forts or cities as it was a fundamental design tradition in the Malay world from fourth century until the later centuries after the collapse of Melaka empire either in Malay clusters. This coincides with the urban philosophy and design of the Malay and Islamic city that breed in the Malay Archipelago region at that time.


2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Emre Ünal ◽  
Sevtap Arslan ◽  
Mehmet Ruhi Onur ◽  
Erhan Akpinar

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Enric Sebastian-Valverde ◽  
Ignasi Poves ◽  
Estela Membrilla-Fernández ◽  
María José Pons-Fragero ◽  
Luís Grande

2016 ◽  
Vol 62 (8) ◽  
pp. 725-727
Author(s):  
Neide Regina Simões Olmo ◽  
Ulysses Ferreira Fiorio ◽  
Eder Amaral Bastos ◽  
Marcel Andreazza Clemente ◽  
Gustavo Gomes Mendes

Summary Cysticercosis is a parasitic disease caused by a worm of the Cestoda class. The most prevalent form affects the nervous system. This case report is from a 78-year-old female patient evaluated at Clínica Mult Imagem, in the city of Santos, Brazil, who presented a form of the disease that differed from the classic neurocysticercosis, in this case muscular cysticercosis. This and other forms of manifestation justify further studies to ensure adequate recognition, diagnosis and treatment of this parasitic disease.


Author(s):  
Sameer R. Organji ◽  
Hussein H. Abulreesh ◽  
Gamal E. H. Osman

The present study was aimed to investigate the circulation of four dengue virus (DENV) serotypes in Makkah, Western Saudi Arabia. Blood samples were collected from 25 dengue fever-suspected patients and were subjected to molecular typing for DENV-1, DENV-2, DENV-3, and DENV-4 serotypes of dengue virus, by reverse transcription polymerase chain reaction (RT-PCR), using six sets of primers. Of the 25 samples, only six samples (24%) were found to be positive for dengue virus infection. The prevalence of DENV-1 was higher (50% of DENV-positive samples), as compared to DENV-2 (33.3%) and DENV-3 (16.6%) serotypes. The fourth serotype, DENV-4, was not detected in any of the DENV-positive samples. Although Makkah is considered endemic to dengue fever, we observed low prevalence of dengue virus in the city, which may be attributed to various factors. Nonetheless, the results presented herein confirm the circulation of DENV serotypes in the Western region of Saudi Arabia. To the best of our knowledge, the current study so far is the first report demonstrating the prevalence of the DENV-1 serotype in the city Makkah, Saudi Arabia.


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