scholarly journals Ectopia of the pancreas in the loop of the small intestine in an 8-y-o child

2020 ◽  
Vol 10 (3) ◽  
pp. 309-313
Author(s):  
Aslamhon M. Sharipov ◽  
Kholnazar A. Giesov ◽  
Holmurod Z. Zaripov ◽  
Imatihudo D. Sayfulloev ◽  
Imatihudo D. Sayfulloev ◽  
...  
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Clinical Observation ◽  
Normal Growth ◽  
Pancreatic Tissue ◽  
Contrast Study ◽  
Normal Pancreatic Tissue ◽  
One Year

Ectopia of the pancreas in children is a rare congenital malformation in which normal pancreatic tissue develops in other organs, without communication with the main gland in the wall of the stomach, intestines, liver, gallbladder, Meckel's diverticulum, and the spleen. In this article, the authors cite a rare case of ectopia of the pancreas in the loop of the small intestine, which led to the development of intestinal obstruction. Girl B., eight years old, was admitted to the hospital on an emergency basis with paroxysmal abdominal pain. There was no nausea or vomiting. A contrast study of the gastrointestinal tract with barium sulfate was performed, which revealed a violation of the evacuation of the contrast medium. A laparoscopy was performed with the clinic for low intestinal obstruction. Revision of the intestine revealed a tumor-like formation measuring 6 4 cm at 60 cm from the ileocecal angle. A minilaporotomy was performed, a 10 cm section of the ileum was resected, bearing a tumor-like formation with an end-to-end anastomosis. The postoperative period is favorable. The girl was discharged from the hospital on the eighth postoperative day. On histological examination, pancreatic tissue was found in the wall of the small intestine, with duct ectasia. At the follow-up examination after one year. the patient had no complaints with normal growth and development. This clinical observation demonstrates the nonspecificity of the clinical picture and the difficulty of diagnosing pancreatic ectopia, and the advantages of minimally invasive interventions that allow diagnosing a rare pathology and its timely adequate correction.

scholarly journals Closed loop obstruction and adhesive intestinal obstruction in perineal hernia

2020 ◽  
Vol 13 (12) ◽  
pp. e238112
Author(s):  
Ramprasad Rajebhosale ◽  
Mohammad Miah ◽  
Fraser Currie ◽  
Pradeep Thomas
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Transition Point ◽  
Closed Loop ◽  
Abdominoperineal Excision ◽  
Perineal Hernia ◽  
Bowel Gangrene ◽  
Adhesive Intestinal Obstruction

Perineal hernia with bowel gangrene is uncommon but known complication of laparoscopic extralevator abdominoperineal excision (ELAPE). We present a rare case of closed loop small bowel obstruction with bowel gangrene secondary to an incarcerated perineal hernia that developed 7 years after an ELAPE. Intraoperatively, we found a definitive transition point due to adhesions in pelvis and a closed loop obstruction of the distal small bowel at different site with gangrenous intestine. She was managed successfully surgically with adhesiolysis and fixation of defect with biological mesh. Prevalence of perineal hernias will rise in future because of the increasing cases of ELAPE, in which no repair of pelvic floor is performed. The need of follow-up of these operations and more reporting of such cases are important in increasing awareness of these complications. Patients should be made aware of such complications and should seek urgent medical care.

A RARE CASE OF HETEROTOPIC PANCREATIC TISSUE CAUSING SMALL BOWEL OBSTRUCTION

2021 ◽  
pp. 4-5
Author(s):  
B. Santhi ◽  
M. Annapoorani ◽  
Sharada bhavana
Keyword(s):  
Intestinal Obstruction ◽  
Rare Case ◽  
Histopathological Examination ◽  
Pancreatic Tissue ◽  
Acute Intestinal Obstruction ◽  
Emergency Laparotomy ◽  
Review Of Literature ◽  
Heterotopic Pancreatic Tissue ◽  
Small Growth ◽  
Upper Gastrointestinal

A Rare case of heterotopic pancreatic tissue of ileum causing acute intestinal obstruction has been described with a brief review of literature. A 42 yr old male patient presented to the emergency department with features of acute intestinal obstruction. After evaluation patient was taken up for emergency laparotomy which revealed a band to be arising from ileum. Furthermore, there was a small growth in the ileal wall at the site of origin of the band. Hence resection of the growth was done and followed by ileoileal anastomosis. Later on, histopathological examination of the growth revealed it to be heterotopic pancreatic tissue. Heterotopic pancreatic tissue is often an incidental nding encountered in upper gastrointestinal tract during endoscopy and surgeries. But Symptomatic ectopic pancreas of ileum is relatively rare and they very rarely present with acute symptoms as in this case

scholarly journals Gingival Lipoma: A Rare Case Report

2017 ◽  
Vol 1 (1) ◽  
pp. 37-39
Author(s):  
Sweta Shrestha ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali
Keyword(s):  
Rare Case ◽  
Surgical Excision ◽  
Soft Tissue Tumors ◽  
Rare Case Report ◽  
Postsurgical Complication ◽  
Benign Tumours ◽  
One Year ◽  
Slow Growing ◽  
Oral Soft Tissue

Lipomas are benign tumours of mesenchymal origin (mature adipocytes) that are comparatively uncommon in the oral cavity corresponding to less than 4.4% of all benign oral soft tissue tumors. Clinically, they present as slow growing, soft, asymptomatic masses. Histopathologically, they appear as thinly encapsulated lesion composed of mature adipocytes with inconspicuous vascularity. The pathogenetic mechanisms of oral lipomas are still unclear. They are usually treated by surgical excision and bear excellent prognosis. Here we report a case of intraoral lipoma in 54 year old male patient in the left lower lingual alveolar mucosal region that was treated by surgical excision using electrocautery without any postsurgical complication. One-year follow-up showed no evidence of recurrence.

Carpal Tunnel Syndrome Associated with Bifid Median Nerve and Palmaris Profundus - Case Report and Literature Review

2019 ◽  
Vol 24 (02) ◽  
pp. 238-242
Author(s):  
Francesco Kostoris ◽  
Stefania Bassini ◽  
Emiliano Longo ◽  
Luigi Murena
Keyword(s):  
Median Nerve ◽  
Carpal Tunnel ◽  
Rare Case ◽  
Direct Compression ◽  
Transverse Carpal Ligament ◽  
Accidental Injury ◽  
Tunnel Syndrome ◽  
One Year

The anatomic variations of the median nerve and of the muscles of the wrist have been widely reported in literature. It is essential for the surgeon to be familiar with these variations in order to avoid accidental injury to the nerve during surgery. We report a rare case of bifid median nerve accompanied by an anomalous tendon of palmaris profundus discovered during the surgical release of carpal tunnel. The transverse carpal ligament was dissected and the anomalous tendon was left in situ because any direct compression over the median nerve was noticed intraoperatively. The patient was evaluated one year postoperatively clinically and radiologically (with MRI). At the follow up the resolution of symptoms was complete and the sleep disturbance was solved. The patient achieved a postoperative QuickDASH score of 9.1 and a Michigan Hand Questionnaire outcome score of 90 points.

scholarly journals Littre Hernia: A Rare Case of an Incarcerated Meckel’s Diverticulum

2017 ◽  
Vol 03 (02) ◽  
pp. E91-E92 ◽  
Author(s):  
Brian Malling ◽  
Andreas Karlsen ◽  
Jesper Hern
Keyword(s):  
Congenital Anomaly ◽  
Small Intestine ◽  
Rare Case ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Common Complication ◽  
Vitelline Duct ◽  
Littre Hernia

A Meckel’s diverticulum is a remnant of the vitelline duct, which leads to the formation of a true diverticulum containing all layers of the small intestine. The diverticulum can contain ectopic gastric, duodenal or pancreatic tissue and is the most common congenital anomaly of the gastrointestinal tract with estimates of prevalence ranging from 0.3% to 3%. The condition is usually clinically silent. In children the most common complication is gastrointestinal bleeding caused by ulceration due to the acid secretion by ectopic gastric mucosa.

scholarly journals A Rare Case of Intestinal Obstruction from Internal Hernia through a Foramen Formed by Appendices Epiploicae – A Case Report and Review of Literature

2020 ◽  
Vol 8 (C) ◽  
pp. 4-6
Author(s):  
Thomas Olagboyega Olajide ◽  
Olanrewaju Balogun
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Surgical Intervention ◽  
Internal Herniation ◽  
Review Of Literature ◽  
Improve Outcome ◽  
Internal Hernias ◽  
Appendices Epiploicae ◽  
High Index Of Suspicion

BACKGROUND: Internal hernias are uncommon causes of acute abdomen and intestinal obstruction. Internal herniation due to appendices epiploicae is very rare with only six cases reported in the literature.CASE REPORT: We, herein, present the report of a 64-year-old female who presented with features of intestinal obstruction due to internal herniation of a loop of small intestine through an orifice formed by the fusion of two appendices epiploicae. The band was divided into release the entrapped loop of bowel.CONCLUSION: A high index of suspicion with prompt surgical intervention will improve outcome.

scholarly journals Effective Treatment for Incarcerated Obturator Hernia With Bowel Dilatation by Combined Laparoscopy and Preperitoneal Approach: A Case Report

2020 ◽  
Vol 104 (3-4) ◽  
pp. 155-158
Author(s):  
Mizunori Yaegashi ◽  
Chihiro Tono ◽  
Yukihiro Minagawa ◽  
Hideki Ishioka ◽  
Yuya Nakamura ◽  
...  
Keyword(s):  
Small Intestine ◽  
Intestinal Obstruction ◽  
Clinical Symptoms ◽  
Obturator Hernia ◽  
Preperitoneal Space ◽  
Preperitoneal Approach ◽  
Incarcerated Obturator Hernia ◽  
Median Incision ◽  
Space Approach

Background: We report a case of a 90-year-old woman with intestinal obstruction due to left-sided incarcerated obturator hernia, which was revealed using computed tomography. Methods: Emergency surgerywas performed using laparoscopy, which showed a dilated small intestine and bilateral obturator hernia in the intraperitoneal space. After reducing incarceration of the small intestine using laparoscopy, we approached the bilateral preperitoneal space and inserted a Kugel patch via a small lower abdominal median incision (approximately 4 cm). Results: The patient was discharged on postoperative day 10 and showed no recurrence at the 18-month follow-up. Although relatively rare, obturator hernia can significantly cause intestinal obstruction. It has no specific clinical symptoms and is thus often difficult to diagnose. Treating obturator hernia is essential; however, mesh infection, recurrence, and opposite side of the obturator hernia should be carefully monitored. Conclusions: Although laparoscopy is used for treating obturator hernia, it may be difficult in patients with intestinal obstruction. In this case, a surgical technique combining laparoscopy and preperitoneal space approach via a small lower abdominal median incision was used to effectively treat an incarcerated occult bilateral obturator hernia.

scholarly journals Case Report: Solitary mastocytoma treated successfully with topical tacrolimus

F1000Research ◽  
2014 ◽  
Vol 3 ◽  
pp. 181 ◽  
Author(s):  
M. S. Sukesh ◽  
Ameet Dandale ◽  
Rachita Dhurat ◽  
Ankur Sarkate ◽  
Smita Ghate
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Topical Tacrolimus ◽  
Triggering Factors ◽  
Cutaneous Mastocytosis ◽  
One Year ◽  
The One ◽  
Solitary Mastocytoma

Solitary mastocytoma, a rare dermatological entity accounts for 10-15% of cutaneous mastocytosis. We report a rare case of solitary mastocytoma presenting at birth, treated successfully with topical tacrolimus. Along with reassurance and strict avoidance of triggering factors, no recurrence was reported within the one year follow-up period.

scholarly journals Venous Myxoma of the Distal Femoral Vein: A Rare Case of Leg Pain and Swelling

2021 ◽  
pp. 1-3
Author(s):  
Hervé Probst ◽  
Hervé Probst ◽  
Sébastien Vedani ◽  
Louis Guillou ◽  
Cédric Bron ◽  
...  
Keyword(s):  
Rare Case ◽  
Present Report ◽  
Femoral Vein ◽  
Surgical Excision ◽  
Leg Pain ◽  
Vein Wall ◽  
Complete Surgical Excision ◽  
Precise Diagnosis ◽  
One Year

Background: Myxoma is a rare tumor most frequently discovered in cardiac locations. The present report describes a rare case of extracardiac origin in the femoral vein, initially presenting as leg pain and swelling. Case Presentation: A 40-year-old woman was admitted to our regional hospital with unilateral left leg swelling and pain. She underwent a Duplex scan and CT scan, which revealed a 21 x 25 mm diameter mass in contact with the distal femoral vein, initially diagnosed as a thrombosed sacciform aneurysm. The patient underwent surgical excision of a bulging mass in the vein wall, which was directly closed by running suture. The anatomopathological report concluded with a myxoma. One-year follow-up showed a patent vein without evidence of recurrence of the tumor. Conclusion: Although very rare, peripheral venous myxoma may manifest with common symptoms as leg pain and swelling. Current vascular imaging and complete surgical excision should be performed without delay to allow a precise diagnosis and prevent further complications.

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