Intussusception of appendix - a case report

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.

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Bilateral Congenital Humeroradial Synostostis Presenting with Bilateral Proximal Radius Fractures: A Case Report

Case Reports in Orthopedic Research ◽

10.1159/000512183 ◽

2021 ◽

pp. 29-32

Author(s):

Elsiddig E. Mahmoud

Keyword(s):

Case Report ◽

Elbow Joint ◽

Parental Education ◽

Functional Disability ◽

Congenital Abnormalities ◽

Rare Condition ◽

Radius Fractures ◽

Proximal Radius ◽

History Of ◽

Uncommon Condition

Congenital bilateral humeroradial synostosis (HRS) is a rare condition. It is generally divided into 2 categories. In the first group, which is mainly sporadic, additional upper limb hypoplasia typically coexists. In the second group, which is classically familial, HRS is commonly an isolated upper extremity anomaly. HRS can lead to variable degrees of functional disability. The clinical case reported here illustrates a possibly avoidable presentation of this uncommon condition. In this case report, we present a 6-week-old male who presented with bilateral radius fractures. Radiography revealed congenital HRS at both elbows. No other associated congenital abnormalities were detected, and there was no family history of similar conditions in any first-degree relatives. In cases of congenital HRS, movement at the elbow joint is not possible. Parents who are unaware of this information might try to straighten their infant’s elbows, which in turn may result in fractures of the proximal radius. Hence, early diagnosis and proper parental education could prevent fractures as a sequela of HRS.

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Unusual case of Giardia lamblia causing eosinophilic ascites along with Plesiomonasshigelloides gastroenteritis

Biomedicine ◽

10.51248/.v41i2.806 ◽

2021 ◽

Vol 41 (2) ◽

pp. 321-323

Author(s):

Ballal Mamatha ◽

Shetty Vignesh ◽

Agarwal Manali ◽

Nayal Bhavna ◽

Umakanth Shashikiran

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Giardia Lamblia ◽

Complete Resolution ◽

Unusual Case ◽

Peripheral Eosinophilia ◽

Short Trip ◽

Eosinophilic Ascites ◽

History Of

A case report of a healthy, immunocompetent male,an international traveller from Germany who had visited India for a short trip,presented at our OPD with a history of loose stools, fever and abdominal pain,for two months. After thorough investigations, he was diagnosed to have an infection withGiardia lambliaacute gastroenteritis (AGE) along witheosinophilic ascites with peripheral eosinophilia, withassociatedPlesiomonasshigelloidesdiarrhoea. He was then treated with metronidazole and cotrimoxazole, which resulted in complete resolution of the symptoms.

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Torsion of the Ovary in Infancy, a Rare Emergency; A Case Report

Asian Journal of Medicine and Health ◽

10.9734/ajmah/2021/v19i930370 ◽

2021 ◽

pp. 90-96

Author(s):

Abdelilah Radi ◽

Karima Larbi Ouassou ◽

Amal Hassani ◽

Rachid Abilkassem ◽

Aomar Agadr ◽

...

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Clinical Evaluation ◽

Clinical Picture ◽

Acute Abdominal Pain ◽

Rare Condition ◽

Ovarian Torsion ◽

Positive Diagnosis ◽

Hemorrhagic Risk ◽

Made In

Torsion of the ovary is a rare condition whose diagnosis remains difficult given the non-specificity of the clinical picture as well as the difficulty of clinical evaluation, especially in young girls. It is a surgical emergency because it involves the vital prognosis by the hemorrhagic risk, and functional prognosis by the risk of infertility. The clinical picture is dominated by acute abdominal pain. Our work reports the case of a 2-year-old girl in whom the diagnosis of ovarian torsion was made in front of an atypical clinical picture. Laparoscopy is the method of choice for making a positive diagnosis and performing a conservative procedure as described in this work.

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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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Disseminated Histoplasmosis in an Elderly Man Presented with Fever, Weight loss, Abdominal Pain and Haemoptysis - A Case Report with Literature Review

Journal of Medicine ◽

10.3329/jom.v12i1.6745 ◽

2011 ◽

Vol 12 (1) ◽

pp. 81-85

Author(s):

Mohammad Robed Amin ◽

Farzana Shumi ◽

Hasibuddin Khan ◽

Syed Ahmed Abdullah ◽

Shafiul Alam ◽

...

Keyword(s):

Elderly Patient ◽

Weight Loss ◽

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Disseminated Histoplasmosis ◽

History Of ◽

Background History ◽

Recurrent Haemoptysis ◽

High Index Of Suspicion

An elderly patient presented with prolonged fever, gross weight loss, recurrent haemoptysis and abdominal pain. He had a background history of adrenal tuberculosis with completion of treatment without any obvious improvement. Clinically he was diagnosed as a case of adrenocotical insufficiency. Evaluation including histopathology revealed the diagnosis as disseminated histoplasmosis involving adrenal gland and lungs. The disease is a rarity without any underneath immunosuppression and hence high index of suspicion with appropriate steps for investigation is the key to achieve a diagnosis of disseminated histoplasmosis in Bangladesh. Keyword: . DOI: 10.3329/jom.v12i1.6936J Medicine 2011; 12 : 81-85

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Retenção Urinária Como Manifestação de Hematocolpos

Acta Médica Portuguesa ◽

10.20344/amp.11912 ◽

2020 ◽

Vol 33 (13) ◽

Author(s):

Íris Santos Silva ◽

Renata Martello ◽

António Mendes ◽

Albertino Chaves

Keyword(s):

Emergency Department ◽

Abdominal Pain ◽

Case Report ◽

Urinary Retention ◽

Genital Tract ◽

Rare Condition ◽

Tanner Stage ◽

Imperforate Hymen ◽

Uncommon Condition ◽

Rare Symptom

Hematocolpos is an obstruction of the menstrual flow due to an anomaly of the genital tract, with imperforate hymen being the most common one. It is an uncommon condition, with a prevalence of 1:1000 – 1:16 000. It is usually an asymptomatic condition until the onset of menarche, when there is accumulation of blood in the vagina (hematocolpos) or in the uterus (hematometra). A rare symptom of hematocolpos could be urinary retention. Our case report is about a 12-year-old girl, with no menarche and Tanner stage M4/P5, who was admitted to our emergency department with abdominal pain and urinary retention. A brief review of this rare condition is presented, in order to remind clinicians about its existence, so that it can be diagnosed and treated as quickly as possible.

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Rupture of sinus of Valsalva aneurysm: case report and review of contemporary literature

Perfusion ◽

10.1177/0267659120966915 ◽

2020 ◽

pp. 026765912096691

Author(s):

Jean-Luc Duval ◽

Richard AE Ramsingh ◽

Natasha C Rahaman ◽

Risshi D Rampersad ◽

Gianni D Angelini ◽

...

Keyword(s):

Case Report ◽

Cardiac Failure ◽

Congenital Heart ◽

Contemporary Literature ◽

Rare Condition ◽

Aneurysm Rupture ◽

Sinus Of Valsalva ◽

Sinus Of Valsalva Aneurysm ◽

History Of ◽

High Index Of Suspicion

Sinus of Valsalva aneurysm rupture is a rare condition with a great potential for morbidity and mortality if not promptly diagnosed and managed. We present an unusual non-infected sinus of Valsalva aneurysm rupture in a 47-year-old female. This case report, a likely presentation of a late congenital heart defect, highlights the need for a high index of suspicion in a patient with atypical history of congestive cardiac failure.

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Procidencia with rare complication -a case report

KYAMC Journal ◽

10.3329/kyamcj.v3i1.13662 ◽

2013 ◽

Vol 3 (1) ◽

pp. 262-264

Author(s):

Mst Atia Sultana ◽

Monira Akter ◽

Shafiul Anam

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Rare Complication ◽

Lower Abdominal Pain ◽

Chemical Substances ◽

Abdominal Tenderness ◽

History Of

Mrs. Lalbanu 65 years old lady presented to us with the complaints of something coming down per vagina for 10 years, foul smelling discharge for 2 months, fever & maggot formation for 5 days, she also gave history of applying some chemical substances on her prolapsed mass of genitalia, and she also complains of lower abdominal pain for last 5 days. On examination, prolapsed mass was distorted, edematous, infected, irreducible & there were maggots, her temperature was raised & having lower abdominal tenderness. She was treated at first conservatively & then surgically. Now she is well & with our follow up.DOI: http://dx.doi.org/10.3329/kyamcj.v3i1.13662 KYAMC Journal Vol. 3, No.-1, June 2012 pp.262-264

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Thyrotoxic periodic paralysis in new-onset hyperthyroidism – a case report and review of the literature

Revista de Ciências Médicas e Biológicas ◽

10.9771/cmbio.v12i4.9207 ◽

2014 ◽

Vol 12 (4) ◽

pp. 531

Author(s):

Joaquim Custódio da Silva Junior ◽

Helton Estrela Ramos

Keyword(s):

Case Report ◽

Previous History ◽

Rare Condition ◽

Periodic Paralysis ◽

Emergency Physicians ◽

Review Of The Literature ◽

Font Size ◽

Thyrotoxic Periodic Paralysis ◽

History Of ◽

New Onset

Thyrotoxic periodic paralysis (TPP) is a rare condition related to hyperthyroidism, with specific clinical and physiopathological features. In this article, we discuss a case report of a patient that develops TPP with no previous history of thyroid illness, highlighting semiological characteristics that can help Emergency physicians to suspect of this condition. Subsequently, we review the recent articles about TPP, with focus in the molecular basis of ion channelopathies and predisposing factors, and discuss the therapeutic approach at acute phase of TPP and prevention of crisis recurrence.

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