scholarly journals Gall stone ileus- a rare cause of intestinal obstruction: a case report and review of literature

2017 ◽  
Vol 4 (4) ◽  
pp. 1484 ◽  
Author(s):  
Senthilkumar Perumal
Keyword(s):  
Intestinal Tract ◽  
Clinical Presentation ◽  
Operative Procedure ◽  
Gall Stone ◽  
Review Of Literature ◽  
History Of Surgery ◽  
Radiological Features ◽  
High Incidence ◽  
History Of ◽  
Gall Stone Ileus

Gall stone ileus is an uncommon and potentially serious complication of cholelithiasis. The formation of fistula between the gallbladder and duodenum may allow the gallstone to enter the intestinal tract. It carries a significant morbidity and mortality due to the advanced age of patients and high incidence of concomitant diseases. Here we report a case of a 75-year-old male patient who is a known diabetic, hypertensive and COPD with a recent history of surgery for obstructed umbilical hernia. He presented in the emergency department with small bowel obstruction owing to a large stone in ileum. The clinical presentation, radiological features, operative procedure and literature review are presented.

scholarly journals An uncommon cause of common presentation – Gall stone ileus: A case report and review of literature

2014 ◽  
Vol 6 (1) ◽  
pp. 112-114
Author(s):  
Anand Munghate ◽  
Sushil Mittal ◽  
Harnam Singh ◽  
Anjna Garg ◽  
Gurpreet Singh ◽  
...  
Keyword(s):  
Intestinal Tract ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
The Elderly ◽  
Medical Sciences ◽  
Mechanical Intestinal Obstruction ◽  
Female Predominance ◽  
History Of ◽  
Emergent Laparotomy ◽  
Gall Stone Ileus

About 1%-4% of all cases of mechanical intestinal obstruction were caused by rare disease gallstone ileus. It is an uncommon complication of cholelithiasis. The formation of a fistula between the gallbladder and the duodenum may allow a gallstone to enter the intestinal tract. Gallstone ileus usually occurs in the elderly with a female predominance and is associated with a high mortality rate. The diagnosis of gallstone ileus entails a clinical challenge, especially in older patients in whom it may be easily overlooked. Here we report a case of 75 year old female patient presented in emergency with 4 day history of nausea, vomiting and pain in epigastric region. Emergent laparotomy was done and it was surprise to see that the cause of obstruction was gall stone ileus, enterolithotomy and repair was done. DOI: http://dx.doi.org/10.3126/ajms.v6i1.9307 Asian Journal of Medical Sciences Vol.6(1) 2015 112-114

563 A Rare Case of Small Bowel Obstruction Secondary to Peritoneal Encapsulation, Congenital Adhesional Band and Gallstone Ileus

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
P Gungadin ◽  
A Taib ◽  
M Ahmed ◽  
A Sultana
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Unusual Case ◽  
Gallstone Ileus ◽  
Gall Stone ◽  
Case Presentation ◽  
Peritoneal Encapsulation ◽  
History Of ◽  
Gall Stone Ileus

Abstract Introduction Small bowel obstruction can be caused by multiple factors. We describe an unusual case of small bowel obstruction secondary to three rare factors: gallstone ileus, peritoneal encapsulation and congenital adhesional band. Case Presentation A seventy-nine-year-old male presented with a four-day history of obstipation and abdominal pain. CT abdomen pelvis revealed small bowel obstruction secondary to gallstone ileus. The patient was managed by laparotomy. The intraoperative findings revealed the presence of a congenital peritoneal encapsulation with an adhesional band and gallstone proximal to the ileo-caecal valve. Although there was some dusky small bowel, this recovered following the release of the band. Discussion Peritoneal Encapsulation is a rare congenital pathology resulting in the formation of an accessory peritoneal membrane around the small bowel. This condition is asymptomatic and rarely presents as small bowel obstruction. The diagnosis is often made at laparotomy. There are less than 60 cases reported in literature. Gallstone ileus is another rare entity caused by an inflamed gallbladder adhering to part of the bowel resulting in a fistula. Conclusions The rarity of these conditions mean that they are poorly understood. A combination of this triad of gall stone ileus in the presence of peritoneal encapsulation and congenital band has not been reported before. Knowledge of this would raise awareness, facilitate diagnosis and management of patients.

The Prevalence and Clinical Profile of Angiographic Coronary Ectasia

2003 ◽  
Vol 11 (2) ◽  
pp. 122-126 ◽  
Author(s):  
Peter Nyamu ◽  
Mullasari S Ajit ◽  
Peter K Joseph ◽  
Lakshmi Venkitachalam ◽  
Nancy A Sugirtham
Keyword(s):  
Coronary Artery ◽  
Clinical Presentation ◽  
Review Of Literature ◽  
Management Options ◽  
The Past ◽  
Left Anterior Descending Artery ◽  
Coronary Ectasia ◽  
High Prevalence ◽  
History Of ◽  
The Right

Coronary artery ectasia, a variant of coronary atherosclerosis, is a relatively rare entity. Review of literature did not reveal an exclusive study on isolated ectasia. We decided to analyse the clinical presentation and angiographic prevalence of this subset. A retrospective study of patients who underwent coronary angiogram in our institute over the past six years was carried out and the epidemiological, clinical and angiographic characteristics of patients with isolated ectasia were analysed. Distribution of ectasia was with a modification of the Markis classification. Among 6938 angiograms analysed, 134 (2%) had isolated ectasia. Of the 118 symptomatic patients, 34 (25%) had a history of or presented with infarction, with correlation between the territory of infarction and the ectatic vessel in 32 patients. Of 62 patients with lipid abnormality, Hypertriglyceridemia in 42 (65%) was the most common. The left anterior descending artery was the most common vessel involved. Diffuse ectasia most commonly involved the right coronary artery. One patient had spontaneous coronary dissection. There is a relatively high prevalence of isolated coronary ectasia with predominant involvement of the right coronary vessel when diffuse and the left anterior descending artery when discrete. This entity is not innocuous and warrants a detailed study on the available management options.

scholarly journals PULMONARY ALVEOLAR PROTEINOSIS - A CASE REPORT AND REVIEW OF LITERATURE

2020 ◽  
pp. 1-3
Author(s):  
Abhilash Narvenkar ◽  
Uday C. Kakodkar* ◽  
Chetan Kerkar ◽  
John Muchahary
Keyword(s):  
Case Report ◽  
Lower Respiratory Tract ◽  
Pulmonary Alveolar Proteinosis ◽  
Lung Lavage ◽  
Review Of Literature ◽  
Whole Lung Lavage ◽  
Gm Csf ◽  
Radiological Features ◽  
History Of ◽  
Alveolar Proteinosis

Pulmonary alveolar proteinosis (PAP) is a rare disorder characterised by accumulation of lipoproteinaceous material in the alveolar air spaces. Diagnosis depends on histopathological and radiological features. Treatment includes whole lung lavage (WLL) and GM-CSF therapy. We present a case report of primary idiopathic PAP treated with bilateral whole lung lavage. A 50 year old female presented with history of progressive breathlessness and recurrent lower respiratory tract infection. There were bilateral basal ne crepitations on auscultation and she was maintaining saturation of 70% at room air. Serial chest radiographs showed persistent bilateral alveolar opacities. HRCT thorax showed crazy paving pattern involving both lungs. BAL uid showed lipoproteinaceous material which was PAS stain positive. Patient was subsequently treated with bilateral WLLfollowing which there was radiological and clinical improvement

scholarly journals Osteoma of mastoid temporal bone

2018 ◽  
Vol 4 (4) ◽  
pp. 1097
Author(s):  
Gowri Sankar M. ◽  
Somanath B. M. ◽  
Raveendra P. Gadag ◽  
Manu C. B. ◽  
Nagaraj M.
Keyword(s):  
Temporal Bone ◽  
Clinical Presentation ◽  
Giant Cell Tumour ◽  
Eosinophilic Granuloma ◽  
Bone Tumour ◽  
Young Female ◽  
Rare Occurrence ◽  
Radiological Features ◽  
History Of ◽  
Slow Growing

<p>Osteoma is a benign slow growing bone tumour with predominance in long bones, and is rare in the skull. They are a rare occurrence in the mastoid temporal bone, being usually asymptomatic and treated mainly for cosmetic reasons. We report a case of a young female who presented with a history of swelling in the left post aural region since 10 years. Swelling was gradually increasing in size and was painless. Patient underwent excision of the tumour without any significant complication. As per our knowledge this appears to be the largest tumour reported in literature. The clinical presentation and radiological features of osteoma are characteristic but differential diagnosis should include eosinophilic granuloma, giant cell tumour, monostotic fibrous dysplasia, solitary variant of multiple osteoma, and osteoblastic metastasis. Osteomas present on the mastoid or squamous portion of the temporal bone need to be dealt for cosmetic purposes or if they are causing symptoms, while surgery should include careful removal of periosteal cover and safe margin of the mastoid cortex around it. </p>

scholarly journals Multiple spinal extradural cysts causing progressive paraparesia: case report and review of literature

2012 ◽  
Vol 31 (01) ◽  
pp. 46-49
Author(s):  
Elton Gomes da Silva ◽  
Vinícius Teixeira Ribeiro ◽  
Bruno Vieira Scarpim ◽  
Yvens Barbosa Fernandes
Keyword(s):  
Spinal Cord ◽  
Clinical Presentation ◽  
Cord Compression ◽  
Subtotal Resection ◽  
Review Of Literature ◽  
Partial Removal ◽  
Asymptomatic Patients ◽  
History Of ◽  
Progressive Paraparesis

AbstractMultiple meningeal extradural cysts are extremely rare. The clinical presentation varies from asymptomatic patients to important symptoms due to spinal cord compression. This article reports the case of a girl with multiple meningeal extradural cysts with progressive paraparesis and hypoesthesia on inferior limbs. The MRI showed multiple extradural cysts between C7 and L1. A partial resection was made at the cystis, reflecting a improve at the postoperative follow up of the patient. The management of asymptomatic cases is usually followed up clinical and radiologically. At the management of the symptomatic cases, the resection of the cysts is the most indicated treatment, even for patients with a long-standing history of compression. However the partial removal has as good results as the total one. The authors review the literature and show a subtotal resection of the cysts did not change the evolution of the presentation.

scholarly journals Laparoscopic management of double gallbladder diagnosed intraoperatively: A case report and review of literature

2018 ◽  
Vol 87 (5-6) ◽  
Author(s):  
Jošt Kokalj ◽  
Yasmin Marianna Hunt
Keyword(s):  
Congenital Anomaly ◽  
Preoperative Diagnosis ◽  
Operative Procedure ◽  
Gall Stone ◽  
Review Of Literature ◽  
First Line ◽  
Rare Congenital Anomaly ◽  
Double Gallbladder ◽  
The Common ◽  
Gallbladder Removal

Double gallbladder is a rare congenital anomaly, which can present a challenge for the surgeon who performs laparoscopic cholecystectomies. The common first-line modality for screening in symptomatic gallbladder pathology is still ultrasonography, even though the accuracy is low. Preoperative diagnosis of this anomaly is not common as it is available in only 50 % of cases. Preoperative diagnosis and being acquainted with this anomaly decrease the possibility of injury to the biliary tract, the number of postoperative complications and the possible need for further surgical procedures.We present a case of double gallbladder which was diagnosed during the operative procedure. Based on ultrasonography screening, which showed a gall-stone in an unchanged gallbladder, a laparoscopic gallbladder removal was indicated. Despite the finding of a double gallbladder, the performance of laparoscopic gallblade removal was uneventful.

scholarly journals Congenital choledochal malformations in children: management strategies

2017 ◽  
Vol 4 (11) ◽  
pp. 3705
Author(s):  
Jiledar Rawat ◽  
Sudhir Singh ◽  
Digamber Chaubey
Keyword(s):  
Clinical Presentation ◽  
Operative Procedure ◽  
Management Strategies ◽  
Acute Cholangitis ◽  
Previous History ◽  
Biliary Tree ◽  
Definitive Treatment ◽  
Bilioenteric Anastomosis ◽  
Cyst Excision ◽  
History Of

Background: A Congenital Choledochal Malformations (CCM) is common congenital defect of biliary tree in Asian subcontinent. Presentations of CCM are vague from asymptomatic to life threatening cholangitis or pancreatitis. Complete cyst excision and bilioenteric anastomosis is now accepted surgical treatment.Methods: This is a retrospective study of five years duration. In this study the clinical presentation, haematological, biochemical and radiological findings, operative procedure and outcome were studied from case records.Results: Total of 20 patients were studied, with clinical presentation of recurrent abdominal pain in eight cases, previous history of cholangitis in five cases, acute cholangitis two cases, biliary peritonitis in four cases and previous history of pancreatitis in one case. In 13 cases Roux-en-Y hepaticojejunostomy (RYHJ) and in 4 cases hepaticoduodenostomy (HD) done after cyst excision. One case of type II CCM managed with only cyst excision, in two cases Lilly’s procedure, one case requires temporary external drainage and in two cases temporary internal drainage done in view on cholangitis and jaundice.Conclusions: However, the definitive treatment of CCM is complete cyst excision and bilioenteric anastomosis, though lot of other temporary majors are also required at different stages of disease.

Jaw involvement in Gaucher disease: a not-so-uncommon feature of a rare disease

2021 ◽  
Vol 14 (11) ◽  
pp. e244298
Author(s):  
Simona D'Amore ◽  
Navdeep Kumar ◽  
Uma Ramaswami
Keyword(s):  
Gaucher Disease ◽  
Clinical Presentation ◽  
Age Of Onset ◽  
Radiological Features ◽  
Bone Marrow Disease ◽  
History Of ◽  
Severity Of The Disease ◽  
Bone Abnormalities

Gaucher disease is an inborn error of metabolism resulting from the deficiency of the enzyme glucocerebrosidase and consequent accumulation of glucocerebroside within the lysosomes of macrophages. The clinical presentation is very diverse, depending on the age of onset and the severity of the disease, and results from the progressive infiltration of lipid-laden cells in various organs. Common manifestations of Gaucher disease include enlarged liver and/or spleen (hepatosplenomegaly), bone marrow disease (pancytopenia) and bone abnormalities, which are extremely variable and can affect multiple skeletal sites. While bone involvement of long bones and vertebrae is a well-recognised feature of Gaucher disease, jawbone involvement is less commonly noted. Here, we describe a case of a 63-year-old patient with type 1 Gaucher disease with a history of long-term use of bisphosphonates and who had presented with dental pain, with subsequent investigations confirming the radiological features of jaw involvement in Gaucher disease, including periodontal disease.

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