scholarly journals An unusual case of primary peritoneal adenocarcinoma

2020 ◽  
Vol 7 (10) ◽  
pp. 3445
Author(s):  
Rajdave Singh Sadu Singh ◽  
Muhammad Rahimi Mohamad Hisham ◽  
Ahmad Tarmizi Mohammad ◽  
Shabbar Husain Fazle Abbas ◽  
Yussra Yusoff
Keyword(s):  
Incidental Finding ◽  
Treatment Strategies ◽  
Exploratory Laparotomy ◽  
Greater Omentum ◽  
Chemotherapy Response ◽  
Contrast Enhanced ◽  
Army Personnel ◽  
Immunohistochemical Studies ◽  
Enhanced Computed Tomography ◽  
Serous Papillary Carcinoma

Primary peritoneal adenocarcinoma is sporadic with few cases cited in pre-existing literature. This cancer arises from the peritoneal epithelium lining of the abdomen, which is derived from extra ovarian mesothelium. It generally carries a poor prognosis. The treatment strategies are similar to ovarian serous papillary carcinoma. Report an incidental finding of primary peritoneal adenocarcinoma in a 39-year-old female army personnel, currently undergoing her chemotherapy and thriving. Exploratory laparotomy was done given the incidental finding of a mass on the contrast-enhanced computed tomography scan (CT). The mass was attached to the greater omentum, however, did not invade the mucosa of the transverse colon. Given this, part of greater omentum was removed. The findings of the immunohistochemical studies of the tumour are described within this report. The diagnosis of a primary peritoneal adenocarcinoma, stage II was established as no other primary site were found upon further investigation. The patient was treated with chemotherapy (carboplatin/paclitaxel) which was planned for 6 cycles. Otherwise, the patient had an uneventful postoperative course, is underway her chemotherapy regime and is planned for interim CT study to assess chemotherapy response. To conclude, isolated solitary primary peritoneal adenocarcinoma without peritoneal carcinomatosis, gastrointestinal manifestations and ascites are rare. This case, however, demonstrates the importance of its diagnosis, accurate evaluation and management.

scholarly journals Unusual symptomatic late onset presentation of aberrant right subclavian artery: report of two cases and short literature review

2017 ◽  
Vol 87 (1) ◽  
Author(s):  
Yannis Dimitroglou ◽  
Ioannis Loulakas ◽  
Maria Chounti ◽  
Michail Megalakakis ◽  
Eleni Karavana ◽  
...  
Keyword(s):  
Subclavian Artery ◽  
Surgical Intervention ◽  
Late Onset ◽  
Incidental Finding ◽  
Aberrant Right Subclavian Artery ◽  
Barium Swallow ◽  
Main Symptom ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Aberrant subclavian arteries are congenital vascular anomalies that usually do not cause any symptoms. When symptomatic they are considered as a rare cause of dysphagia. This presentation is known as dysphagia lusoria. They are diagnosed by barium swallow or contrast-enhanced computed tomography, although it may be an incidental finding. Management varies from life modifications and drug therapy to surgical intervention. We report two cases of the unusual form of late onset symptomatic presentation because of the presence of aberrant right subclavian artery. Main symptom was chest pain without dysphagia. Due to age and medical comorbidities both patients where managed conservatively.

SMALL INTESTINAL CARCINOID TUMOR-A CASE REPORT

2021 ◽  
pp. 36-37
Author(s):  
B. Santhi ◽  
S. Savitha ◽  
V. G. Vikraman
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Exploratory Laparotomy ◽  
Wall Thickening ◽  
Lower Quadrant ◽  
Polypoidal Lesion ◽  
Contrast Enhanced ◽  
Intraluminal Mass ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Carcinoid tumors are neuroendocrine tumours, the most common tumour of the small bowel and its incidence is rising. Most carcinoid tumours grow slowly and mostly asymptomatic or may present with nonspecic abdominal pain or carcinoid syndrome. We had a 38 year old, female patient presented with generalized, intermittent, dull aching abdominal pain accompanied with distension and obstipation for 2 days with associated vomiting. She complained of weight loss and constipation during this period. On examination abdomen showed deep tenderness in periumbilical, right lower quadrant regions. No guarding, rigidity, mass or free uid. On per-rectal examination, there was no tenderness and the rectum was empty. Contrast enhanced computed tomography scan showed enhancing polypoidal lesion noted in distal ileum causing proximal dilatation of small bowel with air uid levels and circumferential wall thickening in dilated ileum proximal to polypoidal lesion, strongly enhancing nodal mass with specs of calcication, multiple mesentric lymph nodes and no liver metastasis. As the conservative management for 48 hours showed no improvement in symptoms, an emergency exploratory laparotomy was performed, and an intraluminal mass was identied from ileocecal junction causing obstruction with dilated loops of ileum and jejunum. Local resection of terminal ileum was performed and a side to side anastomoses was done using GI stapler. Histopathology showed diagnosis of neuroendocrine tumor

scholarly journals Garengeot’s hernia: two case reports with CT diagnosis and literature review

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 354-360 ◽  
Author(s):  
Cristina Garcia-Amador ◽  
Roberto De la Plaza ◽  
Vladimir Arteaga ◽  
Aylhin Lopez-Marcano ◽  
Jose Ramia
Keyword(s):  
Incidental Finding ◽  
Case Reports ◽  
Treatment Options ◽  
Diagnostic Methods ◽  
Open Approach ◽  
Contrast Enhanced ◽  
Choice Of Treatment ◽  
Preoperative Ct ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

AbstractGarengeot’s hernia (GH) is defined as the presence of the appendix inside a femoral hernia. It occurs in 0.9% of femoral hernias and is usually an incidental finding during surgery. Its treatment is controversial and the aim of this article is to review the diagnostic methods and surgical considerations.We report two cases diagnosed preoperatively by contrast-enhanced computed tomography (CT) and discuss the treatment options based on a review of the literature published in PubMed updated on 1 December, 2015.Fifty articles reporting 64 patients (50 women, mean age 70 years) with GH were included in the analysis. Diagnosis was performed by preoperative CT in only 24 cases, including our two. The treatment of GH is emergency surgery. Several options are available laparoscopic or open approach: insertion of a mesh or simple herniorrhaphy, with or without appendectomy.ConslusionThe preoperative diagnosis with CT can guide the choice of treatment. Appendectomy and hernioplasty should be performed via inguinotomy, if there is no perforation or abscess formation.

scholarly journals Emergent laparoscopic dome resection and omental suturing to the splenic parenchymal edge for a spontaneously ruptured non-parasitic large splenic cyst in a pediatric patient: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Kumiko Shono ◽  
Yoshiko Hashimoto ◽  
Takeshi Shono
Keyword(s):  
Pediatric Patient ◽  
Splenic Cyst ◽  
Greater Omentum ◽  
Case Presentation ◽  
First Case ◽  
Splenic Parenchyma ◽  
Contrast Enhanced ◽  
Cyst Recurrence ◽  
Enhanced Computed Tomography ◽  
Emergent Case

Abstract Background Spontaneously ruptured large splenic cyst is a rare in children, and traditionally total or partial splenectomy has been performed for treating an emergent case. We herein present a first case with spontaneously ruptured pediatric splenic cyst treated with emergent laparoscopic dome resection with omental suturing to the parenchymal edge of the spleen. Case presentation A 12-year-old girl with a spontaneously ruptured large non-parasitic splenic cyst (SC) was successfully treated by emergent laparoscopic dome resection with omental suturing to the edge of the splenic parenchyma. The patient presented with acute abdominal pain and was diagnosed with a ruptured non-parasitic SC and peritonitis by contrast-enhanced computed tomography (CT). Emergent laparoscopic dome resection of the SC and omental suturing to the splenic parenchymal edge were then performed. The protruding part of the cyst wall was completely resected using an ultrasonically activated device (USAD), and the greater omentum was then sutured to the anterior edge of the splenic parenchyma under a laparoscopic view. No complications were observed during the operation. A histological examination revealed a congenital splenic cyst lined by epithelial cells. The postoperative course was uneventful, and an ultrasound scan showed no evidence of cyst recurrence at 3 years after the operation. Conclusions This minimally invasive laparoscopic procedure was feasible and effective for treating a ruptured large splenic cyst in an emergent pediatric patient.

Aortic sclerosis: clinical signs and diagnosis

ESC CardioMed ◽  
2018 ◽  
pp. 2582-2583
Author(s):  
Yuvrajsinh J. Parmar ◽  
Itzhak Kronzon
Keyword(s):  
Clinical Symptoms ◽  
Fibrous Tissue ◽  
Clinical Signs ◽  
Treatment Strategies ◽  
Transoesophageal Echocardiography ◽  
Contrast Enhanced ◽  
Aortic Sclerosis ◽  
Enhanced Computed Tomography ◽  
Progressive Accumulation ◽  
Atherosclerotic Changes

Atherosclerotic changes in the aorta result in progressive accumulation of cholesterol and other lipids in the intimal–medial layer with secondary inflammation, fibrous tissue deposition, surface erosions (ulcers), and plaque formation. The plaques and ulcers are associated with clot formation and emboli resulting in a variety of clinical symptoms. Modern imaging technologies such as contrast-enhanced computed tomography, magnetic resonance imaging, and echocardiography are used in the diagnosis; however, transoesophageal echocardiography remains the gold standard for plaque visualization in the thoracic aorta. Treatment strategies revolve around risk factor reduction and management of general atherosclerosis, as there are no other proven therapies to date.

scholarly journals A primary splenic epithelial cyst: rare case report

2018 ◽  
Vol 5 (9) ◽  
pp. 3161 ◽  
Author(s):  
Unmed Chandak ◽  
Arti Mitra ◽  
Archana Kamble
Keyword(s):  
Cystic Lesion ◽  
Exploratory Laparotomy ◽  
Epithelial Cyst ◽  
Splenic Parenchyma ◽  
Splenic Cysts ◽  
Contrast Enhanced ◽  
Rare Case Report ◽  
Total Splenectomy ◽  
Enhanced Computed Tomography ◽  
Open Surgical Approach

Splenic cysts are rare, most of them being hydatid cysts. Our case is about a primary (true) splenic epithelial cyst. A 21-year-old female patient presented to casualty with pain in the upper left abdomen. On being investigated with by sonography she was found to have a solitary cystic lesion in the spleen. Her contrast enhanced computed tomography of the abdomen and pelvis revealed a 10.9 × 11.4 × 12.0 cm cystic lesion of the spleen, probably a hydatid or primary splenic epithelial cyst. Due to the large size of the cyst, an open surgical approach was planned. On exploratory laparotomy via a left subcostal incision, a solitary cyst involving >75% of the splenic parenchyma was discovered. Total splenectomy was done as splenic parenchyma could not be functionally salvaged. Histopathological investigation showed a primary epithelial splenic cyst. The patient recovered uneventfully.

scholarly journals Brachiocephalic Vein Aneurysm Treated with Surgery: A Case Report

2019 ◽  
Vol 22 (5) ◽  
pp. E357-E359
Author(s):  
Jin hong Wi
Keyword(s):  
Vascular Graft ◽  
Incidental Finding ◽  
Median Sternotomy ◽  
Rare Condition ◽  
Unknown Origin ◽  
Brachiocephalic Vein ◽  
Postoperative Course ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Brachiocephalic vein aneurysm is an extremely rare condition of unknown origin. It may be asymptomatic, presenting as an incidental finding or as a result of complications it causes. We report a case of a 54-year-old man who was asymptomatic and diagnosed with an isolated saccular aneurysm of the left brachiocephalic vein using contrast-enhanced computed tomography. The patient underwent aneurysmectomy through a median sternotomy with no requirement for a vascular graft or cardiopulmonary bypass. The patient had an uneventful postoperative course and remained well two months after the surgery.

scholarly journals Huge Retroperitoneal Dermoid: A Presentation

2019 ◽  
Vol 05 (04) ◽  
pp. e142-e145
Author(s):  
Tanweerul Huda ◽  
Mahendra Pratap Singh
Keyword(s):  
Histopathological Examination ◽  
Cystic Teratoma ◽  
Exploratory Laparotomy ◽  
Cystic Mass ◽  
Contrast Enhanced ◽  
Chief Complaints ◽  
Region Contrast ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Upper Abdomen

AbstractTeratoma can be defined as a true neoplasm that contains tissues that either are foreign to the primary site of origin or are histologically diverse and represent more than one of the embryonic germ layers. A 20-year-old female patient presented with chief complaints of swelling in the right upper abdomen since childhood and back pain for the past 4 years. Per abdomen, examination revealed a lump of around 15 cm in size in the right hypochondrial region extending to the epigastric region. Contrast-enhanced computed tomography abdomen revealed a 14.3 × 14.1 × 17.4 cm well-defined heterogeneously hypoattenuating nonenhancing complex cystic mass with focal areas of calcifications and fat attenuation in retroperitoneum. The patient was taken up for exploratory laparotomy and a tumor was found in the retroperitoneum, retrocavally and was excised with due care. Histopathological examination features were suggestive of mature cystic teratoma. The postoperative stay was uneventful.

scholarly journals Isolated perforation of fourth part of Duodenum following Blunt Abdominal Trauma

2022 ◽  
Vol 19 (1) ◽  
pp. 106-108
Author(s):  
Prabir Maharjan ◽  
Shiv Vansh Bharti ◽  
Digbijay Bikram Khadka ◽  
Anup Karki ◽  
Arun Gnyawali
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Primary Repair ◽  
Exploratory Laparotomy ◽  
Hollow Viscus ◽  
Case Presentation ◽  
Fourth Part ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Duodenal Injuries

Introduction: Isolated duodenal injuries are rare in blunt abdominal trauma. These present a significant challenge for management because of the associated injuries and its difficult anatomical accessibility. Case presentation: A 20years male presented to the Emergency department following a bike accident sustaining injury over face, chest and abdomen, 6hours after the incident. His vitals were unstable so he was resuscitated and admitted in Intensive Care Unit. He had generalized abdominal tenderness without rigidity. Contrast enhanced computed tomography of abdomen and pelvis was suggestive of hollow viscus perforation. He underwent exploratory laparotomy and primary repair for isolated perforation at fourth part of duodenum. He was discharged on his ninth postoperative day. Conclusion: Rare injuries following blunt abdominal trauma should be considered and early intervention is necessary.

scholarly journals An unusual presentation of giant pancreatic pseudocyst in the parietal wall

2021 ◽  
pp. 366-368
Author(s):  
Ishita Laha ◽  
Swapnil Sen ◽  
Achintya Kumar Das
Keyword(s):  
Pancreatic Pseudocyst ◽  
Necrotizing Pancreatitis ◽  
Fluid Collection ◽  
Outlet Obstruction ◽  
Exploratory Laparotomy ◽  
Contrast Enhanced ◽  
Acute Necrotizing ◽  
True Cyst ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

A true cyst is a localized fluid collection covered by a capsule lined by epithelium, whereas, a pseudocyst does not consist specific lining of cells. We report one such case of a 37-year-old gentleman with giant pancreatic pseudocyst in the anterior abdominal wall which had developed secondary to acute necrotizing pancreatitis. A contrast-enhanced computed tomography scan showed a pseudocyst in the lesser sac and left pre-renal fossa. He was planned for exploration but within a month, he was at the emergency with yet another episode of gastric outlet obstruction with a huge hypogastric swelling compressing the stomach. The patient was resuscitated and immediately posted for exploratory laparotomy. To the surprise of surgeons, the lump was just below the umbilicus with whatsoever no relation with the pancreas. However, the expert opinion of the histopathologists suggested it to be a pseudocyst.

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