scholarly journals Occult insulinoma after oesophagectomy for oesophageal cancer-diagnostic challenges

2021 ◽  
Vol 9 (1) ◽  
pp. 185
Author(s):  
Marta Alexandre Silva ◽  
Maria João Amaral ◽  
Pedro Pinto ◽  
Mónica Martins ◽  
Marco Serôdio ◽  
...  
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Clinical Case ◽  
Gastrointestinal Surgery ◽  
Gastric Surgery ◽  
Diagnostic Investigation ◽  
Post Operative Period ◽  
History Of ◽  
Oesophageal Surgery ◽  
Hyperinsulinemic Hypoglycaemia

Hypoglycaemia in the post-operative period is mainly iatrogenic (related to anti-hyperglycaemic drugs), but can be explained by an endogenous hyperinsulinemic state. In the context of previous gastrointestinal surgery, a form of dumping syndrome can mask hypoglycaemia from an underlying cause, such as an insulinoma. The authors present a clinical case of a male patient who underwent oesophageal surgery for an oesophago-gastric junction adenocarcinoma and developed hypoglycaemic symptoms in the post-operative period, caused by an undiagnosed insulinoma. This case report portraits the diagnostic investigation of a hypoglycaemia state in the post-operative period, narrowing to the workup of an endogenous hyperinsulinemic hypoglycaemia and provides a summary of insulinoma’s treatment. An insulinoma should always be considered in a patient with endogenous hyperinsulinemic hypoglycaemia, even with a history of oesophago-gastric surgery.

scholarly journals Gangrenous jejunogastric intussuception as a complication of gastric surgery

2012 ◽  
Vol 43 (1-2) ◽  
pp. 18-20
Author(s):  
SM Hossain ◽  
AKMR Iqbal ◽  
SF Ahmed ◽  
MW Rahman
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Epigastric Pain ◽  
Previous History ◽  
Gastric Surgery ◽  
Sudden Onset ◽  
Palpable Mass ◽  
Post Operative Period ◽  
Jejunogastric Intussusception ◽  
History Of

Jejunogastric intussusception (JGI) is a rare but serious complication following gastrojenjunostomy operation. Clinical presentation may be acute or chronic. The efferent loop intussusception is most frequent type. Our case report include a 60 years male presented with sudden onset of epigastric pain, vomiting, hematemesis and a palpable mass at epigastrium with previous history of gastric surgery about 11 years back. Diagnosis of JGI was confirmed with endoscopy findings. After prompt resuscitation early surgery was done. Gangrenous segment was resected and revision surgery was done in Roux-en-Y pattern. Post-operative period was uneventful. Awareness of such complication, early diagnosis and prompt surgery can reduce the mortality of JGI. DOI: http://dx.doi.org/10.3329/bmjk.v43i1-2.13018 Bang Med J (Khulna) 2010; 43: 18-20

scholarly journals Incidental Finding of Posterior Fossa Epidermoid, In a Head Trauma Patient: A Case Report

2019 ◽  
Vol 17 (1) ◽  
pp. 56-57
Author(s):  
Narendra Prasad Baskota ◽  
K. Singh
Keyword(s):  
Case Report ◽  
Head Injury ◽  
Posterior Fossa ◽  
Head Trauma ◽  
Incidental Findings ◽  
Incidental Finding ◽  
Brain Lesions ◽  
Minor Head Trauma ◽  
Post Operative Period ◽  
History Of

Incidental findings of brain lesions in head injury are seen frequently. In our region NCC is common, but in literature meningioma andarachnoid cyst are common. Here we report a case of incidental finding of posterior fossa epidermoid in a 25 years old male patient who had history of minor head trauma which was operated with relatively uneventful post operative period.

scholarly journals Thrombosis in patients with myeloproliferative neoplasms. Case report

2021 ◽  
Vol 93 (7) ◽  
pp. 800-804
Author(s):  
Anait L. Melikyan ◽  
Irina N. Subortseva ◽  
Elena A. Gilyazitdinova ◽  
Tamara I. Koloshejnova ◽  
Kristina S. Shashkina ◽  
...  
Keyword(s):  
Case Report ◽  
Arterial Hypertension ◽  
Clinical Case ◽  
Myeloproliferative Neoplasms ◽  
Primary Myelofibrosis ◽  
Hemoglobin Level ◽  
History Of ◽  
Thrombotic Complications ◽  
Acquired Thrombophilia ◽  
Significant Factors

Thrombotic complications are the most significant factors determining the prognosis in myeloproliferative neoplasms. Markers for assessing the risk of thrombosis are the number of leukocytes, platelets, hemoglobin level, hematocrit, age, molecular status, history of thrombosis, obesity, arterial hypertension, hyperlipidemia, hereditary or acquired thrombophilia. The pathogenesis of thrombosis in patients with myeloproliferative neoplasms is complex and multifactorial. In most cases, the etiological factor remains unknown. Currently, antiplatelet and anticoagulant therapy is carried out on an individual basis. The algorithm for primary and secondary (after thrombosis) prevention requires development and testing. We present a clinical case of repeated arterial and venous thrombotic complications in a patient with primary myelofibrosis.

scholarly journals Lithobezoar: a case report

2019 ◽  
Vol 7 (1) ◽  
pp. 284
Author(s):  
Sanjeev Chowksey ◽  
Satish Deshmukh ◽  
Samrudhi Kalbande
Keyword(s):  
Case Report ◽  
Psychiatric Disorders ◽  
Standard Treatment ◽  
Young Male ◽  
Gastric Surgery ◽  
Healthy Patient ◽  
Unique Case ◽  
History Of ◽  
Special Mention ◽  
High Index Of Suspicion

We present a unique case of a colonic lithobezoar in a relatively healthy, young male with no history of psychological or psychiatric disorders. Furthermore, unlike previously reported cases, this patient had no history of gastric surgery. The mode of presentation and the rariety of disease pose difficulties in diagnosis of lithobezoar. The different modalities of treatment, both surgical and nonsurgical, were thought of and discussed. The diagnosis of a lithobezoar in a healthy patient requires a high index of suspicion, as it presents with nonspecific symptoms. The standard treatment for bezoars is discussed but lithobezoar needs special mention due to its rariety and no specific surgery guidelines.

Development of lymphangioleiomyomatosis in a female patient with Sjö gren's disease: a review of literature and a case report

2019 ◽  
Vol 13 (2) ◽  
pp. 119-123
Author(s):  
Yu. I. Khvan ◽  
S. G. Palshina ◽  
V. I. Vasiliev
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Clinical Case ◽  
Young Female ◽  
Renal Angiomyolipoma ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
History Of ◽  
Genetically Determined ◽  
Sjögren’S Disease

Cystic and bullous lung transformation occurs in diseases of various origins: neoplastic, genetically determined, rheumatic, lymphoproliferative, and infectious diseases. The paper presents a review of the literature and a clinical case of a young female patient with a long history of Sjögren's disease. Fifteen years after the onset of the disease, the patient developed cystic and bullous lung transformation and renal angiomyolipoma, which are regarded as a manifestation of probable lymphangioleiomyomatosis.

scholarly journals A Vallecular Cyst as a Cause of Hemoptysis in an Adult

2011 ◽  
Vol 2 (3) ◽  
pp. 158-160
Author(s):  
Prabodh Karnik ◽  
Anuja Santosh Kulkarni
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Clinical Entity ◽  
Voice Change ◽  
History Of ◽  
Spontaneous Onset

ABSTRACT A vallecular cyst although rare but well-documented clinical entity. This case report presents a case of vallecular cyst in a 26-year-old male patient who presented to us with history of spontaneous onset hemoptysis for 9 days along with voice change and dysphagia for 15 days.

scholarly journals Giant Left Atrium in a case of Mitral stenosis with LA thrombus: A Case Report

2016 ◽  
Vol 9 (1) ◽  
pp. 73-74
Author(s):  
Jubayer Ahmad ◽  
Md Mokhlesur Rahman ◽  
Heemel Saha ◽  
Md Aftabuddin ◽  
Asit Baran Adhikary
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Left Atrium ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Male Patient ◽  
Mitral Valve Disease ◽  
Mitral Stenosis ◽  
History Of ◽  
Giant Left Atrium

A 52 year-old male patient of severe MS with mild MR with AF with a giant left atrium (LA size 70 mm) and history of CMC presented with symptoms. Giant left atrium is a condition characterized by huge enlargement of the left atrium with a diameter exceeding 65mm. It is most commonly associated with long standing rheumatic mitral valve disease. The patient underwent successful mitral valve replacement and removal of LA thrombus and discharged from hospital with adviceCardiovasc. j. 2016; 9(1): 73-74

scholarly journals Metasztázis miatt végzett máj- és hasfalreszekció 11 évvel a pancreatoduodenectomia után

2017 ◽  
Vol 158 (28) ◽  
pp. 1109-1111
Author(s):  
Zsanett Biró ◽  
Róbert Papp ◽  
Levente Kucserik ◽  
Yousuf Al-Farhat ◽  
András Fincsúr ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Case Report ◽  
Liver Metastasis ◽  
Male Patient ◽  
Disease Recurrence ◽  
Redo Surgery ◽  
History Of ◽  
Solitary Liver ◽  
Solitary Liver Metastasis

Abstract: Pancreatic cancer has adverse prognosis. Disease recurrence is typical and it occurs mainly within the first 2 years postoperatively. However late and soliter metastases are rare. This case report shows the history of a male patient, who was radically operated on for pancreatic cancer. 11 years later a solitary liver metastasis has developed and it was completely removed by resection. 1 year postoperatively the patient is doing well. Our case demonstrates that in patients after resection for pancreatic cancer, redo surgery might be justified in case of late and isolated metastasis. Orv Hetil. 2017; 158(28): 1109–1111.

scholarly journals Follicular lymphoma in a patient with splenosis: a case report

2019 ◽  
Vol 48 (3) ◽  
pp. 030006051989020
Author(s):  
Umut Kefeli ◽  
Ozgur Mehtap ◽  
Ozgur Cakir ◽  
Ahmet Tugrul Eruyar ◽  
Serkan İsgoren ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Follicular Lymphoma ◽  
Male Patient ◽  
Explorative Laparotomy ◽  
First Case ◽  
Mild Abdominal Pain ◽  
Splenic Cells ◽  
History Of ◽  
Unusual Symptoms

Splenosis refers to the seeding of splenic cells associated with surgery or trauma. Splenosis mimicking other diseases has been reported in the literature. To the best of our knowledge, this is the first case of follicular lymphoma in a patient with splenosis whose diagnosis of lymphoma was delayed because of a known history of splenosis. We report a 48-year-old male patient who underwent splenectomy because of injury from a high fall 20 years previously. He had no symptoms other than mild abdominal pain until 2 years previously, which was thought to be associated with splenosis. When his symptoms began to increase, he had explorative laparotomy for diagnosis, which was later confirmed as follicular lymphoma. Splenosis may delay the diagnosis of other conditions that can be underestimated. Clinicians should be aware of unusual symptoms in patients with splenosis.

scholarly journals Congenital Cholesteatoma Localized to the Mastoid Cavity and Presenting as a Mastoid Abscess

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Salim M. Sloma Tabook ◽  
Hazem M. Abdel Tawab ◽  
Naveen Kumar Gopal
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Mastoid Process ◽  
Mastoid Cavity ◽  
Congenital Cholesteatoma ◽  
History Of ◽  
A Site

Introduction. Congenital cholesteatoma is a pearly white mass that rarely originates from the mastoid process.Case Report. A 21-year-old male patient presented to our department with severe right mastoid pain and postauricular fluctuant swelling for 23 days. There was no preceding history of ear complaints and examination showed a normal right ear drum. Emergency exploration of the mastoid process was done on the same day and revealed localized cholesteatoma limited only to the mastoid cavity.Conclusion. Despite a rarity, the mastoid process should be always put in mind as a site of origin for congenital cholesteatoma.

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