scholarly journals Giant Gastroduodenal Duplication Cyst with Juxta-Pancreatic Communication

2021 ◽  
Author(s):  
Jhon F Martinez-Paredes ◽  
Daniel G Plata-Diaz ◽  
Adriana Pinilla
Keyword(s):  
Congenital Malformations ◽  
Congenital Abnormalities ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Duplication Cyst ◽  
Wide Range ◽  
Enteric Duplication ◽  
Low Incidence ◽  
Specific Symptoms ◽  
Early Surgical Intervention

Enteric duplication cysts are rare congenital malformations with a low incidence and there are only a few reports in the literature. Their clinical presentation varies according to the location and the type of duplication. Their overall prognosis is good if early surgical intervention is provided. We present a case of a giant gastroduodenal duplication cyst with a juxta-pancreatic communication in a 2-month-old boy who was successfully treated surgically. It is imperative to be aware of this rare congenital malformation that can present clinically with a wide range of non-specific symptoms that can cause significant morbidity and mortality if the treatment is delayed. Keywords: Pancreatic Duct, Congenital Abnormalities, Intestinal Diseases, Newborn.

scholarly journals Isolated Gallbladder Rupture Due to Blunt Abdominal Trauma

HPB Surgery ◽  
1989 ◽  
Vol 1 (4) ◽  
pp. 359-362 ◽  
Author(s):  
P. Schachter ◽  
A. Czerniak ◽  
E. Shemesh ◽  
I. Avigad ◽  
G. Lotan ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Traumatic Injury ◽  
Biliary System ◽  
High Morbidity ◽  
Delay In Diagnosis ◽  
Early Surgical Intervention ◽  
Gallbladder Rupture

Traumatic injury to the extrahepatic biliary system is rare and usually diagnosed at laparotomy when it is associated with other visceral injuries. Isolated gallbladder rupture due to blunt abdominal trauma is even rarer. The clinical presentation of gallbladder injury is variable, resulting in a delay in diagnosis and treatment. Awareness to the possibilty of trauma to the extrahepatic biliary system enables early surgical intervention and eliminates the high morbidity associated with delated diagnosis.A 5 year old child with isolated gallbladder rupture caused by blunt abdominal trauma is presented.

scholarly journals A Dire Emergency Case of Stab Injury with Impending Ischemia of Eviscerated Bowel with Colonic Perforation - A Case Report

2021 ◽  
Vol 4 (6) ◽  
pp. 01-02
Author(s):  
Chatterjee S ◽  
M Amir ◽  
Sameer D ◽  
Prathamesh P
Keyword(s):  
Abdominal Trauma ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Colonic Perforation ◽  
Emergency Case ◽  
Penetrating Abdominal Trauma ◽  
Stab Injury ◽  
Ischemic Bowel ◽  
Work Up ◽  
Early Surgical Intervention

Penetrating abdominal trauma is mostly caused by gunshots or stab wounds.1 Management of penetrating abdominal trauma is often challenging and time between the injury and surgical intervention play a pivotal role in such cases depending upon the clinical presentation of the patient.The success rate depends so much on early surgical intervention that one cannot wait for pre-operative work up before taking the patient to operation theatre2. We present a case of stab injury presented with eviscerated ischemic bowel and perforation in transverse colon with mesenteric arterial spurter.

Acute Neurological Manifestations of Porphyrias and its Types: A Systematic-Review

2020 ◽  
Vol 18 ◽  
Author(s):  
Enrico Affonso Barletta ◽  
Telmo Augusto Barba Belsuzarri ◽  
Augusto Ricardo Barba Urena ◽  
Eduardo Augusto Iunes
Keyword(s):  
Systematic Review ◽  
Clinical Presentation ◽  
Neurological Manifestations ◽  
Consciousness Disturbance ◽  
Life Threatening ◽  
Low Incidence ◽  
Treatment Onset ◽  
Acute Porphyrias ◽  
Specific Symptoms ◽  
Psychiatric Manifestations

: Acute porphyrias cause life-threatening attacks of neurovisceral non-specific symptoms, so this condition mimics many acute medical and psychiatric diseases. The disease is very misdiagnosed, probably due to its low incidence and nonpathognomonic symptoms, this delays the effective treatment onset. Early diagnosis and treatment improve highly the prognosis and can prevent the development of neuropathic manifestations. We assembled a systematic review, following the PRISMA guidelines and using Pubmed as our database. Our aim is to show some peculiarities among patients that present neurological manifestations in acute porphyria attack. We have obtained the patients age, sex, clinical presentation, neurological manifestations and porphyria type out of 16 patients. We also evaluated the time between symptoms onset and neurological manifestations. The average age was 28,4 ± 11,1; 50% of patients were male. AIP was the most prevalent porphyria type. The average time between symptoms onset and neurological manifestations was of 9,53 ± 11,6 days. Abdominal pain; nausea and vomiting and psychiatric manifestations were the most common symptoms preceding neurological attacks. Seizures and consciousness disturbance were the most prevalent findings within an attack. We are also presenting a case to illustrate how difficult this diagnosis can be.

scholarly journals Congenital abnormalities in calves associated with Peaton virus infection in Japan

2018 ◽  
Vol 30 (6) ◽  
pp. 855-861 ◽  
Author(s):  
Yoichi Matsumori ◽  
Maki Aizawa ◽  
Yoshiko Sakai ◽  
Daisuke Inoue ◽  
Michiko Kodani ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Congenital Malformations ◽  
Congenital Abnormalities ◽  
Bovine Viral Diarrhea ◽  
Specific Gene ◽  
Antibody Testing ◽  
Viral Diarrhea ◽  
Low Incidence ◽  
The Relationship

Peaton virus (PEAV; family Peribunyaviridae, genus Orthobunyavirus) appears to be capable of producing congenital malformations in ruminants; however, its pathogenicity remains unknown given its relatively low incidence. We evaluated the relationship between congenital abnormalities of calves and PEAV infection by serologic, epidemiologic, pathologic, and virologic investigations using specimens from 31 malformed calves in the years 1996–2016 in Japan. Antibody testing was carried out for known teratogenic viruses, including Akabane, Aino, Chuzan, and bovine viral diarrhea viruses, in the precolostral sera of these abnormal calves, but all results were negative. However, all 31 malformed calves were positive for antibodies against PEAV. A PEAV-specific gene was amplified from central nervous system tissues from a stillborn calf delivered in April 2007, and its nucleotide sequence was identical with that of PEAV isolated from healthy sentinel cattle in September 2006. These findings indicate that PEAV can cause bovine congenital anomalies.

scholarly journals Symbrachydactyly

2021 ◽  
Author(s):  
Govindasamy Balakrishnan ◽  
S. Vijayaragavan ◽  
Balakrishnan Somesh
Keyword(s):  
Quality Of Life ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Treatment Algorithm ◽  
Standardized Treatment ◽  
Early Surgical Intervention

AbstractSymbrachydactyly is a rare congenital hand malformation in which a child is born with abnormally short digits that may be webbed, misshaped, or missing, and it is usually a unilateral condition. There is no standardized treatment algorithm for the management of symbrachydactyly. The function of the hand is often not adequate and requires early surgical intervention to restore useful prehension and appearance. This CME article presents a brief review of the embryology, history, classification and clinical presentation, and author’s experience of treating 19 children with symbrachydactyly over 10 years. Creation of thumb web, lengthening of thumb, and creating an opposition post results in prehension of hand with an improved quality of life.

Spontaneous Resolution of Small Bowel Obstruction in a Child following Rupture of a Small Bowel Duplication Cyst

Ultrasound ◽  
2011 ◽  
Vol 19 (4) ◽  
pp. 221-223
Author(s):  
K Patel ◽  
J Jacob ◽  
J Flavill ◽  
M Sellars
Keyword(s):  
Differential Diagnosis ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Congenital Anomalies ◽  
Congenital Malformations ◽  
Paediatric Population ◽  
Duplication Cyst ◽  
Spontaneous Resolution ◽  
Enteric Duplication

Duplication cysts are rare congenital malformations that can present with a variety of symptoms that may change during the course of an acute admission. We report a case in which a four-year-old boy presented with signs of small bowel obstruction that following imaging were found to be secondary to bowel compression by a large duplication cyst. The symptoms changed when the cyst ruptured. We highlight the importance of ultrasound in establishing the diagnosis of enteric duplication cysts in the symptomatic paediatric population. We also explore the differential diagnosis and complications that can be caused by these congenital anomalies.

scholarly journals Infected Completely Isolated Enteric Duplication Cyst Management with Percutaneous Drainage and Surgical Excision after Retreat of Infection: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Neofytou Kyriakos ◽  
Chysochos Andreas ◽  
Sammouti Elena ◽  
Andreou Charalampos ◽  
Georgiou Chrisanthos
Keyword(s):  
Abdominal Pain ◽  
Percutaneous Drainage ◽  
Congenital Malformations ◽  
Alimentary Tract ◽  
Abdominal Mass ◽  
Surgical Excision ◽  
Duplication Cyst ◽  
Enteric Duplication Cyst ◽  
Enteric Duplication ◽  
Palpable Abdominal Mass

Duplication cysts (DCs) of alimentary tract are rare congenital malformations. They are firmly attached to the wall of the gastrointestinal tract and they are supplied by surrounding mesenteric blood vessels. More than 80% of cases occur before the age of two years and only a minority of cases present in adulthood. “Completely isolated duplication” of the alimentary tract is an extremely rare variety of gastrointestinal duplications. They have gastrointestinal epithelial and wall characteristics without an anatomic association with the alimentary tract. Their main characteristic is that they have their own blood supply. A 20-year-old male was admitted to our department with symptoms persisting for a period of one week prior to admission, which included abdominal pain, fever, and a palpable abdominal mass. CT revealed an unexplained intraperitoneal abscess. This case represents a rare clinical example of infected isolated duplication cyst managed with percutaneous drainage and surgical excision of the cyst 3 weeks later. To the best of our knowledge, this is the first reported case to use this approach.

scholarly journals Role of early surgical intervention in outcome and prognosis of spontaneous cerebellar hemorrhage with intraventricular extension

2021 ◽  
Vol 3 (01) ◽  
pp. 28-32
Author(s):  
Jemesh Singh Maharjan
Keyword(s):  
Clinical Presentation ◽  
Surgical Intervention ◽  
Sudden Onset ◽  
Cerebellar Hemorrhage ◽  
First Case ◽  
Spontaneous Intracranial Hemorrhage ◽  
Poor Outcomes ◽  
The Right ◽  
Early Surgical Intervention

Spontaneous cerebellar hematomas represent 5 to 13% of all cases of spontaneous intracranial hemorrhage. The main controversy involves deciding which cases require surgical evacuation of the hematoma versus other options, such as ventricular drainage only or conservative treatment. Furthermore, because the clinical course is variable in some cases, timing of such treatment should be carefully considered. The duration from the onset of hemorrhage also plays an important role in prognosis and recovery of the patient. Both the clinical presentation and subsequent course vary among cases. Unpredictable rapid deterioration in consciousness levels has been recognized. The majority of patients with such decline in consciousness experience the deterioration primarily within 72 hrs after onset⁠. Acute presentation was observed to be correlated with poor outcomes. In our report, the first case presented with sudden onset of headache in the right frontal region of head with vertigo. He came to hospital within 6 hours of onset. However, the second case had an onset of symptoms around 72 hours before the presentation.

scholarly journals The challenge of primary gastric melanoma: a systematic review

2020 ◽  
Vol 7 (4) ◽  
pp. MMT51
Author(s):  
Gregory S Mellotte ◽  
Diya Sabu ◽  
Mary O’Reilly ◽  
Ray McDermott ◽  
Anthony O’Connor ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Surgical Intervention ◽  
Case Reports ◽  
Case Series ◽  
Management Options ◽  
Current Management ◽  
The Mean ◽  
Receive Treatment ◽  
One Year ◽  
Early Surgical Intervention

Aim: Primary gastric melanoma is a rare clinical presentation. The purpose of this review was to compare the 1-year survival in patients who underwent surgery with patients who did not receive treatment. Patients & methods: A systematic search of databases for case reports and case series of primary gastric melanoma was conducted. Results: The mean survival of patients was 22 months. One-year survival was 56.5% with surgery, rising to 66% with adjuvant therapy. Mean survival of the surgical group was 21.05 months (±20.2) versus 4.5 months (±3.61) in the nonsurgical group. Conclusion: Primary gastric melanoma has a poor prognosis but early surgical intervention can have a significant impact on patient outcome. We reviewed the biology and clinical diagnosis of gastrointestinal melanoma and the current management options available.

scholarly journals Distinguishing duodenal duplication cyst from choledochocele: A case report

2019 ◽  
Vol 5 (1) ◽  
pp. 34
Author(s):  
Ongoly Okiemy ◽  
Helene Meunier ◽  
Allan M. Goldstein
Keyword(s):  
Case Report ◽  
Bile Duct ◽  
Clinical Presentation ◽  
Duplication Cyst ◽  
Careful Consideration ◽  
Imaging Features ◽  
Rare Type ◽  
Duodenal Duplication ◽  
Duodenal Duplication Cyst ◽  
Enteric Duplication

Duodenal duplication cysts (DDC) are a rare type of enteric duplication. We describe the clinical presentation and laparoscopic management of a 7-year-old boy with a periampullary DDC.We also discuss the embryologic and imaging features that distinguish DDC from choledococele (CC). Careful consideration of the anatomic relationships between the ampulla, common bile duct, and duplication cyst are essential to avoid intraoperative bile duct injury.

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