A Rare Case of Bilobed Giant Peritoneal Loose Body

A 50-year-old male patient was referred to Department of Radiodiagnosis for evaluation of a longstanding intermittent abdominal pain associated with a palpable mass migrating in different quadrants of the abdomen and had gradually increased in size over last few years. The initial ultrasonographic (USG) evaluation revealed a well circumscribed bilobed hypoechoic pelvic solid space occupying lesion (SOL) with central calcific foci. Subsequent contrast enhanced computed tomography (CECT) imaging showed a 10.1 x 7.5 x 5.8 cm, bilobed non-enhancing pelvic mass with central dense calcific foci and concentric soft tissue layers of different attenuation. The mass was diagnosed to be a giant peritoneal loose body (gPLB) and confirmed by surgical exploration.

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Symptomatic Imperforate Hymen in Early Infancy: A Case Report

Journal of Nepal Medical Association ◽

10.31729/jnma.4922 ◽

2020 ◽

Vol 58 (226) ◽

Author(s):

Geha Raj Dahal ◽

Subash Phuyal ◽

Pooja Agrawal

Keyword(s):

Rare Case ◽

Abdominal Mass ◽

Pelvic Mass ◽

Primary Amenorrhea ◽

Vaginal Opening ◽

Imperforate Hymen ◽

Contrast Enhanced ◽

Abdominal Examination ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

Imperforate hymen, though a congenital anomaly, usually presents late in puberty as lowerabdominal pain, primary amenorrhea, and cyclical pain. Blood collects in vagina and uterus,proximal to imperforate hymen leading to their distention. Its presentation at infancy is a rare entity.We report such a rare case of symptomatic imperforate hymen in infancy, who presented with acuteretention of urine, chills and rigor. Abdominal examination revealed an intra-abdominal mass in thelower abdomen and pelvis with the absence of vaginal opening on perineal examination. Contrast enhanced computed tomography abdomen showed large abdominopelvic cystic lesion posterior tothe urinary bladder and anterior to the rectum consistent with a highly distended vagina. She wasmanaged by the incision of the imperforate hymen and drainage of the pus. A high index of suspicionis necessary whenever a female infant presents with abdomino-pelvic mass with symptoms of feveror urinary retention.

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Unusual trichobezor of stomach and intestines as a manifestation of Rapunzel syndrome: a rare case report

International Surgery Journal ◽

10.18203/2349-2902.isj20195435 ◽

2019 ◽

Vol 6 (12) ◽

pp. 4569

Author(s):

Tejinder Pal Singh Sodhi ◽

Sameer Pundeer ◽

Maneshwar Singh Utaal ◽

Kirti Savyasacchi Goyal

Keyword(s):

Computed Tomography ◽

Rare Case ◽

Proximal Jejunum ◽

Rare Form ◽

Rapunzel Syndrome ◽

Contrast Enhanced ◽

Rare Case Report ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography ◽

Entire Stomach

Rapunzel syndrome is a rare form of trichobezoar with accumulation of large amounts of hair extending from stomach to variable portion of small intestine. An 18 year old girl was brought to surgery opd with complaints of vomiting on and off since 3 months. Contrast enhanced computed tomography abdomen showed a bezoar extending from stomach into the duodenum and proximal jejunum suggestive of Rapunzel syndrome with 3rd and 4th part of duodenum along with duodenojejunal junction. On laparotomy, a trichobezoar occupying the entire stomach measured 100 cm in length and 700 grams in weight. Since the mass formed in Rapunzel syndrome is generally too large to be removed endoscopically or laparoscopically, it requires removal by open gastrostomy.

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Contrast-enhanced computed tomography features of a rare case of cystic primary hepatic angiosarcoma

Polish Archives of Internal Medicine ◽

10.20452/pamw.16154 ◽

2021 ◽

Author(s):

Pei-yin Chen ◽

Lan-hui Qin ◽

Jin-yuan Liao

Keyword(s):

Computed Tomography ◽

Rare Case ◽

Hepatic Angiosarcoma ◽

Contrast Enhanced ◽

Primary Hepatic Angiosarcoma ◽

Enhanced Computed Tomography ◽

Contrast Enhanced Computed Tomography

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Rare Case of Gastric Schwannoma Simulating Gastrointestinal Stromal Tumour-A Case Report

10.21203/rs.3.rs-947941/v1 ◽

2022 ◽

Author(s):

Shruthi Panduranga ◽

Samson Kade ◽

Pooja Varwatte ◽

Harisha V

Keyword(s):

Computed Tomography ◽

Rare Case ◽

Gastrointestinal Stromal Tumour ◽

Gastric Schwannoma ◽

Contrast Enhanced ◽

S 100 ◽

Enhanced Computed Tomography ◽

Slow Growing ◽

Contrast Enhanced Computed Tomography ◽

Lymphoid Aggregates

Abstract Gastric schwannoma (GS) is a rare, benign, slow-growing neoplasm representing 0.2% of all gastric tumors. We report a rare case of Gastric schwannoma in a 56 year old woman who presented with abdominal discomfort and vomiting since few years. Contrast enhanced Computed Tomography showed a well-defined homogeneously attenuating lesion with homogenous enhancement. Wedge gastrectomy was done with a possible diagnosis of Gastrointestinal stromal tumor, but was confirmed to have Gastric schwannoma on histopathology showing spindle cells with peripheral cuff of lymphoid aggregates and S-100 protein positivity on immunohistochemistry. Gastric schwannoma should be included in the differential diagnosis of a gastric intramural or exophytic mass when Computed Tomography shows a well-defined homogeneously attenuating lesion with progressively increasing homogenous enhancement without hemorrhage, necrosis, and degeneration.

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