scholarly journals Pseudo-Bartter Syndrome as an Atypical Presentation of Intestinal Malrotation: A Case Report

Author(s):  
Orkun Aydin ◽  
Burak Ardicli ◽  
Selman Kesici

Abstract Intestinal malrotation is a congenital intestinal rotation anomaly and can present with various symptoms. Electrolyte disorders are very common in childhood. Pseudo-Bartter syndrome (PBS) is one of the conditions that causes electrolyte disorders and can be seen due to intestinal malrotation in children.A 3.5-month-old boy who was diagnosed as having malrotation is reported. The patient had PBS because of non-bilious vomiting. We could find only two reports on PBS related to malrotation. It is emphasized that intestinal malrotation should be considered in patients presenting with gastrointestinal symptoms such as vomiting, abdominal pain, and also PBS.

2021 ◽  
Vol 7 (2) ◽  
pp. 98-102
Author(s):  
R H Gobbur ◽  
Ranjima M ◽  
Aravind S Akki

During the current COVID-19 pandemic, the assessment, and management of patients are challenging. The clinical features of COVID-19 are heterogeneous and subtle in many cases. Although diffuse alveolar damage and acute respiratory failure are the main features of COVID-19, the impairment of other organs are also seen. Gastrointestinal symptoms are common in pediatric patients with COVID-19 as SARS-CoV-2 is able to enter gastrointestinal epithelial cells. However, these complaints can also be caused by a COVID-19-independent concomitant abdominal pathology. Therefore, patients with fever with acute abdominal pain, anorexia, nausea, vomiting and diarrhea need to be assessed very thoroughly. Previous studies reported that COVID-19 was likely to result in liver injury. Based on clinical cases, we present our approach of management of children with symptoms and signs of viral hepatitis and concomitant suspicion of ­COVID-19.


2021 ◽  
Vol 9 ◽  
pp. 2050313X2098321
Author(s):  
Mohammad Altermanini ◽  
Mhd Baraa Habib ◽  
Abdel-Naser Elzouki

COVID-19 is an infectious disease, which often presents with fever and respiratory symptoms. However, gastrointestinal symptoms have also been reported to occur in patients with COVID-19. Although abdominal pain was described in some reports of COVID-19, it was uncommon and often associated with other symptoms. We describe a challenging case of a COVID-19 patient who presented with severe isolated abdominal pain initially, then developed pneumonia symptoms which led to the diagnosis of COVID-19 thereafter.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fernando Sierra-Arango ◽  
Cathalina Vergara-Cabra ◽  
Mariana Vásquez-Roldan ◽  
Erika D. Pérez-Riveros

Abstract Background The SARS-CoV-2 pandemic is a considerable public health problem, which has caused a burden on health systems in many countries. Despite the existence of multiple studies on the different digestive symptoms and their relationship with this disease, it is still vital to highlight the severity of the different symptoms, the need to diagnose it properly and quickly. Currently in Colombia there are no writings that highlight the above. Case presentation This article reports the case of a 37-year-old female patient, with no important history, who consulted for 10 h of a generalized intense abdominal pain, of sudden onset, associated with multiple stools of diarrheal consistency, and no respiratory symptoms and no epidemiological exposure. Physical examination with intense pain in the colic frame with tenderness. It was decided to rule out surgical pathology and a CT scan was performed finding no evidence of acute intra-abdominal pathology, but with a peripheral alveolar, and ground-glass opacities at lung bases, classic COVID-19 radiological pattern, confirmed by a positive RT-PCR for SARS-CoV-2, leading to consider that the gastrointestinal symptoms were secondary to this infection. Symptomatic management was given with subsequent improvement. Conclusions It is extremely important to present this first case report of a young female COVID-19 patient with an acute abdominal pain as the main clinical manifestation, that almost culminates in a surgical procedure; demonstrating the scope of gastrointestinal symptoms secondary to SARS-CoV-2 infection.


1970 ◽  
Vol 10 (2) ◽  
pp. 135-138 ◽  
Author(s):  
Md Robed Amin ◽  
Shekh Fazle Rabbi ◽  
Md Ferdous Zaman ◽  
Md Khalilur Rahman

Tapeworm infection is most common in cattle and pork breeding areas. Humans are the definitive host. Gravid segments of T saginata are passed in human feces to soil, where they are ingested by grazing animals, especially cattle. The eggs then hatch to release embryos that encyst in muscle as cysticerci. Humans are infected by eating raw or undercooked infected beef. Most individuals infected with T saginata are asymptomatic, but abdominal pain and other gastrointestinal symptoms may be present. Eosinophilia is common. The most common presenting finding is the passage of proglottids in the stool. Treatment is highly satisfactory with praziquantel. Taenia Saginata Asiatica is a variant of Taenia saginata where the intermediate host is Pork. Normally the pork tapeworm is mean for Taenia solium. But in case of asiatica variant it is Taenia Saginata that can also lead to pork tapeworm infection. It is not uncommon in south east asia region. Here is a case report of pork tapeworm in a primary are hospital in Bangladesh Key words: Pork, Tapeworm, Taenia Saginata Asiatica, Rural   doi: 10.3329/jom.v10i2.2832   J MEDICINE 2009; 10 : 135-138


2009 ◽  
Vol 52 (3) ◽  
pp. 125-127 ◽  
Author(s):  
Nursel Türkmen ◽  
Bülent Eren ◽  
Gürsel Cetin

The records of Forensic Medicine Council of Turkey Bursa Morgue Department reveal the first case of fatal methanol ingestion in a child. Household methanol exposures are mostly due to accidental ingestion of washing fluids. A 4 year-old girl was admitted to the emergency department with her parents with gastrointestinal symptoms; nausea, vomiting and abdominal pain. Toxicological studies revealed 79 mg/dl blood level of methanol. We presented infant autopsy case of methanol toxicity and discussed the case from medicolegal aspect.


2021 ◽  
Vol 8 (8) ◽  
pp. 2477
Author(s):  
Mohamed Rizwan ◽  
Mithun Raju ◽  
Rupesh George

Enterobius vermicularis is one of the most common nematode infestations seen worldwide. This condition is commonly seen in children. Although asymptomatic, they present with symptoms of perianal itching commonly at night with perianal excoriations. In this case report we present a case 79 years old man with multiple co-morbidities who presented with non-bilious vomiting and severe abdominal pain. Emergency laparotomy was performed during which terminal ileal gangrene was noted. Ileo-caecal wall revealed multiple parasites (enterobius).  


1970 ◽  
Vol 29 (6) ◽  
Author(s):  
Kirubel Abebe ◽  
Abebe Megersa ◽  
Engida Abebe

Background-Schistosomiasis is a trematode infestation causing a chronic granulomatous disease in various organs. Both S. mansoni & S. haematobium are endemic in Ethiopia. Most infected individuals are asymptomatic. Ectopic schistosomiasis can affect the lungs, genitalia, CNS, skin, peritoneum, Lymph nodes & other organs. Schistosomiasis as a cause of acute abdomen is seldom reported.Case Detail-A 51years -old male Ethiopian farmer presented with a two weeks history of abdominal pain with recent onset bilious vomiting and abdominal distention. Emergency laparotomy done & the finding was multiple tiny whitish nodule over the peritoneum & small bowel with multiple mesenteric lymphadenopathy. The diagnosis was confirmed with histopathology study.Conclusions- Schistosomal peritonitis is a very uncommon form of schistosomiasis. Physicians should be aware of such atypical presentation in patients from endemic areas of schistosomiasis. And biopsy should be considered in unsettled forms of peritonitis during laparotomy. The pathogenesis is not well known which warrants further study.


2015 ◽  
Vol 3 (7) ◽  
pp. 292-294 ◽  
Author(s):  
Paula M.Y. Tang ◽  
Yvonne C.L. Leung ◽  
Judy W.S. Hung ◽  
Clarence C.W. Liu ◽  
Kenneth L.Y. Chung ◽  
...  

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