Acute chylous peritonitis due to idiopathic pancreatitis mimicking acute appendicitis

The acute development and the accumulation of chyle into the peritoneal space is a rare condition and one needs to be able to distinguish it from chylous ascites, which is most commonly chronic and associated with related diseases. It is frequently idiopathic and additionally, clinical and imaging findings are nonspecific. In almost all cases, the diagnosis is made intraoperatively during laparoscopy or laparotomy, most diagnostic procedures being indicated by acute complaints pertaining to the abdomen. A 23-year-old man was admitted to the Emergency Department with abdominal pain, with right iliac fossa tenderness and peritonism. Laparoscopy was performed due to acute abdomen findings. Further exploration revealed chylous effusion with milky-like fluid. The peritoneal lavage and the insertion of drains were subsequent to the careful inspection of the cavity. The biochemical analysis of the peritoneal fluid was an important aid which provided the diagnosis of chylous peritonitis due to acute pancreatitis.

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Unruptured ectopic pregnancy in rudimentary horn of unicornuate uterus at fourteen weeks with previous vaginal delivery

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20205271 ◽

2020 ◽

Vol 9 (12) ◽

pp. 5166

Author(s):

Jaydip Hindocha ◽

Sneh Sonaiya

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Peritoneal Lavage ◽

Iliac Fossa ◽

Rare Condition ◽

Exploratory Laparotomy ◽

Left Iliac Fossa ◽

Rudimentary Horn ◽

Unicornuate Uterus ◽

Mullerian Ducts

Unicornuate uterus with a rudimentary horn is an anomaly of the mullerian duct and is an extremely rare condition. This condition results when one of the paired mullerian ducts fails to fuse completely. Its incidence is estimated to be one in 76,000 pregnancies.Pregnancy in the rudimentary horn of the unicornuate uterus is difficult to diagnose on ultrasound and can be easily missed out. Hence the pregnancy usually gets detected after rupture when the mother presents with the complaint of severe abdominal pain. This is a case report of a 24 year old G2P1A0L1 female who presented to us with complaints of tenderness in the left iliac fossa and mild abdominal distention. Clinical examinations, radiological investigations, and exploratory laparotomy revealed a unicornuate uterus with an unruptured left rudimentary horn pregnancy at 14 weeks with mild hemoperitoneum. Following the exploratory laparotomy, excision of the left rudimentary horn and thorough peritoneal lavage was performed.

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Spontaneous ear nose throat bleed: hematohidrosis an unknown entity series of eight cases

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20163140 ◽

2016 ◽

Vol 2 (4) ◽

pp. 164

Author(s):

Vikram Venkatsubramaniam Jagannathan ◽

Rajasekar M. K. ◽

Shailaja Mathivanan ◽

Meenaxi Praveen Mehta

Keyword(s):

Emotional Stress ◽

Biochemical Analysis ◽

Rare Condition ◽

The Body ◽

Bleeding Diathesis ◽

Rare Entity ◽

Blood Components ◽

Severe Stress ◽

Intact Skin ◽

Bleeding Episodes

Background: Spontaneous bleed from ear, nose, throat is a rare condition called as hematohidrosis, which occurs under condition of extreme physical or emotional stress. This condition manifests as spontaneous painless bleeding through unbroken skin in any part of the body. It is self-limiting in nature. This condition is relatively unaware among otorhinolaryngologists, the diagnosis of which is made by presence of bloody discharge without any obvious cause through intact skin, witnessed and confirmed by a health professional and the presence of blood components on biochemical analysis.Methods: Retrospective analysis of series of eight cases. Results: All eight cases had normal haematological parameters and were under emotional stress. Two cases manifested with oral bleed.Conclusions: Hematohidrosis is relatively unknown condition to the otorhinolaryngologists and the cases are occurring sporadically which goes unnoticed. This condition occurs in severe stress which may also lead to ear, nose, oral, gastrointestinal bleeds or in combination from any of the sites with a relation of severity of stress level with quantity and site of the bleeding episodes. The condition can be managed effectively if the condition is recognized after ruling out bleeding diathesis. If awareness is created about this clinical condition which is relatively unknown entity, it will lead to further insight on evaluation and management of this rare entity probably an exocrine disorder.

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Gel-Immobilized Microarrays for the Study of Nucleic Acids and Proteins

Microscopy and Microanalysis ◽

10.1017/s1431927600018419 ◽

1999 ◽

Vol 5 (S2) ◽

pp. 1018-1019

Author(s):

Jordanka Zlatanova ◽

Andrei Mirzabekov

Keyword(s):

Large Scale ◽

Biochemical Analysis ◽

Computer Software ◽

Interdisciplinary Approach ◽

Basic Research ◽

Single Nucleotide ◽

Quantum Leap ◽

Nucleotide Mutation ◽

Agriculture And Environment ◽

Almost All

Recently, a quantum leap has been achieved in the analysis of DNA and proteins through the advent of the biochip technology. This technology is a product of a broad interdisciplinary approach combining biochemical analysis, semiconductor manufacturing and computer software. Biochips can be defined as miniaturized ordered arrays of macro molecules or pieces thereof that are immobilized in a precise spatial manner on support media and can be used in highly automated, large-scale and high-throughput fashion to analyze biological material. The biochip can be used in a wide variety of areas related to basic research and can find versatile applications in almost all areas of human activities connected to biotechnology, medicine, agriculture, and environment monitoring and bioremediation.The power of the technology has already been demonstrated in areas like gene sequencing and proofreading, detection of single-nucleotide mutation and polymorphism, identification of genes, identification of viruses and microorganisms, gene expression analysis, analysis of sequencespecific ligands and proteins, and others.

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Chylous ascites as a consequence of idiopathic pancreatitis

BMJ Case Reports ◽

10.1136/bcr-2013-200132 ◽

2014 ◽

Vol 2014 (feb05 1) ◽

pp. bcr2013200132-bcr2013200132 ◽

Cited By ~ 5

Author(s):

C. K. Baban ◽

M. Murphy ◽

C. O'Sulleabhain ◽

D. O'Hanlon

Keyword(s):

Chylous Ascites ◽

Idiopathic Pancreatitis

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Rare case report of idiopathic gingival fibromatosis in childhood and its management

BMJ Case Reports ◽

10.1136/bcr-2018-227942 ◽

2019 ◽

Vol 12 (1) ◽

pp. e227942

Author(s):

Morankar Rahul ◽

Krishan Gauba ◽

Nitin Gorwade ◽

Aman Kumar

Keyword(s):

Age Of Onset ◽

Rare Condition ◽

Radiographic Examination ◽

Oral Manifestations ◽

Gingival Enlargement ◽

Rare Case Report ◽

Scalpel Blade ◽

Gingival Fibromatosis ◽

Mandibular Teeth ◽

Almost All

Idiopathic gingival fibromatosis (GF), also known as gingivomatosis, is a rare condition in childhood, with an unknown aetiology. The oral manifestations of the condition are varied and depend on the severity and age of involvement. This paper describe the case of a 5-year-old male child with extensive gingival enlargement covering almost all the maxillary and mandibular teeth resulted in difficulty with speech, mastication and poor aesthetics. Clinical and radiographic examination along with haematological investigations ruled out any systemic association. The case was managed with conventional scalpel blade surgery along with electrocautery under general anaesthesia yielding good results without any recurrence after a 12-month follow-up. The results revealed that the oral manifestations of GF depend on its severity and the age of onset. Timely intervention can help to prevent associated complications in a growing child.

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Spinal Osteosarcoma

Clinical Medicine Insights Oncology ◽

10.4137/cmo.s10099 ◽

2013 ◽

Vol 7 ◽

pp. CMO.S10099 ◽

Cited By ~ 16

Author(s):

P. Katonis ◽

G. Datsis ◽

A. Karantanas ◽

A. Kampouroglou ◽

S. Lianoudakis ◽

...

Keyword(s):

Adjuvant Radiotherapy ◽

Molecular Level ◽

Genetic Disorders ◽

Diagnostic Procedures ◽

Tumor Removal ◽

Primary Bone Tumor ◽

Histopathological Classification ◽

Genetic Complexity ◽

Primary Bone ◽

Almost All

Although osteosarcoma represents the second most common primary bone tumor, spinal involvement is rare, accounting for 3%–5% of all osteosarcomas. The most frequent symptom of osteosarcoma is pain, which appears in almost all patients, whereas more than 70% exhibit neurologic deficit. At a molecular level, it is a tumor of great genetic complexity and several genetic disorders have been associated with its appearance. Early diagnosis and careful surgical staging are the most important factors in accomplishing sufficient management. Even though overall prognosis remains poor, en-block tumor removal combined with adjuvant radiotherapy and chemotherapy is currently the treatment of choice. This paper outlines histopathological classification, epidemiology, diagnostic procedures, and current concepts of management of spinal osteosarcoma.

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Long-term Uncontrolled Hereditary Gingival Fibromatosis: A Case Report

The Journal of Contemporary Dental Practice ◽

10.5005/jcdp-8-1-90 ◽

2007 ◽

Vol 8 (1) ◽

pp. 90-96 ◽

Cited By ~ 5

Author(s):

Dilek Şengün ◽

Hasan Hatipoğlu ◽

Müjgan Güngör Hatipoğlu

Keyword(s):

Case Report ◽

Rare Condition ◽

Gingival Hyperplasia ◽

Gingival Overgrowth ◽

Mucoperiosteal Flap ◽

Gingival Fibromatosis ◽

Mandibular Teeth ◽

One Year ◽

Almost All

Abstract Hereditary gingival fibromatosis (HGF) is a rare condition characterized by varying degrees of gingival hyperplasia. Gingival fibromatosis usually occurs as an isolated disorder or can be associated with a variety of other syndromes. A 33-year-old male patient who had a generalized severe gingival overgrowth covering two thirds of almost all maxillary and mandibular teeth is reported. A mucoperiosteal flap was performed using interdental and crevicular incisions to remove excess gingival tissues and an internal bevel incision to reflect flaps. The patient was treated 15 years ago in the same clinical facility using the same treatment strategy. There was no recurrence one year following the most recent surgery. Citation Şengün D, Hatipoğlu H, Hatipoğlu MG. Long-term Uncontrolled Hereditary Gingival Fibromatosis: A Case Report. J Contemp Dent Pract 2007 January;(8)1:090-096.

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Interventional Treatment of Lymphatic Leakage Post Appendectomy: Case Report

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.288 ◽

2019 ◽

Vol 7 (9) ◽

pp. 1512-1515

Author(s):

Nguyen Ngoc Cuong ◽

Nguyen Thai Binh ◽

Phan Nhan Hien ◽

Nguyen Hoang ◽

Le Tuan Linh ◽

...

Keyword(s):

Case Report ◽

Female Patient ◽

Clinical Case ◽

Iliac Fossa ◽

Chylous Ascites ◽

Percutaneous Intervention ◽

Interventional Treatment ◽

Lymphatic Complications ◽

The Right ◽

Intranodal Lymphangiography

BACKGROUND: Postoperative lymphatic complications are not common, and lymphatic leakage complication post appendectomy (LLCPC) is even rarer. However, the number of this operation is high so LLCPC can occur. CASE REPORT: Here, we report a female patient post appendectomy with severe chylous ascites. This patient underwent six operations. A leakage point at the right iliac-fossa, which was embolized successfully after two sessions, was spotted during intranodal lymphangiography. After 6 months, the ascites were significantly reduced while some lymphatic aneurysms still existed in the lumbar-retroperitoneal region. CONCLUSIONS: Basing the knowledge of this clinical case and literature, we have concluded that lymphatic leakage can be diagnosed and embolized by percutaneous intervention.

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Pseudoaneurysm of the Dorsalis Pedis Artery Diagnosed on Point-of-Care Ultrasound

POCUS Journal ◽

10.24908/pocus.v6i1.14752 ◽

2021 ◽

Vol 6 (1) ◽

pp. 6-7

Author(s):

Nathan A. Friedman ◽

Caleb P. Canders ◽

Alan T. Chiem

Keyword(s):

Emergency Department ◽

Lower Extremity ◽

Point Of Care ◽

Rare Condition ◽

Diagnostic Procedures ◽

Needle Aspiration ◽

Point Of Care Ultrasound ◽

Minor Trauma ◽

Dorsalis Pedis Artery ◽

Painless Mass

A 46-year-old man presented with a painless mass on his dorsal right foot one week after striking it on a door. A traumatic hematoma was suspected, and needle aspiration of the mass is considered. However, point-of-care ultrasound performed by the emergency physician identified a pseudoaneurysm of the dorsalis pedis artery, a rare condition that can occur after minor trauma or iatrogenic intervention. This report demonstrates how point-of-care ultrasound can be used to identify a pseudoaneurysm of the lower extremity, thereby expediting emergency department workup and preventing potentially dangerous diagnostic procedures.

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Chondroblastoma of thoracic vertebra in young adult causing paraparesis

Romanian Neurosurgery ◽

10.1515/romneu-2017-0054 ◽

2017 ◽

Vol 31 (3) ◽

pp. 335-338

Author(s):

Pramod J. Giri ◽

Vaibhav S. Chavan

Keyword(s):

Case Report ◽

World Literature ◽

Clinical Presentation ◽

Rare Condition ◽

Thoracic Vertebra ◽

Complete Excision ◽

The World ◽

Posterior Element ◽

Almost All

Abstract Chondroblastoma of spine is very rare condition. To best of our knowledge, fewer than 30 cases have been reported in the world literature. Almost all of them involved both anterior & posterior component of vertebra. There are only few reports with isolated posterior element involvement. Clinical presentation of paraparesis because of vertebral chondroblastoma is very rare. This case report presents 17 yr old male with chondroblastoma involving posterior thoracic vertebra presenting with quadriparesis which improved after successful treatment. Early diagnosis and complete excision with periodic follow up is necessary for treatment of this disease.

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