scholarly journals Cystic dystrophy of the duodenal wall in ectopic pancreas

2013 ◽  
Vol 141 (9-10) ◽  
pp. 680-684 ◽  
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Marjan Micev ◽  
Mirjana Perisic ◽  
Stojan Latincic ◽  
...  
Keyword(s):  
Rare Complication ◽  
Barium Meal ◽  
Good Health ◽  
Recurrent Abdominal Pain ◽  
Ectopic Pancreas ◽  
Heavy Smoker ◽  
Duodenal Wall ◽  
Pathologic Finding ◽  
Alcohol Abuser ◽  
Head Of The Pancreas

Introduction. Cystic dystrophy of the duodenal wall is a rare complication of the ectopic pancreas that is characterized by cyst/s formation within thickened duodenal wall. Case Outline. A 61?year?old male with recurrent abdominal pain, weight loss (about 25 kg) who had been moderate alcohol abuser and heavy smoker was presented. On ultrasonography, very thickened duodenal wall (2.5 cm), an enlarged head of the pancreas with cyst of 3 cm in diameter as well as dilated pancreatic duct (<6 mm) were seen. Barium meal showed stenosis of the first and second part of the duodenum. CT and endoscopic ultrasound confirmed the ultrasonographic finding. The patient underwent surgery. The pathologic finding was established only on first two portions of the duodenum and limited part of the head of the pancreas along duodenum while the rest of the pancreas was normal. Due to poor general condition, gastrojejunostomy was performed. Although some improvement was evident, the patient did not become asymptomatic, and, therefore, four months later a cephalic duodenopancreatectomy was carried out which made him fully asymptomatic. A year later, the patient was symptom?free and in good health. Histologic examination showed a cystic dystrophy of the duodenal wall in the ectopic pancreas. Conclusion. Unless there are strong contraindications, cephalic duodenopancreatectomy is best treatment of the disease.

Cervicothoracic epidural hematoma after chiropractic spinal manipulation therapy

2007 ◽  
Vol 7 (5) ◽  
pp. 571-574 ◽  
Author(s):  
Maurizio Domenicucci ◽  
Alessandro Ramieri ◽  
Maurizio Salvati ◽  
Christian Brogna ◽  
Antonino Raco
Keyword(s):  
Epidural Hematoma ◽  
Unique Feature ◽  
Rare Complication ◽  
Complete Recovery ◽  
Good Health ◽  
Spinal Epidural Hematoma ◽  
Manipulation Therapy ◽  
Cervical Spine Manipulation ◽  
Spinal Epidural ◽  
Brown Sequard Syndrome

✓A spinal epidural hematoma is an extremely rare complication of cervical spine manipulation therapy (CSMT). The authors present the case of an adult woman, otherwise in good health, who developed Brown–Séquard syndrome after CSMT. Decompressive surgery performed within 8 hours after the onset of symptoms allowed for complete recovery of the patient's preoperative neurological deficit. The unique feature of this case was the magnetic resonance image showing increased signal intensity in the paraspinal musculature consistent with a contusion, which probably formed after SMT. The pertinent literature is also reviewed.

scholarly journals Pseudocyst of ectopic pancreas of the duodenal wall masquerading as malignant cystic tumor of pancreas

2009 ◽  
Vol 15 (4) ◽  
pp. 271 ◽  
Author(s):  
AnilK Agarwal ◽  
DharamanjaiK Sharma ◽  
Shaleen Agarwal ◽  
RavindraK Saran
Keyword(s):  
Ectopic Pancreas ◽  
Cystic Tumor ◽  
Duodenal Wall

scholarly journals Pulmonary Gangrene - Severe And Rare Complication Of Pneumonia

2014 ◽  
Vol 7 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Guergana Petrova ◽  
Penka I. Perenovska ◽  
Dimitrinka Miteva ◽  
Radost T. Kabakchieva ◽  
Ognyan G. Brankov ◽  
...  
Keyword(s):  
Rare Complication ◽  
Left Lung ◽  
Lower Lobe ◽  
Good Health ◽  
Surgical Department ◽  
Intravenous Antibiotics ◽  
Histology Result ◽  
Severe Infections ◽  
The Right ◽  
Surgery Department

SummaryPneumonia is an inflammatory lung disorder characterized by consolidation due to presence of exudates in the alveolar spaces. Most pneumonias can be effectively treated with appropriate oral antibiotics, with intravenous antibiotics being reserved for those with severe infections. We present two cases of girls admitted in our clinic with pneumonia where our conventional therapy was not sufficient. Case 1: A 15-year-old girl with cystic fibrosis, with left lobular pneumonia, for which an aggressive conservative treatment was initiated. After significant improvement, sudden detorioration and pneumothorax of the left lung occurred. She was transferred to the surgical department for intervention. Due to failure to respond to initial drainage she underwent thoracotomy and resection of the left lower lobe of the lung. The histology result confirmed gangrene. Case 2: A four-year old girl was treated for pneumonia in the right lung with aggressive intravenous antibiotic. After temporary improvement sudden deterioration was observed. The patient was transferred to the surgery department, where pulmonary gangrene was confirmed. After the lower lobe of the right lung was resected, she was discharged in good health. The careful follow up, accurate diagnosis and correct medication choice are crucial for reducing the complications of “common” pneumonia.

scholarly journals Hematocervix as an Uncommon Complication of Cesarean Delivery: A Case Report

2019 ◽  
pp. 1
Author(s):  
Ozlem Ece Basaran ◽  
Emine Seda Guvendag Guven ◽  
Suleyman Guven
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Rare Complication ◽  
Lower Abdominal Pain ◽  
Good Health ◽  
Transvaginal Sonography ◽  
Mri Findings ◽  
History Of ◽  
Vaginal Misoprostol ◽  
Full Term Delivery

<p>Hematometra is a condition of retained blood or clot in the uterus. If just the cervix is affected by collection, the condition is described as hematocervix. The hematocervix should be suspected in a women with amenorrhea and recurrent lower abdominal pain. The objective of this case report was to report a rare case of isolated hematocervix following cesarean delivery.</p><p>A 27-years-old primigravidae woman was admitted with the complaints of severe pelvic pain and amenorrhea. She had the history of full term delivery via cesarean section because of prolonged latent phase of labor almost 3 months ago. Pelvic examination, transvaginal sonography and MRI findings were confirmed the diagnosis of hematocervix cervical dilatation and curettage following vaginal misoprostol was done and the women was discharged with good health status.</p><p>The increased rates of cesarean delivery in all over the world caused increase in rare complication such as isolated hematocervix. Dilatation and drainage of cervical collection is safe and effective treatment in such cases.</p>

scholarly journals Pancreatic Rheumatoid Granulomas: A Case Report of a Rare Complication of Rheumatoid Arthritis

2021 ◽  
Vol 36 (4) ◽  
pp. e291-e291
Author(s):  
Sanad Elshebli ◽  
Omar Abureesh ◽  
Heyam Awad
Keyword(s):  
Rheumatoid Arthritis ◽  
Epigastric Pain ◽  
Rare Complication ◽  
Whipple Procedure ◽  
Tissue Mass ◽  
Chronic Inflammatory Response ◽  
History Of ◽  
Head Of The Pancreas ◽  
Skin Nodules ◽  
Polymerase Chain

Cutaneous granulomas presenting as skin nodules are the most common extra-articular manifestations of rheumatoid arthritis (RA). Granulomas are defined as a form of chronic inflammatory response characterized by aggregation of activated histiocytes. Visceral granulomas are a rare complication of long-standing RA and have been described twice in the literature. We report a case of a 55-year-old woman with a 15-year history of RA. The patient presented with epigastric pain and weight loss. Imaging studies showed a large soft tissue mass in the head of the pancreas, which was suspected to be malignant. A Whipple procedure was performed, and histological examination revealed multiple non-caseating granulomas with central liquefaction and neutrophilic infiltrate. Ziehl-Neelsen stain for acid-fast bacilli and tuberculosis polymerase chain reaction were negative. The patients’ granulomas were diagnosed as rheumatoid granulomas. Five years after diagnosis, the patient is doing well and has no complications.

scholarly journals Necrosis of the duodenum resulting from acute necrotising pancreatitis and treated with complete duodenopancreatectomy

2005 ◽  
Vol 133 (11-12) ◽  
pp. 510-513
Author(s):  
Radoje Colovic ◽  
Nikica Grubor ◽  
Vladimir Radak ◽  
Natasa Colovic ◽  
Miodrag Jovanovic ◽  
...  
Keyword(s):  
Blood Vessels ◽  
Good Health ◽  
The Other ◽  
Lethal Outcome ◽  
Necrotising Pancreatitis ◽  
Acute Necrotising Pancreatitis ◽  
Head Of The Pancreas ◽  
Acute Necrotising

Necrosis of the duodenum resulting from acute necrotising pancreatitis is a rare but potentially lethal complication. A small number of cases has been reported so far, the majority of which having, unfortunately, had a lethal outcome. We present the cases of two patients, a 21-year-old woman and a 54- year-old man, both suffering from extensive duodenal necrosis stemming from acute necrotising pancreatitis, and both cases involving the second and third sections of the duodenum, one of which was probably caused by the thrombosis of nutritive blood vessels, the other by an abscess of the head of the pancreas. Due to the extent of the necrosis of the duodenum, there was no option to close so large a hole or to employ any less drastic procedure, so that a complete duodenopancreatectomy had to be performed. One patient survived and has remained in good health for a period of almost ten years, to date. The other patient died six days after surgery due to infection, in spite of an absence of any sort of anastomic complications.

scholarly journals Large Subcapsular Splenic Hematoma with a Large Pancreatic Pseudocyst Was Successfully Treated with Splenic Arterial Embolization and Ultrasound-Guided Percutaneous Drainage of Pancreatic Pseudocyst

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Song Zhang ◽  
Fei Liu ◽  
Heena Buch ◽  
Guifang Xu ◽  
Lei Wang
Keyword(s):  
Percutaneous Drainage ◽  
Pancreatic Pseudocyst ◽  
Rare Complication ◽  
Arterial Embolization ◽  
Recurrent Abdominal Pain ◽  
Drainage Tube ◽  
Ultrasound Guided ◽  
Subcapsular Hematoma ◽  
Abdominal Symptoms ◽  
Splenic Hematoma

Subcapsular splenic hematoma is a rare complication of pancreatitis. The management for subcapsular splenic hematoma remains controversial. We herein report a case of a large subcapsular splenic hematoma with a large pancreatic pseudocyst, which was successfully treated with splenic arterial embolization and ultrasound- (US-) guided percutaneous drainage of pancreatic pseudocyst, for the first time. A 44-year-old male suffered from recurrent abdominal pain for more than two years. He had previous 3 episodes of pancreatitis. A subcapsular splenic hematoma (16.0 × 16.0 × 7.6 cm) with pancreatic pseudocyst (13.5 × 10.0 × 8.0 cm) was shown on abdominal computed tomography (CT). He underwent splenic arterial embolization to decrease the blood supply of the spleen and then ultrasound-guided percutaneous drainage of the large pancreatic pseudocyst. After 2 weeks, the repeated CT-Abdomen showed the disappearance of pancreatic pseudocyst and multiple areas of infarction on the spleen, while the splenic subcapsular hematoma had also significantly reduced. The patient was discharged after almost a month of his hospital admission with the drainage tube attached, and about 2 weeks later the drainage tube was removed upon CT scan confirmation of decrease in the volume of the subcapsular hematoma. Patient had no abdominal symptoms at the 1.5-year follow-up.

scholarly journals Retrograde Jejunogastric Intussusception (RJGI): A Life- Threatening Complication after Gastric Bypass Surgery

2016 ◽  
Vol 33 (3) ◽  
pp. 161-165
Author(s):  
Imtiaz Faruk ◽  
Sheikh Firoj Kabir ◽  
Syed Mahbubul Alam ◽  
Kh ABM Abdullah Al Hasan
Keyword(s):  
Gastric Bypass ◽  
Bypass Surgery ◽  
Gastric Bypass Surgery ◽  
Rare Complication ◽  
Barium Meal ◽  
Type Ii ◽  
Jejunogastric Intussusception ◽  
Life Threatening ◽  
History Of ◽  
Life Threatening Complication

Retrograde jejunogastric intussusception (RJGI) after gastric bypass surgery is a rare but potentially life threatening complication. This complication may develop after simple gastrojejunostomy, after lower partial resection of stomach with gastrojejunostomy (Billroth-II gastric surgery) or after Roux-en-Y gastric bypass. Among the three anatomic type of jejunogastric intussusception (JGI), type-II is the commonest variety. The acute form is a surgical emergency. Mortality rate is very high. Little is known about the mechanism but many literatures indicate abnormal motility may be a cause. A 50 year old male presented to us with a three month history of repeated vomiting and one day of upper mid-abdominal pain. He had a history of gastric bypass for pyloric stenosis 12 years back. Diagnosis was confirmed by upper GI endoscopy. At laparotomy type II retrograde jejunogastric intussusception was identified. En-block resection of affected segment of jejunum and lower part of the stomach was done followed by Roux-en-Y reconstruction. RJGI is a rare complication of gastric bypass surgery. Early diagnosis is imperative. High index of suspicion is therefore important. Barium meal X-ray, ultra sonogram, enhanced CT scan occasionally be diagnostic, but endoscopy is certainly diagnostic in experienced hand. Laparotomy is mandatory. Surgical options include simple reduction, en-block resection and/or plication.J Bangladesh Coll Phys Surg 2015; 33(3): 161-165

B-cell lymphoma presenting as acute pancreatitis symptoms in a child

2020 ◽  
Author(s):  
Sanaz Mehrabani ◽  
Hassan Mahmoodi Nesheli
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Mass ◽  
B Cell Lymphoma ◽  
Recurrent Abdominal Pain ◽  
Medical Sciences ◽  
Wide Range ◽  
North Of Iran ◽  
Hypoechoic Mass ◽  
Head Of The Pancreas ◽  
Lipase A

Lymphoma which has a wide range of manifestations is the third malignancy in pediatrics. Nearly, 50% of patients have extranodal involvement. Pancreas can be affected secondarily more than primarily. A 10-year-old boy with recurrent abdominal pain in the epigastric region for six weeks was referred to Amirkola Children's Hospital, affiliated to Babol University of medical sciences (north of Iran). The patient was icteric with elevated levels of amylase and lipase. A hypoechoic mass near the head of the pancreas was detected by ultrasound examination. Pathology of stomach polyps revealed small blue round-cell tumor compatible with a lymphoma. In children with acute pancreatitis symptoms and palpable abdominal mass, the non-Hodgkin lymphomas (NHL) should be considered as an important, though rare possible cause.

scholarly journals Shock due to Splenic Injury after Colonoscopy

2017 ◽  
Vol 11 (1) ◽  
pp. 127-133 ◽  
Author(s):  
Erol G. Nallayici ◽  
Reinier de Groot ◽  
René A.A. van Zanten ◽  
Martijn F. Lutke Holzik
Keyword(s):  
Splenic Injury ◽  
Splenic Rupture ◽  
Rare Complication ◽  
Venous Blood ◽  
Good Health ◽  
Therapeutic Modality ◽  
Colon Perforation ◽  
Haemodynamic Instability ◽  
Life Threatening ◽  
Tomography Scan

Colonoscopy is a common and increasingly performed procedure. It is used both as a diagnostic and therapeutic modality. Splenic injury after colonoscopy is a rare, yet life-threatening complication, most often caused by traction on the splenocolic ligament or excessive manipulation during the procedure. Although non-operative treatment is preferred upon splenic injury, early surgical or radiological intervention may be necessary in specific cases, for example in case of haemodynamic instability. A 71-year-old Caucasian man was referred to our emergency room due to shock after colonoscopy 2 days earlier. A computed tomography scan showed splenic rupture with active intra-abdominal, venous blood loss, and microperforation of the colon. An immediate splenectomy and colon repair were performed through laparotomy. After 6 days, the patient was discharged from hospital in good health. Although splenic rupture is a rare complication of colonoscopy, patients with abdominal pain and/or shock should be checked for complications such as splenic injury and colon perforation.

Sign in / Sign up

Export Citation Format

Share Document