scholarly journals Giant Mesenteric Hemangioma without Small Intestinal Involvement Report of a Case and Review of Literature

2021 ◽  
Vol 3 (4) ◽  
pp. 6-7
Author(s):  
Jui-Ten Wu ◽  
Chun-I Tsai ◽  
Swei-Hsiung Tsung
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Preoperative Diagnosis ◽  
English Literature ◽  
Surgical Removal ◽  
Review Of Literature ◽  
Clear Margin ◽  
Intestinal Involvement ◽  
Mild Abdominal Pain ◽  
Small Intestinal

there were approximately twenty cases reported in the English literature, of which five cases were designated as giant hemangioma. We reported another giant mesenteric hemangioma, measuring 35x20x11 cm. with a weight of 5,5 Kilograms. The etiology of mesenteric hemangioma was still debatable. In our case, the patient only experienced mild abdominal pain, without gastrointestinal hemorrhage. Therefore, we were in favor of mesenteric origin as opposed to gastrointestinal origin. The symptoms were non-specific, ranging from abdominal pain, nausea, vomiting, and gastrointestinal bleeding if Gastrointestinal tract was involved. Preoperative diagnosis was very challenging despite the modern images’ technics have become available, such as computed tomography magnetic resonance and ultrasonography. The final diagnoses of mesenteric hemangioma have been exclusively established by histological examination after surgical removal of the tumor. Surgical resection with clear margin is the treatment of choice.

scholarly journals Idiopathic ovarian vein thrombosis causing pulmonary embolism: case report and literature review

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110106
Author(s):  
Wenrui Li ◽  
Saisai Cao ◽  
Renming Zhu ◽  
Xueming Chen
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Abdominal Pain ◽  
Case Report ◽  
Literature Review ◽  
Ovarian Vein ◽  
Review Of Literature ◽  
Vein Thrombosis ◽  
Medical Disorder ◽  
Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a rare medical disorder, which is most often found in the immediate postpartum period. OVT is rarely considered idiopathic. We report a case of idiopathic OVT with pulmonary embolism in a 33-year-old woman who presented with abdominal pain. Computed tomography and postoperative pathology confirmed the diagnosis of idiopathic OVT. To date, only 12 cases of idiopathic OVT have been reported. In this case report, we present a summary of these cases and a review of literature regarding management of idiopathic OVT.

scholarly journals Gastric lipoma: a rare cause of haematemesis

2018 ◽  
Vol 100 (3) ◽  
pp. e41-e43 ◽  
Author(s):  
B Krishnaraj ◽  
B Dhanapal ◽  
G Shankar ◽  
SC Sistla ◽  
I Galidevara ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Malignant Transformation ◽  
Preoperative Diagnosis ◽  
Outlet Obstruction ◽  
Gastric Neoplasms ◽  
Accurate Preoperative Diagnosis ◽  
Benign Tumours ◽  
Gastric Lipoma ◽  
Extensive Surgery

Gastric lipomas are rare benign tumours of the stomach, representing less than 3% of all benign gastric neoplasms. They are usually asymptomatic but larger lesions can present with abdominal pain, gastric outlet obstruction and haematemesis. Malignant transformation is extremely rare. Accurate preoperative diagnosis can be established with computed tomography. Being benign, extensive surgery is not necessary and simple excision of the lesion is adequate. Small asymptomatic lesions can be followed up. We present a case of 80-year-old woman with gastric submucosal lipoma who presented with haematemesis.

scholarly journals Conservative Management of Segmental Infarction of the Greater Omentum: A Case Report and Review of Literature

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Ramawad Soobrah ◽  
Mohammad Badran ◽  
Simon G. Smith
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Ct Scan ◽  
Conservative Management ◽  
Acute Abdominal Pain ◽  
Correct Diagnosis ◽  
Greater Omentum ◽  
Review Of Literature ◽  
Segmental Infarction

Segmental omental infarction (SOI) is a rare cause of acute abdominal pain. Depending on the site of infarction, it mimics conditions like appendicitis, cholecystitis, and diverticulitis. Before the widespread use of Computed Tomography (CT), the diagnosis was usually made intraoperatively. SOI produces characteristic radiological appearances on CT scan; hence, correct diagnosis using this form of imaging may prevent unnecessary surgery. We present the case of a young woman who was treated conservatively after accurate radiological diagnosis.

scholarly journals Sclerosing encapsulating peritonitis: three case reports and review of the literature

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094910
Author(s):  
Zhenbin Zhang ◽  
Menglai Zhang ◽  
Ling Li
Keyword(s):  
Computed Tomography ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Preoperative Diagnosis ◽  
Case Reports ◽  
Chronic Abdominal Pain ◽  
Review Of The Literature ◽  
Pathological Analysis ◽  
Sclerosing Encapsulating Peritonitis ◽  
Encapsulating Peritonitis

Sclerosing encapsulating peritonitis (SEP) is a disease that is rarely encountered clinically. Preoperative diagnosis of SEP can be difficult. However, with imaging technology, such as computed tomography (CT), this condition can be diagnosed without surgery and pathological analysis. SEP is characterized by small intestine being partially or completely encased by a layer of a thick grayish-white fibrocollagenous membrane similar to a cocoon. The most common symptoms of SEP are abdominal pain, nausea, and vomiting. SEP often leads to intestinal obstruction. Our hospital treated three emergency patients who complained of acute or chronic abdominal pain. CT showed “cauliflower sign” in two cases. The three patients were diagnosed with SEP intraoperatively. In a female patient with ascites, the situation was extremely serious, and this condition had not been reported in detail previously. Fortunately, all patients were discharged without complications. We should pay special attention to patients with SEP who have ascites, which indicates a serious situation.

Adult Gastric Duplication Cysts: A Case Report and Review of Literature

2005 ◽  
Vol 71 (6) ◽  
pp. 522-525 ◽  
Author(s):  
Paul L. O'Donnell ◽  
J. Bradley Morrow ◽  
Timothy L. Fitzgerald
Keyword(s):  
Endoscopic Ultrasound ◽  
Preoperative Diagnosis ◽  
English Literature ◽  
Duplication Cyst ◽  
White Female ◽  
Review Of Literature ◽  
Diagnostic Dilemma ◽  
Gastric Duplication ◽  
Gastric Duplication Cyst ◽  
The Past

In this report, we present the rare case of a 53-year-old white female with a gastric duplication cyst. Diagnosis was made with a combination of CT scan and endoscopic ultrasound. The cyst was removed by using a seromuscular incision and enucleation. A review of English literature was performed to help define the etiology, workup, and treatment of adult patients. Theories of origin include embryologic enteric diverticula, incomplete notochordal plates separation, and embryonic longitudinal folds that fuse with a bridge. The essential features of duplication are that the cyst wall is contiguous with the stomach, is surrounded by smooth muscle, has a common blood supply, and is lined with epithelium. Few duplication cysts are diagnosed after the age of 12 and in adults present a diagnostic dilemma. In the past, preoperative diagnosis of gastric duplications was the exception, but with advances in imaging, most importantly endoscopic ultrasound, the diagnosis is established before surgery in a majority of the cases. Gastric duplication cysts have been removed using various methods; however, as enucleation can be performed easily with little disruption of normal anatomy, it should be considered the procedure of choice.

scholarly journals Internal Hernia into the Treitz Fossa after Pancreaticoduodenectomy

2017 ◽  
Vol 11 (3) ◽  
pp. 651-654 ◽  
Author(s):  
Takahiro Yamanaka ◽  
Kenichiro Araki ◽  
Kei Hagiwara ◽  
Norihiro Ishii ◽  
Mariko Tsukagoshi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Internal Hernia ◽  
Good Health ◽  
Intestinal Loop ◽  
Review Of The Literature ◽  
Normal Position ◽  
Ligament Of Treitz ◽  
Small Intestinal ◽  
Hernia Orifice

The development of an internal hernia into the Treitz fossa after pancreaticoduodenectomy has not been previously reported. We herein present such a case with a brief review of the literature. A 43-year-old man who had undergone pancreaticoduodenectomy with reconstruction of the digestive tract by the Child method at our hospital 7 months previously presented with abdominal pain. Computed tomography showed intestinal ileus with formation of a small intestinal loop that was suspected to be an internal hernia. Intraoperatively, we found that the dilated small intestine had entered the upper side of the abdomen from the ligament of Treitz. We detached the intestine from the hernia and placed it in its normal position. The ligament of Treitz at the hernia orifice was closed with sutures. The patient remained in good health and was discharged from the hospital 18 days after the second operation. Suturing of the Treitz fossa at the time of pancreaticoduodenectomy may be important to prevent the formation of an internal hernia.

scholarly journals Intraluminal Apple as a Rare Cause of Small Bowel Obstruction

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Koichi Inukai ◽  
Akihiro Usui ◽  
Motohiko Yamada ◽  
Koji Amano ◽  
Nobutaka Mukai ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Sexual Behavior ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Preoperative Diagnosis ◽  
Foreign Bodies ◽  
Medical Attention ◽  
Sense Of Shame

Small bowel obstruction due to ingested foreign bodies is rare in adults. A 48-year-old male visited our hospital with abdominal pain and vomiting. Computed tomography revealed intestinal obstruction by a 3 × 4 cm apple-shaped foreign body. Emergency surgery was performed to clear the obstruction which, upon inspection, was caused by a sexual toy made of rubber. Flexible rubber products that are ingested should be carefully followed after they pass thorough the pylorus. For obstructions related to sexual behavior, the patient’s sense of shame often delays the process of seeking medical attention, thereby making preoperative diagnosis difficult.

scholarly journals Large left paraduodenal hernia with intestinal ischemia: a case report and literature review

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052095504
Author(s):  
Hao Xu ◽  
Ning Nie ◽  
Fanmin Kong ◽  
Banghua Zhong
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Preoperative Diagnosis ◽  
Intestinal Ischemia ◽  
Clinical Manifestations ◽  
Common Type ◽  
Paraduodenal Hernia ◽  
Rare Type ◽  
History Of ◽  
Small Intestinal

A left paraduodenal hernia is a rare type of internal hernia but the most common type of peritoneal recess hernia. Preoperative diagnosis of a left paraduodenal hernia is difficult because of its nonspecific clinical manifestations, and it is often confused with other causes of acute abdomen. Diagnosis is therefore often delayed, resulting in serious clinical outcomes. We herein report a case of a large paraduodenal hernia with small intestinal obstruction and ischemia without abdominal pain. The patient was successfully discharged after emergency hernia repair. This case reveals the importance of diagnosing a left paraduodenal hernia with or without abdominal pain, especially in patients with no history of abdominal surgery.

scholarly journals Chemical Colitis due to Peracetic Acid: a Case Report and Review of Literature

2011 ◽  
Vol 02 (01) ◽  
pp. 015-017
Author(s):  
Angelo Zullo ◽  
Cesare Hassan ◽  
Alessandra Guarini ◽  
Roberto Lorenzetti ◽  
Salvatore Campo ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Rectal Bleeding ◽  
Peracetic Acid ◽  
Review Of Literature ◽  
Infection Transmission ◽  
Mild Abdominal Pain ◽  
Chemical Colitis ◽  
Toxic Colitis

AbstractReprocessing of both endoscopic instruments and reusable disposals is mandatory to prevent infection transmission. However, toxic colitis due to endoscope contamination by different disinfectants following an imperfect washing has been reported. We present a case of peracetic acid-induced colitis and reviewed the literature. Overall, five cases of peracetic acid toxic colitis have been reported. All cases presented with “snow white sign” immediately appearing during endoscopy, two patients complaint of mild abdominal pain (one of whom had also fever and rectal bleeding), whilst the othesr remained totally asymptomatic. Only one patient received a 1-week metronidazole treatment. No immediate complications were observed, and no sequels occurred at clinical-endoscopic follow-up. The identified cause of disinfectant contamination was a defective either manual or automated rinsing of the colonoscope following the reprocessing procedure.( J Dig Endosc2011;2(1):15-17)

scholarly journals Sporadic bilateral synchronous multicentric papillary renal cell carcinoma masquerading as bilateral multifocal pyelonephritis

2014 ◽  
Vol 96 (5) ◽  
pp. e7-e10 ◽  
Author(s):  
VS Karthikeyan ◽  
LN Dorairajan ◽  
S Kumar ◽  
AR Vijayakumar ◽  
A Ramesh ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Renal Cell Carcinoma ◽  
Abdominal Pain ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
English Literature ◽  
Papillary Renal Cell Carcinoma ◽  
Inflammatory Condition ◽  
Focal Lesions ◽  
Rare Form

Pyelonephritis is defined as an inflammation of the kidney and renal pelvis. The diagnosis is usually clinical. Acute multifocal bacterial nephritis is a rare form of pyelonephritis that is more severe and sepsis is more common. We report a patient who presented with fever and right-sided abdominal pain associated with right flank tenderness, suggesting right acute pyelonephritis. Bilateral multifocal pyelonephritis was diagnosed on ultrasonography, radionuclide renal scintigraphy and computed tomography. However, owing to non-resolution of symptoms, a biopsy was performed, which showed bilateral papillary renal cell carcinoma (PRCC). PRCC is known to exhibit multicentricity. To our knowledge, a case of bilateral multicentric PRCC masquerading as bilateral multifocal pyelonephritis has not been reported in the English literature. This case highlights the need to be vigilant while treating patients with focal lesions of the kidney as an inflammatory condition lest a malignancy should be missed.

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