scholarly journals Intestinal obstruction after trauma laparotomy: a rare case due to colon cancer

2021 ◽  
Vol 6 (1) ◽  
pp. 25-27
Author(s):  
Byungjun Song ◽  
Pil Young Jung
Keyword(s):  
Colon Cancer ◽  
Intestinal Obstruction ◽  
Blunt Trauma ◽  
Large Bowel ◽  
Rare Case ◽  
Incarcerated Hernia ◽  
Tissue Adhesion ◽  
Common Causes ◽  
History Of ◽  
Bowel Neoplasm

The causes of intestinal obstruction are diverse with tissue adhesion, incarcerated hernia, and large bowel neoplasm being the most common causes. Cancer is not easy to diagnose in patients with a history of intestinal obstruction after the intraperitoneal operation following blunt trauma. Herein, we report the case of a patient who was diagnosed with colon cancer after undergoing adhesiolysis due to intestinal obstruction.

Hemihyperplasia with Multiple intestinal Lipomatosis presenting with intestinal obstruction due to intussusception, challenges in treatment- A Rare case

2021 ◽  
Vol 12 (4) ◽  
pp. 149-152
Author(s):  
Pushpendra Malik ◽  
Mahinder K Garg
Keyword(s):  
Intestinal Obstruction ◽  
Large Bowel ◽  
Rare Case ◽  
Primary Anastomosis ◽  
Right Hemicolectomy ◽  
Operative Intervention ◽  
Genetic Syndrome

Hemihyperplasia is a syndrome with overgrowth of limbs and associated with various genomic syndromes. Rarely patient presents with intestinal obstruction when it is associated with sub mucosal lipomas. Submucosal lipomas are common in colon. But whole of small and large bowel studded with them is very rare as in our case. It presents dilemma not only in diagnosis but in treatment also. Here we present a case of forty two years females with hemihyperplasia syndrome came to causality with recurrent intestinal obstruction. On CECT Abdomen diagnosis of intestinal obstruction due to intussusception was made. Whole of bowel is studded with submucosal lipomas. Patient was tried to manage conservatively but patient does not respond and Right Hemicolectomy was done of intussusception segment. Anastomosis leaked and on re-exploration end ileostomy was done. Obstruction due to Multiple Intestinal Lipomatosis (as a part of Genetic Syndrome) should be managed conservatively and if operative intervention is required avoid primary anastomosis.

scholarly journals Acute intestinal obstruction due to appendicular tie syndrome: a rare case report

2019 ◽  
Vol 6 (9) ◽  
pp. 3446
Author(s):  
Akash Agrawal ◽  
Palak Vora
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Rare Case ◽  
Acute Intestinal Obstruction ◽  
Postoperative Adhesions ◽  
Surgical Emergencies ◽  
Common Causes ◽  
Rare Case Report

Acute intestinal obstruction is one of the most common surgical emergencies encountered by surgeons on daily bases. Most common causes for small bowel obstruction includes postoperative adhesions and hernia. One of the rarest cause of intestinal obstruction is appendicular band syndrome. Here we report a case of small bowel obstruction due to appendicular tie syndrome in a 70 years old male patient at GMERS hospital, Dharpur, Patan, Gujarat, India.

scholarly journals Primary abdominal cocoon with cryptorchidism: a case report

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Wei-Jie Song ◽  
Xin-Yi Liu ◽  
Galal Abdullah Ali Saad ◽  
Aawrish Khan ◽  
Kai-Yan Yang ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Poor Prognosis ◽  
Rare Case ◽  
Greater Omentum ◽  
Abdominal Cocoon ◽  
Case Presentation ◽  
Bilateral Cryptorchidism ◽  
Surgical Methods ◽  
Intestinal Adhesion ◽  
History Of

Abstract Background We report a rare case of primary abdominal cocoon with bilateral cryptorchidism. Case presentation The patient had a history of laparoscopic surgery for bilateral cryptorchidism 6 years earlier. He was admitted to the hospital again due to intestinal obstruction. Surgery was performed on the patient after the failure of conservative treatment. The patient was diagnosed with primary abdominal cocoon. Instead of the greater omentum, many cocoon-like tissues surrounding the bowel were seen during operation. Abdominal surgery can increase the risk of intestinal adhesion, which is one of the main causes of intestinal obstruction, especially in patients with abdominal cocoon. We hypothesize that the surgery 6 years earlier to address transabdominal bilateral cryptorchidism accelerated the patient’s intestinal obstruction. Conclusion This case implies that it is important for urologists to evaluate whether their patients exhibit abdominal cocoon before cryptorchidism surgery, to choose better surgical methods and reduce the risks of poor prognosis.

scholarly journals Sebaceoma of the External Auditory Canal

2020 ◽  
Vol 63 (12) ◽  
pp. 603-605
Author(s):  
Young Nam Kim ◽  
Jeong Hwan Choi ◽  
Chan Young Lee ◽  
Kyeong Mee Park
Keyword(s):  
Colon Cancer ◽  
External Auditory Canal ◽  
Rare Case ◽  
Benign Tumor ◽  
Mismatch Repair Genes ◽  
Internal Malignancy ◽  
Potential Association ◽  
History Of ◽  
Repair Genes ◽  
Visceral Malignancy

Sebaceomas of the external auditory canal (EAC) are extremely rare. The recognition of sebaceoma is important as this benign tumor can be be part of the spectrum of the Muir-Torre syndrome (MTS), which is associated with visceral malignancy and multiple adenomatous polyps. Proper histological identification is thus important for further investigation. We describe a rare case of a sebaceoma that was confined to the EAC. Subsequent immunohistochemical (IHC) staining analysis of the mismatch repair genes (MLH1, MSH2, MSH6, and PMS2) was needed to investigate MTS. Even though the patient has had the history of colon cancer, the result was negative. Otorhinolaryngologists should be aware of rare sebaceoma and its potential association with the internal malignancy, besides the limitation of IHC screening test.

scholarly journals Rare case of midgut volvulus with malrotation in an elderly patient

2019 ◽  
Vol 7 (1) ◽  
pp. 303
Author(s):  
Mezhuneituo Raleng ◽  
Anant Prakash Pore ◽  
Vickey Katheria ◽  
Worshim Khamrang ◽  
R. S. Wungramthing
Keyword(s):  
Elderly Patient ◽  
Intestinal Obstruction ◽  
Conservative Management ◽  
Rare Case ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Midgut Volvulus ◽  
History Of ◽  
Subacute Intestinal Obstruction

A 70 year old male who was under treatment for lymphoma, presented with a 2 day old history of not passing stool, flatus, associated with vomiting and abdominal distension. Patient was diagnosed as subacute intestinal obstruction and put on conservative management. However since his condition worsen exploratory laparotomy was performed. On laparotomy a midgut volvulus was detected and subsequently de-rotation of small gut was done. Through this paper we would like to stress out the difficulties in diagnosis and the challenges that we faced. 

scholarly journals Strangulated lesser omentum hiatus hernia: A rare case report and a literature review

2016 ◽  
Author(s):  
Wei Wang ◽  
Haifeng Wang ◽  
Feng Tao ◽  
Kaixing Ai
Keyword(s):  
Intestinal Obstruction ◽  
Hiatus Hernia ◽  
Rare Case ◽  
Intestinal Wall ◽  
Lesser Omentum ◽  
Contrast Enhanced ◽  
Mechanical Intestinal Obstruction ◽  
Incorrect Diagnosis ◽  
Rare Case Report ◽  
History Of

Abstract Abstract: Intestinal obstruction caused by primary intraperitoneal hernia is infrequent and difficult to diagnose. Incorrect diagnosis and delayed surgical treatment will lead to serious consequences. We report a rare case of a 62-year-old Chinese woman with strangulated lesser omentum hiatus hernia. Contrast-enhanced abdominal computed tomography(CT) scan is recommended for early revealing direct and indirect signs. We propose three diagnostic points of primary intraperitoneal hernia: 1. "Three-no" pathography: with no history of abdominal operation, abdominal trauma and abdominal infection. 2. It begins with mechanical intestinal obstruction, then turns into strangulated intestinal obstruction easily. 3. Exclude intestinal wall lesions and intestinal blockage. We also summarize surgical procedure into four steps. We hope this case can provide a reference for the diagnosis and treatment of similar situations.

scholarly journals A Case of Late Presentation of Pancreatic Divisum in a Patient with Recurrent Pancreatitis

2020 ◽  
Vol 2020 ◽  
pp. 1-4 ◽  
Author(s):  
Taranika Sarkar ◽  
Sophia Jagroop
Keyword(s):  
Family History ◽  
Medical Management ◽  
Rare Case ◽  
Late Presentation ◽  
Gallstone Pancreatitis ◽  
Recurrent Pancreatitis ◽  
Common Causes ◽  
History Of ◽  
The Common ◽  
One Year

Pancreatic Divisum (PD) is the most common congenital variation of pancreatic duct anatomy, arising when embryological ventral and dorsal endodermal buds fail to fuse (“classic” PD) or only fuse partially (“incomplete” PD). Most patients with PD are asymptomatic, but a subgroup of patients can present with recurrent bouts of pancreatitis. While alcohol and gallstones are the common causes of acquired pancreatitis, PD is a congenital cause of pancreatitis. It is usually suspected in younger individuals with recurrent pancreatitis who also have a family history. Here, we present a rare case of PD in an older individual who presented with recurrent pancreatitis. He underwent cholecystectomy for suspected gallstone pancreatitis but continued to have episodes of pancreatitis. He had a history of alcohol abuse but denied use in the last one year. PD was detected later as the cause. Recurrent pancreatitis led to the development of a pseudocyst and pancreaticopleural fistula (PPF). Medical management improved the pseudocyst and PPF.

Successful treatment of dermato-neuro syndrome with plasmapheresis

2020 ◽  
Vol 13 (12) ◽  
pp. e237170
Author(s):  
Jose Maciel Larios ◽  
Jordan Ciuro ◽  
Thomson Sam Varghese ◽  
Susan Elizabeth Lyons
Keyword(s):  
Mental Status ◽  
Rare Case ◽  
Altered Mental Status ◽  
Optimal Management ◽  
Treatment Protocols ◽  
Common Causes ◽  
History Of ◽  
Clonic Seizures ◽  
Neurologic Function ◽  
Rule Out

Altered mental status can have many causes ranging from emergent intracranial pathologies to more insidious, systemic toxic aetiologies. We report a rare case of dermato-neuro syndrome in a 71-year-old man with a known history of scleromyxoedema. The patient initially presented with encephalopathy which quickly progressed to generalised tonic–clonic seizures and coma. While his presentation fits with other, although rare, cases of dermato-neuro syndrome, it is imperative to rule out lethal, more common causes of altered mentation. Due to the rarity and difficulty in diagnosis of dermato-neuro syndrome, there is a significant debate regarding the optimal management as there are no standardised treatment protocols. In our case, the patient was successfully treated with plasmapheresis resulting in improved neurologic function.

scholarly journals Neuroendocrine tumour of colon mimicking psoas abscess: an unusual presentation of an uncommon malignancy

2020 ◽  
Vol 7 (5) ◽  
pp. 1681
Author(s):  
Sanjana Kumar ◽  
Jainendra K. Arora
Keyword(s):  
Colon Cancer ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Neuroendocrine Tumour ◽  
Psoas Abscess ◽  
Uncommon Presentation ◽  
Tuberculous Disease ◽  
Abdominal Malignancy ◽  
Carcinoma Colon ◽  
Underlying Pathology

Psoas abscess is a rare disease usually arising due to a benign underlying pathology such as tuberculous disease of spine, Crohn’s disease and diverticulitis. But it can be an uncommon presentation of intra abdominal malignancy. Spontaneous rupture of colon cancer, combined with psoas abscess formation is very rare. Most of these cases have been reported in relation to carcinoma colon. Colon is an uncommon site for neuroendocrine tumors. 70-80% of these tumors are asymptomatic and are found incidentally at the time of surgery or on colonoscopy. Through this article we report a rare case of neuroendocrine tumor (NET) of colon in an elderly man presenting as psoas abscess associated with intestinal obstruction.

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