Surgical management of splenic tuberculosis with pleural fistulation in a COVID-19 patient

Abstract Small bowel diaphragm disease is a rare complication related to non-steroidal anti-inflammatory drug (NSAID) use. It presents with non-specific symptoms such as vomiting, abdominal pain, subacute bowel obstruction and occasionally as an acute abdominal condition. We report a case of diaphragm disease in a 33-year-old female who presented with vomiting, constipation and abdominal pain started 5 days earlier. Physical examination revealed palpated abdominal mass. The patient’s past medical history was remarkable for NSAID use. The patient was managed by surgical resection of involved intestine and diagnosis was confirmed by histological examination. Although there are few published cases of diaphragm disease in the medical literature, we recommend that this disease should be considered as one of the differential diagnoses when assessing patients presenting with non-specific abdominal symptoms with remarkable past medical history of NSAID use.

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A Case of Pneumococcal Peritonitis after Caesarean Section in a Healthy Woman

Case Reports in Surgery ◽

10.1155/2015/350573 ◽

2015 ◽

Vol 2015 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Georgios Kourounis ◽

Yiannis Panayiotou ◽

Patrick Paul Tabet ◽

Brian David Wensley Richards ◽

Athanasios Petrou ◽

...

Keyword(s):

Risk Factors ◽

Young Adults ◽

Abdominal Pain ◽

Caesarean Section ◽

Medical History ◽

Small Body ◽

Healthy Woman ◽

Past Medical History ◽

Antibiotic Regimen ◽

Source Of Infection

Pneumococcal peritonitis is prevalent in children and adults with comorbidities but extremely rare in healthy adults. Here we describe a case of pneumococcal peritonitis in a previously healthy woman with no known risk factors who presented with constipation, abdominal pain, and distention. Her only past medical history was an uncomplicated C-section two months prior to presentation. A laparotomy revealed a pneumococcal peritonitis without visible source of infection. The patient remained hospitalized until completion of antibiotic regimen with Ceftriaxone and resolution of symptoms. This report adds to the small body of evidence showing possible pneumococcal peritonitis in healthy young adults.

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Tuberculous Colitis: A Case Report

Journal of Clinical Review & Case Reports ◽

10.33140/jcrc.05.04.02 ◽

2020 ◽

Vol 5 (4) ◽

Keyword(s):

Abdominal Pain ◽

Medical History ◽

Joint Pain ◽

Past Medical History ◽

Food Ingestion ◽

Urine Color ◽

History Of ◽

Bleeding Per Rectum ◽

H Pylori ◽

Tuberculous Colitis

21-year old Bangladeshi man with no past medical history presented with abdominal pain for 10 days. He described his abdominal pain as a periumbilical colicky in nature, started mild then progressed to severe 4 days prior to ED presentation. It worsened with food ingestion. He had lost around 6 kilograms over a month. The pain was not associated with diarrhea, nausea or vomiting. He did not have dysuria, change in urine color, nor fever. He did not have history of black stool, fresh bleeding per rectum. He did not have sick contact, and he did not have skin rash or joint pain. His past medical history is significant for Helicobacter pylori (H. pylori) associated gastritis, which was treated successfully, 3 years ago.

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Recurrent Spontaneous Pneumothorax in a 47-Year-Old Woman

Military Medicine ◽

10.1093/milmed/usz468 ◽

2020 ◽

Vol 185 (9-10) ◽

pp. e1833-e1835

Author(s):

Timothy M Guenther ◽

Joshua D Gustafson ◽

Shea M Pribyl ◽

Curtis J Wozniak

Keyword(s):

Emergency Room ◽

Medical History ◽

Spontaneous Pneumothorax ◽

Treatment Strategies ◽

Middle Lobe ◽

Past Medical History ◽

Chemical Pleurodesis ◽

Catamenial Pneumothorax ◽

Chest Cavity ◽

History Of

ABSTRACT Pneumothorax is a condition where air exists in the chest cavity, outside the lung. The causes of pneumothorax are numerous and determining the etiology can aid in treatment and prevent recurrence. We describe a 47-year-old female patient with past medical history of endometriosis who presented to the emergency room with recurrent right sided pneumothorax, its onset correlating with onset of menses. She underwent video assisted thorascopic surgery for a suspected catamenial pneumothorax whereby nodular “chocolate” appearing areas were noted on the middle lobe and multiple similar appearing lesions and fenestrations were noted on the diaphragm. A biologic mesh was affixed to the diaphragm after which mechanical and chemical pleurodesis were performed. She tolerated the procedure well and has been symptom free since. Herein, we review the pathophysiology, diagnosis, and treatment strategies for catamenial pneumothorax in the hopes of increasing awareness and understanding of this rare cause of spontaneous pneumothorax.

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Vestibular neuritis caused by severe acute respiratory syndrome coronavirus 2 infection diagnosed by serology: Case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x211013261 ◽

2021 ◽

Vol 9 ◽

pp. 2050313X2110132

Author(s):

Alexandra Halalau ◽

Madalina Halalau ◽

Christopher Carpenter ◽

Amr E Abbas ◽

Matthew Sims

Keyword(s):

Case Report ◽

Severe Acute Respiratory Syndrome ◽

Medical History ◽

Cranial Nerve ◽

Respiratory Illness ◽

Vestibular Neuritis ◽

Past Medical History ◽

Significant Past Medical History ◽

Eighth Cranial Nerve ◽

Male Physician

Vestibular neuritis is a disorder selectively affecting the vestibular portion of the eighth cranial nerve generally considered to be inflammatory in nature. There have been no reports of severe acute respiratory syndrome coronavirus 2 causing vestibular neuritis. We present the case of a 42-year-old Caucasian male physician, providing care to COVID-19 patients, with no significant past medical history, who developed acute vestibular neuritis, 2 weeks following a mild respiratory illness, later diagnosed as COVID-19. Physicians should keep severe acute respiratory syndrome coronavirus 2 high on the list as a possible etiology when suspecting vestibular neuritis, given the extent and implications of the current pandemic and the high contagiousness potential.

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Past medical history of tumors other than meningioma is a negative prognostic factor for tumor recurrence in meningiomas WHO grade I

Acta Neurochirurgica ◽

10.1007/s00701-021-04780-9 ◽

2021 ◽

Author(s):

Annamaria Biczok ◽

Philipp Karschnia ◽

Raffaela Vitalini ◽

Markus Lenski ◽

Tobias Greve ◽

...

Keyword(s):

Medical History ◽

Tumor Recurrence ◽

Clinical History ◽

Study Endpoint ◽

Past Medical History ◽

Who Grade ◽

Increased Risk ◽

History Of ◽

Meningioma Recurrence ◽

The Impact

Abstract Background Prognostic markers for meningioma recurrence are needed to guide patient management. Apart from rare hereditary syndromes, the impact of a previous unrelated tumor disease on meningioma recurrence has not been described before. Methods We retrospectively searched our database for patients with meningioma WHO grade I and complete resection provided between 2002 and 2016. Demographical, clinical, pathological, and outcome data were recorded. The following covariates were included in the statistical model: age, sex, clinical history of unrelated tumor disease, and localization (skull base vs. convexity). Particular interest was paid to the patients’ past medical history. The study endpoint was date of tumor recurrence on imaging. Prognostic factors were obtained from multivariate proportional hazards models. Results Out of 976 meningioma patients diagnosed with a meningioma WHO grade I, 416 patients fulfilled our inclusion criteria. We encountered 305 women and 111 men with a median age of 57 years (range: 21–89 years). Forty-six patients suffered from a tumor other than meningioma, and no TERT mutation was detected in these patients. There were no differences between patients with and without a positive oncological history in terms of age, tumor localization, or mitotic cell count. Clinical history of prior tumors other than meningioma showed the strongest association with meningioma recurrence (p = 0.004, HR = 3.113, CI = 1.431–6.771) both on uni- and multivariate analysis. Conclusion Past medical history of tumors other than meningioma might be associated with an increased risk of meningioma recurrence. A detailed pre-surgical history might help to identify patients at risk for early recurrence.

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Hyperprogression in a Patient With Hepatocellular Cancer Treated With Atezolizumab and Bevacizumab: A Case Report and Review of Literature

Journal of Investigative Medicine High Impact Case Reports ◽

10.1177/2324709621992207 ◽

2021 ◽

Vol 9 ◽

pp. 232470962199220

Author(s):

Balraj Singh ◽

Parminder Kaur ◽

Michael Maroules

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Disease Burden ◽

Immune Checkpoint Inhibitors ◽

Checkpoint Inhibitors ◽

Hepatocellular Cancer ◽

Past Medical History ◽

Review Of Literature ◽

Novel Treatment ◽

Accelerated Growth

Immune checkpoint inhibitors have emerged as a novel treatment in a wide variety of malignancies; however, it is associated with a distinctive array of side effects known as immune-related adverse events. Hyperprogression is defined as an accelerated growth of disease burden in patients treated with immunotherapy. Limited literature is available regarding hyperprogression in hepatocellular cancer. We report a case of a 36-year-old male with no past medical history who presented with nausea, vomiting, and abdominal pain and was diagnosed with unresectable hepatocellular cancer and thereby started on atezolizumab and bevacizumab. The patient got only 1 cycle of treatment and unfortunately had hyperprogression of disease.

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Sudden onset bilateral lower limb weakness in a female patient with no significant past medical history: answer

Journal of Clinical Neuroscience ◽

10.1016/j.jocn.2015.10.014 ◽

2016 ◽

Vol 27 ◽

pp. 180 ◽

Cited By ~ 1

Author(s):

H. Asadi ◽

P. Brennan ◽

A. O’Hare ◽

J. Thornton ◽

S. Looby

Keyword(s):

Medical History ◽

Female Patient ◽

Lower Limb ◽

Sudden Onset ◽

Past Medical History ◽

Significant Past Medical History ◽

Limb Weakness ◽

Lower Limb Weakness ◽

Bilateral Lower Limb

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Challenges in Surgical Management of Abdominal Pain in the Neutropenic Cancer Patient

Annals of Surgery ◽

10.1097/sla.0b013e3181724fe5 ◽

2008 ◽

Vol 248 (1) ◽

pp. 104-109 ◽

Cited By ~ 38

Author(s):

Brian D. Badgwell ◽

Janice N. Cormier ◽

Curtis J. Wray ◽

Gautam Borthakur ◽

Wei Qiao ◽

...

Keyword(s):

Abdominal Pain ◽

Cancer Patient ◽

Surgical Management ◽

Neutropenic Cancer Patient

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Uterine Necrosis after Uterine Artery Embolization for Symptomatic Fibroids

Case Reports in Obstetrics and Gynecology ◽

10.1155/2018/9621741 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Steve Kyende Mutiso ◽

Felix Mwembi Oindi ◽

Nigel Hacking ◽

Timona Obura

Keyword(s):

Abdominal Pain ◽

Surgical Management ◽

Uterine Artery Embolization ◽

Uterine Artery ◽

The Body ◽

Poly Vinyl Alcohol ◽

Artery Embolization ◽

Body Of Knowledge ◽

Clinical Dilemma ◽

Postembolization Syndrome

Introduction. Uterine artery embolization (UAE) is a minimally invasive intervention that is used in the treatment of fibroids. UAE can lead to complications including postembolization syndrome, postprocedure pain, infection, endometrial atrophy leading to secondary amenorrhea, and uterine necrosis. Uterine necrosis after UAE is very rare and hence poses a clinical dilemma for any clinician in its identification and management. We document a case of uterine necrosis after UAE and conduct a literature review on its causation, clinical features, and management principles. Case. A patient presented one month after UAE with abdominal pain and abdominal vaginal discharge. Her work-up revealed features of possible uterine necrosis with sepsis and she was scheduled for a laparotomy and a subtotal hysterectomy was performed. She was subsequently managed with broad spectrum antibiotic and recovered well. Conclusion. Uterine necrosis after UAE is a rare occurrence and we hope the documentation of this case will add to the body of knowledge around it. Theories that explain its occurrence include the use of small particles at embolization, the use of Contour-SE a spherical poly-vinyl alcohol, and lack of collateral supply to the uterus. Its symptoms may be nonspecific but unremitting abdominal pain is invariably present. Finally although conservative management may be successful at times, surgical management with hysterectomy will be required in some cases. The prognosis is good after diagnosis and surgical management.

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