scholarly journals Stump Appendicitis with Diagnostic Dilemma: A Case Report

2022 ◽  
Vol 14 (2) ◽  
Author(s):  
Anil Kumar Sah ◽  
Rajeev Kumar Pandit ◽  
Muza Shrestha ◽  
Sundar Maharjan ◽  
Suman Prasad Sah
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Acute Abdomen ◽  
Male Patient ◽  
Clinical Symptoms ◽  
Diagnostic Dilemma ◽  
Stump Appendicitis ◽  
Delayed Complication ◽  
History Of ◽  
Symptoms And Signs

Stump appendicitis is a rare delayed complication of incomplete appendectomy. The clinical symptoms and signs are like acute appendicitis. The possibility of stump appendicitis is not clear to all clinicians. It represents a diagnostic dilemma with incidence of one in 50,000 cases. We report how we encountered diagnostic dilemma during the management of a 30 years old male patient of acute abdomen with history of appendectomy done for acute appendicitis even years back.

CASE REPORT: RARE FORM OF HIRSCHPRUNG’S DISEASE

2020 ◽  
Vol 30 (5) ◽  
pp. 82-84
Author(s):  
Ilja Skalskis
Keyword(s):  
Down Syndrome ◽  
Case Report ◽  
Clinical Symptoms ◽  
Hirschsprung Disease ◽  
Distal Colon ◽  
Total Colonic Aganglionosis ◽  
Sphincter Function ◽  
Anal Sphincter Function ◽  
History Of ◽  
High Index Of Suspicion

Hirschsprung disease (HD) is a developmental disorder characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. Incidence of total colonic aganglionosis (TCA) is 1 in 500 000 and it accounts for 5-10% of all cases of HD. HD should be suspected in patients with typical clinical symptoms and a high index of suspicion is appropriate for infants with a predisposing condition such as Down Syndrome (DS), or for those with a family history of HD. The treatment of choice for HD is surgical, such as Swenson, Soave, and Duhamel procedures. The goals are to resect the affected segment of the colon, bring the normal ganglionic bowel down close to the anus, and preserve internal anal sphincter function. We present a clinical case report of TCA in a child with Down syndrome (DS) and review of literature.

scholarly journals A Rare Cause of Intestinal Obstruction in Infants: Ileum Duplication Cyst and Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Mehmet Serif Arslan ◽  
Erol Basuguy ◽  
Hikmet Zeytun ◽  
Serkan Arslan ◽  
Bahattin Aydogdu ◽  
...  
Keyword(s):  
Literature Review ◽  
Intestinal Obstruction ◽  
Male Patient ◽  
Pediatric Surgery ◽  
Clinical Symptoms ◽  
Abdominal Distension ◽  
Duplication Cyst ◽  
Oral Feeding ◽  
Imaging Method ◽  
History Of

Cases of neonatal gastrointestinal system (GIS) obstruction are quite complex for pediatric surgery clinics. A rare cause of intestinal obstruction is the duplication cyst (DC). A three-day-old male patient presented at our clinic with a history of abdominal distension and bilious vomiting on the second day following birth. Although pathology had not yet been determined from observation and examination, surgery was performed when the patient could not tolerate oral feeding. An ileal DC forming an incomplete obstruction was observed. Ileoileal anastomosis was performed on the patient. Because DCs can present with different clinical symptoms, it is quite difficult to diagnose them in neonate patients. Lacking an imaging method that can provide an exact diagnosis, the diagnostic laparotomy is a suitable approach for both diagnosis and treatment to avoid delays in treatment.

Diagnostic dilemma of isolated fallopian tube torsion

2021 ◽  
Vol 14 (7) ◽  
pp. e242682
Author(s):  
Michael Gerard Baracy Jr ◽  
Janie Hu ◽  
Holly Ouillette ◽  
Muhammad Faisal Aslam
Keyword(s):  
Acute Abdomen ◽  
Fallopian Tube ◽  
Differential Diagnoses ◽  
Adnexal Torsion ◽  
Normal Appendix ◽  
Diagnostic Dilemma ◽  
Perimenopausal Women ◽  
Adolescent Patients ◽  
History Of

Paratubal cysts are fluid-filled sacs that grow adjacent to the fallopian tube which can rarely result in torsion. Isolated fallopian tube torsion (IFTT) is a gynaecological emergency that warrants urgent laparoscopic detorsion to salvage the affected tube. IFTT has a proclivity to affect adolescents between the ages of 12 and 15 years and is rarely seen in premenarchal or perimenopausal women. Due to a lack of pathognomonical features, IFTT is difficult to diagnose. Adnexal torsion, including IFTT is a surgical diagnosis and no clinical or imaging criteria is sufficient to diagnose IFTT. Urgent laparoscopy and detorsion are required for preservation of the affected fallopian tube. However, given the diagnostic ambiguity, IFTT diagnosis is often delayed. IFTT should be included in the differential diagnoses for adolescent patients with acute abdomen when imaging demonstrates a normal appendix and ovaries. We report a 15-year-old girl with a 4-day history of abdominopelvic pain and bilateral paratubal cysts resulting in right IFTT.

A clinico-aetiological and ultrasonographic study of Peyronie's disease

Sexual Health ◽  
2006 ◽  
Vol 3 (2) ◽  
pp. 113 ◽  
Author(s):  
Bhushan Kumar ◽  
Tarun Narang ◽  
Somesh Gupta ◽  
Madhu Gulati
Keyword(s):  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Tunica Albuginea ◽  
Connective Tissue Disorder ◽  
Peyronie’S Disease ◽  
Penile Curvature ◽  
Age Group ◽  
History Of ◽  
Peyronie's Disease ◽  
Symptoms And Signs

Background: Peyronie’s disease is a localised connective tissue disorder that involves the tunica albuginea of the penis. Although long recognised as an important clinical entity of the male genitalia, the aetiology of this disease has remained poorly understood. Methods: The epidemiology and clinical presentation of Peyronie’s disease during a 10-year period was evaluated. Results: Forty-two men with Peyronie’s disease from Chandigarh, India were reviewed retrospectively. The prevalence of Peyronie’s patients was 1.97/1000 patients. Their ages ranged from 23 to 70 years. Most of them presented during the early phase of the disease. The most common presenting complaint was penile curvature in 34 (80.95%) followed by pain on erection in 28 (66.66%). History of penile trauma was revealed by four (9.52%) patients. Among the risk factors, hypercholesterolemia (60%), hypertension (33.3%) and asymptomatic hyperuricemia (28.34%) were the most common. Twenty-two patients with Peyronie’s disease were studied by ultrasonography. Ultrasonogram was more accurate than clinical assessment in delineating the extent of lesions. In one-third of the patients, sonography demonstrated the plaques to be more extensive than had been detected by clinical examination. Conclusions: The clinical symptoms and signs in our study were, in general, similar to those found in the previous studies. Higher incidence of hypertension and diabetes in patients with Peyronie’s disease may also be to an extent due to patients being in an older age group.

5. Oncocytic Cardiomyopathy: A Rare Cause of Unexpected Early Childhood Death Associated with Fitting

1997 ◽  
Vol 37 (1) ◽  
pp. 84-87 ◽  
Author(s):  
Jürgen Stahl ◽  
Richard T L Couper ◽  
Roger W Byard
Keyword(s):  
Clinical Symptoms ◽  
Electron Microscopic Examination ◽  
Unexpected Death ◽  
Electron Microscopic ◽  
Mitral Valves ◽  
Pale Pink ◽  
Childhood Death ◽  
History Of ◽  
The Brain ◽  
Symptoms And Signs

A 15-month-old girl died unexpectedly in hospital following a five-day history of intermittent cardiac arrhythmias and convulsions preceded by several weeks of occasional vomiting. Autopsy revealed subendocardial nodules in the left ventricle, and tricuspid and mitral valves that were composed of aggregated large cells with foamy, pale pink cytoplasm characteristic of oncocytic cardiomyopathy. Fat stains were positive for neutral lipid and phospholipid and electron microscopic examination revealed numerous irregular mitochondria within affected cells. Examination of the brain revealed no structural or histologic abnormalities, anoxic damage or thromboembolic material. Oncocytic cardiomyopathy, though rare, may cause unexpected death in previously well young children with quite variable preceding clinical symptoms and signs which include fitting. Although the aetiology is unknown there is evidence that mitochondrial dysfunction may be involved.

The Effect of Organophosphorus Compounds on Serum Pseudocholinesterase Levels in a Group of Industrial Workers

1991 ◽  
Vol 10 (4) ◽  
pp. 275-278 ◽  
Author(s):  
Jacob Peedicayil ◽  
Kalpana Ernest ◽  
Molly Thomas ◽  
A.S. Kanagasabapathy ◽  
P.M. Stephen
Keyword(s):  
Clinical Symptoms ◽  
Organophosphorus Compounds ◽  
Industrial Workers ◽  
Normal Range ◽  
High Incidence ◽  
Exposed Workers ◽  
History Of ◽  
The Mean ◽  
Symptoms And Signs ◽  
Low Serum

This paper presents the findings of a study of serum pseudocholinesterase activity in a group of 36 industrial workers chronically exposed to organophosphorus (OP) compounds. The mean pseudocholinesterase level of the workers was significantly lower than that of 36 other workers without a history of similar exposure. Although there was a high incidence of clinical features suggestive of OP compound toxicity in the exposed workers, no significant correlation between serum pseudocholinesterase levels and clinical symptoms and signs was found. Six exposed workers, found to have low serum pseudocholinesterase levels, were transferred for 6 months to work areas which did not involve OP exposure, whereupon their levels rose significantly back to the normal range.

scholarly journals Euglycemic Diabetic Ketoacidosis in Type 1 Diabetes on Insulin Pump, with Acute Appendicitis: A Case Report

2021 ◽  
Vol 5 (3) ◽  
pp. 296-298
Author(s):  
Brian Thompson ◽  
Anthony Kitchen
Keyword(s):  
Type 1 Diabetes ◽  
Case Report ◽  
Acute Appendicitis ◽  
Diabetic Ketoacidosis ◽  
Insulin Pump ◽  
Point Of Care ◽  
Altered Mental Status ◽  
History Of ◽  
Euglycemic Diabetic Ketoacidosis

Introduction: Recently, euglycemic diabetic ketoacidosis has been an increasing topic of discussion within emergency medicine literature. Euglycemic diabetic ketoacidosis can easily be missed, as a normal point-of-care glucose often mistakenly precludes the work-up of diabetic ketoacidosis. Case Report: A 16-year-old female with a past medical history of type 1 diabetes presented to the emergency department with altered mental status, vomiting, and abdominal pain. She was diagnosed with euglycemic diabetic ketoacidosis. Conclusion: Reported cases of euglycemic diabetic ketoacidosis are most frequently attributed to sodium glucose cotransporter-2 inhibitors, but other potential causes have been discussed in the literature. In this patient, a starvation state with continued insulin use in the setting of acute appendicitis led to her condition.

scholarly journals A diagnostic dilemma of two rare stroke mimics in a pediatric patient

2017 ◽  
Vol 4 (5) ◽  
pp. 1886
Author(s):  
Nidheesh Cheeyancheri Chencheri ◽  
Pawan Subhash Kashyape ◽  
Sonia Khamis ◽  
Maha Mohammed Elamin Agna
Keyword(s):  
Differential Diagnosis ◽  
Pediatric Patient ◽  
Male Patient ◽  
Clinical Symptoms ◽  
Diagnostic Dilemma ◽  
Cns Vasculitis ◽  
Tissue Diagnosis ◽  
Stroke Mimics

A seven and half year-old male patient presented with clinical symptoms suggestive of stroke. However, the MRI showed atypical lesions in non-vascular distribution and with varying ages. This led to extensive investigations, which suggested a differential diagnosis of CNS neurosarcoidosis and primary CNS vasculitis. Both these are exceedingly rare conditions needing tissue diagnosis and prolonged immunosuppression

scholarly journals A rare case of Amyand’s hernia with acute appendicitis in a 69-year-old woman: a case report

2020 ◽  
Vol 2 (4) ◽  
pp. 385-387
Author(s):  
Antonio Gligorievski ◽  
◽  
◽  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Acute Appendicitis ◽  
Rare Case ◽  
Ct Scanning ◽  
Amyand’S Hernia ◽  
Hernia Sac ◽  
History Of ◽  
The Right ◽  
Surgical Clinic

Introduction: Amyand’s hernia is an extremely rare and atypical hernia that is difficult to diagnose clinically characterized by the herniation of the appendix into the inguinal sac. The aim of this report is to describe a case of Amyand’s hernia and highlights the importance of early CT scanning in reaching the exact and early diagnosis of Amyand’s hernia. Case report: We present a rare case of a 69-year-old female patient with a history of intermittent pain in the right inguinal region is see at the emergency surgical clinic. The patient underwent a CT scan of the abdomen and a small pelvis, and an inflamed appendix was diagnosed. The inflamed appendix is herniated in the inguinal hernia sac. Computed tomography was the only modality to diagnose the hernia sac contents preoperatively. Discussion: The reported incidence of Amyand’s hernia is less than 1% of all adult inguinal hernia cases. Acute appendicitis in Amyand’s hernia is even less common, with 0,1% of all cases of acute appendicitis. This hernia may be present without symptoms until the inflammation of the appendix may lead to incarceration, strangulation, necrosis, perforation, or rupture. Early symptoms include tenderness and inguinal swelling. Conclusions: Computer tomography helps make an accurate and timely diagnosis of Amyand’s hernia, thus avoiding complications from delayed surgery.

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