scholarly journals Spontaneous Rupture of an Ovarian Dermoid Cyst Associated with Intra- Abdominal Chemical Peritonitis: Characteristic CT Findings

2019 ◽  
Vol 9 (2) ◽  
pp. 52-54
Author(s):  
Sapana Koirala ◽  
Kapil Adhikari ◽  
Sujan Khadka
Keyword(s):  
Spontaneous Rupture ◽  
Rare Complication ◽  
Cystic Teratoma ◽  
Abdominal Distension ◽  
Abdominal Ct ◽  
Pain Abdomen ◽  
Contrast Enhanced ◽  
Abdominal Ct Scan ◽  
Chemical Peritonitis ◽  
Ovarian Dermoid Cyst

Spontaneous rupture of mature cystic teratoma is a rare complication which results in leakage of the liquefied sebaceous contents into the peritoneum leading to acute or chronic peritonitis. We report a case of a 23-year-old female who presented with pain abdomen, abdominal distension and fever. Contrast enhanced abdominal CT scan showed right adnexal complex cystic lesion with discontinuity in its wall along with features of peritonitis.

Stomach in a parastomal hernia: a rare complication of stomas

2020 ◽  
Vol 13 (8) ◽  
pp. e234325
Author(s):  
Onyekachi Ezekiel Ekowo ◽  
Ammar Al Midani ◽  
Yasser Abdulaal ◽  
Mohamed Boshnaq
Keyword(s):  
Parastomal Hernia ◽  
Case Reports ◽  
Rare Complication ◽  
Abdominal Distension ◽  
Unique Case ◽  
Abdominal Ct ◽  
Palpable Mass ◽  
Accident And Emergency ◽  
Abdominal Ct Scan ◽  
Accident And Emergency Department

Parastomal hernia (PSH) is one of the most known complications to end colostomies. However, PSH containing the stomach is rare: not many case reports were found in literature search. This case is a 92-year-old woman who was brought in by ambulance to the accident and emergency department with vomiting, abdominal distension, palpable mass on the left side of her abdomen and with reduced stoma effluent. Her abdominal CT scan showed a PSH containing a partially incarcerated gastric hernia. Although there are only few similar cases of PSH containing the stomach reported in the literature, an almost similar pattern in presentation of this unique case can be deduced following a thorough comparison of cases in the literature, which can be quite helpful both academically and clinically: they are often advanced in age and are usually women with end colostomies.

scholarly journals Mature cystic teratoma of the pancreas: A rare cystic neoplasm

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 872-874
Author(s):  
HeeJoon Kim ◽  
YangSeok Koh
Keyword(s):  
Cystic Teratoma ◽  
Benign Neoplasm ◽  
Laparoscopic Distal Pancreatectomy ◽  
Malignant Potential ◽  
Mature Cystic Teratoma ◽  
Cystic Neoplasm ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
Preoperative Image ◽  
Characteristic Features

AbstractMature cystic teratoma of the pancreas is an extremely rare benign neoplasm. Only 51 cases have been reported in the literature. Its cystic nature often appears to have malignant potential in preoperative image studies. Moreover, no characteristic features could be shown on image studies, such as abdominal CT scan or pancreas MRI. The accurate diagnosis is generally obtained after surgical resection. We present a rare case of a 53-year-old male with mature cystic teratoma of the pancreas, which was confirmed on pathology after laparoscopic distal pancreatectomy.

scholarly journals Diagnostic value of abdominal CT scan in ovarian tumors in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January 2017 to December 2018

2021 ◽  
Vol 29 (2) ◽  
pp. 45
Author(s):  
Ida Bagus Gede Ramayuda ◽  
Lies Mardiyana ◽  
Dyah Erawati ◽  
Indra Yuliati
Keyword(s):  
Ct Scan ◽  
Predictive Value ◽  
Malignant Tumors ◽  
Diagnostic Value ◽  
Ovarian Tumors ◽  
Academic Hospital ◽  
Abdominal Ct ◽  
Contrast Enhanced ◽  
Abdominal Ct Scan ◽  
Histopathological Results

HIGHLIGHTS1. Ovarian tumors diagnostic value has been determined using the tools on contrast-enhanced abdominal CT Scan2. The tools including primary finding like mass size, septation, solid component, and additional finding such as ascites, peritoneal implants, lymph node enlargement3. Most tumors were ovarian malignant tumors according to their histopathological results 4. Contrast-enhanced abdominal CT Scan of ovarian tumors evaluated by the tools gave better and more reliable diagnostic value than without using the toolsABSTRACTObjectives: The purpose of this study was to determine the diagnostic value of contrast-enhanced abdominal CT scan in ovarian tumors in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, to provide scientific and clinical benefits.Materials and Methods: Samples were taken retrospectively by contrast-enhanced abdominal CT scan raw data in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, from January 2017 to December 2018. Using inclusion and exclusion criteria, a total of 88 samples were obtained and reviewed blindly by Female Organ Division of Radiology Department, Faculty of Medicine Universitas Airlangga, and by using "tools" (primary and additional findings of modified ovarian tumors malignancy). The data were correlated with histopathological findings and analyzed by statistical tests and the results with and without "tools" were compared.Results: Samples were grouped by age, distributed with a range of 20 years and the group of 41-60 years had the highest age of ovarian tumor samples (46.6%) with 84.1% being ovarian malignant tumors according to their histopathological results. It was dominated by serous, mucinous and endometroid types with sensitivity of 93.3%, specificity of 64.3%, positive predictive value of 93.3% negative predictive value of 69.2%, and accuracy value of 89.8%. More reliable results were obtained by using “tools”.Conclusion: Contrast-enhanced abdominal CT scan of ovarian tumors in Dr. Soetomo General Academic Hospital, Surabaya, Indonesia, evaluated by “tools” still had a better and more reliable diagnostic value than without tools in determining policy steps in handling ovarian tumors with a note that more in-depth research on pitfalls is needed so it may enrich the characteristic findings in imaging.

Branch-like gas in a commercial diver’s liver: a case report

2020 ◽  
pp. 267-270
Author(s):  
Tao Yu ◽  
◽  
Lina Liu ◽  
Fei Xu ◽  
Di Wu ◽  
...  
Keyword(s):  
Decompression Sickness ◽  
Rare Complication ◽  
Hypovolemic Shock ◽  
Gastrointestinal Symptoms ◽  
Type Ii ◽  
Abdominal Ct ◽  
Distended Abdomen ◽  
Contrast Enhanced ◽  
Systemic Symptoms ◽  
The Right

We report the case of a 42-year-old commercial diver who presented with palpitations, arthralgia, tachypnea and vomiting after three hours of repetitive dives to 25-30 meters below sea level(msw). He was diagnosed with severe decompression sickness (Type II DCS) based on his dive history, his abrupt ascent to the surface within minutes, and systemic symptoms with mild hypovolemic shock. Besides remarkable cutis marmorata on the torso, the patient was also found positive for diffuse branch-like pneumatosis in the liver, mesentery and intestines on an abdominal computed tomography (CT). His vitals were relatively stable, with a soft distended abdomen and mild tenderness over the right upper quadrant. He was treated with hyperbaric oxygen (HBO2) treatment in addition to essential crystalloid resuscitation. The abdominal pneumatosis resolved completely after two HBO2 sessions. Post-diving intra-abdominal pneumatosis is a rare complication of DCS. In our case it was difficult for dive doctors to diagnose promptly because an emergency abdominal CT was not a routine for potential DCS cases. We propose that a contrast-enhanced abdominal CT, which usually involves a intravenous injection of imaging agent, should be considered in emergency management of these patients, especially when they present with gastrointestinal symptoms.

scholarly journals A Case of Unresolved and Worsening Retroperitoneal Abscess

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Raghav Bansal ◽  
Mohamed Barakat ◽  
Soohwan Chun ◽  
Sonam Rosberger ◽  
Joel Baum ◽  
...  
Keyword(s):  
Ct Scan ◽  
Rare Complication ◽  
Duodenal Bulb ◽  
Rare Condition ◽  
Distal Portion ◽  
Retroperitoneal Abscess ◽  
Gallstone Pancreatitis ◽  
Abdominal Ct ◽  
Lower Quadrant ◽  
Abdominal Ct Scan

Retroperitoneal abscess is a rare condition which is difficult to diagnose and treat because of its insidious onset. Herein, we present a case of retroperitoneal abscess secondary to a perforation that occurred during an ERCP. A 54-year-old female patient was admitted to an outside hospital with gallstone pancreatitis and underwent ERCP with sphincterotomy followed by laparoscopic cholecystectomy. An abdominal CT scan was performed at the outside hospital 10 days later for worsening abdominal pain which showed multiple loculated pockets in the right upper and lower quadrant. Her condition improved after IV antibiotics and percutaneous drainage. Her symptoms recurred a month later and she presented to our hospital. Repeat abdominal CT scan at our hospital revealed recurrence of her abscesses. Multiple drains were placed and the abscess cavity was washed out without much improvement. EGD revealed a small mucosal defect in the distal portion of the duodenal bulb which was closed successfully using an over-the-scope clip. Repeat CT scan after 8 weeks from the endoscopic closure showed near complete resolution of the abscess. ERCP-associated perforation is a rare complication and can be challenging to diagnose and treat; prompt recognition is mandatory for favorable prognosis. Our patient was managed successfully via nonsurgical approach.

Persistent chemical peritonitis resulting from spontaneous rupture of an ovarian mature cystic teratoma

2011 ◽  
Vol 54 (11) ◽  
pp. 726 ◽  
Author(s):  
Hyun Sung Yang ◽  
Tae Hun Song ◽  
Hyun Chul Bang ◽  
Jun-Ho Park ◽  
Chae Hyeong Lee ◽  
...  
Keyword(s):  
Spontaneous Rupture ◽  
Cystic Teratoma ◽  
Mature Cystic Teratoma ◽  
Chemical Peritonitis

scholarly journals Uncommon Solitary Mesenteric Mass: Mesenteric Panniculitis

2013 ◽  
Vol 52 (189) ◽  
pp. 288-291
Author(s):  
Abhishek Shah ◽  
Dianbo Cao ◽  
Deepa Shah ◽  
Wenbin Sun
Keyword(s):  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Unknown Etiology ◽  
Resected Specimen ◽  
Rapid Progression ◽  
Mesenteric Panniculitis ◽  
Abdominal Ct ◽  
Mesenteric Fat ◽  
Abdominal Ct Scan ◽  
Mesenteric Mass

Mesenteric panniculitis is a rare, benign disease characterized by a chronic non-specific inflammatory process of mesenteric fat tissue with unknown etiology. Its clinical outcome ranges from complete resolution without any treatment to rapid progression culminating in death. So far, there is no established treatment available for its management. A 53-year-old female was admitted to our hospital because of intermittent abdominal pain, abdominal distension and early satiety for three months. Her abdominal CT scan revealed a solitary, well-defined, heterogeneous mass with a diameter of approximately 3.5cm x 2.8cm in the mesentery of small bowel. Exploratory laparotomy revealed yellowish-grey mass with a gritty consistency and histopathology of the resected specimen confirmed it to be mesenteric panniculitis. An increased awareness may lead to the use of a less invasive diagnostic approach and optimal management of this rare disease entity. Keywords: Computerized Tomography (CT); Mesenteric Panniculitis (MP); treatment.

scholarly journals Miliary abscess of the liver: unusual complication of intestinal perforation

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Raouf Fayisall Geraldo ◽  
Boyodi Katanga Tchangai ◽  
Efoé-Ga Yawod Olivier Amouzou ◽  
Fousseni Alassani ◽  
Birega Koutora ◽  
...  
Keyword(s):  
Ct Scan ◽  
Unusual Complication ◽  
Abdominal Ct ◽  
Rare Presentation ◽  
Generalized Peritonitis ◽  
Contrast Enhanced ◽  
Abdominal Ct Scan ◽  
Surgical History ◽  
Immunosuppressed Patients ◽  
Intestinal Continuity

ABSTRACT Miliary abscess of the liver represents a rare presentation of multiple liver abscesses. They often occur in immunosuppressed patients, or those with underlying liver disease. We report the case of a 22-year-old patient, without known immunodeficiency factors, surgical history or notion of tuberculous contacts, who was admitted for generalized peritonitis and ileal perforation. An ileostomy was performed. The infectious syndrome persisted in post-operative period, associated with painful hepatomegaly. An contrast-enhanced abdominal CT scan led to the diagnosis of miliary abscess of the liver. A blood culture isolated Escherichia coli. The treatment included antibiotics and the clinical evolution was favorable. The follow-up abdominal CT scan was normal. Intestinal continuity was restored without complications. Miliary abscess of the liver is rare and requires rapid diagnosis. The treatment is based on antibiotic therapy.

scholarly journals SPONTANEOUS RUPTURE OF THE RIGHT CONGENITAL DIAPHRAGMATIC EVENTRATION ON THE RIGHT SUBJECTED TO SURGICAL CORRECTION IN A CHILD WITH MEGADOLICOCOLON

2021 ◽  
Vol 11 (3(41)) ◽  
pp. 55-61
Author(s):  
S. Babuci ◽  
O. Gorbatyuk ◽  
V. Eremia ◽  
V. Petrovici
Keyword(s):  
Spontaneous Rupture ◽  
Rare Complication ◽  
Abdominal Distension ◽  
Clinical Situation ◽  
Suture Line ◽  
Surgical Correction ◽  
Fibrin Adhesive ◽  
Diaphragmatic Eventration ◽  
Thoracic Approach ◽  
The Right

Спонтанний розрив гемідіафрагми у випадках вродженої діафрагмальної евентрації зустрічається вкрай рідко, у літературі повідомляють про унікальні випадки.In this context, the authors present the case of an 8-year-old child who was hospitalized in the coloproctology service for abdominal pain, lack of stool for more than 7 days, pronounced abdominal distension. The child suffers from Down's disease. In 2017, he was occasionally diagnosed with right diaphragmatic eventration and underwent surgical correction by thoracic approach. After a thorough evaluation, with signs suggestive of diaphragmatic hernia on the right, the child underwent surgery, intraoperatively the rupture of the right hemidiaphragm was found with intrathoracic ascension of the malrotated intestinal loops, transverse colon and omentum. The repair of the diaphragmatic eventration complicated by rupture was used using the “overcoat” folding procedure, on the suture line being carefully applied a collagen foil covered with components of the fibrin adhesive. The postoperative period passed without complications.Conclusion. Spontaneous rupture of the diaphragm is a rare complication in children with diaphragmatic eventration, especially on the right side, in this case obstruction of the malformative colon ascended intrathoracically with progressive dilation of the intestinal loops being responsible for distension with gradual thinning of the hemidiaphragm sac resulting malformation in diaphragmatic rupture with herniation and progressive obliteration of the pleural space. The case of rupture of the diaphragmatic eventration associated with megadolicocolon confirms that the respiratory symptoms characteristic of this clinical situation may be overshadowed by the predominance of signs of intestinal obstruction, without leading to sudden progressive clinical deterioration, which proved to be a misleading moment in diagnosis. certainty of this serious complication rarity.

scholarly journals Case Report: Gastric Wall Thickening: Radiological Diagnostic Challenges in Gastric Malignancy

2021 ◽  
Vol 10 (1) ◽  
pp. 71
Author(s):  
Putu Ayu Winda Wirastuti Giri ◽  
Nyoman Srie Laksminingsih ◽  
Firman Parulian Sitanggang ◽  
I Gusti Ayu Sri Mahendra Dewi ◽  
I Wayan Juli Sumadi ◽  
...  
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Contrast Enhancement ◽  
Gastric Wall ◽  
Wall Thickening ◽  
Radiologic Finding ◽  
Abdominal Ct ◽  
Contrast Enhanced ◽  
Abdominal Ct Scan ◽  
Mucosal Thickening

Gastric abnormalities show nonspecific gastrointestinal symptoms and similarly radiological findings. Intra and extra luminal gastric wall thickening are the most common finding in benign and malignant pathologic process. This aim of this case report was to describe several characteristics such as the location and size of the lesion, involvement of the gastric wall and surrounding structures, calcifications, and contrast enhancement pattern which can assist in radiological diagnosis. Several cases at our institution have similar gastrointestinal complaints, however, there were different lesions characteristic found in contrast enhanced abdominal CT scan. The first case 72-years-old man experienced hematemesis with radiologic finding diffuse gastric mucosal thickening as well as homogenous contrast enhancement but without calcification.  The second case 37-years-old man complaint dizziness and melena with radiologic finding large tumor more than 10 cm in size, amorph calcification and heterogenous contrast enhancement. The last 60-years-old man case experienced melena and hematemesis, from abdominal CT scan showed irregular gastric mucosal thickening with heterogenous contrast enhancement and fat stranding around the lesion, without calcification. Methods used in these cases were contrast-enhanced abdominal CT scan, esophagogastroduodenoscopy (EGD), and biopsy in order to determine the diagnosis. Contrast-enhanced abdominal CT scan plays a vital role in describing the lesion characteristics which affects the determination of treatment options and future prognosis.

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