scholarly journals A Case of Colonic Ischaemia Masquerading as a Colonic Mass

2020 ◽  
pp. 1-3
Author(s):  
Vikrant Parihar ◽  
K. Van Der Merwe ◽  
O. Fagan ◽  
P. Armstrong ◽  
D. Crosnoi ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Early Diagnosis ◽  
Blood Supply ◽  
Rectal Bleeding ◽  
Invasive Carcinoma ◽  
Intestinal Ischaemia ◽  
Diagnostic Dilemma ◽  
Raising Awareness ◽  
Clinical Presentations

Intestinal ischaemia is an uncommon vascular syndrome resulting from an acute or chronic drop in blood supply to the bowel, with varied clinical presentations. Intestinal ischaemia can present similarly to other conditions, leaving the clinician with a diagnostic dilemma. In this case report, we present a 69-year-old male who presented with abdominal pain, distention, anorexia and per rectal bleeding. Endoscopy showed a left-sided mass-like, ulcerated lesion, endoscopically thought to be colonic carcinoma. Histology later revealed this mass to be intestinal ischaemia, with no features of invasive carcinoma. This was confirmed at an interval endoscopy, which showed a largely healed mucosa and nil evidence of a mass. Raising awareness of this disease and its ability to mimic other presentations, both clinically and endoscopically, is key to establishing an early diagnosis and intervention.

scholarly journals Peritoneal Tuberculosis Presenting as Chronic Ascites With Scrofula: A Case Report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Galina Bogoslovskaya ◽  
Jose Zaldivar
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Extrapulmonary Tuberculosis ◽  
Young Female ◽  
Ca 125 ◽  
Test Results ◽  
Peritoneal Tuberculosis ◽  
Clinical Presentations ◽  
High Index Of Suspicion ◽  
Diagnostic Delays

Peritoneal tuberculosis (PTB) is a common type of extrapulmonary tuberculosis; however, due to variety of clinical presentations, diagnostic challenges do occur. The nonspecific features of this disease can lead to diagnostic delays and the development of complications. In addition, PTB can mimic a malignancy, especially in women who present with ascites and elevated cancer antigen (CA) 125 levels. A high index of suspicion is an important factor in an early diagnosis. Moreover, an early diagnosis and the initiation of antituberculous therapy are essential for preventing morbidity and mortality. Fortunately, most of these patients respond very well to standard antituberculous therapy.Here, we have reported the case of a young female patient who presented with chronic ascites, mild abdominal tenderness, and later, scrofula. Ultimately, she was diagnosed with PTB based on her test results. We expect that this case report will contribute to the existing literature on this subject.

Pink Spot – Literature Review and Case Report

2016 ◽  
Vol 40 (5) ◽  
pp. 353-355 ◽  
Author(s):  
Roy Petel ◽  
Anna Fuks
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Literature Review ◽  
Diagnosis And Treatment ◽  
Rare Occurrence ◽  
Central Incisor ◽  
Successful Management ◽  
Pathologic Process ◽  
Clinical Presentations ◽  
Subsequent Loss

Background: Pink spots in teeth were first described by Mummery in 1920, and were related to resorption. Resorption is a pathologic process that often eludes the clinician with its varied etiologic factors and diverse clinical presentations. Resorption can be generally classified as internal and external resorption. Internal resorption has been described as a rare occurrence as compared to external resorption. Case report: This article describes a pink spot that was diagnosed as a progressing resorption process. Early diagnosis enabled a successful management of the lesion. Conclusion: Early diagnosis and treatment of an internal resorption, clinically seen as a pink spot, in a primary central incisor may prevent its fast progress and subsequent loss.

Diagnostic challenges in tuberculous otitis media

2010 ◽  
Vol 124 (8) ◽  
pp. 913-915 ◽  
Author(s):  
I P Tang ◽  
N Prepageran ◽  
C A Ong ◽  
P Puraviappan
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Antibiotic Therapy ◽  
Otitis Media ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Middle Ear Infection ◽  
Clinical Presentations ◽  
Tuberculous Otitis Media ◽  
Systemic Antibiotics

AbstractObjectives:To demonstrate the different clinical presentations of tuberculous otitis media and the management of selected cases.Case report:We report four cases of tuberculous otitis media with different clinical presentations, encountered between 1998 and 2002. None of the cases showed improvement with local or systemic antibiotics. The diagnosis, complications and management of these cases are discussed.Conclusions:A high index of clinical suspicion of tuberculous otitis media is required in patients who do not respond to standard antibiotic therapy for (nontuberculous) chronic middle-ear infection. Early diagnosis and treatment of tuberculous otitis media is important to avoid irreversible complications, surgical intervention and propagation of the disease.

scholarly journals Caecal duplication, a case report

2021 ◽  
Vol 43 (2) ◽  
Author(s):  
Michele Corroppolo ◽  
Elisa Pani ◽  
Maria Teresa Bortolami ◽  
Hamid Reza Sadri ◽  
Fabio Beretta ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Prenatal Diagnosis ◽  
Rectal Bleeding ◽  
Abdominal Distension ◽  
Abdominal Distention ◽  
Palpable Mass ◽  
Intestinal Duplication

The caecum is one of the rarest sites of intestinal duplication cysts. The most common symptomatology includes vomiting, abdominal pain, abdominal distention, palpable mass and rectal bleeding. Most of the duplications are diagnosed within the first two years of life, including prenatal diagnosis. Only few cases of caecal duplication have been reported in the literature up to the present day. We are going to present a case of a five-years old girl with caecum duplication who reached our ward due to abdominal distension with no other symptoms.

scholarly journals Acute bilateral renal vein thrombosis diagnosis and management: a case report

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Paul Ghaly ◽  
Jim Iliopoulos ◽  
Mehtab Ahmad
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Renal Vein ◽  
Significant Proportion ◽  
Delayed Diagnosis ◽  
Renal Vein Thrombosis ◽  
Diagnostic Dilemma ◽  
Delay In Diagnosis ◽  
Vein Thrombosis ◽  
Persistent Abdominal Pain

Abstract Undifferentiated abdominal pain accounts for a significant proportion of emergency presentations and often presents as a diagnostic dilemma. Renal vein thrombosis (RVT) has many aetiologies including nephrotic syndrome, malignancy, trauma, infection and hypercoagulable states. RVT should be considered in cases of persistent abdominal pain where other, more common, pathologies have been excluded. We present the case of a 42-year-old male with a delayed diagnosis of bilateral RVT after presenting with multiple episodes of intractable abdominal pain and adverse sequelae of this condition. This case report aims to emphasize the importance of prompt RVT recognition and the utility of bedside emergency department (ED) investigations, which can guide initial differential diagnoses of abdominal pain, reduce the delay in diagnosis as well as limit unnecessary investigations.

scholarly journals Advancing Mandibular Swelling: A Diagnostic Dilemma

2013 ◽  
Vol 14 (4) ◽  
pp. 754-758
Author(s):  
KF Basavaraj ◽  
AU Madihalli ◽  
Abdul Mujeeb ◽  
Samir Mansuri ◽  
Mohammed Abid Hussain
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Treatment Planning ◽  
Malignant Tumors ◽  
Accurate Diagnosis ◽  
Illustrative Case ◽  
Diagnostic Dilemma ◽  
Radiological Features ◽  
The Face

ABSTRACT Asymmetrical swelling of the mandible in adolescence may pose a significant diagnostic dilemma. The differential diagnosis ranges from traumatic, infectious, and metabolic processes to benign and malignant tumors. Also may present with similar clinical and radiological features, making an accurate diagnosis quite difficult. This is an illustrative case involving a 30-year-old female who initially presented with complaint of pain and swelling in the lower left side of the face for 2 months. Multiple investigations and several biopsies were required to arrive at a diagnosis. This paper deals with a case report of a fibrosarcoma involving the mandible highlighting the importance of early diagnosis and treatment planning. How to cite this article Basavaraj KF, Madihalli AU, Mujeeb A, Mansuri S, Hussain MA. Advancing Mandibular Swelling: A Diagnostic Dilemma. J Contemp Dent Pract 2013;14(4):754-758.

scholarly journals Jejunogastric Intussusception: A Case Report

2012 ◽  
Vol 30 (1) ◽  
pp. 44-47 ◽  
Author(s):  
MM Hussain ◽  
A Rahman ◽  
MR Abedin ◽  
MA Habib
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Early Diagnosis ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Prompt Treatment ◽  
Jejunogastric Intussusception ◽  
Acute Form

Jejunogastric intussusception is an established complication following any type of gastroenterostomy. In its acute form it presents with abdominal pain and lump suggestive of obstruction. It is also a rare cause of haematemesis. Chronic and intermittent presentation has also been described. It is a surgical emergency in its acute form. Early diagnosis and prompt treatment is required to avoid mortality. We report here a case that had a history suggestive of recurrent symptoms and ultimately presented as an acute emergency in the emergency department of Dhaka Medical College Hospital, Dhaka, Bangladesh   DOI: http://dx.doi.org/10.3329/jbcps.v30i1.11366   J Bangladesh Coll Phys Surg 2012; 30: 44-47  

scholarly journals Management of Giant Retroperitoneal Liposarcoma: A Case Report

2021 ◽  
Author(s):  
Alper Bitkin ◽  
Mustafa Aydın ◽  
İnci Yavuz ◽  
Ramazan İnan ◽  
Lokman İrkilata
Keyword(s):  
Overall Survival ◽  
Case Report ◽  
Local Recurrence ◽  
Early Diagnosis ◽  
Surgical Resection ◽  
Important Predictor ◽  
Rare Tumor ◽  
Retroperitoneal Liposarcoma ◽  
Clinical Presentations ◽  
Complete Surgical Resection

Retroperitoneal liposarcoma (RPLS) is a rare tumor. Early diagnosis and treatment are difficult due to absence of specific clinical presentations. We report a case of a 66-years-old woman who succesfully underwent complete surgical resection for a giant retroperitoneal liposarcoma. The complete surgical resection is the most important predictor of local recurrence and overall survival. We believe that complete surgical resection involving adjacent organs is a curative treatment to increase overall survival, especially in the presence of invasion of large tumors.

scholarly journals Embolization of a Mesenteric Arteriovenous Malformation Associated with Idiopathic Myointimal Hyperplasia: A Case Report and Literature Review

2021 ◽  
Author(s):  
Yash B Shah ◽  
Derek Lee ◽  
Tamim S. Khaddash
Keyword(s):  
Smooth Muscle ◽  
Abdominal Pain ◽  
Case Report ◽  
Early Diagnosis ◽  
Literature Review ◽  
Endovascular Embolization ◽  
Definitive Treatment ◽  
Case Presentation ◽  
Smooth Muscle Proliferation ◽  
Potential Benefits

Abstract Background Idiopathic myointimal hyperplasia of the mesenteric vein (IMHMV) is a rare, often undiagnosed pathology affecting the colon. Patients typically present with severe abdominal pain and inflammation caused by smooth muscle proliferation of the veins, leading to arterialization, stenosis, and potential occlusion. The etiology remains unclear, but it has been hypothesized that an arteriovenous connection may be associated with the pathology. This is the first reported case supporting such an association. Endovascular embolization is generally a less invasive alternative to surgical resection in the treatment of such vascular disorders, and our case highlights the potential benefits of endovascular treatment. Case Presentation This report describes a 24-year-old female patient with findings of colitis and an abnormal arteriovenous connection of the inferior mesenteric arterial and venous system. Partial embolization of this arteriovenous connection temporarily improved symptoms, but the presence of multiple smaller feeder vessels not amenable to embolization ultimately necessitated colonic resection for definitive treatment. Although prior reports have hypothesized that arterial pressurization of the veins may cause myointimal hyperplasia, to the authors’ knowledge, this is the first report of IMHMV with an associated abnormal arteriovenous connection. Conclusions This case illustrates the possibility of a pathogenic relationship between an arteriovenous connection and IMHMV. It is presumable that early radiologic analysis for an abnormal arteriovenous connection in colitis patients may facilitate IMHMV diagnosis, and early diagnosis may even facilitate the success of embolization.

Advanced myeloma masquerading as chronic shoulder pain in a 48-year-old man: a diagnostic dilemma

2020 ◽  
Vol 13 (5) ◽  
pp. e231219
Author(s):  
Rajarshi Bhadra ◽  
Teodora Nikova ◽  
Meyappan Somasundaram ◽  
Keyvan Ravakhah
Keyword(s):  
Multiple Myeloma ◽  
Case Report ◽  
Early Diagnosis ◽  
Shoulder Pain ◽  
Pathologic Fracture ◽  
Diagnostic Dilemma ◽  
History Of ◽  
Low Threshold ◽  
The Right ◽  
Chronic Shoulder Pain

Although solitary plasmacytomas may occasionally present as collar bone swellings or fractures, multiple myeloma involving clavicle is extremely rare. Ten to forty per cent of multiple myeloma cases are asymptomatic and are incidental diagnoses. Our case report describes an entirely benign presentation like chronic shoulder pain masquerading advanced myeloma, thereby posing a significant diagnostic dilemma. We present a 48-year-old man who presented with chronic bilateral shoulder pain with no history of trauma and was eventually diagnosed with advanced multiple myeloma and pathologic fracture of the right clavicle. It is, therefore, evident that a low threshold for suspicion can lead to early diagnosis and initiation of treatment and better survival.

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