Idiopathic Omental Infarction Mimic Acute Appendicitis: A Case Report

Idiopathic Omental Infarct (IOI) is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Since first case was described by Elitelin 1899, more than 300 cases have been published [1]. It can mimic serious surgical pathology. It occurs in <1% of appendicitis cases [2]. It’s challenge to diagnose, as features may mimic acute appendicitis and therefore in young patients, may only be discovered intra-operative. Here, we present a case of omental infarct in 26-year-old gentleman with no significant medical or surgical background who present with acute onset of right iliac fossa (RIF) pain. Examination revealed tenderness over the right iliac fossa and was having localized rebound. His inflammatory markers were high. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day.

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Omental Infarction: A Case Treated with Laparoscopic Surgery

10.31487/j.ijscr.2019.02.03 ◽

2019 ◽

pp. 1-3

Author(s):

Bertrand Ng ◽

Arafat Yasser

Keyword(s):

Diabetes Mellitus ◽

Laparoscopic Surgery ◽

Hospital Stay ◽

Acute Cholecystitis ◽

Inflammatory Markers ◽

Acute Onset ◽

Laparoscopy Surgery ◽

History Of ◽

Background History ◽

The Right

Omental infarct is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Here, we present a case of omental infarct in a 67-year-old gentleman with background history of diabetes mellitus who present unusually with a severe acute onset right hypochondrium pain. Examination revealed that he was tender to touch at the right and was having localized guarding. His inflammatory markers were normal. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day. Omental infarct cases with right hypochondrium pain can sometimes mimicked acute cholecystitis and management includes laparoscopic surgery which can hasten symptoms resolution and reduces hospital stay, however recommendation for surgery has to be balanced with anesthetics risk and complication of the surgery itself.

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Abstract 1122‐000051: Isolated Diplacusis Due to Ipsilateral Temporal Lobe Infarction: A Case Report

Stroke: Vascular and Interventional Neurology ◽

10.1161/svin.01.suppl_1.000051 ◽

2021 ◽

Vol 1 (S1) ◽

Author(s):

Ali Kerro ◽

Reza Bavarsad Shahripour

Keyword(s):

Case Report ◽

Temporal Lobe ◽

Case Reports ◽

Sensorineural Deafness ◽

Screen Test ◽

Acute Onset ◽

First Case ◽

Ischemic Infarct ◽

Pubmed Search ◽

The Right

Introduction : Double hearing or Diplacusis is a synchronous double perception of a sound and can have Binauralis or Monauralis pattern, with inner ear disorders being the main culprit [1] . Other forms of Auditory illusions have been reported as a co‐manifestation of stroke syndromes, but none as an isolated presentation [1][2] . This is a case of a 77‐year‐old male with acute onset isolated Diplacusis in a patient due to a right temporal lobe ischemic infarct. To our knowledge, this is the first case report of an isolated diplacusis due to cortical infarct. Methods : A case presentation with Pubmed search of review articles and case reports. Results : The patient had a past medical history of sensorineural deafness in his left ear. He described any sound heard as the same quality but occurring with an echo heard a fraction of a second later in his right ear. There was no decreased hearing quality or tinnitus reported in his right ear. His drug screen test was negative. His examination was only remarkable for a sensorineural hearing loss pattern on his left ear. His (NIHSS) was zero, and no other cranial nerve abnormalities were detected. His MRI was significant for a punctate restricted diffusion on the right temporal lobe, resembling an ischemic infarct (Figure). Conclusions : Isolated diplacusis can present as acute ischemic stroke in the temporal lobe. Further studies are needed to understand its pathophysiology.

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A RARE CASE OF VALENTINO SYNDROME- CASE REPORT

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v5i11.2301 ◽

2021 ◽

Vol 5 (11) ◽

Author(s):

Rohit K Phadnis ◽

Suditi Sharma ◽

Sai Lavanya Patnala ◽

Faiz Hussain ◽

Neha Chigulapalli

Keyword(s):

Duodenal Ulcer ◽

Case Report ◽

Acute Appendicitis ◽

Diagnostic Laparoscopy ◽

Iliac Fossa ◽

Rare Condition ◽

Duodenal Perforation ◽

Ulcer Perforation ◽

The Right ◽

Duodenal Ulcer Perforation

Background: Valentino’s syndrome refers to acute abdomen with clinical presentation mimicking acute appendicitis in a Perforated gastric or duodenal ulcer. This occurs when suppurative fluid from duodenal perforation trickles down the paracolic gutter to the right iliac fossa causing peritonitis locally and causes periappendicitis. Less than 50 cases have been reported in literature of the same. Case report and discussion: A 42-year-old male was admitted to the general surgery department with pain in the right iliac fossa and epigastric region. A diagnostic laparoscopy was performed under the suspicion of Acute appendicitis, which was later converted to open laparotomy on finding a perforated duodenal ulcer. Review of Literature: Valentino syndrome is a rare condition in which a duodenal ulcer mimics acute appendicitis which is a diagnosed intraoperatively and managed surgically. Although the exact incidence is unknown, less than 50 cases have been reported worldwide. The first incidence reports back to 1926 when an Italian actor, Rodolfo Valentino who succumbed to this rare disease and it was named after him. Conclusion: Differential diagnosis of duodenal ulcer perforation should be considered for adult patient with diagnosis of acute appendicitis. X ray erect abdomen and diagnostic laparoscopy can help to overcome foot in mouth situation due to missed duodenal ulcer perforation. Keywords: Valentino syndrome.

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Bordetella Holmesii: An Unusual Cause of Endogenous Endophthalmitis in a Patient With Sickle Cell Disease

Journal of VitreoRetinal Diseases ◽

10.1177/2474126420946637 ◽

2020 ◽

pp. 247412642094663

Author(s):

Roma B. Pegany ◽

Roshan T. George ◽

Alice Yang Zhang

Keyword(s):

Visual Acuity ◽

Case Report ◽

Sickle Cell Disease ◽

Sickle Cell ◽

Acute Onset ◽

Endogenous Endophthalmitis ◽

Causative Organism ◽

Cell Disease ◽

First Case ◽

The Right

Purpose: This case report describes a rare organism causing endogenous endophthalmitis in a patient with sickle cell disease. Methods: A case report was conducted. Results: A 41-year-old man with sickle cell disease presented with acute onset of blurry vision of the right eye. His visual acuity was counting fingers in the right eye and 20/20 in the left eye. He had ophthalmic findings of hypopyon and vitritis in the right eye, consistent with endophthalmitis. He was treated with intravitreal and systemic antibiotics. Vitreous cultures grew Bordetella holmesii. His visual acuity at follow-up visits improved to 20/40 in the setting of improved vitritis. Conclusions: This is the first case describing B holmesii, a rare causative organism of endogenous endophthalmitis, in a patient with sickle cell disease. More studies are needed to improve the early detection and treatment of this unusual organism.

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Late presentation of extrauterine adenomyomas after laparoscopic morcellation at hysterectomy: a case report

BMC Women s Health ◽

10.1186/s12905-021-01408-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mohammed Nagdi Zaki ◽

Aafia Mohammed Farooq Gheewale ◽

Nada Ibrahim ◽

Ibrahim Abd Elrahman

Keyword(s):

Case Report ◽

Transvaginal Ultrasound ◽

Iliac Fossa ◽

Abdominal Cavity ◽

Laparoscopic Hysterectomy ◽

Pathology Report ◽

Presacral Space ◽

Gnrh Analogue ◽

Power Morcellation ◽

The Right

Abstract Background An adenomyoma is a well circumscribed form of adenomyosis and can be located within the myometrium, in the endometrium as a polyp, or extrauterine with the last being the rarest presentation amongst the three. With the ongoing advancement in gynecological surgery, the use of electromechanical morcellators have made the removal of large and dense specimens possible with minimally invasive techniques. However, it has also caused an increase in complications which were previously rare. Whilst the tissue is being grinded within the abdominal cavity, residual tissue can spread and remain inside, allowing for implantation to occur and thereby giving rise to recurrence of uterine tissue as a new late postoperative complication. Case presentation A 45-year-old woman presented with worsening constipation and right iliac fossa pain. Her past surgical history consists of laparoscopic supra-cervical hysterectomy that was indicated due to uterine fibroids. Computerized tomography and magnetic resonance imaging were done, which showed an irregular lobulated heterogeneous mass seen in the presacral space to the right, located on the right lateral aspect of the recto-sigmoid, measuring 4.5 × 4.3 × 4.3 cm in size. A transvaginal ultrasound revealed a cyst in the left ovary. The patient had a treatment course over several months that included Dienogest (progestin) and Goserelin (GnRH analogue) with add-back therapy. In line with the declining response to medications, the patient was advised for a laparoscopic ovarian cystectomy. During the surgery, an additional lesion was found as a suspected fibroid and the left ovarian cyst was identified as pockets of peritoneal fluid which was sent for cytology. The surgical pathology report confirmed adenomyosis in both specimens, namely the right mass and the initially suspected fibroid. Conclusion In this case report, we showcase a rare occurrence of an extrauterine adenomyoma presenting two years post laparoscopic morcellation at hysterectomy. This poses questions regarding the benefits versus risks of power morcellation in laparoscopic hysterectomy.

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Successful extracorporeal membrane oxygenation resuscitation of patient with cardiogenic shock induced by phaeochromocytoma crisis mimicking hyperthyroidism: A case report

Open Life Sciences ◽

10.1515/biol-2021-0073 ◽

2021 ◽

Vol 16 (1) ◽

pp. 746-751

Author(s):

Tao Wang ◽

Qiancheng Xu ◽

Xiaogan Jiang

Keyword(s):

Case Report ◽

Extracorporeal Membrane Oxygenation ◽

Cardiogenic Shock ◽

Tumour Size ◽

Acute Onset ◽

Left Ventricular ◽

Vanillylmandelic Acid ◽

Membrane Oxygenation ◽

First Case ◽

Va Ecmo

Abstract A 29-year-old woman presented to the emergency department with the acute onset of palpitations, shortness of breath, and haemoptysis. She reported having an abortion (56 days of pregnancy) 1 week before admission because of hyperthyroidism diagnosis during pregnancy. The first diagnoses considered were cardiomyopathy associated with hyperthyroidism, acute left ventricular failure, and hyperthyroidism crisis. The young woman’s cardiocirculatory system collapsed within several hours. Hence, venoarterial extracorporeal membrane oxygenation (VA ECMO) was performed for this patient. Over the next 3 days after ECMO was established, repeat transthoracic echocardiography showed gradual improvements in biventricular function, and later the patient recovered almost completely. The patient’s blood pressure increased to 230/130 mm Hg when the ECMO catheter was removed, and then the diagnosis of phaeochromocytoma was suspected. Computed tomography showed a left suprarenal tumour. The tumour size was 5.8 cm × 5.7 cm with central necrosis. The vanillylmandelic acid concentration was 63.15 mg/24 h. Post-operation, pathology confirmed phaeochromocytoma. To our knowledge, this is the first case report of a patient with cardiogenic shock induced by phaeochromocytoma crisis mimicking hyperthyroidism which was successfully resuscitated by VA ECMO.

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Case Report: Bow Hunter's Syndrome Caused by Compression of Extracranially Originated Posterior Inferior Cerebellar Artery

Frontiers in Neurology ◽

10.3389/fneur.2021.756838 ◽

2021 ◽

Vol 12 ◽

Author(s):

Noriya Enomoto ◽

Kenji Yagi ◽

Shunji Matsubara ◽

Masaaki Uno

Keyword(s):

Case Report ◽

Posterior Inferior Cerebellar Artery ◽

Head Rotation ◽

Radiographic Examination ◽

Posterior Decompression ◽

First Case ◽

Cerebellar Artery ◽

Cervical Approach ◽

The Right ◽

Hunter's Syndrome

Bow hunter's syndrome (BHS) is most commonly caused by compression of the vertebral artery (VA). It has not been known to occur due to an extracranially originated posterior inferior cerebellar artery (PICA), the first case of which we present herein. A 71-year-old man presented with reproducible dizziness on leftward head rotation, indicative of BHS. On radiographic examination, the bilateral VAs merged into the basilar artery, and the left VA was predominant. The right PICA originated extracranially from the right VA at the atlas–axis level and ran vertically into the spinal canal. During the head rotation that induced dizziness, the right PICA was occluded, and a VA stenosis was revealed. Occlusion of the PICA was considered to be the primary cause of the dizziness. The patient underwent surgery to decompress the right PICA and VA via a posterior cervical approach. Following surgery, the patient's dizziness disappeared, and the stenotic change at the right VA and PICA improved. The PICA could be a causative artery for BHS when it originates extracranially at the atlas–axis level, and posterior decompression is an effective way to treat it.

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Amyand's hernia and acute appendicitis: Case presentation in Basic Hospital of Chone

International Journal of Health Sciences ◽

10.29332/ijhs.v4n2.440 ◽

2020 ◽

Vol 4 (2) ◽

pp. 19-23

Author(s):

Orelvis Rodríguez Palmero ◽

Liseidy Ordaz Marin ◽

María Del Rosario Herrera Velázquez ◽

Agustín Marcos García Andrade

Keyword(s):

Abdominal Pain ◽

Inguinal Hernia ◽

Acute Appendicitis ◽

Physical Examination ◽

Iliac Fossa ◽

Amyand’S Hernia ◽

Case Presentation ◽

The North ◽

History Of ◽

The Right

Present the case of a 66-year-old male patient, with a history of right inguinal hernia, who was referred to the emergency room at the IESS de Chone Basic Hospital in the north of the Manabí province, Ecuador, with symptoms of Abdominal pain of more than 24 hours of evolution located in the right iliac fossa and inguinal region on the same side, in the physical examination the hernia was impossible to reduce, so he was taken to the operating room, in the intervention the cecal appendix was found swollen within the hernial sac, a condition known as Amyand's hernia.

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Neuroendocrine Neoplasm in Cecal Appendix: A Case Report

Amadeus International Multidisciplinary Journal ◽

10.14295/aimj.v4i7.84 ◽

2019 ◽

Vol 4 (7) ◽

pp. 118-126

Author(s):

Pedro Walisson Gomes Feitosa ◽

Andrezza Lobo Rodrigues ◽

Esther Barbosa Gonçalves Felix ◽

Maria Stella Batista de Freitas Neta ◽

Sávio Samuel Feitosa Machado

Keyword(s):

Case Report ◽

Surgical Approach ◽

Iliac Fossa ◽

Neuroendocrine Neoplasm ◽

Neuroendocrine Neoplasms ◽

Histopathological Analysis ◽

High Mitotic Activity ◽

Precise Diagnosis ◽

The Right ◽

A Site

Although neuroendocrine neoplasms are relatively uncommon entities, the appendix is a site with relatively frequent emergence of this pathology and its precise diagnosis and clinical management have been a challenge for practitioners. This paper aims to present and discuss a case report of neuroendocrine neoplasia in the appendix of a patient with acute abdomen who underwent appendectomy. A 46-year-old man referred to the Emergency Department complaining of abdominal pain in the right iliac fossa and signs of peritoneal irritation. After diagnosis of acute appendicitis, the patient underwent appendectomy. In a macroscopic analysis, an area of 1.9 cm long, hardened, irregular and yellowish shapes was noted in the distal third of the appendix. Histopathological analysis showed neoplasia consisting of invasive islands of monotonous rounded epithelioid cells, large areas of necrosis, high mitotic activity, neural and angiolymphatic invasion and extension to adipose tissue compatible with invasion of the mesoappendix. Circumferential resection was compromised, suggesting the persistence of neoplasia in the patient even after the surgical approach, which would probably recommend the need for surgical approach. Therefore, the importance of sending collected materials for anatomopathological analysis is emphasized, since it helps in the clinical evaluation, in the etiological diagnosis, guides the medical conduct in the evolution of the case, as well as assisting in family mourning in cases of mortality.Keywords: Neuroendocrine tumor, Appendix, Histopathological analysis.

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Patient re-presents to the clinic with reactive arthritis in the right hip after covid-19 infection: A case report

10.21203/rs.3.rs-230354/v1 ◽

2021 ◽

Author(s):

Kamyar Shokraee ◽

Soroush Moradi ◽

Tahereh Eftekhari ◽

Rasoul Shajari ◽

Maryam Masoumi

Keyword(s):

Case Report ◽

Reactive Arthritis ◽

Respiratory Symptoms ◽

Gastrointestinal Infection ◽

Case Presentation ◽

Sexually Transmitted ◽

Methyl Prednisolone ◽

First Case ◽

The Right

Abstract Background: SARS-COV-2, first reported in December 2019, usually presents with respiratory symptoms but can have various other manifestations and sequelae. One of the rare complications of COVID-19 infection is Reactive Arthritis. This complication is more likely to occur following sexually transmitted or gastrointestinal infection.Case presentation: Herein, we report a 58 years old woman hospitalized following COVID-19 infection and was discharged after a week. She consequently presented to the clinic ten days after her discharge, complaining of walking difficulties and radiating pain in her right hip. After ultrasound and MRI, she was diagnosed with reactive arthritis inflammation in the hip’s neck. Other known microorganisms responsible for reactive arthritis were ruled out before attributing it to the earlier COVID-19 infection. She reached remission after being treated using a combination of indomethacin and depot methyl-prednisolone for 14 days. Conclusion: To our knowledge, this is the first case of reactive arthritis caused by SARS-COV-2 in the hip. Further attention should be paid to symptoms occurring after an episode of infection with COVID-19 in order to expand our understanding of the disease and the symptoms with which it can manifest.

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