scholarly journals Dextrocardia with Situs Inversus in an 18-Year-Old Nigerian Female: The Computed Tomographic Findings and a Case Report

2021 ◽  
Vol 2 (2) ◽  
pp. 01-03
Author(s):  
Sule MB
Keyword(s):  
Situs Inversus ◽  
Congenital Abnormalities ◽  
Rare Condition ◽  
Abdominal Ct ◽  
Computed Tomographic ◽  
Abdominal Ct Scan ◽  
Displaced Spleen ◽  
Upper Abdominal ◽  
The Right ◽  
Extracardiac Abnormalities

Dextrocardia is a cardiac positional anomaly in which the heart is located in the right hemithorax with its base to apex axis directed to the right and caudad. The malposition is intrinsic to the heart and not caused by extracardiac abnormalities. Dextrocardia is a rare condition and usually found incidentally and in association with other congenital abnormalities. It has an incidence of less than 1%. This is an 18 year old Nigerian female who was referred for computed tomography (CT) of the chest on account of prolonged and recurrent cough with a suspicion of diffuse interstitial lung disease. The chest and upper abdominal CT scan showed dextrocardia with a right placed heart, displaced spleen and stomach to the right hemi-abdomen and liver displaced to the left hemi-abdomen; confirming the diagnosis of dextrocardia with situs inversus. We present this case of dextrocardia with abdominal situs inversus due to its rarity in literature.

scholarly journals Obstructed descending colon mass pretended with Bockdalek hernia: a case report

2021 ◽  
Author(s):  
mohammad eslamian ◽  
Mohsen kolahdouzan
Keyword(s):  
Diaphragmatic Hernia ◽  
Abdominal Pressure ◽  
Right Colon ◽  
Abdominal Ct ◽  
Midline Laparotomy ◽  
Abdominal Ct Scan ◽  
Descending Colon ◽  
The Right ◽  
Thoracic And Abdominal ◽  
Diaphragmatic Hernias

Abstract Introduction: Adult Bochdalek hernia is one of the right-sided diaphragmatic hernias that less than 30 cases reported until now.Case: I herein report a 64-year-old female patient who had dyspnea, abdominal pain, and nausea. Primary imaging (thoracic and abdominal CT scan) showed a right-sided diaphragmatic hernia that was contained the liver and right colon. The patient underwent right posterior thoracotomy at first, so the 5*5 cm diaphragmatic defect was repaired. Due to peritonitis that happened after two days, a midline laparotomy was performed. Finally, it was cleared that the main problem was the obstructed and perforated descending colon mass that was presented with Bockdalek hernia. Unfortunately, she died.Conclusion It is important to determine the reason for the presentation of the symptomatic diaphragmatic hernia in adult patients. It should be considered that an increase of intra-abdominal pressure like the presence of obstructed colon mass can cause it.

scholarly journals The Adventitia Resection in Treatment of Liver Hydatid Cyst: A Case Report of a 15-Year-Old Boy

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Zhenhua Ma ◽  
Wei Yang ◽  
Yingmin Yao ◽  
Qingguang Liu
Keyword(s):  
Hydatid Cyst ◽  
Bile Leakage ◽  
Virtual Space ◽  
Liver Hydatid Cyst ◽  
Computed Tomographic ◽  
History Of ◽  
Right Lobe ◽  
Upper Abdominal ◽  
The Right ◽  
Significant Health

Human hydatid disease is a significant health problem in endemic regions caused by the larval form ofEchinococcus granulosus. In this paper, we report a case of liver hydatid cyst. The patient, a 15-year-old boy, presented with a history of intermittent upper abdominal pain of a few-month duration was referred to our hospital for investigation. Computed tomographic scan and laboratory test suggested a hydatid cyst in the right lobe of liver. The adventitia resection of hydatid cyst was smoothly performed as there was a less bloody virtual space between adventitia and outer membrane. Our diagnosis was made using an imaging approach and was confirmed during surgery. We proposed the adventitia resection of hydatid cyst could be safe and easy to perform with low risk of bleeding and bile leakage.

scholarly journals Massive Lipomatosis of the Small Intestine Causing Intussusception

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Michael Pagacz ◽  
Irvin Willis ◽  
John Alexis
Keyword(s):  
Adipose Tissue ◽  
Abdominal Pain ◽  
Rare Condition ◽  
Abdominal Ct ◽  
Intestinal Involvement ◽  
Abdominal Ct Scan ◽  
Mucosal Folds ◽  
Resected Bowel ◽  
Left Abdomen ◽  
Fecal Urgency

Lipomatosis is a rare condition characterized by diffuse, unencapsulted adipose tissue deposition. Intestinal involvement is rare, and presentation as intussusception is rarer still. We report a 40-year-old man who presented with abdominal pain and fecal urgency. Abdominal CT scan showed a protuberant ileo-cecal valve, with intussusception of the ileum into the cecum. The mucosal surface of the resected bowel was bulbous and protuberant, showing loss of mucosal folds, and there was an 8 × 5 × 5 cm mass prolapsing into the ileo-cecal valve. Microscopically there was abundant adipose tissue in the submucosa with an unremarkable mucosa. The patient recovered uneventfully with only occasional cramping in the left abdomen.

A Rare Case of a Pedicled Mobile Thrombus in Right Atrium

2016 ◽  
Vol 19 (6) ◽  
pp. 269 ◽  
Author(s):  
Xiaodong Li ◽  
Liping Chen ◽  
Xiumei Duan ◽  
Xiaocong Wang
Keyword(s):  
Right Atrium ◽  
Histopathological Examination ◽  
Rare Condition ◽  
Computed Tomographic Angiography ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Computed Tomographic ◽  
Right Atrial Thrombus ◽  
The Right ◽  
Tomographic Angiography

Pedicled mobile thrombus in the right atrium is an extremely rare condition. Here, we described a case of a 42-year-old male hospitalized with complaints of chest pain and hemoptysis. Computed tomographic angiography of the pulmonary artery showed signs of embolism, and thoracic echocardiography indicated a pedicled mobile cloudy echo in the right atrium, which was initially suspected to be a myxoma. However, it was confirmed to be a thrombus by histopathological examination. Postoperatively, the patient was treated with anticoagulant therapy comprising of low molecular heparin and warfarin, and the patient recovered well. Thoracic echocardiography performed 3 months after surgery ruled out any recurrence of right atrial thrombus.

scholarly journals Successful drug-eluting stent implantation in a male patient with dextrocardia: a case report

Open Medicine ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 481-484 ◽  
Author(s):  
Wenjie Long ◽  
Zhiling He ◽  
Xia Wang ◽  
Huanlin Wu ◽  
Yahui Chen ◽  
...  
Keyword(s):  
Situs Inversus ◽  
Rare Condition ◽  
Coronary Intervention ◽  
Mirror Image ◽  
The Body ◽  
Drug Eluting Stent ◽  
Complete Transposition ◽  
General Rules ◽  
Drug Eluting ◽  
The Right

AbstractSitus inversus with dextrocardia is a rare condition, with complete transposition of all the body organs, including the heart. Percutaneous coronary intervention (PCI) in these patients is technically difficult because of the mirror image of organs. Here, we describe a 56-year-old man with coronary heart disease with known situs inversus with dextrocardia and coronary percutaneous intervention was performed for stenosis in the right coronary artery. A drug eluting stent was implanted at this site successfully. This case suggested that the interventional management of such patients follows the same general rules as for non-dextrocardia patients, but the manipulation of the catheter and projection position choices need to be taken into consideration to obtain optimal benefits for the patient.

scholarly journals NEFROLITIASIS PADA ANAK USIA TIGA TAHUN DI RSUD DR. HI. ABDUL MOELOEK, LAMPUNG: SEBUAH LAPORAN KASUS

2020 ◽  
Vol 7 (2) ◽  
pp. 47-53
Author(s):  
Angga Hendro Priyono ◽  
Exsa Hadibrata
Keyword(s):  
Laboratory Finding ◽  
Flank Region ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
Physical Examinations ◽  
The Right ◽  
Ammonium Urate ◽  
Sodium Urate ◽  
Phosphate Carbonate

ABSTRACT  Background: The incidence of nephrolithiasis in children increases over time. It has been reported an increase of 6 to 10% per year for the last twenty-five years. Research in developing country showed that urinary tract infection and metabolic disorders were the caused of nephrolithiasis. Illustration Case: Three years 10 months old boy had a complaint of pain in plank region followed by tea-like urine since two months ago. Physical examination showed that he appeared to be moderately ill and compos mentis. His physical examinations were normal except positive ballotement and positive costoverebral angle (CVA) pain in the right flank region. Laboratory finding showed positive eritrocyte in urinalysis. Ultrasonography and abdominal CT-scan consistent with nephrolithiasis. Management: Pyelolitotomy was performed under general anesthesia. Postoperatively, patient treated in a pediatric surgery room and observation was carried out. He was given  D5NS 500 ml administered 20 drops per minute microdrip IV, paracetamol 3 x 225 mg IV, and cefotaxime injection 2 x 500 mg IV after a skin test first.  Result and Follow Up: An irregular stone 1,5 cm x 1 cm in size consist of 45% ammonium urate, 31% sodium urate monohydrate, and 24% amorphous calcium phosphate carbonate was found. Discussion: Nephrolithiasis in children occurs due to several related conditions such as genetics, ethnicity, climate, and nutrition. Complications can be prevented by managing and controlling appropriate risk factors.

scholarly journals Intrahepatic Pregnancy - A Rare Form Of Abdominal Pregnancy At Lira Regional Referral Hospital, Northern Uganda; A Case Report And Literature Review

2020 ◽  
Vol 7 (08) ◽  
pp. 4895-4899
Author(s):  
Andrew Odur ◽  
Tom Richard Okello ◽  
Richard Okii ◽  
John Stephen Obbo Olwenyi ◽  
Irene Pecorella
Keyword(s):  
Abdominal Cavity ◽  
Rare Condition ◽  
Rare Form ◽  
Regional Referral Hospital ◽  
Female Baby ◽  
Upper Abdominal ◽  
The Right ◽  
Hepatic Pregnancy

Primary intra-hepatic pregnancy is an extremely rare condition. The purpose of this study was to report a case of 24-year-old Gravida 2 para 1+0 who presented at 35 weeks of amenorrhea, vaginal bleeding and mild right upper abdominal tenderness. Ultrasonography revealed a non-viable extra-uterine fetus located around the right upper part of the abdomen with a bulky uterus. At laparotomy was preferred and on finding a fetus free abdominal cavity and uterus, a macerated female baby was delivered from inside the liver with birth weight of 2.7kilogram. Placenta was left in situ and methotrexate given to hasten its resorption. Maternal outcome during the 18 days of intense follow up was uneventful. This case is a rare occurrence in our setting and it has diagnostic challenges in low resource settings like ours, however intra-hepatic pregnancy can grow to considerable size and weight.

scholarly journals Rhinolith in the concha bullosa as a rare location: a case report

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052095101
Author(s):  
Tolga Ersözlü ◽  
Erdogan Gültekin
Keyword(s):  
Case Report ◽  
Nasal Obstruction ◽  
Clinical Examination ◽  
Rare Condition ◽  
Concha Bullosa ◽  
Computed Tomographic ◽  
The Third ◽  
Computed Tomographic Scan ◽  
Rare Location ◽  
The Right

The presence of a rhinolith is a rare condition, which can cause long-standing symptoms, such as rhinorrhea, foul-smelling discharge, nasal obstruction, and headache. A rhinolith is usually easily diagnosed by a clinical examination and a paranasal computed tomographic scan. Rhinoliths are usually found in nasal cavities, but rare locations are also possible. We report a patient who was evaluated in our clinic for nasal obstruction, headache, and snoring symptoms. A clinical examination showed no major findings, but a paranasal computed tomographic scan of coronal sections showed a hyperdense mass within the right concha bullosa. A rhinolith in the concha bullosa is a rare condition. Our case is the third case of a rhinolith in the concha bullosa to be reported in the literature.

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.

scholarly journals A case of hematuria and vomiting in the emergency room: Never forget the emphysematous pyelonephritis

2021 ◽  
Vol 17 (3) ◽  
Author(s):  
Erika Poggiali ◽  
Fabio Tansini ◽  
Konstantinos Christodoulakis ◽  
Manuela Giovini ◽  
Andrea Magnacavallo ◽  
...  
Keyword(s):  
Left Kidney ◽  
Nasopharyngeal Swab ◽  
Rt Pcr ◽  
Abdominal Ct ◽  
Emphysematous Pyelonephritis ◽  
Abdominal Ct Scan ◽  
History Of ◽  
Grade 3 ◽  
The Right ◽  
B Lines

We describe the case of a 68-year-old man with a known history of hypertension and diabetes mellitus presented to our Emergency Department, complaining of hematuria and vomiting in the last 12 hours, stypsis and urinary incontinence in the last week, and worsening hyporexia in the last 6 months. Bedside ultrasound documented a slight right pleural effusion with B lines in the middle and basal right field, gastrectasis, dilated fluid-filled bowel loops, potential signs of gas in the upper right quadrant, grade 3 bilateral hydronephrosis, and bladder globe. Abdominal CT scan confirmed the bilateral hydroureteronephrosis and showed the right kidney with Emphysematous Pyelonephritis (EPN) with extension into the perinephric and muscular planes for 24 cm, and initial EPN in the left kidney. A RT-PCR nasopharyngeal swab for SARS CoV-2 was negative. A diagnosis of ileum paretic, acute renal failure and urosepsis due to EPN was made.

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