scholarly journals Splenic Infarct: A Rare Presentation in a Pediatric Patient

2014 ◽  
Vol 52 (196) ◽  
pp. 1017-1019 ◽  
Author(s):  
Palla Bhattarai ◽  
Louidson Pierr ◽  
Adebayo Adeyinka ◽  
Swayam Sadanandan
Keyword(s):  
Infectious Mononucleosis ◽  
Rare Case ◽  
Epigastric Pain ◽  
Antibody Test ◽  
Adolescent Male ◽  
Costal Margin ◽  
Rare Presentation ◽  
Splenic Infarct ◽  
Hypochondriac Region ◽  
History Of

A previously healthy 16-year-old male presented with a two day history of persistent epigastric pain. His physical examination was significant for tenderness in the left hypochondriac region with a palpable spleen 2cm below the left sub-costal margin. A CT scan of the abdomen showed a splenic infarct. Heterophile and EBV VCA IgM antibody test were positive. This is a rare case of infectious mononucleosis presenting with splenic infarct in an adolescent male without comorbidities.  Keywords: infectious mononucleosis; splenic infarct.

scholarly journals Duodenal metastasis of breast invasive carcinoma of no special type: a rare presentation

2021 ◽  
Vol 84 (2) ◽  
pp. 379-380
Author(s):  
M Mascarenhas Saraiva ◽  
T Ribeiro ◽  
A.R. Coelho ◽  
R Silva ◽  
A.C. Real ◽  
...  
Keyword(s):  
Breast Carcinoma ◽  
Epigastric Pain ◽  
Growth Factor Receptor ◽  
Progesterone Receptors ◽  
Ca 125 ◽  
Her2 Positive ◽  
Rare Presentation ◽  
History Of ◽  
Lobular Breast Carcinoma ◽  
Epidermal Growth

The authors read with attention the case report by Vande Berg and coworkers, published on a previous issue of this journal, describing a rare diagnosis of rectal metastases of an incognito invasive lobular breast carcinoma (ILC), for which immunohistochemistry was decisive (1). Likewise, we share a similarly rare case of gastrointestinal metastases of breast carcinoma (BC), in which immunohistochemistry played a pivotal role.A 55-year-old woman was diagnosed in June 2015 with an Invasive Breast Carcinoma of no-special-type (IBCNST) grade III, human epidermal growth factor receptor 2 (HER2) positive, estrogen and progesterone receptors (ER/PR) negative. Biopsy revealed vascular permeation. Neoadjuvant chemotherapy and trastuzumab preceded surgery, performed in December 2015, followed by radiotherapy and trastuzumab. The patient remained free of disease until 2017, when a right cerebellar lesion was diagnosed as BC metastasis and was treated with stereotactic radiosurgery. In January 2020, the patient presented with a 1-month history of post-prandial vomiting, epigastric pain, anorexia, fatigue, and a 10 kg weight loss. Lab tests were unremarkable, except for small increase in CA-125 and CA-15.3.

Spontaneous Cholecystocutaneous Fistula

2016 ◽  
Vol 1 (4) ◽  
pp. 196-198 ◽  
Author(s):  
Rajesh Abbey
Keyword(s):  
Early Diagnosis ◽  
Rare Case ◽  
Gallbladder Disease ◽  
Fistulous Opening ◽  
First Line ◽  
Rare Presentation ◽  
Surgical Practice ◽  
The World ◽  
History Of ◽  
Calculous Cholecystitis

ABSTRACT Spontaneous biliary fistulae are encountered, not very rarely, in one's surgical practice. These fistulae are of three types: Internal, external, and combined. Internal spontaneous biliary fistulae are the commonest. External fistulae could be spontaneous or because of therapeutic, iatrogenic, or traumatic reasons are extremely rare. Spontaneous cholecystocutaneous fistula (SCCF), secondary to calculous cholecystitis, is an extremely rare presentation in the present-day scenario. It used to be quite common before the year 1900, but is very rare now because of better management of cholecystitis and cholelithiasis. Usually, SCCF is a complication of neglected chronic cholelithiasis. This is seldom seen today because of the early diagnosis and better management made feasible by ultrasound as first-line investigation, broad spectrum antibiotics, and effective surgical management of biliary tract diseases. It is a very rare case of 35-year-old female patient presenting in the outpatient department, with the multiple stones carefully preserved, which she had been extruding through the fistulous opening in the umbilicus, for the last 1 year. She was investigated and was operated for the same condition. Though the entity is very rare, clinicians should keep this condition in mind while examining any case of chronic discharging sinus or fistula on the abdominal wall, particularly the wound extruding stones in which case the diagnosis is selfrevealing. In the absence of positive history of expelling stones, the diagnosis can be confirmed by computerized tomogram fistulography. Though the early diagnosis and improvement in the management of gallbladder disease has improved tremendously, the possibility of this condition arising mostly from the neglected gallbladder disease should always be kept in mind as such cases are again being reported from all over the world. How to cite this article Abbey R. Spontaneous Cholecystocutaneous Fistula. Int J Adv Integ Med Sci 2016; 1(4):196-198.

scholarly journals A Rare Case of Dermatomyositis with Hyponatremia

2015 ◽  
Vol 1 (3) ◽  
pp. 58-59
Author(s):  
Anil Kumar H ◽  
V Vikranth
Keyword(s):  
Muscle Weakness ◽  
Rare Case ◽  
Inflammatory Myopathy ◽  
Provisional Diagnosis ◽  
Rare Presentation ◽  
Rare Type ◽  
Skeletal Muscle Weakness ◽  
Minimal Improvement ◽  
History Of ◽  
Sodium Correction

ABSTRACT Dermatomyositis is a rare type of inflammatory myopathy that represents the largest group of acquired and potentially treatable cause of skeletal muscle weakness. It is characterized by chronic muscle inflammation accompanied by muscle weakness. Here, we present a case of an elderly female who presented with a history of pain in bilateral arm, forearm, thigh, and leg associated with swelling and with a history of rash over the upper extremities. On examination, edema with tenderness was present on both upper limb and lower limb. We also noticed erythematous rash over the arm, forearm, nose, and forehead. Investigations showed hyponatremia, with elevated Cretatinc phosphokinase levels. Hence, a provisional diagnosis of hyponatremia-induced rhabdomyolysis was made. On further evaluation, urine for myoglobin was negative, and in view of the accompanying rash and minimal improvement with sodium correction a provisional diagnosis of dermatomyositis with hyponatremia/hyponatremia-induced rhabdomyolysis was made. Diagnosis of dermatomyositis was confirmed by the muscle biopsy. Dermatomyositis may be accompanied by hyponatremia and atypical rash. It can also be confused with hyponatremic rhabdomyolysis. Dermatomyositis is also a rare presentation and it may be a paraneoplastic manifestation. How to cite this article HAK, V Vikranth. A Rare Case of Dermatomyositis with Hyponatremia. J Med Sci 2015;1(3):58-59.

A Case of Colocalized Vitiligo and Psoriasis

2015 ◽  
Vol 20 (2) ◽  
pp. 150-152 ◽  
Author(s):  
Annie R. Langley ◽  
Paul Manley ◽  
Yuka Asai
Keyword(s):  
Case Report ◽  
Psoriatic Arthritis ◽  
Autoimmune Diseases ◽  
Rare Case ◽  
Rare Presentation ◽  
History Of ◽  
The Common

Background: Psoriasis and vitiligo are common dermatologic conditions with underlying autoimmune etiologies. There are few reports of concomitant and colocalized disease. Several theories have been proposed to explain this rare presentation. Objective: The objective of this study was to present a rare case of a concomitant and colocalized presentation of vitiligo and psoriasis. Methods: Case report. Results: A 72-year-old male was referred for treatment of a 30-year history of psoriasis and 5-year history of colocalized vitiligo. The patient had no other underlying autoimmune diseases including psoriatic arthritis. Conclusion: Clinicians should be aware of the possible concomitance and colocalization of psoriasis and vitiligo. Further research is needed to elucidate the common pathways leading to the concomitance and colocalization of these diseases.

scholarly journals Systemic Amyloidosis: A Rare Presentation of Mesenteric Angina

2002 ◽  
Vol 16 (10) ◽  
pp. 683-685 ◽  
Author(s):  
Christopher N Andrews ◽  
Jack N Amar ◽  
Malcolm MM Hayes ◽  
Robert A Enns
Keyword(s):  
Computed Tomography ◽  
Weight Loss ◽  
Cardiac Arrest ◽  
Epigastric Pain ◽  
Systemic Amyloidosis ◽  
Rare Presentation ◽  
Arterial Involvement ◽  
Rare Manifestation ◽  
History Of ◽  
Ischemic Enteritis

A 64-year-old man presented with an eight-month history of increasing postprandial epigastric pain and a 15 kg weight loss. Computed tomography of the abdomen, panendoscopy and mesenteric angiography failed to explain the cause of the patient's mesenteric angina. Systemic amyloidosis involving intestinal small vasculature without larger arterial involvement was diagnosed at autopsy after the patient died of an asystolic cardiac arrest. Mesenteric angina without evidence of ischemic enteritis or pseudo-obstruction is a rare manifestation of amyloidosis.

scholarly journals Rhabdomyosarcoma of urethra a rare case presentation

2016 ◽  
Vol 19 (1) ◽  
pp. 31-33
Author(s):  
N. Thapa ◽  
B.B. Thapa ◽  
B.B. Bhandari ◽  
B.K. Hamal
Keyword(s):  
Rare Case ◽  
Radical Surgery ◽  
Rare Presentation ◽  
Case Presentation ◽  
History Of

Rhabdomyosarcoma of urethra is extremely a rare presentation. Only few cases were found documented and published in literature. We present a case of rhabdomyosarcoma in the urethra presenting with history of gross heamaturia. Diagnosis of this case was made cystoscopically and confirmed by histopathologically. Complete radical surgery followed by six cycle chemotherapy was given in this case.

Colonic cryptococcosis as a rare presentation in HIV infection: a case report and review of the literature

2020 ◽  
Vol 31 (14) ◽  
pp. 1414-1419
Author(s):  
Alvaro Quincho-Lopez ◽  
Juan Montenegro-Idrogo ◽  
Rogger Oscar Verona-Rubio
Keyword(s):  
Histopathological Examination ◽  
Epigastric Pain ◽  
Case Reports ◽  
Multiple Organ ◽  
People Living With Hiv ◽  
Rare Presentation ◽  
Antituberculosis Treatment ◽  
History Of ◽  
Cryptococcus Spp ◽  
Living With Hiv

Colonic cryptococcal infection is unusual in people living with HIV (PLWH) and even more so without concomitant neurological compromise. Published case reports describe diarrhea and other intestinal manifestations that are often confused with systemic tuberculosis infection. We describe an Peruvian woman living with HIV on antiretroviral therapy who presented hypotensive with a 6-month history of fever and epigastric pain, in addition to episodes of sporadic diarrhea. Due to the suspicion of systemic tuberculosis, antituberculosis treatment was started. Days later, without clinical improvement, colonoscopy revealed ulcers in the transverse colon. Histopathological examination of biopsied tissue was compatible with Cryptococcus spp. She received antifungal therapy with amphotericin B and fluconazole. Despite the treatment, the patient died six days later from multiple organ failure.

scholarly journals Inguinal Hernia with Incarcerated Loop of Sigmoid Colon and Impacted Hard Fecolith in an Infant: Rare Presentation

2021 ◽  
Vol 8 (4) ◽  
pp. 01-03
Author(s):  
Parveen Kumar ◽  
Nitin jain
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Sigmoid Colon ◽  
Rare Case ◽  
Age Group ◽  
Pediatric Age ◽  
Rare Presentation ◽  
Incarcerated Inguinal Hernia ◽  
Pediatric Age Group ◽  
History Of

Incarcerated inguinal hernia is not an uncommon occurrence and the rate of incarceration in inguinal hernias has been variably reported between 3 and 16% with higher incidence among infants. Sigmoid colon as a content of hernia is itself an uncommon occurrence and associated impacted large and hard fecolith makes it a rare case in pediatric age group. Only single published case report could be found depicting these findings in young age group. Here we report 1-year-old child presented with 24 hours history of obstructed left-sided inguinal hernia. On exploration loop of sigmoid colon was identified with impacted fecolith.

scholarly journals Splenic infarct in a patient with Infectious Mononucleosis: a rare presentation

2017 ◽  
Vol 7 (4) ◽  
pp. 248-250 ◽  
Author(s):  
Mustafa Noor ◽  
Maryam Sadough ◽  
Stephanie Chan ◽  
Gurkeerat Singh
Keyword(s):  
Infectious Mononucleosis ◽  
Rare Presentation ◽  
Splenic Infarct

scholarly journals Perforation as a rare presentation of gastric gastrointestinal stromal tumours: a case report and review of the literature

2014 ◽  
Vol 96 (1) ◽  
pp. 1-5 ◽  
Author(s):  
JRA Skipworth ◽  
AEE Fanshawe ◽  
MJ West ◽  
A Al-Bahrani
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Bleeding ◽  
Epigastric Pain ◽  
Gastric Gist ◽  
Gastrointestinal Stromal Tumours ◽  
Rare Presentation ◽  
Radiological Investigation ◽  
Pubmed Search ◽  
Common Clinical Presentation ◽  
History Of

INTRODUCTION Gastrointestinal stromal tumours (GISTs) are the most common connective tissue neoplasms of the gastrointestinal tract, the most common clinical presentation of which is with abdominal pain or gastrointestinal bleeding. METHODS We describe a case of a perforated gastric GIST as well as reviewing the relevant published literature. RESULTS A 51-year-old woman presented to the acute assessment unit with a 1-day history of severe epigastric pain on a background of longstanding reflux symptoms. Radiological investigation demonstrated a perforated mass in the gastric antrum and the patient subsequently underwent an emergency distal gastrectomy. She recovered well postoperatively and was discharged home. Her condition remains stable six months following surgery. Histological analysis revealed the perforated lesion to be a GIST. A PubMed search suggests that this is the first English report to describe a perforated gastric GIST. Six further published reports (written in English or with an English abstract) describing the presentation of small bowel GISTs with perforation are reviewed. CONCLUSIONS We present the first English report of a perforated gastric GIST. More common presentations include abdominal pain and gastrointestinal bleeding. Although rare, GISTs should be considered in the differential diagnoses of perforated gastrointestinal masses.

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