scholarly journals Symptomatic Imperforate Hymen in Early Infancy: A Case Report

2020 ◽  
Vol 58 (226) ◽  
Author(s):  
Geha Raj Dahal ◽  
Subash Phuyal ◽  
Pooja Agrawal

Imperforate hymen, though a congenital anomaly, usually presents late in puberty as lowerabdominal pain, primary amenorrhea, and cyclical pain. Blood collects in vagina and uterus,proximal to imperforate hymen leading to their distention. Its presentation at infancy is a rare entity.We report such a rare case of symptomatic imperforate hymen in infancy, who presented with acuteretention of urine, chills and rigor. Abdominal examination revealed an intra-abdominal mass in thelower abdomen and pelvis with the absence of vaginal opening on perineal examination. Contrast enhanced computed tomography abdomen showed large abdominopelvic cystic lesion posterior tothe urinary bladder and anterior to the rectum consistent with a highly distended vagina. She wasmanaged by the incision of the imperforate hymen and drainage of the pus. A high index of suspicionis necessary whenever a female infant presents with abdomino-pelvic mass with symptoms of feveror urinary retention.


2021 ◽  
Vol 8 (40) ◽  
pp. 3495-3499
Author(s):  
Salma Nasrin ◽  
Susmita Mahata ◽  
Sumanta Kumar Mandal

A 50-year-old male patient was referred to Department of Radiodiagnosis for evaluation of a longstanding intermittent abdominal pain associated with a palpable mass migrating in different quadrants of the abdomen and had gradually increased in size over last few years. The initial ultrasonographic (USG) evaluation revealed a well circumscribed bilobed hypoechoic pelvic solid space occupying lesion (SOL) with central calcific foci. Subsequent contrast enhanced computed tomography (CECT) imaging showed a 10.1 x 7.5 x 5.8 cm, bilobed non-enhancing pelvic mass with central dense calcific foci and concentric soft tissue layers of different attenuation. The mass was diagnosed to be a giant peritoneal loose body (gPLB) and confirmed by surgical exploration.



2019 ◽  
Vol 6 (12) ◽  
pp. 4569
Author(s):  
Tejinder Pal Singh Sodhi ◽  
Sameer Pundeer ◽  
Maneshwar Singh Utaal ◽  
Kirti Savyasacchi Goyal

Rapunzel syndrome is a rare form of trichobezoar with accumulation of large amounts of hair extending from stomach to variable portion of small intestine. An 18 year old girl was brought to surgery opd with complaints of vomiting on and off since 3 months. Contrast enhanced computed tomography abdomen showed a bezoar extending from stomach into the duodenum and proximal jejunum suggestive of Rapunzel syndrome with 3rd and 4th part of duodenum along with duodenojejunal junction. On laparotomy, a trichobezoar occupying the entire stomach measured 100 cm in length and 700 grams in weight. Since the mass formed in Rapunzel syndrome is generally too large to be removed endoscopically or laparoscopically, it requires removal by open gastrostomy. 



2013 ◽  
Vol 2 (2) ◽  
pp. 72-75
Author(s):  
A Juneja ◽  
A Thakral ◽  
DA Thakral ◽  
Hiralal

Ganglioneuroblastoma is a tumor of the sympathetic nervous system in paediatric age group that is intermediate in behavior between ganglioneuroma and neuroblastoma. We present a case of a 3 year old girl who presented with a large long standing abdominal mass. Ultrasonographic features were suggestive of large retroperitoneal mass with calcific foci & extensive vascular encasement consistent with neurogenic tumor. Contrast enhanced computed tomography (CT) performed for staging confirmed these findings while histopathologic diagnosis of ganglioneuroblastoma was achieved by ultrasound guided biopsy. While vascular encasement is known in ganglioneuroblastoma, the scale of vascular encasement in this case is extensive. Nepalese Journal of Radiology; Vol. 2; Issue 2; July-Dec. 2012; 72-75 DOI: http://dx.doi.org/10.3126/njr.v2i2.7690



2022 ◽  
Author(s):  
Shruthi Panduranga ◽  
Samson Kade ◽  
Pooja Varwatte ◽  
Harisha V

Abstract Gastric schwannoma (GS) is a rare, benign, slow-growing neoplasm representing 0.2% of all gastric tumors. We report a rare case of Gastric schwannoma in a 56 year old woman who presented with abdominal discomfort and vomiting since few years. Contrast enhanced Computed Tomography showed a well-defined homogeneously attenuating lesion with homogenous enhancement. Wedge gastrectomy was done with a possible diagnosis of Gastrointestinal stromal tumor, but was confirmed to have Gastric schwannoma on histopathology showing spindle cells with peripheral cuff of lymphoid aggregates and S-100 protein positivity on immunohistochemistry. Gastric schwannoma should be included in the differential diagnosis of a gastric intramural or exophytic mass when Computed Tomography shows a well-defined homogeneously attenuating lesion with progressively increasing homogenous enhancement without hemorrhage, necrosis, and degeneration.



Diagnostics ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 111 ◽  
Author(s):  
Hiroyuki Matsubayashi ◽  
Etsuro Bando ◽  
Hiroyasu Kagawa ◽  
Keiko Sasaki ◽  
Hirotoshi Ishiwatari ◽  
...  

Splenosis is a rare disease which typically forms single or multiple round masses. A 45-year-old male was referred for investigation of an abdominal mass. He had a history of splenic injury from a traffic accident at age 19. Contrast-enhanced computed tomography showed a well-enhanced, multi-nodular mass lesion, 3.5 cm in size, located below the stomach. An endoscopic ultrasound-guided fine needle aspiration biopsy (EUS-FNAB) for the mass was inconclusive. A surgery was performed, and pathology of the resected mass confirmed splenosis. Clinicians must bear in mind the possibility of occurrence of splenosis after splenic trauma and its image variations.



2011 ◽  
Vol 46 (9) ◽  
pp. 586-593 ◽  
Author(s):  
Scott M. Thompson ◽  
Juan C. Ramirez-Giraldo ◽  
Bruce Knudsen ◽  
Joseph P. Grande ◽  
Jodie A. Christner ◽  
...  


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