scholarly journals Uncommon Solitary Mesenteric Mass: Mesenteric Panniculitis

2013 ◽  
Vol 52 (189) ◽  
pp. 288-291
Author(s):  
Abhishek Shah ◽  
Dianbo Cao ◽  
Deepa Shah ◽  
Wenbin Sun
Keyword(s):  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Unknown Etiology ◽  
Resected Specimen ◽  
Rapid Progression ◽  
Mesenteric Panniculitis ◽  
Abdominal Ct ◽  
Mesenteric Fat ◽  
Abdominal Ct Scan ◽  
Mesenteric Mass

Mesenteric panniculitis is a rare, benign disease characterized by a chronic non-specific inflammatory process of mesenteric fat tissue with unknown etiology. Its clinical outcome ranges from complete resolution without any treatment to rapid progression culminating in death. So far, there is no established treatment available for its management. A 53-year-old female was admitted to our hospital because of intermittent abdominal pain, abdominal distension and early satiety for three months. Her abdominal CT scan revealed a solitary, well-defined, heterogeneous mass with a diameter of approximately 3.5cm x 2.8cm in the mesentery of small bowel. Exploratory laparotomy revealed yellowish-grey mass with a gritty consistency and histopathology of the resected specimen confirmed it to be mesenteric panniculitis. An increased awareness may lead to the use of a less invasive diagnostic approach and optimal management of this rare disease entity. Keywords: Computerized Tomography (CT); Mesenteric Panniculitis (MP); treatment.

Bilateral pleural effusions as the first sign of mesenteric panniculitis

2020 ◽  
Vol 13 (7) ◽  
pp. e233423
Author(s):  
Juliana Sá ◽  
Céu Evangelista ◽  
Clara F Jorge ◽  
João Silva
Keyword(s):  
Pleural Effusion ◽  
Ct Scan ◽  
Mesenteric Panniculitis ◽  
Thoracic Pain ◽  
Abdominal Ct ◽  
Thoracic Ct ◽  
Mesenteric Fat ◽  
Abdominal Ct Scan ◽  
History Of ◽  
Thoracic Ct Scan

A 38-year-old woman presented to the emergency department with a history of thoracic pain and anorexia for 1 week. Thoracic CT scan showed bilateral pleural effusion, a thoracentesis was performed revealing a transudate liquid with polymorphonuclears and predominance of eosinophils. After admission, the patient developed abdominal pain and the abdominal CT scan showed densification of the mesenteric fat characteristic of mesenteric panniculitis (MP). The patient went through investigation for secondary causes of panniculitis including infection, neoplasia and autoimmune diseases, and no abnormalities were found. The patient was treated with corticosteroids over a period of 3 months with complete resolution and without any signs of remission or secondary cause of MP. Moreover, the patient remained asymptomatic for 2 years after being discharged, which strengthens the diagnosis of MP that presented with eosinophilic pleural effusion.

scholarly journals Spontaneous Rupture of an Ovarian Dermoid Cyst Associated with Intra- Abdominal Chemical Peritonitis: Characteristic CT Findings

2019 ◽  
Vol 9 (2) ◽  
pp. 52-54
Author(s):  
Sapana Koirala ◽  
Kapil Adhikari ◽  
Sujan Khadka
Keyword(s):  
Spontaneous Rupture ◽  
Rare Complication ◽  
Cystic Teratoma ◽  
Abdominal Distension ◽  
Abdominal Ct ◽  
Pain Abdomen ◽  
Contrast Enhanced ◽  
Abdominal Ct Scan ◽  
Chemical Peritonitis ◽  
Ovarian Dermoid Cyst

Spontaneous rupture of mature cystic teratoma is a rare complication which results in leakage of the liquefied sebaceous contents into the peritoneum leading to acute or chronic peritonitis. We report a case of a 23-year-old female who presented with pain abdomen, abdominal distension and fever. Contrast enhanced abdominal CT scan showed right adnexal complex cystic lesion with discontinuity in its wall along with features of peritonitis.

scholarly journals Prenatal Diagnosis of Prepyloric Diaphragm: A Case Report

2020 ◽  
Vol 18 (2) ◽  
pp. 67-69
Author(s):  
Md Qumrul Ahsan ◽  
Arni Das ◽  
Tahmina Banu
Keyword(s):  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Unknown Etiology ◽  
Rare Type ◽  
Bilious Vomiting ◽  
Mucus Membrane ◽  
Antral Web ◽  
Milk Feeding

The prepyloric diaphragm (A type of pyloric atresia) is a rare type of congenital malformation of gastrointestinal tract of unknown etiology. A thin two layered mucus membrane of about 2 to 4 mm, proximal to pylorus causes the gastric outlet obstruction in neonate. We are reporting a case of prepyloric diaphragm which had been diagnosed at 37 weeks of gestation by Ultrasonography and diagnosis was confirmed after birth during surgery. Prenatal ultrasonography of a 37 weeks pregnant mother revealed polyhydramnios, persistently dilated, a fluid filled blind sac at epigastrium and right hypochondrium with peristaltic wave and to & fro movements of fluid contents. There was no double bubble sign. The baby boy was born by Caesarean Section. After breast feeding, baby had non-bilious vomiting with mild abdominal distension. Postnatal ultrasonography showed dilated fluid filled stomach. Exploratory laparotomy on 14thday of life revealed a prepyloric diaphragm with a central hole, 1 cm proximal to the pylorus. The 2 mm thick diaphragm was excised circumferentially. Postoperative period was uneventful. Milk feeding started at 6th post-operative day and discharged with advice at 7th post-operative day. Prepyloric diaphragm or antral web is to be considered as provisional diagnosis if there is prenatal suspicion of gastric outlet obstruction, polyhydramnios of mother and persistent non-bilious vomiting in neonate; as simple excision of the diaphragm is curative for this unusual abnormality if there is no other associated abnormality. Chatt Maa Shi Hosp Med Coll J; Vol.18 (2); July 2019; Page 67-69

scholarly journals Low-grade appendiceal mucinous neoplasms with bowel obstruction

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Constance Houlzé-Laroye ◽  
Clarisse Eveno
Keyword(s):  
Intestinal Obstruction ◽  
Peritoneal Cavity ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Low Grade ◽  
Atypical Symptoms ◽  
Abdominal Symptoms ◽  
Clinical Presentations ◽  
Mucinous Neoplasms ◽  
Abdominal Ct Scan

AbstractBackgroundPerforation of low-grade appendiceal mucinous neoplasms (LAMN) is characterized by its potential to spread mucin into peritoneal cavity, giving rise to pseudomyxoma peritonei, commonly treated with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.Symptoms of intestinal obstruction and appendiceal infection are rare at early stages of the disease, while abdominal distension are observed in the later stages due to mucin spread.MethodsWe report herein a case of LAMN with atypical symptoms in a 35-year-old woman with abdominal symptoms evoking an intestinal obstruction.ResultsAn abdominal CT scan revealed an ileo-caecal intussusception. An exploratory laparotomy and examination of the peritoneal cavity ruled out an exteriorization of mucin and the bowel was resected.ConclusionsThe pathology analysis confirmed the diagnostic of LAMN. This report aims to raise awareness among surgeons, of rare clinical presentations that LAMN may show, to adapt the surgical treatment to these patients and assign them to referral centers.

scholarly journals A rare case of adult colocolonic intussusception of the descending colon

2019 ◽  
Vol 12 (11) ◽  
pp. e231590
Author(s):  
Randa Taher ◽  
Yael Kopelman ◽  
Aurwa Younis ◽  
Daniel Sheffer
Keyword(s):  
Rare Case ◽  
Pathological Condition ◽  
Primary Anastomosis ◽  
Colonic Obstruction ◽  
Exploratory Laparotomy ◽  
Tubulovillous Adenoma ◽  
Abdominal Ct ◽  
Diffuse Abdominal Pain ◽  
Abdominal Ct Scan ◽  
Descending Colon

A 28-year-old woman approached the emergency department because of recent diffuse abdominal pain and diarrhoea. Peritoneal signs on physical exam led to abdominal CT scan which demonstrated colonic obstruction, resulting from colocolonic intussusception of the descending colon. An exploratory laparotomy confirmed the diagnosis as well as the aetiology of a 4 cm intraluminal polyp. Left hemicolectomy with primary anastomosis was performed. The final pathology revealed a tubulovillous adenoma with multiple foci of high-grade dysplasia. Intussusception is a rare cause for colonic obstruction, and ~90% of cases in adults are secondary to an anatomical or pathological condition. Therefore, we recommend oncological resection of the affected part.

Stomach in a parastomal hernia: a rare complication of stomas

2020 ◽  
Vol 13 (8) ◽  
pp. e234325
Author(s):  
Onyekachi Ezekiel Ekowo ◽  
Ammar Al Midani ◽  
Yasser Abdulaal ◽  
Mohamed Boshnaq
Keyword(s):  
Parastomal Hernia ◽  
Case Reports ◽  
Rare Complication ◽  
Abdominal Distension ◽  
Unique Case ◽  
Abdominal Ct ◽  
Palpable Mass ◽  
Accident And Emergency ◽  
Abdominal Ct Scan ◽  
Accident And Emergency Department

Parastomal hernia (PSH) is one of the most known complications to end colostomies. However, PSH containing the stomach is rare: not many case reports were found in literature search. This case is a 92-year-old woman who was brought in by ambulance to the accident and emergency department with vomiting, abdominal distension, palpable mass on the left side of her abdomen and with reduced stoma effluent. Her abdominal CT scan showed a PSH containing a partially incarcerated gastric hernia. Although there are only few similar cases of PSH containing the stomach reported in the literature, an almost similar pattern in presentation of this unique case can be deduced following a thorough comparison of cases in the literature, which can be quite helpful both academically and clinically: they are often advanced in age and are usually women with end colostomies.

TRAUMA GINJAL

2020 ◽  
Vol 4 (1) ◽  
pp. 52-57
Author(s):  
Noflih Sulistia ◽  
Bambang Soeprijanto ◽  
Indrastuti Normahayu ◽  
Lenny Violetta
Keyword(s):  
Ct Scan ◽  
Pediatric Patients ◽  
Radiological Examination ◽  
Renal Trauma ◽  
Abdominal Ct ◽  
Abdominal Ct Scan

Renal trauma in children is more common than in adults. Clinically in pediatric patients with renal trauma do not always describe the degreeof trauma. Radiological examination, especially abdominal CT-scan with contrast, can help evaluate the damage to the kidneys so that it candetermine the degree of trauma.

Study on the Radiation Dose of Abdominal CT Scan Using Dual Energy

2018 ◽  
Vol 20 (2) ◽  
pp. 123-132
Author(s):  
Dae-hyun Park ◽  
Young-Kyoon Kim ◽  
Jong-Ho Ahn ◽  
Kwang-Hyun Chang ◽  
Yoon-Chul Nam ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Ct Scan ◽  
Dual Energy ◽  
Abdominal Ct ◽  
Abdominal Ct Scan

A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

2020 ◽  
pp. 1-3
Author(s):  
Jinping Xu ◽  
Jinping Xu ◽  
Ruth Wei ◽  
Salieha Zaheer
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Femoral Hernia ◽  
Rare Case ◽  
Hernia Recurrence ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
History Of

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

scholarly journals Splenic abscess caused by Streptococcus anginosus bacteremia secondary to urinary tract infection: a case report and literature review

Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 997-1002
Author(s):  
Hao Wu ◽  
Rui Zheng
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Ct Scan ◽  
Splenic Abscess ◽  
Low Density ◽  
Abdominal Ct ◽  
Streptococcus Anginosus ◽  
Abdominal Ct Scan ◽  
Tract Infections

AbstractOrgan abscesses caused by Streptococcus anginosus are relatively rare. We report the case of an elderly woman with splenic abscess caused by S. anginosus bacteremia after urinary tract infection. An 82-year-old woman had a history of frequency of urination, urgency, and fever with chills for over 10 days prior to admission. An abdominal computed tomography (CT) scan performed in the emergency room revealed a low-density lesion in the spleen, kidney cysts, some exudation around the kidney, and cystitis should be valued. She was treated with ceftriaxone and imipenem/cilastatin. After admission, the blood culture yielded positive results for S. anginosus. A contrast-enhanced abdominal CT scan showed that the low-density lesion previously found in the spleen was smaller than before. After percutaneous drainage of the splenic abscess and treatment with piperacillin/tazobactam based on the antibiotic sensitivity pattern, repeated abdominal CT scan revealed a significant reduction in the low-density lesion. The patient was discharged without recurrence or complications. A systematic review of organ abscess caused by S. anginosus bacteremia was performed. To our knowledge, there has been no report of splenic abscess caused by S. anginosus bacteremia secondary to urinary system tract infection, although urinary tract infections are also an important source.

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