scholarly journals Hypochondriac Region

2020 ◽  
Author(s):  
Keyword(s):  
Hypochondriac Region

Cyriax syndrome: a misdiagnosed condition of the chest wall

2019 ◽  
Vol 27 (7) ◽  
pp. 609-611
Author(s):  
Sarra Zairi ◽  
Mariem Hadj Dahmane ◽  
Monia Attia ◽  
Amira Dridi ◽  
Taher Mestiri ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Young People ◽  
Physical Examination ◽  
Chest Wall ◽  
Rare Entity ◽  
Hypochondriac Region ◽  
The Right

Cyriax syndrome is a rare entity of the chest wall, which mainly affects young people. It can manifest as abdominal pain in the right or left hypochondriac region, which may be very intense, and often causes problems in the differential diagnosis. We report the case of a 36-year-old man who presented with intense left hypochondrial pain, worsening on exercise. After multiple specialized consultations and several unnecessary and expensive investigations, a diagnosis of Cyriax syndrome was obtained. A thorough physical examination might have been sufficient to evoke the diagnosis.

A Case Report on Coexisting JAK2 V617F and Calr exon 9 Mutation in Essential Thrombocythemia

Blood ◽  
2015 ◽  
Vol 126 (23) ◽  
pp. 5215-5215
Author(s):  
Munazza Rashid ◽  
Rifat Zubair Ahmed ◽  
Shariq Ahmed ◽  
Muhammad Nadeem ◽  
Nuzhat Ahmed ◽  
...  
Keyword(s):  
Essential Thrombocythemia ◽  
Conflicts Of Interest ◽  
Myeloproliferative Neoplasms ◽  
Diagnostic Algorithm ◽  
Jak2 V617f ◽  
Primary Myelofibrosis ◽  
Common Mutation ◽  
Hypochondriac Region ◽  
Exon 9 ◽  
Calr Mutations

Abstract Myeloproliferative Neoplasms (MPNs) are a heterogeneous group of clonal disorders derived from multipotent hematopoietic myeloid progenitors. Classic "BCR-ABL1-negative" MPNs is an operational sub-category of MPNs that includes polycythemia vera (PV), essential thrombocythemia (ET), and primary myelofibrosis (PMF). These three disorders are characterized by stem cell-derived clonal myeloproliferation. The most common mutation in the MPNs PV, ET and PMF is JAK2 V617F. JAK2 V617F can be detected in about 95% of patients with PV while remaining 5% of PV patients carry a somatic mutation of JAK2 exon 12. Approximately one third of patients with ET or PMF do not carryany mutation in JAK2 or MPL. In December 2013 mutations were described in calreticulin (CALR) gene in 67-71% and 56-88% of JAK2 V617F and MPL negative patients with ET and PMF, respectively. Since this discovery, CALR mutations have not only been recommended to be included in the diagnostic algorithm for MPNs, but also CALR exon 9 mutations have been recognised to have clinical utility as mutated patients have a better outcome than JAK2 V617F positive patients.CALR mutations have also been reported to be mutually exclusive with JAK2 V617F or MPL mutations. According to our knowledge so farthere have been only six reports published,which described patients harbouring concurrent JAK2 V617F and CALR exon 9 mutations; seven ET, three PMF, one PV and one MPN-U. In the present study we are reporting ET patient with coexisting JAK2 V617F and CALR exon 9 mutations from our center. In July 2011, 55-years-old female patient was referred to our hospital with a history of gradual elevation of platelet counts accompanied with pain in right hypochondriac region and feet. Bone Marrow aspirate consisted of 'Stag-horn' appearance Megakarocytes. Multiple platelets aggregates and islands were seen throughout the aspirate smear. ARMS-PCR for JAK2 V617F mutation was positive whereas bidirectional Sanger sequencing for CALR exon 9 exhibited c.1214_1225del12 (p.E405_D408del) mutation pattern. Disclosures No relevant conflicts of interest to declare.

scholarly journals A 12-year-old boy presented with fever and left-sided upper abdominal pain

2018 ◽  
Vol 11 (4) ◽  
pp. 310-314
Author(s):  
Mohuya Mondal ◽  
Md. Rukunuzzaman ◽  
A. K. M. Fazlul Bari ◽  
Parisa Marjan ◽  
Dipanwita Saha
Keyword(s):  
Abdominal Pain ◽  
Blood Transfusion ◽  
Skin Infection ◽  
Burning Sensation ◽  
Bowel Habit ◽  
High Grade ◽  
Hypochondriac Region ◽  
History Of ◽  
Abdominal Examination ◽  
Upper Abdominal

This article has no abstract. The first 100 words appear below: A 12-year-old boy of non-consanguineous parents presented with the history of fever and left sided upper abdominal pain for 1 month. His fever was high grade, intermittent, associated with chills and rigor. The abdominal pain was dull aching in nature without any radiation, aggravating or relieving factors. His bowel habit was normal. The child had no history of jaundice, cough, respiratory distress, burning sensation during micturition, earache, skin infection, contact with tubercular patient, blood transfusion or parenteral medica-tion. On examination, she was fretful, febrile, mode-rately pale, and anicteric. Tachycardia was present. Per abdominal examination revealed tenderness at the left hypochondriac region.

scholarly journals Subhepatic caecum and appendix - a rare variant in an adult male cadaver

2013 ◽  
Vol 02 (02) ◽  
pp. 093-096
Author(s):  
P. Savithri
Keyword(s):  
Iliac Fossa ◽  
Abdominal Cavity ◽  
Intestinal Loop ◽  
Diagnostic Challenge ◽  
Inferior Surface ◽  
Male Cadaver ◽  
Hypochondriac Region ◽  
Right Lobe ◽  
The Right ◽  
Symptoms And Signs

AbstractIn unusual cases of malrotation or incomplete rotation of caecum , the appendix is not located in the lower right quadrant. When the caecum is high [subhepatic caecum] the appendix is located in the right hypochondriac region and the pain in these cases is located there, not in the lower right quadrant. In this position , the symptoms and signs of acute appendicitis may mimic acute cholecystitis, diagnosis in such cases is a great diagnostic challenge. The author observed this less frequent anomaly in a middle aged male cadaver. After opening the abdomen while tracing peritoneal reflections abnormality was identified. The caecum and appendix were present in relation with inferior surface of liver. Embryologically, the caecal swelling appears as a small conical dilation of the caudal limb of primitive intestinal loop and it is the last part of the gut to reenter the abdominal cavity. It is temporarily located in the right upper quadrant directly below the right lobe of liver. From here it descends into the right iliac fossa. The failure to descend leads to subhepatic caecum.

Spontaneous cholecystocutaneous fistula: an uncommon complication of acute cholecystitis

2020 ◽  
Vol 13 (12) ◽  
pp. e238063
Author(s):  
Philipp Kasper ◽  
Julia Kaminiorz ◽  
Christoph Schramm ◽  
Tobias Goeser
Keyword(s):  
Rare Complication ◽  
Gallstone Disease ◽  
Acalculous Cholecystitis ◽  
Abdominal Ultrasound ◽  
Gallbladder Perforation ◽  
Ct Guided ◽  
Acute Calculous Cholecystitis ◽  
Hypochondriac Region ◽  
Pericholecystic Abscess ◽  
The Right

A 78-year-old man presented to the hospital with acute right upper quadrant pain, fever and nausea. A focused abdominal ultrasound and abdominal CT scan were performed demonstrating an acute calculous cholecystitis with gallbladder perforation. Although a CT-guided cholecystostomy was performed and a pericholecystic abscess was relieved promptly, the patient developed a cholecystocutaneous fistula in the right hypochondriac region. A cholecystocutaneous fistula is an extremely rare complication that may occur in patients with acute calculous or acalculous cholecystitis, chronic gallstone disease, gallbladder carcinoma or prior hepatobiliary surgery.

scholarly journals Pure mucinous (colloid) carcinoma of gall bladder: a rare entity

2017 ◽  
Vol 4 (8) ◽  
pp. 2858
Author(s):  
Gireesha Rawal ◽  
Charanjeet Ahluwalia ◽  
Amit Kumar Yadav ◽  
Indrani Dhawan
Keyword(s):  
Case Report ◽  
Natural History ◽  
Gall Bladder ◽  
Histopathological Examination ◽  
Mucinous Carcinoma ◽  
Final Diagnosis ◽  
Tumour Volume ◽  
Rare Entity ◽  
Hypochondriac Region ◽  
Cut Surface

In the biliary tract, ‘mucinous’ carcinomas in which extracellular mucin constitutes more than 50% of the tumour volume, are very rare. Those tumours in which the mucinous pattern comprises of at least 90% of the tumour are called ‘pure mucinous’ carcinomas and are exceedingly rare in the gallbladder. We describe the case of a 55 years old female, who presented with the complaints of jaundice and dull aching pain in right hypochondriac region. USG abdomen was suggestive of carcinoma along with cholelithiasis, following which cholecystectomy was performed. Grossly, a large grey-white tumour was identified whose cut surface was variegated. Sections showed a tumour which was entirely composed of pools of extracellular mucin, in which clusters of tumour cells were floating. Based on morphology and immunohistochemistry, a final diagnosis of ‘pure mucinous (colloid) adenocarcinoma’ of the gallbladder was given. This case is described owing to the rarity of this neoplasm. The clinical features, natural history and prognosis of mucinous carcinoma of GB are not very well known, due to their extreme rarity. These have been discussed in this case report. Histopathological examination is vital for a decisive diagnosis of such cases. 

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 “ADPKD presenting as congestive cardiac failure secondary to dilated cardiomyopathy” - a case report

2014 ◽  
Vol 14 (1) ◽  
pp. 85-86
Author(s):  
Nasim Ul Haque ◽  
Rakhshinda Karim
Keyword(s):  
Case Report ◽  
Dilated Cardiomyopathy ◽  
Cardiac Failure ◽  
Medical Science ◽  
Abdominal Distension ◽  
Congestive Cardiac Failure ◽  
Renal Manifestation ◽  
Oxygen Inhalation ◽  
Systemic Disorder ◽  
Hypochondriac Region

ADPKD presenting as congestive cardiac failure due to dilated cardiomyopathy is rare. ADPKD is an inherited systemic disorder with major renal manifestation and in some cases extrarenal manifestation or combination of both. In this report 45 year male patient presented with complains of dyspnoea, abdominal distension, pain right hypochondriac region. He was hospitalized, examined clinically and advised various bio-chemical and imaging tests. The finding was suggestive of ADPKD with dilated cardiomyopathy with congestive cardiac failure. He was managed with diuretics, ACE inhibitors, digoxin, Moist oxygen inhalation and he responded to the treatment. DOI: http://dx.doi.org/10.3329/bjms.v14i1.16635 Bangladesh Journal of Medical Science Vol.14(1) 2015 p.85-86

Sign in / Sign up

Export Citation Format

Share Document