CASE OF DU PERFORATION WITH SECONDARY OMENTAL NECROSIS- A RARE CASE REPORT

2019 ◽  
Vol 3 (11) ◽  
Author(s):  
Dr. Radha Krishna K ◽  
Dr. Bushra Khan ◽  
Dr. Atif Abdul Samee ◽  
Dr. Syed Mujtaba Ibrahim
Keyword(s):  
Rare Case ◽  
Primary Repair ◽  
Exploratory Laparotomy ◽  
High Grade Fever ◽  
Persistent Vomiting ◽  
X Ray ◽  
Omental Infarction ◽  
Rare Case Report ◽  
Abdominal Examination ◽  
The Right

Introduction: The Omentum is rich in blood supply. Omental Infarction can be classified as primary or secondary depending on the pathogenesis. Aims and Objectives: To report a case of DU perforation with secondary Omental Infarction. Case Details: A 21 year old male patient came with complaints of generalized dull aching abdominal pain, associated with persistent vomiting and high grade fever since 3 days. On examination, he was drowsy, BP was not recordable and peripheral pulses were not palpable. Abdominal examination revealed guarding and rigidity. X-ray erect abdomen showed gas under the right dome of the diaphragm (pneumoperitoneum). The patient was taken up for an exploratory laparotomy. Intraoperatively, findings included: 1) A 0.5*0.5cm in size perforation over the anterior first part of the duodenum, 2) approximately 3L of haemorrhagic peritoneal fluid 3) necrosed omentum and 4) petechial patches over the parietal wall of peritoneum. Primary repair of the DU perforation with omental plug (modified graham’s repair) with omentectomy of the necrosed part of omentum was done. The HPE report of excised specimen of omentum was suggestive of intense congestion and necro-inflammatory reaction of the omentum with necrosis and netrophilic infiltrate. Conclusion: A rare case of DU perforation with secondary omental necrosis is being reported. Keywords: DU Perforation; Omental Necrosis; Omental Infarction; Modified Graham’s patch Abbreviations: OI- Omental Infarction, DU- Duodenum.

scholarly journals Inhalation of Pin - A Rare Case Report

2015 ◽  
Vol 1 ◽  
pp. 23-26
Author(s):  
Sandeep Kumar Kar ◽  
Deepanwita Das ◽  
Chaitali Sen ◽  
Riju Bhattacharya ◽  
Asit Munsi
Keyword(s):  
Rare Case ◽  
Main Bronchus ◽  
Lower Lobe ◽  
Basal Segment ◽  
X Ray ◽  
Rare Case Report ◽  
Chest X Ray ◽  
The Right ◽  
Lung Ct ◽  
Lung Ct Scan

A boy aged 1year presented with persistent cough, sputum and fever for last two months which is did not subside in spite of empirical mediacal therapy. For last 15 days symptoms started to aggravate and not responding to medical management. Chest X-ray showed a pin in the right main bronchus with more radiolucency of right lung. CT scan of chest revealed radiodense linear opacity in the right lower lobe primary and secondary bronchus with partial collapse consolidation of right lower lobe medial basal and lateral basal segment. Rigid bronchoscopic removal was tried but failed. Ultimately thoracotomy was done to remove the foreign body.

scholarly journals CAVITY IN THE LUNG: A RARE CASE OF BURKHOLDERIA CEPACIA INFECTION

2013 ◽  
Vol 03 (02) ◽  
pp. 100-101
Author(s):  
Suresh G. ◽  
Rama Prakasha S. ◽  
Giridhar B. H. ◽  
Shama Prakash K.
Keyword(s):  
Burkholderia Cepacia ◽  
Rare Case ◽  
Clinical Presentation ◽  
Multidrug Resistant ◽  
X Ray ◽  
Rare Case Report ◽  
Radiological Response ◽  
Chest X Ray ◽  
Smear Negative ◽  
The Right

AbstractAn elderly patient was evaluated for fever and cough of three weeks duration. Chest X-ray revealed a thin walled cavity in the right parahilar region. Sputum Acid Fast Bacilli was negative and sputum culture has grown multidrug resistant Burkholderia Cepacia sensitive to carbapenams only. This is a rare case report of community acquired B. Cepacia infection in an individual wherein the clinical presentation was mimicking smear negative pulmonary tuberculosis, but the patient has shown a complete clinical and radiological response to imipenam.

scholarly journals Retromastoid osteoma—a rare case report

2020 ◽  
Vol 2020 (1) ◽  
Author(s):  
Edmund Wooi Keat Tan ◽  
Jason Bae Barco ◽  
Mutee Ur Rehman ◽  
Choon Chieh Tan
Keyword(s):  
Case Report ◽  
Genetic Testing ◽  
Temporal Bone ◽  
Rare Case ◽  
Screening Colonoscopy ◽  
Adenomatous Polyposis ◽  
Rare Case Report ◽  
Computed Topography ◽  
The Right ◽  
Slow Growing

Abstract Osteomas are slow growing bone tumours and are often asymptomatic. Rarely, they can be present in the temporal bone—only few cases had been reported, with an incidence of 0.1–1%. We describe a case of an osteoma of the temporal bone (retromastoid) found in a 40 year old female, who presented with a slow growing swelling behind the right ear for 9 years. Diagnosis was made on non-contrast computed topography (CT) of the skull. Treatment is indicated in symptomatic cases or cosmetic reasons. Screening colonoscopy and genetic testing for familial adenomatous polyposis (FAP) and Gardner’s syndrome are advised.

scholarly journals A maxillary ameloblastic fibrosarcoma tumor: a rare case report from Syria

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Amjad Soltany ◽  
Ghazal Asaad ◽  
Rami Daher ◽  
Mouhannad Dayoub ◽  
Ali Khalil ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Rare Case ◽  
Soft Tissue Sarcomas ◽  
Surgical Excision ◽  
Low Grade ◽  
Rare Case Report ◽  
Ameloblastic Fibrosarcoma ◽  
The Right

Abstract Ameloblastic fibrosarcoma (AFS) is a rare, aggressive malignant odontogenic tumor. AFS is seen most frequently in second and third decades of life. We are reporting a case of a low grade AFS in a 21-year-old male complaining of a painless swelling in the right side of the maxilla. The patient was treated with surgical excision followed by radiotherapy, which is considered the most effective approach for most of soft tissue sarcomas. AFS has a high-reported recurrence rate (up to 37%); therefore, long-term surveillance for recurrence is crucial.

scholarly journals High bifurcation of common carotid artery and origin of thyrolingual trunk - a rare case report

2015 ◽  
Vol 04 (02) ◽  
pp. 102-104
Author(s):  
Sudipa Biswas ◽  
Suranjali Sharma ◽  
Sanjib Kumar Ghosh ◽  
Soumya Chakraborty
Keyword(s):  
Carotid Artery ◽  
Common Carotid Artery ◽  
Rare Case ◽  
Superior Thyroid Artery ◽  
Clinical Implications ◽  
Medical College ◽  
Medial Side ◽  
Rare Case Report ◽  
The Right ◽  
North Bengal

AbstractIn this rare case, found during routine dissection of head and neck in North Bengal Medical College on the right side of the neck, common carotid artery bifurcated at a higher level than usual and 1.25 cm below the bifurcation, gave a common origin of lingual and superior thyroid artery from its medial side (thyorolingual trunk). No such anomaly was noted on the left side. This type of combination of variations has important clinical implications.

scholarly journals Jejunal Diverticular Perforation Causing Small Bowel Obstruction in a Type 4 Hiatal Hernia: A Rare Case Report of a Nonagenarian Patient and Review of Relevant Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Saptarshi Biswas ◽  
Shekhar Gogna ◽  
Prem Patel
Keyword(s):  
Small Bowel ◽  
Rare Case ◽  
Epigastric Pain ◽  
Relevant Literature ◽  
Exploratory Laparotomy ◽  
The Past ◽  
Type Iv ◽  
Intestinal Gas ◽  
Mesenteric Side ◽  
Rare Case Report

Type IV paraesophageal hernia (PEH) is very rare and is characterized by the intrathoracic herniation of the abdominal viscera other than the stomach into the chest. We describe a case of a 90-year-old male patient who presented at our emergency department complaining of epigastric pain that he had experienced over the past few hours and getting progressively worse. On the day after admission, his pain became severe. Chest radiography revealed an intrathoracic intestinal gas bubble; emergency exploratory laparotomy identified a type IV PEH with herniation of only the jejunum with perforated diverticula on mesenteric side through a hiatal defect into mediastinum. There are a few published cases of small bowel herniation into the thoracic cavity in the literature. Our patient represents a rare case of an individual diagnosed with type IV PEH with herniation of jejunum with perforated diverticula.

scholarly journals Epidermoid carcinoma of the hypopharynx in a child: a rare case report

2020 ◽  
Vol 6 (11) ◽  
pp. 461
Author(s):  
Wydadi Omar ◽  
Lyoubi Hicham ◽  
Lekhbal Adil ◽  
Abada R. Lah ◽  
Rouadi Sam ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Case Report ◽  
Cell Carcinoma ◽  
Rare Case ◽  
Cervical Lymphadenopathy ◽  
Epidermoid Carcinoma ◽  
Difficult Case ◽  
Piriform Sinus ◽  
Rare Case Report ◽  
The Right

<p>Epidermoid carcinoma is a frequent tumor in the upper aerodiodestive tracts, and depending on its location and tumor, nodes, metastases (TNM) stage, its therapy and prognosis vary enormously. Its location in the hypopharynx is rare, and in children or young adolescents, this location is extremely rare; The incriminated causes and the pathophysiology of the development of these tumors at this age remain a mystery. We present the case of a young patient of 13 years old, followed for squamous cell carcinoma of the right piriform sinus, with contralateral synchronous tonsil localization, and right lateral cervical lymphadenopathy fixed at 5 cm. In the absence of existing guidelines on the management of this type of location at this age, a multi-disciplinary meeting was necessary to decide on the management of this difficult case at this age.</p>

scholarly journals Desmoplastic Fibroma and Cemento Ossifying Fibroma of The Anterior Maxilla: A Rare Case Report

2021 ◽  
Vol 24 (1) ◽  
pp. 21-27
Author(s):  
Victor Pakpahan ◽  
Eky Nasuri ◽  
Vera Julia
Keyword(s):  
Rare Case ◽  
Histopathological Examination ◽  
Neck Region ◽  
The Body ◽  
Ossifying Fibroma ◽  
Desmoplastic Fibroma ◽  
Anterior Maxilla ◽  
Main Complaint ◽  
Rare Case Report ◽  
The Right

Tumors located in the maxillofacial part of the body were classified by WHO in 2017 and among these are intraosseous form of fibromatosis known as Desmoplastic and Cemento-ossifying fibromas. These tumors usually occur in the head and neck region, especially in the mandible and are relatively rare in the maxilla. Meanwhile, this study aims to discribe a rare case of the cemento ossifying fibroma that had been previously diagnosed as desmoplastic fibroma with a mass tumor in the anterior of the maxilla. A 22 years old female reported to the Cipto Mangkusumo Hospital with the main complaint of a lump in the right side of the upper jaw which appeared 2 years prior to the operation. In April 2017, the patient had a biopsy in Tarakan Hospital and the result was a desmoplastic fibroma. Due to the lump enlargement, the patient was admitted to RSCM in July 2019 and had biopsy incision with a diagnosis of cemento ossifying fibroma which was confirmed by the histopathological examination and histology report. The resection of the right part of maxilla was conducted alongside with reconstruction using the free fibular flap. Moreover, cemento ossifying fibroma and desmoplastic fibroma shared similar features, namely, clinical, histological and radiological features which are important in establishing the diagnosis and treatment of patient. Hence, extensive enucleation or resection is required due to the progressive nature of the tumor to prevent the potential for further recurrences.

scholarly journals Complete Ossification of the Stylohyoid Chain as Cause of Eagle's Syndrome: A Very Rare Case Report

2014 ◽  
Vol 15 (4) ◽  
pp. 500-505 ◽  
Author(s):  
Antônio Sérgio Guimarães ◽  
Daniel Humberto Pozza ◽  
Idercy Cabral de Castro ◽  
Iván Claudio Suazo Galdames ◽  
Sandro Palla
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Soft Tissues ◽  
Surgical Excision ◽  
Styloid Process ◽  
Eagle’S Syndrome ◽  
Elongated Styloid Process ◽  
Rare Case Report ◽  
The Right ◽  
Stylohyoid Chain

ABSTRACT Aim To report on a patient with Eagle's syndrome with a complete and very large ossification of the stylohyoid complex on the right side that to our best knowledge has never been published previously. Background Eagle's syndrome is characterized by a set of symptoms that are caused by the irritation of the neurovascular and soft-tissues caused by an elongated styloid process or ossification of stylohyoid ligament. Case description Because of the high discomfort and pain degree as well as limitations of mandibular and head mobility and also the thickness of the ossified stylohyoid chain, the patient was treated surgically by removing the hypertrophic segment. Conclusion These symptoms subsided completely after the surgical excision of the anomaly. The elongated styloid process on the left side was symptom free. Clinical significance Eagle's syndrome symptoms are not specific and can mimic those of other disorders, the syndrome must be included in the differential diagnosis of patients with pain in the orofacial, pharyngeal and cervical area. How to cite this article Guimarães AS, Pozza DH, de Castro IC, Galdames ICS, Palla S. Complete Ossification of the Stylohyoid Chain as Cause of Eagle's Syndrome: A Very Rare Case Report. J Contemp Dent Pract 2014;15(4):500-505.

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