scholarly journals GIANT INGUINO-SCROTAL HERNIA WITH DUODENAL PERFORATION AND BILIARY PERITONITIS - A RARE CASE REPORT WITH LITERATURE REVIEW

2020 ◽  
pp. 1-2
Author(s):  
Mohamad Safwan. A ◽  
Jithu TG ◽  
Najeeb AA ◽  
Sandeep Babu
Keyword(s):  
Damage Control ◽  
Lower Abdominal Pain ◽  
Sudden Onset ◽  
Duodenal Perforation ◽  
Control Procedure ◽  
Rare Presentation ◽  
Biliary Peritonitis ◽  
Scrotal Hernia ◽  
Generalized Peritonitis ◽  
Rare Case Report

Background: Giant inguino-scrotal hernias are unusual, and associated with duodenal perforation causing peritonitis is an extremely rare presentation. Case presentation: A 73 year old gentleman presented to the Emergency department (ED) with sudden onset of lower abdominal pain, bilious vomiting, and constipation. He had a huge right sided inguino-scrotal swelling. Computed tomography (CT) abdomen showed massive inguino-scrotal hernia containing pylorus, part of duodenum and loops of jejunum, ileum and large bowel upto descending colon as contents with signs of perforation. Labs were suggestive of sepsis. At emergency surgery, perforation of the second part of duodenum with generalized peritonitis was evident. Closure of the perforation and drainage was done as a damage control procedure and definitive hernia repair was deferred for a later period. Despite intensive-care, the patient succumbed to sepsis postoperatively. Conclusion: This is a rare presentation of duodenal perforation secondary to giant inguino-scrotal hernia causing biliary peritonitis ensuing in sepsis and death. We reviewed the literature on giant inguinal hernia, and especially those associated with duodenal perforation.

scholarly journals Spontaneous common bile duct perforation in full term pregnancy: a rare case report and review of literature

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Matiullah Masroor ◽  
Mohammad Arif Sarwari
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Exploratory Laparotomy ◽  
Interesting Case ◽  
High Morbidity ◽  
Rare Presentation ◽  
Diffuse Abdominal Pain ◽  
Generalized Peritonitis ◽  
Rare Case Report ◽  
The Common

Abstract Background Spontaneous biliary system perforation is a rare presentation in clinical practice especially in adults. It is rarely suspected and diagnosed preoperatively due to small number of cases, vague sign and symptoms, and ambiguous presentation. Case presentation We describe an interesting case of spontaneous perforation of the common bile duct in a 16 year-old female who presented a week after her first birth to the emergency department with complaints of diffuse abdominal pain, abdominal distention, fever, vomiting, and constipation. She was having generalized peritonitis but the etiology was unclear despite a thorough workup. She underwent exploratory laparotomy, and a perforation in the supra duodenal region of the common bile duct was found intraoperatively. The common bile duct was repaired over T-tube, and cholecystectomy was performed; the patient was recovered uneventfully. Conclusion Spontaneous biliary perforation is a rare cause of acute abdomen in adults and extremely rare in pregnancy. Its delayed diagnoses and management can lead to a high morbidity and mortality. All physicians, especially surgeons, should be aware of this possibility and consider it a cause of peritonitis on differential diagnosis particularly when there is no apparent etiology available for presentation.

HETEROTOPIC PREGNANCY WITH INEVITABLE ABORTION (RIGHT ADNEXAL LIVE ECTOPIC AND COEXISTING INTRAUTERINE TRIPLETS WITH ABSENT FETAL CARDIAC ACTIVITY)

2021 ◽  
pp. 58-59
Author(s):  
Jayanta Sarkar ◽  
Mini Sengupta
Keyword(s):  
Ectopic Pregnancy ◽  
Abdominal Cavity ◽  
Lower Abdominal Pain ◽  
Cardiac Activity ◽  
Exploratory Laparotomy ◽  
Sudden Onset ◽  
Heterotopic Pregnancy ◽  
Intrauterine Pregnancy ◽  
Short Period ◽  
The Right

Heterotopic pregnancy describes the occurrence of two or more pregnancies in different implantation sites simultaneously, intrauterine pregnancy coexists withectopic pregnancies (ampullary in 80%). A 27-year-old women (P ,L1) presented to the emergency department with a complaint of sudden onset of right-sided lower abdominal pain with 1+1 vaginal bleeding and had a short period of Amenorrhea. Ultrasonography demonstrated three intrauterine gestational sacwith foetal pole noted but Cardiac activity was absent . The right adnexa showed a heteroechoic area andmoderate amount of free uid was present in the lower abdominal cavity. Ectopic pregnancy was disturbed. An emergency exploratory laparotomy was performed under general anesthesia. Haemoperitoneum was found with a ruptured righttubal ectopic pregnancy as well. Both the ovaries appeared normaland a corpus luteal cyst was presentin right ovary. Right sided salpingectomy was performed with removal of the ectopic mass,heamostasis secured ,on table blood transfusion had been given.Suction evacuation had also been performed by manual vacuum aspirationon same sitting.Both the specimen send for histopathology. Histology conrmedGestational sac suggestive of an intra uterine pregnancy coexists with ectopic pregnancy. Left tube and both ovaries were found healthy. Episodes of PID also have a strong correlation with occurrence of ectopic gestation. Once diagnosis of heterotrophic pregnancy has been made the management is essentially surgical.

scholarly journals Sudden Onset of Lower Abdominal Pain Without Peritonitis or Ileus

2016 ◽  
Vol 3 (7) ◽  
Author(s):  
Stefania Scarlini ◽  
Marco Gandolfo ◽  
Antonello Pietrangelo
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Sudden Onset

scholarly journals Syphilitic Balanitis of Follmann, A Rare Case Report

2021 ◽  
Vol 19 (1) ◽  
pp. 71-73
Author(s):  
Pooja Agarwal ◽  
Ashish Jagati ◽  
Priyanka Vadher ◽  
Malay Chaudhary
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Rare Presentation ◽  
Heterosexual Male ◽  
Primary Syphilis ◽  
Rare Case Report

Syphilitic balanitis of Follmann is a rare presentation of primary syphilis. It can occur before or after the appearance of primary chancre and some time without any associated primary chancre. We are reporting a case of syphilitic balanitis of Follmann, in a 23 years old heterosexual male, who presented with balanitis associated with single indurated lesion over coronal sulcus and few superficial ulcers over prepuce.

scholarly journals Psoriasiform Mycosis Fungoides Involving the Face- A Rare Case Report

2021 ◽  
pp. 94-99
Author(s):  
N. R. Vignesh ◽  
Shreya Srinivasan ◽  
G. Sukanya ◽  
S. Arun Karthikeyan
Keyword(s):  
Case Report ◽  
Mycosis Fungoides ◽  
Rare Case ◽  
Cell Lymphoma ◽  
Punch Biopsy ◽  
Cutaneous T Cell Lymphoma ◽  
Rare Presentation ◽  
Rare Case Report ◽  
Atypical Cells ◽  
The Face

Mycosis fungoides is represented as the most common epidermotropic cutaneous T-cell lymphoma, which is mainly characterized by the proliferation of atypical cells within the epidermis. We report a rare presentation of mycosis fungoides in a 60-year-old male presenting with chronic psoriasiform plaque involving the face. Punch biopsy of the lesion from the forehead was taken for routine histological examination and immunohistochemical stains. Results of biopsy and immunohistochemical findings were consistent with mycosis fungoides and diagnosed as psoriasiform presentation of mycosis fungoides involving the face.

scholarly journals Huge Ovarian Cyst- A Case Report

2020 ◽  
Vol 2 (2) ◽  
pp. 87-90
Author(s):  
Sunita Maharjan ◽  
Ganesh Dangal ◽  
Aruna Karki ◽  
Hema Pradhan ◽  
Ranjana Shrestha ◽  
...  
Keyword(s):  
Ovarian Cyst ◽  
Ovarian Tissue ◽  
Delayed Diagnosis ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Sudden Onset ◽  
Ultrasound Finding ◽  
Emergency Laparotomy ◽  
Diagnosis And Management ◽  
The Right

Ovarian cyst torsion (also termed as adnexal torsion) refers to partial or complete rotation of the ovary and a portion of fallopian tube along with its supply to vascular pedicle. It occurs commonly in females of all age group, more on the right side (60%) and often with acute lower abdominal pain lasting for few hours up to 24 hours. Ovarian cyst torsion is one of the devastating conditions hampering blood supply of ovary which may lead to total necrosis of ovarian tissue like in our case. Delayed diagnosis and management can lead to various complications. Here, we present a case of 46 years old perimenopausal female, para 2, living 2 who presented to our emergency department with complain of sudden onset severe pain abdomen since morning. Emergency exploratory laparotomy was done due to high clinical suspicion of torsion based on previous ultrasound finding of ovarian cyst done a day prior to the presentation. On intraoperative finding, the cyst was already necrosed. Due to timely diagnosis and management by emergency laparotomy, anticipated complications were reduced.    

scholarly journals Extensive erythema elevatum diutinum associated with IgA monoclonal gammopathy: a rare case report

2021 ◽  
Vol 7 (4) ◽  
pp. 593
Author(s):  
Manish Rijhwani ◽  
Divya Yadav ◽  
Manisha Nijhawan ◽  
Arvind Verma
Keyword(s):  
Monoclonal Gammopathy ◽  
Rare Case ◽  
Leukocytoclastic Vasculitis ◽  
Burning Sensation ◽  
Rare Form ◽  
Rare Presentation ◽  
Rare Case Report ◽  
Nodular Lesions ◽  
Erythema Elevatum Diutinum ◽  
Characteristic Features

<p class="abstract">Erythema elevatum diutinum (EED) is a rare form of leukocytoclastic vasculitis with an unclear pathogenesis. Almost 250 cases of EED have been reported in the literature, associated with several diseases and presented with various clinical features. Term 'diutinum' means chronic, describes one of the main characteristic features. The duration is very long, varying between one to more than 39 years. We report a rare presentation of EED in a 58-years-old man who presented with extensive and symmetrical, persistent, erythematous to violaceous   plaques over trunk and limbs and popular-nodular lesions present over pinna and dorsum of hands with burning sensation and itching over few lesions, in association with IgA monoclonal gammopathy.</p>

Torsion of a parasitic leiomyoma: a rare but important differential in women presenting with lower abdominal pain

2021 ◽  
Vol 14 (1) ◽  
pp. e232797
Author(s):  
Clemmie Stebbings ◽  
Ahmed Latif ◽  
Janakan Gnananandan
Keyword(s):  
Abdominal Pain ◽  
Iliac Fossa ◽  
Lower Abdominal Pain ◽  
Sudden Onset ◽  
Greater Omentum ◽  
Caribbean Woman ◽  
History Of ◽  
Right Iliac Fossa Pain ◽  
The Right ◽  
Fat Stranding

A 39-year-old multiparous Afro-Caribbean woman attended the emergency department with sudden-onset severe right iliac fossa pain. Her inflammatory markers were mildly elevated. Computerised tomography of the abdomen demonstrated features of fat stranding in the right iliac fossa suspicious of acute appendicitis. The scan also noted uterine leiomyomas. The patient was taken to theatre for an emergency diagnostic laparoscopy where her appendix was found to be macroscopically normal. A necrotic heavily calcified parasitic leiomyoma was seen in the right adnexa, free of the uterus and adherent to the greater omentum on a long torted pedicle. The parasitic leiomyoma was successfully removed piecemeal laparoscopically. Complications of leiomyomas, namely, torsion and necrosis, are important differentials in women presenting with sudden-onset lower abdominal pain. A history of sudden-onset severe lower abdominal pain with a background of known leiomyoma should prompt the clerking surgeon to consider a complication of leiomyoma as part of the differential diagnoses.

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