scholarly journals Dieulafoy Lesion of Ileum: A Case Report

2020 ◽  
Vol 3 (1) ◽  
pp. 64-66
Author(s):  
Prakash Poudel ◽  
Ramesh Dhakwa
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Gastrointestinal Bleeding ◽  
Gastrointestinal Haemorrhage ◽  
Definitive Diagnosis ◽  
Gi Bleeding ◽  
Mucosal Defect ◽  
Life Threatening ◽  
High Index Of Suspicion ◽  
Dieulafoy Lesion

Dieulafoy lesion is a rare cause of massive GI bleeding. It’s an abnormal sub-mucosal artery protruding from a minute mucosal defect (≤3 mm). A 31 yearold male presented with complaints of hematochezia. Preliminary investigations failed to locate the exact source of bleed. Enteroscopy suggested distal ileal bleed. At laparotomy, an ulcerated nodular lesion, approximately 0.5 cm was identified in distal ileum. 30 cm of ileum along with mesentery was resected. Histology revealed it to be Dieulafoy lesion. Dieulafoy lesion is uncommon but one of the causes of obscure gastrointestinal bleeding that could result in treacherous and life-threatening gastrointestinal haemorrhage. This lesion is difficult to identify and high index of suspicion is required to make diagnosis. Hence, it should be considered in the differential diagnosis of active GI bleeding. The definitive diagnosis is based only on histopathology.

scholarly journals Rectal Dieulafoy Lesions: A Rare Etiology of Chronic Lower Gastrointestinal Bleeding

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Ugur Dogan ◽  
Ismail Gomceli ◽  
Umit Koc ◽  
Mani Habibi ◽  
Nurullah Bulbuller
Keyword(s):  
Gastrointestinal Bleeding ◽  
Rectal Bleeding ◽  
Lower Gastrointestinal Bleeding ◽  
Endoscopic Appearance ◽  
Mucosal Defect ◽  
Arterial Bleeding ◽  
Life Threatening ◽  
Massive Rectal Bleeding ◽  
Dieulafoy Lesion

Dieulafoy lesion is rarely seen, yet it can be life-threatening. This lesion makes up to 1-2% of gastrointestinal bleedings and must definitely be considered in gastrointestinal bleedings whose source cannot be identified. In this case study, the 75-year-old woman was suffering from active, fresh, and massive rectal bleeding. Colonoscopy was applied in order to find out the source of bleeding. In the typical endoscopic appearance of the lesion a single round mucosal defect in the rectum and arterial bleeding were observed. To procure hemostasis, epinephrine was injected into the lesion and the bleeding vein was sutured.

scholarly journals Bilateral Charcot hip Arthropathy Due to Tabes Dorsalis: A Case Report

2018 ◽  
Vol 25 (1) ◽  
pp. 21-23
Author(s):  
Ip Hoi Yeung ◽  
Yeung Yip Kan ◽  
Luk Kristine Shik ◽  
Lam Polly Wy ◽  
Wong Kwok Ho
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Course ◽  
High Index ◽  
Tabes Dorsalis ◽  
High Index Of Suspicion

This article illustrates the clinical course of a patient diagnosed to have bilateral Charcot hip arthropathy secondary to tabes dorsalis from delayed untreated syphilitic infection. This differential diagnosis of rapid bilateral hip destruction was a near-extinct entity, and a high index of suspicion is needed to prevent untoward sequelae.

Hemoperitoneum in a Peritoneal Dialysis Patient: Ruptured Ectopic Pregnancy

2018 ◽  
Vol 38 (6) ◽  
pp. 455-456 ◽  
Author(s):  
Orly F. Kohn ◽  
Sandra Culbertson ◽  
Yolanda T. Becker
Keyword(s):  
Differential Diagnosis ◽  
Peritoneal Dialysis ◽  
Ectopic Pregnancy ◽  
Dialysis Patient ◽  
Surgical Intervention ◽  
Peritoneal Dialysis Patient ◽  
Dialysis Patients ◽  
Childbearing Age ◽  
Life Threatening ◽  
High Index Of Suspicion

Hemoperitoneum is a well-recognized complication in female peritoneal dialysis (PD) patients of childbearing age. Bloody effluent is commonly of minor nature, presenting during menstruation or midcycle, resolving after a few rapid exchanges without a need for further intervention. One must remain vigilant, however, and consider a broader differential diagnosis when hemoperitoneum is persistent or severe, as it indicates a serious and potentially life-threatening etiology. We report 2 episodes of hemoperitoneum in a PD patient occurring more than 1.5 years apart, with different underlying etiologies. The more dramatic second episode was due to a ruptured ectopic pregnancy, a condition which had not been reported as a cause of hemoperitoneum in dialysis patients to date and requires a high index of suspicion and prompt surgical intervention.

scholarly journals Pyogenic granuloma of tongue: A rare case report

2014 ◽  
Vol 6 (3) ◽  
pp. 84-86
Author(s):  
Sonam Sharma ◽  
Amita Sharma ◽  
Ashok Kumar ◽  
Shivani Kalhan ◽  
Jasmine Kaur
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Male Patient ◽  
Rare Case ◽  
Pyogenic Granuloma ◽  
Definitive Diagnosis ◽  
Medical Sciences ◽  
New Approaches ◽  
Rare Case Report ◽  
Chronic Irritation

Pyogenic granuloma (PG) is a kind of inflammatory hyperplasia in response to chronic irritation. Here, we report a case of 64 year old male patient with PG on midline of the dorsum of the posterior third of the tongue. Its differential diagnosis, the importance of biopsy findings in establishing definitive diagnosis and about the new approaches for its treatment is discussed. DOI: http://dx.doi.org/10.3126/ajms.v6i3.10619Asian Journal of Medical Sciences Vol.6(3) 2015 84-86

scholarly journals How I treat thrombotic thrombocytopenic purpura in pregnancy

Blood ◽  
2020 ◽  
Vol 136 (19) ◽  
pp. 2125-2132
Author(s):  
Barbara Ferrari ◽  
Flora Peyvandi
Keyword(s):  
Differential Diagnosis ◽  
Thrombotic Thrombocytopenic Purpura ◽  
Current Knowledge ◽  
Fetal Outcome ◽  
Subsequent Pregnancy ◽  
Thrombocytopenic Purpura ◽  
Severe Deficiency ◽  
Life Threatening ◽  
High Index Of Suspicion ◽  
In Pregnancy

Abstract Thrombotic thrombocytopenic purpura (TTP) is an acute, life-threatening thrombotic microangiopathy (TMA) caused by acquired or congenital severe deficiency of ADAMTS13. Pregnancy is a recognized risk factor for precipitating acute (first or recurrent) episodes of TTP. Differential diagnosis with other TMAs is particularly difficult when the first TTP event occurs during pregnancy; a high index of suspicion and prompt recognition of TTP are essential for achieving a good maternal and fetal outcome. An accurate distinction between congenital and acquired cases of pregnancy-related TTP is mandatory for safe subsequent pregnancy planning. In this article, we summarize the current knowledge on pregnancy-associated TTP and describe how we manage TTP during pregnancy in our clinical practice.

scholarly journals Hemorrhagic Pseudocyst of Pancreas Treated with Coil Embolization of Gastroduodenal Artery: A Case Report and Review of Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Sudhir Kumar Jain ◽  
Vishnuraja Rajendran ◽  
Maneesh K. Jain ◽  
Ronal Kori
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Ct Angiography ◽  
Coil Embolization ◽  
Gastroduodenal Artery ◽  
Gi Bleeding ◽  
Review Of Literature ◽  
Upper Gi Bleeding ◽  
Upper Gi ◽  
Life Threatening

Hemorrhage into pseudocyst of pancreas can rarely present as life threatening massive UGI bleeding. We present a case of 21-year-old male, admitted to our department, who was a known case of posttraumatic acute pancreatitis and who developed massive upper GI bleeding. CT angiography of abdomen showed aneurysm of gastroduodenal artery. Patient was successfully treated with coil embolization of gastroduodenal artery.

scholarly journals Giant gastric lipossarcoma: case report and review of the literature

2016 ◽  
Vol 14 (4) ◽  
pp. 557-560 ◽  
Author(s):  
Jacques Matone ◽  
◽  
Samuel Okazaki ◽  
Gabriel Naman Maccapani ◽  
Thiago Trolez Amancio ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Soft Tissue ◽  
Gastrointestinal Bleeding ◽  
Soft Tissue Sarcomas ◽  
Review Of The Literature ◽  
Genetic Causes

ABSTRACT Liposarcoma is one of the most common soft tissue sarcomas in adults, occurring in 15 to 20% of all patients with sarcoma. Primary liposarcoma of the stomach is rare. We report a case of patient with giant gastric liposarcoma who underwent surgery after a gastrointestinal bleeding. Preoperative hystopathological diagnosis was not established, even after three biopsy attempts. We discuss differential diagnosis, genetic causes, diagnosis strategies and treatment.

Life-threatening hyperkalaemia in a five-year-old rottweiler undergoing bilateral elbow arthroscopy

2019 ◽  
Vol 7 (3) ◽  
pp. e000893 ◽  
Author(s):  
Keagan John Boustead ◽  
Gareth Zeiler
Keyword(s):  
Heart Rate ◽  
Case Report ◽  
Vagal Tone ◽  
Definitive Diagnosis ◽  
Anticholinergic Drugs ◽  
Minimal Effect ◽  
Serum Samples ◽  
Elbow Arthroscopy ◽  
Similar Drug ◽  
Life Threatening

A five-year-old aggressive female spayed rottweiler presenting for bilateral elbow arthroscopy developed an acute life-threatening hyperkalaemia intraoperatively under general anaesthesia. The dog was premedicated with a combination of ketamine (9.5 mg/kg), medetomidine (0.033 mg/kg) and morphine (0.3 mg/kg) intramuscularly. The effect of the premedication was considered moderate. Anaesthesia was induced 30 minutes later with intravenous propofol and maintained with isoflurane in oxygen and air. Profound bradycardia (heart rate falling from 95 to 33 beats per minute) occurred at 140 minutes after administering the premedication. Initially, high vagal tone was suspected and anticholinergic drugs (atropine and glycopyrrolate) were administered with minimal effect. The bradycardia was permanently corrected with epinephrine and atipamezole treatment. A definitive diagnosis of hyperkalaemia was made postoperatively on analysis of serum samples collected intraoperatively. This case report discusses the potential causes of hyperkalaemia in this case and other veterinary reports using similar drug combinations.

scholarly journals Dentures that keeps airway patent: a case report

2020 ◽  
Vol 6 (2) ◽  
pp. 394
Author(s):  
Siti F. A. Razak ◽  
Stacy A. Jamarun ◽  
Siti H. Sanudin
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Foreign Body Aspiration ◽  
Main Complaint ◽  
Vehicle Accident ◽  
Threatening Condition ◽  
Life Threatening ◽  
High Index Of Suspicion

<p class="abstract">Foreign body aspiration is a life-threatening condition that requires immediate attention and intervention. Foreign body aspiration in adults usually occurs during dental procedure or motor vehicle trauma. Classical symptoms include choking, cough, haemoptysis, hoarseness or stridor. This case report presents an incident of a foreign body lodged at the subglottic region in an adult wearing dental prosthesis; the main complaint was hoarseness post motor vehicle accident. High index of suspicion coupled with correct investigation will facilitate the diagnosis of a foreign body in the airway thus immediate intervention can be taken to prevent morbidity and mortality.</p>

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