scholarly journals Sclerosing angiomatoid nodular transformation presend nodulartransformation presenting witha bdominal hemorrhage: First report in infancy

2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Gloria Pelizzo ◽  
Vincenzo Villanacci ◽  
Luisa Lorenzi ◽  
Orietta Doria ◽  
Anna Maria Caruso ◽  
...  
Keyword(s):  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Large Mass ◽  
Sclerosing Angiomatoid Nodular Transformation ◽  
Coagulation Abnormalities ◽  
First Case ◽  
Laboratory Investigations ◽  
Intraabdominal Hemorrhage

A limited number of sclerosing Angiomatoid Nodular Transformation (SANT) have been reported in pediatric age. We describe the first case of SANT occurring in a nine-week-old female infant that was admitted to our unit for severe abdominal distension and rectal bleeding. Enlarged spleen was detected on physical examination. Laboratory investigations revealed severe anemia and coagulation abnormalities. Abdominal ultrasound and computed tomography revealed ascites and splenomegaly with a large mass at the lower medial splenic pole. A diagnosis of intraabdominal hemorrhage was presumed and an exploratory laparotomy was performed. A complete transformation of the giant splenomegaly to bossellated masses and multiple bleeding capsular ruptures without subcapsular hematoma were found and an urgent splenectomy was performed. At histology, a SANT was diagnosed (CD34, CD31, CD8 positivity). The postoperative follow up was uneventful. SANT may also occur in infancy with a potentially lifethreatening presentation. Splenectomy may represent the only treatment in severe cases.

CT and surgical management of a uterine torsion associated with leiomyosarcoma in a dog

2020 ◽  
Vol 8 (3) ◽  
pp. e001103
Author(s):  
Gabriel Carbonell Rossello ◽  
Inma Ferrandis ◽  
Juan Francisco Borrego Masso ◽  
Manuel Jimenez Pelaez
Keyword(s):  
Weight Loss ◽  
Surgical Management ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Large Mass ◽  
Uterine Tissue ◽  
Intact Female ◽  
En Bloc ◽  
First Case ◽  
Uterine Torsion

An 11-year-old, 22-kg, intact female crossbred dog presented with abdominal distention and marked chronic weight loss. Abdominal ultrasound revealed a large mass (>20-cm diameter) in the mid-abdomen; its origin could not be determined. CT of the abdomen revealed three masses associated with the uterus. A 720° uterine rotation along its long axis was noted. An exploratory laparotomy and en bloc ovariohysterectomy of the twisted uterus was performed and the dog recovered uneventfully. Histopathology confirmed three leiomyosarcomas within the uterine tissue. To the authors’ knowledge, this is the first case describing a uterine torsion associated with a leiomyosarcoma in a dog and diagnosed by CT.

scholarly journals Spontaneous Expulsion of Intramural Fibroid Six Weeks after Emergency Caesarean Section

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Balvinder Sagoo ◽  
Ka Ying Bonnie Ng ◽  
G. Ghaleb ◽  
Heather Brown
Keyword(s):  
Abdominal Pain ◽  
Caesarean Section ◽  
Ferrous Sulphate ◽  
Abdominal Ultrasound ◽  
Large Mass ◽  
General Anesthetic ◽  
Risk Pregnancy ◽  
Emergency Cesarean ◽  
First Case ◽  
Spontaneous Expulsion

We present a thirty-six-year-old woman with a high risk pregnancy, complicated by multiple congenital anomalies, severe hyperemesis, a pulmonary embolus, and a large intramural fibroid. This fibroid grew in size during the pregnancy. At 34 + 5 weeks, there were reduced fetal movements and a pathological CTG. A live infant was delivered by an emergency cesarean section. Five weeks postpartum, she presented with abdominal pain, offensive vaginal discharge, and fevers. She was given antibiotics and ferrous sulphate. An abdominal ultrasound showed an 11 × 12 × 9 cm fibroid with a coarse degenerative appearance. Clinically, she showed signs of sepsis; a CT scan and laparotomy performed under general anesthetic did not find any collections as a source of sepsis. When stable, she was discharged. She re-presented two days later with a large mass (necrotic fibroid) in her vagina. This is the first case of spontaneous expulsion of fibroid six weeks after caesarean section. Presentation of pain and fever after the delivery may be due to red degeneration of the fibroid, caused by diminished blood supply, ischaemia, and necrosis. This case highlights the importance of considering fibroids as a cause for abdominal pain during and after pregnancy, even up to 6 weeks after delivery.

scholarly journals Leiomyosarcoma of ileal mesentery in a middle age female: a rare case report

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Maria Ahmed ◽  
Jahanzaib Babar ◽  
Hina Khan ◽  
Maheen Rana ◽  
Sarah Khan ◽  
...  
Keyword(s):  
Middle Age ◽  
Smooth Muscles ◽  
Surgical Excision ◽  
Abdominal Distension ◽  
Vascular Wall ◽  
Large Mass ◽  
Mesenteric Cyst ◽  
Rare Case Report ◽  
Abdominal Examination

Abstract Background Leiomyosarcoma arising from mesentery is a rare tumor associated with worse prognosis. The tumor arises from smooth muscles in vascular wall. Ileal mesentery is common site of this tumor origin. Case presentation A middle age female was presented with complain of abdominal distension. A mass was palpable on abdominal examination. CT scan showed large mesenteric cyst. 15 × 10 cm large mass excised with associated mesentery and small bowel segment and on histopathology was found, and it was diagnosed as mesenteric leiomyosarcoma. The patient was discharged and referred to oncology for chemotherapy. Conclusion Leiomyosarcoma is a rare disease with grave prognosis. There is a paucity of literature and proper guidelines for its management; however, surgical excision with healthy margins is a mainstay of management. Close follow-up is recommended post-operatively because there are high chances of recurrence and metastasis.

scholarly journals Demons meigs’ syndrome secondary to begnin brenner tumor with high ca125 plasmatic level: first case described in kara teaching hospital

2019 ◽  
pp. 08-12
Author(s):  
Aboubakari AS ◽  
Dossouvi T ◽  
Logbo-Akey KE ◽  
Ajavon DR ◽  
Dagbé M ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Teaching Hospital ◽  
Ovarian Tumor ◽  
Pelvic Mass ◽  
Abdominal Distension ◽  
Abdominal Ultrasound ◽  
First Case ◽  
Brenner Tumor ◽  
Benign Ovarian Tumor ◽  
Plasmatic Level

To report the first case of Demons-Meigs’ syndrome secondary to benign Brenner tumor with high CA125 plasmatic level managed in kara teaching hospital. A 40-year-old female patient was admitted with a 6-month history of abdominal distension. Clinical examination found abdomino-pelvic mass and declive dullness. Abdominal ultrasound found heterogeneous abdomino-pelvic mass of 180 mm in length and a large free ascites. Pelvic computorized tomography scan found heterogeneous extra-uterine mass of 180 mm in length, large ascites without pelvic or lombo-aortic lymphadenopathy or tumoral extension. Front thorax X-ray found bilateral pleural effusion; CA125 plasmatic level was 1138 IU/ml. Median laparotomy allow to aspire 2 liters of ascitic fluid and to perform left adnexectomy. Histological examination of surgery sample diagnosed begnin ovary Brenner tumor. Outcome after surgery was without complications with disappearance of ascites and pleural effusion, and CA125 plasmatic level back to normal value. Demons-Meigs’ syndrome is a rare benign ovarian tumor whose symptoms looks like ovarian cancer. Its fundamental characteristic is the disappearance of symptoms after ovarian tumor removal.

scholarly journals Intra-abdominal Aspergillosis due to Aspergillus fumigatus in a Dog

2018 ◽  
Vol 68 (4) ◽  
pp. 681
Author(s):  
L KALOGIANNI ◽  
N SOUBASIS ◽  
M SARIDOMICHELAKIS ◽  
I VLEMMAS ◽  
A VELEGRAKI ◽  
...  
Keyword(s):  
Aspergillus Fumigatus ◽  
Left Kidney ◽  
Double Diffusion ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Large Mass ◽  
Peritoneal Adhesions ◽  
Mixed Breed ◽  
Pcr Products ◽  
Nodular Lesions

A 3 year-old, spayed female, mixed-breed dog presented with abdominal distension due to a large mass, detected during abdominal palpation and confirmed by abdominal imaging. Cytological examination of the mass was suggestive of pyogranulomatous inflammation. During exploratory laparotomy, extensive peritoneal adhesions and multifocal nodular lesions on the liver, spleen and omentum were revealed. One week later, the dog deteriorated and was euthanized. Numerous firm masses were observed in the liver, spleen, left kidney, stomach, small and large intestine during necropsy. The lungs, heart, and ocular structures were macroscopically normal. Histopathology results (surgery and necropsy) revealed fungal hyphae enclosed in the pyogranulomatous lesions. Polymerase chain reaction (PCR) products showed 100% homology with Aspergillus fumigatus and agar gel double diffusion was positive for IgG antibodies against the same fungus.

scholarly journals Intestinal obstruction by Toxocara vitulorum in a calf

2014 ◽  
Vol 83 (6) ◽  
pp. 299-305 ◽  
Author(s):  
L. Van Der Steen ◽  
B. Pardon ◽  
C. Sarre ◽  
B. Valgaeren ◽  
D. Van Hende ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Sudden Onset ◽  
Complete Obstruction ◽  
Bull Calf ◽  
Toxocara Vitulorum ◽  
Punctum Maximum ◽  
The Right

A one-month-old Belgian blue bull calf was referred to the animal hospital of the Faculty of Veterinary Medicine (UGhent) because of the sudden onset of severe colic. The animal showed intermittent recumbency, kicking to the abdomen, abdominal distension of the right quadrants, absence of feces and fluid-splashing and the presence of ping sounds on auscultation of the right side. Abdominal ultrasound showed distended, but still contractile small intestines with thickened walls. On exploratory laparotomy, a complete obstruction with adult Toxocara vitulorum extending from duodenum to mid-jejunum was diagnosed. On the punctum maximum of the obstruction, the ascarides were partially removed through an enterotomy. After vermifugation with doramectin, ascarides were found in the animal’s feces in the next days. In contrast to ascaride infections in puppies, piglets and foals, to the author’s knowledge, intestinal obstruction caused by T. vitulorum has not been described previously in calves.

Gliomatosis peritonei arising in setting of immature teratoma of ovary: a case report

2019 ◽  
Vol 8 (10) ◽  
pp. 4097
Author(s):  
Dhruba Prasad Paul ◽  
Kashish Garg ◽  
Ashis Kumar Rakshit
Keyword(s):  
Exploratory Laparotomy ◽  
Large Mass ◽  
Cystic Mass ◽  
Immature Teratoma ◽  
Ca 125 ◽  
Xiphoid Process ◽  
Grade 3 ◽  
Operative Recovery ◽  
Infracolic Omentectomy

A 14 years old girl presented to the gynecology OPD with pain abdomen and huge abdominal lump since 2 months. On clinical examination, a large mass of 20x15 cm size was found extended upto the xiphoid process. Serum studies showed rise of CA-125 up to 406.9U/mL and LDH up to 310U/L. USG shows right ovarian cyst of 14.8x14.1x12.8 cm with internal calcification. MRI revealed a well encapsulated mass of 21x19x17cm with solid and cystic mass and upward peritoneal extension. Exploratory laparotomy was performed with right sided salpingo- ophorectomy with infracolic omentectomy, as the omentum appeared granular. She had an uneventful post-operative recovery. Subsequently HPE showed immature teratoma NORRIS grade 3 with co-existent peritoneal gliomatosis (grade 0). She is under regular follow-up and decided to give six cycles of combination chemotherapy with BEP at regional cancer hospital.

scholarly journals Pneumoperitoneum Secondary to Emphysematous Cholecystitis: An Unusual Presentation

2014 ◽  
Vol 3 (1) ◽  
pp. 39-41 ◽  
Author(s):  
Shailender Singh ◽  
KL Surendra
Keyword(s):  
Total Bilirubin Level ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Unusual Presentation ◽  
Total Leukocyte Count ◽  
Significant Finding ◽  
Diffuse Abdominal Pain ◽  
X Ray ◽  
Emphysematous Cholecystitis ◽  
Laboratory Investigations

ABSTRACT We herein report a case of emphysematous cholecystitis (EC) causing pneumoperitoneum with gross ascites, which is a very rare entity. A 64-year-old diabetic man was admitted with diffuse abdominal pain, abdominal distension and fever of 1 week duration. On examination, patient was febrile (38.7oC) and abdominal guarding noted. Laboratory investigations revealed total leukocyte count of 16000/ƒÊl with 90% neutrophils, total bilirubin level of 2 mg/dl (direct 0.60 mg/dl). In erect X-ray abdomen, there was no significant finding. Ultrasonography (USG) abdomen showed cholelithiasis with thickened edematous gallbladder (GB) wall and few reflective echoes in GB fossa. Computed tomography (CT) axial sections revealed the presence of small stones in the gallbladder neck and small amount of intraluminal as well as intramural air. Tiny pockets of free intraperitoneal air was also noted. On intravenous (IV) contrast, there was minimal wall enhancement. Preoperative diagnosis of emphysematous cholecystitis with pneumoperitoneum was made and the same was confirmed in the intraoperative findings. Patient underwent emergency exploratory laparotomy with cholecystectomy and was given required medical management, the postoperative course was uneventful. How to cite this article Singh S, Surendra KL. Pneumoperitoneum Secondary to Emphysematous Cholecystitis: An Unusual Presentation. Panam J Trauma Crit Care Emerg Surg 2014;3(1):39-41.

The place of abdominal ultrasound in the follow up of patients with acute pancreatitis depending on the body mass index

2008 ◽  
Vol 29 (S 1) ◽  
Author(s):  
A Popescu ◽  
I Sporea ◽  
S Bota ◽  
M Danila ◽  
R Sirli ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Acute Pancreatitis ◽  
Body Mass ◽  
Abdominal Ultrasound ◽  
The Body

BLUNT ABDOMINAL TRAUMA WITH HAEMOPERITONEUM TREATED BY EXPLORATORY LAPAROTOMY VERSUS ONLY ABDOMINAL DRAINAGE: A PROSPECTIVE AND COMPARATIVE STUDY.

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Dhawal Panchal ◽  
Firdaus Dekhaiya ◽  
Harin Tailor
Keyword(s):  
Hospital Stay ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Exploratory Laparotomy ◽  
Blunt Injury ◽  
Abdominal Drainage ◽  
Duration Of Hospital Stay ◽  
Considerable Morbidity ◽  
Injured Patients

In today’s mechanized world, Blunt Abdominal Trauma (BAT) is a common emergency which is associated with considerable morbidity and mortality. More than 75% of abdominal traumas are blunt in nature and liver and spleen are the commonest organs to be injured as a result of BAT. The aim is to analyse and compare two groups of patient of blunt abdominal trauma managed conservatively with drainage and one by exploratory laparotomy. 50 cases of blunt abdominal trauma were taken. The patient were studied  which includes age ,sex, mode of injury, initial vitals on presentation, Mortality in each group, duration of hospital stay, pre interventions and post interventions state and requirements, complications and follow up. It was observed 48% of patients were in between age group ranging from 10 to 30. Overall in terms of sex ratio, males dominated the no. of cases. RTA was most common mode of trauma. Liver and spleen was most common organ to be injured. Patients managed by laparotomy had higher mortality rate, duration of hospital stay was more, and complication were more. Early diagnosis and repeated clinical examination and use of appropriate investigation form the key in managing blunt injury abdomen patients. Keywords:  Blunt Abdominal Trauma, Haemoperitoneum , laparotomy , Abdominal Drainage.

Sign in / Sign up

Export Citation Format

Share Document