scholarly journals Leiomyosarcoma of the Splenic Vein

2013 ◽  
Vol 7 ◽  
pp. CMO.S12403 ◽  
Author(s):  
Cristian Aguilar ◽  
Francisco Socola ◽  
Jean A. Donet ◽  
Nicolas Gallastegui ◽  
Gabriel A. Hernandez
Keyword(s):  
Computed Tomography ◽  
Weight Loss ◽  
Smooth Muscle ◽  
Abdominal Pain ◽  
Splenic Vein ◽  
Intermittent Abdominal Pain ◽  
One Year ◽  
Available Information ◽  
Immunohistochemical Analyses ◽  
Heterogeneous Tumor

Leiomyosarcomas arising from the wall of blood vessels are rare and aggressive neoplasm. We report a case of a previously healthy 66-year-old woman who presented with intermittent abdominal pain, progressive constipation, and weight loss. Abdominal computed tomography showed a 12 cm solid heterogeneous tumor in the tail of the pancreas. The patient subsequently underwent surgical resection of the pancreatic mass. Surprisingly, histological and immunohistochemical analyses revealed leiomyosarcoma arising from the smooth muscle of the splenic vein. After surgery, she received adjuvant chemotherapy. One year later, there was no evidence of local recurrence. In this paper, we discuss the available information about leiomyosarcomas of splenic vein and its management.

An Infant with COVID-19-Associated Intussusception

2021 ◽  
pp. 000313482110474
Author(s):  
Gwyneth A. Sullivan ◽  
Nicholas J. Skertich ◽  
Kody B. Jones ◽  
Michael Williams ◽  
Brian C. Gulack ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Lymphoid Hyperplasia ◽  
Computed Tomography Scan ◽  
Ileocolic Intussusception ◽  
Common Cause ◽  
Caregiver Education ◽  
Intermittent Abdominal Pain ◽  
The Right ◽  
Tomography Scan

Intussusception is the most common cause of bowel obstruction in infants four to ten months old and is commonly idiopathic or attributed to lymphoid hyperplasia. Our patient was a 7-month-old male who presented with two weeks of intermittent abdominal pain associated with crying, fist clenching and grimacing. Ultrasound demonstrated an ileocolic intussusception in the right abdomen. Symptoms resolved after contrast enemas, and he was discharged home. He re-presented similarly the next day and was found to be COVID-19 positive. Computed tomography scan demonstrated a left upper quadrant ileal-ileal intussusception. His symptoms spontaneously resolved, and he was discharged home. This suggests that COVID-19 may be a cause of intussusception in infants, and infants presenting with intussusception should be screened for this virus. Additionally, recurrence may happen days later at different intestinal locations. Caregiver education upon discharge is key to monitor for recurrence and need to return.

scholarly journals Etiology of Small Bowel Thickening on Computed Tomography

2012 ◽  
Vol 26 (12) ◽  
pp. 897-901 ◽  
Author(s):  
Lee Finkelstone ◽  
Ellen Wolf ◽  
Marjorie W Stein
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Medical Records ◽  
Final Diagnosis ◽  
Ct Scans ◽  
Common Cause ◽  
One Year

BACKGROUND: Abdominal pain is often evaluated using imaging, most often with computed tomography (CT). While CT is sensitive and specific for certain diagnoses, small bowel thickening is a nonspecific finding on CT with a broad differential diagnosis including infection, inflammation, ischemia and neoplasm.METHOD: A review of medical records of patients who underwent CT scans of the abdomen and pelvis over a one-year period and exhibited small bowel thickening were retrospectively evaluated to determine the final diagnosis.RESULTS: The etiologies of small bowel thickening on CT were as follows: infection (113 of 446 [25.34%]); reactive inflammation (69 of 446 [15.47%]); primary inflammation (62 of 446 [13.90%]); small bowel obstruction (38 of 446 [8.52%]); iatrogenic (33 of 446 [7.40%]); neoplastic (32 of 446 [7.17%]); ascites (30 of 446 [6.73%]); unknown (28 of 446 [6.28%]); ischemic (24 of 446 [5.38%]); and miscellaneous (17 of 446 [3.81%]).CONCLUSION: Infectious and inflammatory (primary or reactive) conditions were the most common cause of small bowel thickening in the present series; these data can be used to formulate a more specific differential diagnosis.

scholarly journals Caecal Volvulus

2020 ◽  
Author(s):  
Paul K. Okeny
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Large Bowel Obstruction ◽  
Postoperative Outcomes ◽  
Coffee Bean ◽  
Conservative Approach ◽  
Intermittent Abdominal Pain ◽  
The Third ◽  
Bird Beak ◽  
Physiological Reserve

Colonic volvulus is the third leading cause of large bowel obstruction. About 35% of these are located in the caecum. Though, relatively, a rare cause of obstruction, the incidence of caecal volvulus is steadily increasing at a rate of about 5% per year. Mortality due to caecal volvulus may be as high as 40% especially in the presence of gangrene and sepsis. Clinical presentation may be acute and fulminant or as a mobile caecum syndrome with intermittent abdominal pain. “Whirl,” “Coffee bean,” and “bird beak” signs seen on computed tomography are pathognomonic. Colectomy is the preferred treatment as it obviates any chance of recurrence. A conservative approach to colectomy such as limited ileocaecal resection and ileostomy formation in critically ill patients or in those with poor physiological reserve may be associated with better postoperative outcomes.

scholarly journals Indolent T-cell lymphoproliferative disorder of the gastrointestinal tract managed conservatively with corticosteroids

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Tyler McKechnie ◽  
Haroon Yousuf ◽  
Stephen Somerton
Keyword(s):  
Computed Tomography ◽  
Weight Loss ◽  
Abdominal Pain ◽  
Gastrointestinal Tract ◽  
T Cell ◽  
Complete Resolution ◽  
Lymphoproliferative Disorder ◽  
Duodenal Biopsy ◽  
High Dose ◽  
History Of

An 82-year-old female presented with a 4-week history of abdominal pain, weight loss, diarrhea, and nausea. A complete infectious workup was negative. Her computed tomography (CT) scan showed no pathologic changes and her esophagogastroduodenoscopy (EGD) showed erosive damage in the duodenum. Her duodenal biopsy showed inflammation with a marked increase in intra-epithelial lymphocytes and her immunohistochemistry was consistent with indolent T-cell lymphoproliferative disorder of the gastrointestinal tract. She was started on high dose steroids three months after the onset of her symptoms. She gradually improved with complete resolution of erosive changes on her repeat EGD.

scholarly journals Clinical features of non-classical celiac disease in children and adolescents

2020 ◽  
pp. 70-70
Author(s):  
Nedeljko Radlovic ◽  
Zoran Lekovic ◽  
Vladimir Radlovic ◽  
Jelena Mandic ◽  
Marija Mladenovic ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Celiac Disease ◽  
Children And Adolescents ◽  
Clinical Signs ◽  
Dental Enamel ◽  
Gluten Free ◽  
Enamel Hypoplasia ◽  
Intermittent Abdominal Pain ◽  
Dental Enamel Hypoplasia

Introduction/Objective. Nonclassical celiac disease (CD) is characterized by a very heterogeneous and non-specific clinical presentation. The aim of this study was to determine the basic symptoms and clinical signs of this CD subtype in children and adolescents Methods. The study was based on a sample of 58 children and adolescent, 38 female and 20 male, ages 1.75 to 17.75 (10.01 ? 4.62) years with a nonclassical CD diagnosed according to the ESPGHAN criteria from 1990 and 2012. Results. Except four patients who were between the ages of 1.75 to 2.50 years, all others were older than three years. The main clinical symptoms and signs suggestive of non-classical CB were anemia caused by iron deficiency (48.28%), short stature (34.48%), and intermittent abdominal pain (18.97%), anorexia with stagnation or weight loss (13.79%), and chronic constipation (6.90%). One symptom or a sign of the disease had 30 patients, 15 two and 13 three. In addition, 12 patients had dental enamel hypoplasia, 18 sideropenia without anemia and 5 mild isolated hypertransaminasemia. A gluten-free diet, apart from the dental enamel hypoplasia, has resulted in the withdrawal of all indicators of the disease. Conclusion. The main symptoms and clinical signs of nonclassical CD in children and adolescents were iron deficiency anemia, short stature and intermittent abdominal pain, and less frequently anorexia with stagnation or weight loss and chronic constipation. Excluding dental enamel hypoplasia, a gluten-free diet leads to a complete recovery of the patient.

scholarly journals Implication of late diagnosis for survival of patients with colorectal carcinoma

2009 ◽  
Vol 66 (2) ◽  
pp. 135-140
Author(s):  
Darko Zdravkovic ◽  
Dragoljub Bilanovic ◽  
Tomislav Randjelovic ◽  
Marija Zdravkovic ◽  
Borislav Toskovic
Keyword(s):  
Colorectal Cancer ◽  
Weight Loss ◽  
Abdominal Pain ◽  
Potential Role ◽  
Duration Of Symptoms ◽  
Delay In Diagnosis ◽  
Intermittent Abdominal Pain ◽  
Significant Difference ◽  
Significant Factors

Background/Aim. Colorectal cancer (CRC) is one of the most frequent diseases and early diagnosis has a potential role to improve survival. The aim of this study was to analyze influence of delay in diagnosis on survival in patients with colorectal cancer. Methods. A total of 119 patients with pathohystological diagnosis of CRC were included in the study. They were operated at our Department for Surgery from 2000 to 2002. They were divided into two groups according to the duration of symptoms: early operated patients - EOP (symptoms were presented for 3 months) and late operated patients - LOP (duration of symptoms was more than 3 months). Follow-up period was 5 year. Results. Weight loss, intermittent abdominal pain and anorexia were more frequent in LOP (p < 0.01). Young age, blood in stool, and tumor localized in rectum were dominant characteristics in EOP (p < 0.05). Overall delay in diagnosis was 2.19 ? 0.79 months in EOP and 11.37 ? 5.68 months in LOP. There was highly statistically significant difference between these two groups (p < 0.01). Overall survival was 44.75%. Five years survival was 65.9% in the group of EOP and 26.5% in the group of LOP (?2 = 28.16, p < 0.01) Weight loss was dominant characteristics in the patients who did not survive five years (?2 = 14.26, p < 0.01). A period of 2 months in delay in diagnosis is 'cut-off' value in prediction of death (sensitivity of 75.5% and specificity of 90.3%). Conclusion. A delay in diagnosis and stage of the disease are highly significant factors of patients with CRC survival. In everyday medical practice higher importance should be put on weight loss, intermittent abdominal pain, change in bowel habits, as well as on syderopenic anaemia.

Case 3.8

2014 ◽  
pp. 147-148
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Laparoscopic Cholecystectomy ◽  
Intermittent Abdominal Pain ◽  
Hida Scan

68-year-old woman who developed abdominal pain 6 months previous, had an abnormal HIDA scan, and subsequently underwent laparoscopic cholecystectomy at an outside institution; since the surgery, she has had intermittent abdominal pain and cramping, as well as a 20-lb weight loss Coronal SSFSE images (...

scholarly journals A Case Report of Bilateral Adrenal Sarcomatoid Carcinoma

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Ozlem Turhan Iyidir ◽  
Ethem Turgay Cerit ◽  
Çiğdem Özkan ◽  
Eroğlu Altınova ◽  
Ali Rıza Çimen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Weight Loss ◽  
Abdominal Pain ◽  
Case Report ◽  
Immunohistochemical Staining ◽  
Spindle Cell ◽  
Sarcomatoid Carcinoma ◽  
Adrenal Tumors ◽  
Adrenal Carcinoma ◽  
Adrenal Masses

Adrenocortical carcinoma (ACC) is a rare and aggressive malignancy. Sarcomatoid adrenal carcinoma is even more aggressive type of ACC. Bilateral malignant adrenal tumors are extremely rare except for those that represent metastasis from an extra-adrenal organ. Here we report a 53-year-old woman who presented with abdominal pain and weight loss. Abdominal computed tomography revealed bilateral adrenal masses and a mass in her liver. Surgical specimens showed pleomorphic tumor cells with epithelial and spindle cell morphology and immunohistochemical staining was compatible with sarcomatoid carcinoma. Sarcomatoid adrenal carcinoma should be kept in mind during the management of bilateral adrenal masses.

scholarly journals Adrenal myelolipoma: Report of three symptomatic cases

2016 ◽  
Vol 6 (1) ◽  
pp. 62
Author(s):  
Sultana Gulshana Banu ◽  
Mohammad Mosiur Rahman
Keyword(s):  
Computed Tomography ◽  
Renal Failure ◽  
Abdominal Pain ◽  
Adrenal Glands ◽  
Ultrasound Scan ◽  
Adrenal Myelolipoma ◽  
Mature Adipose Tissue ◽  
Large Size ◽  
One Year ◽  
Rare Benign Tumour

Myelolipoma is a rare benign tumour composed of mature adipose tissue and nonnal haemopoietic elements. Although it can occur in extra-adrenal sites, it typically occurs in the adrenal glands. Being small and asymptomatic in most cases, myelolipomas are incidentally discovered at autopsies and now-a-days. by imaging. The tumour becomes symptomatic when it attains a large size, when it ruptures, or when it is associated with endocrine abnormalities of the adrenals. We report three cases of adrenal myelolipoma with symptoms like abdominal pain and discomfort, obesity and hypertension. One of the cases also had a co-incidental Ilydatid cyst of liver. Diagnosis of myelolipoma was suspected on imaging (computed tomography and ultrasound scan) and was confirmed by histopathology. The patients were followed up for one year after surge1y. One patient was found well and symptomless. One sustained hypertension but was otherwise healthy. The remaining patient, who had hypertension and renal complications previously, developed fluctuating hypertension and chronic renal failure about six months after operation.

Computed Tomography Angiography (CTA) Evaluation of Spontaneous Subarachnoid Hemorrhage

2020 ◽  
Vol 6 (2) ◽  
pp. 78-81
Author(s):  
Md Tauhidul Islam Chowdhury ◽  
Mohammad Shah Jahirul Hoque Chowdhury ◽  
Mohammad Sadekur Rahman Sarkar ◽  
KM Ahasan Ahmed ◽  
Md Nazmul Kabir ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Subarachnoid Hemorrhage ◽  
Computed Tomography Angiography ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multiple Aneurysm ◽  
Traumatic Subarachnoid Hemorrhage ◽  
One Year ◽  
Spontaneous Subarachnoid Hemorrhage

Background: In evaluation of non-traumatic subarachnoid hemorrhage CT angiography (CTA) has 97-98% sensitivity and near 100% specificity. Objective: This study was conducted to evaluate the CTA findings of CT positive non traumatic subarachnoid hemorrhage. Methodology: This is an observational cross sectional study performed in Neurology department of National Institute of Neurosciences and Hospital, Dhaka over one year period (January 2019 to December 2019). Total 87 CT positive subarachnoid hemorrhage cases were purposively included in this study. All CT positive patients underwent CTA of Cerebral vessels for further evaluation. The angiography were evaluated by competent neuro-radiologists blinded about the study. Result: Among 87 patients, 40.2% were male and 59.8% were female. The average age was 53.33±11.1 years. Among the studied patient the source of bleeding was found 78.16% aneurysmal and 21.84% non-aneurysmal. 85.30% patients had single aneurysm and 14.70% had multiple aneurysm. The highest number of patient had Acom aneurysm (41.17%) followed by MCA (22.05%), ICA (13.23%), ACA (7.35%) and vertebral artery (1.14%) in order of frequency. Among the multiple aneurysm group most of the patients had combination of Acom, MCA and ICA aneurysm. Conclusion: From this study, we can conclude that CTA can be used as the primary diagnostic tool in evaluation of spontaneous SAH. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 78-81

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