scholarly journals Schwannoma in Ascending Colon: A Rare Cause of Abdominal Pain

2014 ◽  
Vol 03 (05) ◽  
pp. 314-318
Author(s):  
Ozdal Ersoy ◽  
Umit Sekmen ◽  
Suha Goksel ◽  
Hulya Hamzaoglu ◽  
Melih Paksoy
Keyword(s):  
Abdominal Pain ◽  
Ascending Colon

scholarly journals Ganglioneuromatous Polyposis of the Colon: a Case Report and a Review of the Literature

2011 ◽  
Vol 02 (01) ◽  
pp. 018-021
Author(s):  
Cristina D'Ercole ◽  
Angelo Zullo ◽  
Maria Consiglia Bragazzi ◽  
Cesare Hassan ◽  
Roberto Lorenzetti ◽  
...  
Keyword(s):  
Nervous System ◽  
Abdominal Pain ◽  
Clinical Signs ◽  
Rare Entity ◽  
Ascending Colon ◽  
Review Of The Literature ◽  
Endoscopic Feature ◽  
Systemic Manifestations ◽  
The Right ◽  
Intestinal Ganglioneuromatosis

ABSTRACTThis report discusses a case of ganglioneuromatous polyposis of the colon in a woman without any other systemic manifestations. To our knowledge, this is the first report of the few cases of intestinal ganglioneuromatosis described in the literature presenting with abdominal pain and bloody diarrhea as unique clinical signs, with multiple polyps confined in the right side of the transverse colon and in the ascending colon. Of note, the endoscopic feature of such a rare entity - which involves the enteric nervous system - may mimic that of sessile adenomatous polyps which are diagnosed at routine colonoscopy. We emphasized that this condition may be misdiagnosed, and we reviewed the reported cases in the literature. (J Dig Endosc 2011;2(1):18-21)

Concussion of the colon: paediatric patient with traumatic cecal haematoma

2020 ◽  
Vol 13 (12) ◽  
pp. e236066
Author(s):  
Ishna Sharma ◽  
Douglas Moote ◽  
Brendan T Campbell
Keyword(s):  
Abdominal Pain ◽  
Paediatric Patient ◽  
Operating Room ◽  
Right Hemicolectomy ◽  
Free Fluid ◽  
Rare Entity ◽  
Full Thickness ◽  
Ascending Colon ◽  
Acute Complications ◽  
Exploratory Laparoscopy

A 14-year-old boy was injured from playing football, and subsequently developed worsening abdominal pain. CT of the abdomen and pelvis was concerning for a mass of ascending colon, with free fluid in the pelvis. The patient was emergently taken to the operating room where he was found to have a cecal haematoma. The patient underwent a right hemicolectomy and ileocolostomy and was discharged home just days later without any acute complications. As cecal haematomas are a rare entity, the best approach to management is not well defined. When the diagnosis is uncertain, or if the possibility of full-thickness injury exists, exploratory laparoscopy or laparotomy is the safest approach.

scholarly journals The recurrence of colonic volvulus due to nonrotation after intestinal resection in adulthood: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Yusuke Sakimura ◽  
Hirotaka Kitamura ◽  
Noriyuki Inaki ◽  
Hiroyuki Bando
Keyword(s):  
Abdominal Pain ◽  
Transverse Colon ◽  
Abdominal Cavity ◽  
Intestinal Resection ◽  
Lower Abdominal Pain ◽  
Emergency Laparotomy ◽  
Ascending Colon ◽  
Colonic Volvulus ◽  
Abdominal Symptoms ◽  
Initial Surgery

Abstract Background Intestinal nonrotation is a rare congenital condition that causes fatal colonic volvulus at any age. Once volvulus attack occurs, radical surgical therapy is required for treatment and the prevention of recurrence. This report describes the case of an adult female patient with a recurrence of cecum volvulus due to intestinal nonrotation after transverse colon resection for colonic volvulus. Case presentation A 27-year-old female visited our emergency room (ER) with intermittent abdominal pain and nausea. Enhanced computed tomography (CT) showed enlargement of the level of the ascending and transverse colon and an obstruction with a whirlpool sign at the transverse colon. The small intestine was distributed on the right side of the abdominal cavity, and the large intestine occupied the left side. She was diagnosed with volvulus with intestinal nonrotation, and emergency surgery was performed. Surgical examination indicated that the ascending colon to the transverse colon was not fixed to the retroperitoneum, and the transverse colon was rotated 180° clockwise. The axis of the volvulus was a mesenteric adhesion of the transverse colon. The involved transverse colon was resected, and the intestine was reconstructed by functional end-to-end anastomosis (FEEA). Six years after the initial surgery, the patient presented to the ER with abdominal fullness and lower abdominal pain. Enhanced CT revealed that the cecum, ascending colon, and remaining transverse colon were dilated with an obstruction. The appendix was located in the left upper abdominal cavity. The clinical diagnosis was cecal volvulus with intestinal nonrotation. An emergency laparotomy revealed that the cecum was rotated 180° clockwise. The terminal ileum to the remaining transverse colon was resected, and FEEA was performed. Seven months later, she suffered obstruction of the intestine caused by an operative adhesion, and conservative treatment was successful. The patient has had no abdominal symptoms for one and a half years so far. Conclusions Surgeons should realize that nonrotation of the intestines induces volvulus in adulthood and should familiarize themselves with its clinical findings, appropriate treatment, and prognosis. Even after surgical treatment, awareness of the recurrence of volvulus should be maintained to avoid a late diagnosis.

scholarly journals Intentional Ingestion of a Metallic Wire Causing Perforation and Retroperitoneal Abscess: A Case Report

2021 ◽  
Vol 14 ◽  
pp. 117954762110259
Author(s):  
Mehdi Tavallaei ◽  
Mahsa Bahadorinia ◽  
Arsh Haj Mohamad Ebrahim Ketabforoush
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Tract ◽  
Foreign Bodies ◽  
Retroperitoneal Abscess ◽  
Ascending Colon ◽  
Metallic Wire ◽  
Foreign Objects ◽  
Intentional Ingestion ◽  
Wide Range ◽  
Real Challenge

Foreign body ingestion is a frequent condition, with the majority of foreign bodies (FBs) tending to spontaneously proceed along the gastrointestinal tract without any major complications. A wide range of procedures are available to remove FBs; however, a real challenge exists in managing sharp, rigid, and long foreign objects, which are related to higher rates of complications. A 34-year-old man who intentionally swallowed a metallic wire of 20 cm length, presented to our ED with abdominal pain 2 weeks after the ingestion. The FB had migrated to the stomach and duodenum. Complications included perforation of the duodenum and ascending colon and a retroperitoneal abscess. FB removal was done via laparotomy, followed by the repair of perforations and damaged tissues. This case highlights the complications of a FB presence in the gastrointestinal tract for 14 days and emphasizes the importance of urgent and appropriate management of such conditions.

scholarly journals Large Bowel Occlusion: Clinical and Imaging Characteristics - Caecum Volvulus

2019 ◽  
Vol 7 (13) ◽  
pp. 2150-2153
Author(s):  
Danilo Coco ◽  
Silvana Leanza
Keyword(s):  
Abdominal Pain ◽  
Terminal Ileum ◽  
Large Bowel ◽  
Death Rate ◽  
Ascending Colon ◽  
Case Presentation ◽  
Imaging Characteristics ◽  
Life Threatening ◽  
Bowel Occlusion ◽  
Anatomical Finding

BACKGROUND: Caecum volvulus (CV) is defined as an axial twisting that causes an inversion position of the caecum, ascending colon and terminal ileum. This anatomical finding is responsible for some clinical features. Obstruction and strangulation are the most important and life-threatening. CASE PRESENTATION: We are presenting a 50 years old woman presented to the hospital with sudden acute severe abdominal pain and distension of about 24 hours associated with vomiting and no flatus. CONCLUSION: Mortality in patients with CV can be kept near 10%-12% if operative intervention is accomplished before caecum strangulation. Once the cecum has become gangrenous, a death rate of 30 to 40% can be expected. Tailored made surgery on patients status is the strategy.

scholarly journals Recurrent Mantle Cell Lymphoma Presenting as Gastrointestinal Bleeding

2018 ◽  
Vol 12 (2) ◽  
pp. 379-384 ◽  
Author(s):  
Rafeeq Ahmed ◽  
Kishore Kumar ◽  
Jasbir Makker ◽  
Masooma Niazi ◽  
Bhavna Balar
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Mantle Cell Lymphoma ◽  
Cell Lymphoma ◽  
Duodenal Bulb ◽  
Colon Polyps ◽  
Ascending Colon ◽  
Mantle Cell ◽  
History Of

Mantle cell lymphoma is a rare and aggressive subtype of B-cell non-Hodgkin lymphomas. Mantle cell lymphoma frequently involves extranodal sites, and gastrointestinal tract is involved microscopically and macroscopically in more than 80% of cases. We present two cases of recurrent mantle cell lymphoma presenting with lower and upper gastrointestinal bleeding, respectively. A 58-year-old woman with a history of recurrent mantle cell lymphoma treated with chemotherapy and stem cell transplantation presented with left-sided abdominal pain and hematochezia. Colonoscopy showed a mass-like lesion in the ascending colon, polyps in the ascending colon, and splenic flexure. A 68-year-old man with a history of mantle cell lymphoma treated with chemotherapy presented with epigastric pain and melena. Esophagogastroduodenoscopy showed a large polypoidal ulcerated mass with oozing in the duodenal bulb. Biopsies in both patients were suggestive of mantle cell lymphoma. Patients with mantle cell lymphoma could be asymptomatic or may present with abdominal pain, obstruction, diarrhea, or gastrointestinal bleeding. In patients presenting with gastrointestinal symptoms, endoscopy must be pursued and biopsies must be taken for any suspicious lesions as well as normal mucosa to exclude mantle cell lymphoma as an etiology for the lesion or symptoms. Even though there are no standard guidelines for endoscopic screening of gastrointestinal tract in asymptomatic patients, one should be aware of involvement of gastrointestinal tract in the early course of disease or recurrent disease. Although mantle cell lymphoma is initially responsive to chemotherapy, it eventually becomes refractory with a median survival of 3–5 years.

scholarly journals Vólvulo de ciego con lesión de colon ascendente reporte de un caso y alternativas de tratamiento

2021 ◽  
Vol 51 (3) ◽  
Author(s):  
Germán Brito Sosa ◽  
Ana María Iraizoz Barrios
Keyword(s):  
Abdominal Pain ◽  
Surgical Technique ◽  
Intestinal Resection ◽  
Right Hemicolectomy ◽  
Cecal Volvulus ◽  
Ascending Colon ◽  
Safe Alternative ◽  
Intestinal Necrosis ◽  
History Of ◽  
Mobile Cecum

Cecal volvulus is a rare disease responsible for 1% of the cases of intestinal occlusion, whose main etiology is due to a mobile cecum. A 73-year-old male patient with a history of constipation is presented. He had a clinical picture of abdominal pain and distention, nausea, vomiting, and absence of stool or gas expulsion. A Cecal volvulus with lesion in the ascending colon was found. The surgical technique most frequently performed by surgeons for cecal volvulus is right hemicolectomy with transverse ileus anastomosis, but if the volvulus caused intestinal necrosis and the patient is hemodynamically unstable, it is safer to perform intestinal resection and ileostomy. Ascending ileus anastomosis performed at a higher level of the ascending colon is a safe alternative for the restitution of intestinal transit in patients with cecal volvulus.

205 Internal Herniation of The Caecum and Ascending Colon Through the Foramen of Winslow: A Case Report

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
O Lasheen ◽  
A Amin
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Right Hemicolectomy ◽  
Sudden Onset ◽  
Internal Herniation ◽  
Ascending Colon ◽  
Tissue Viability ◽  
Foramen Of Winslow ◽  
History Of ◽  
Operative Findings

Abstract Introduction An internal hernia occurs when part of the bowel protrudes through a mesenteric or a peritoneal orifice which could be either normally present or acquired. These hernias usually represent a challenge to diagnose. Of the natural anatomical orifices is the Foramen of Winslow through which the caecum and the ascending colon could herniate. Case Report An 85-year-old gentleman presented with a one-day history of abdominal pain. His pain had a sudden onset, an intermittent course and was limited to the epigastric region. He was nauseated but not vomiting. He had opened his bowels a day before presenting to the hospital. CT scan of the revealed herniation of the caecal pole through the foramen of Winslow and into the lesser sac. The decision was made to perform a laparotomy where it was revealed that the caecum and part of the ascending colon had herniated through the foramen of Winslow. Content of the hernia, which was viable, was carefully reduced and right hemicolectomy was performed. Conclusions With the scarcity of similar cases, we currently have no consensus of management. Dealing with the hernia at laparotomy would be usually the choice of the surgeon depending on tissue viability and other operative findings.

scholarly journals Improvement of a cecal bascule by supportive care

2017 ◽  
Vol 25 (3) ◽  
pp. 169-172
Author(s):  
Yong In Kim ◽  
Sang Kyoon Han ◽  
Mun Ki Min ◽  
Sung Wook Park ◽  
Seok Ran Yeom
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Supportive Care ◽  
Intestinal Obstruction ◽  
Lower Abdominal Pain ◽  
Bowel Ischemia ◽  
Ascending Colon ◽  
Symptoms And Signs

A cecal bascule is a rare cause of intestinal obstruction, and the diagnosis is often challenging because the symptoms and signs are similar to those of small bowel obstruction. We, herein, present the case of an 82-year-old female who presented to our emergency department with lower abdominal pain. Computed tomography showed anterior medial folding of the cecum over the ascending colon with cecal dilatation, without bowel ischemia or perforation. A good outcome was obtained immediately after supportive care. To the best of our knowledge, this is the first report of a cecal bascule that was improved by supportive care.

scholarly journals Appendiceal Diverticulitis Clinically Masquerading as an Appendiceal Carcinoma

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Tadashi Terada
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Rare Condition ◽  
Vermiform Appendix ◽  
Lymphocytic Infiltration ◽  
Muscle Layer ◽  
Ascending Colon ◽  
Appendiceal Mass ◽  
Appendiceal Carcinoma ◽  
Appendiceal Diverticulitis

Appendiceal diverticulosis is a rare condition. Herein reported is a case of appendiceal diverticulosis and diverticulitis clinically masquerading as appendiceal carcinoma. A 62-year-old woman presented with abdominal pain. US and CT showed a tumor measuring 5 × 4 × 4 cm in vermiform appendix. Colon endoscopy showed mucosal elevation and irregularity in the orifice of vermiform appendix. A biopsy of the appendiceal mucosa showed no significant changes. Clinical diagnosis was appendiceal carcinoma and wide excision of terminal ileum, appendix, cecum, and ascending colon was performed. Grossly, the appendix showed a tumor measuring 5 × 3 × 4 cm. The appendiceal lumen was opened, and the appendiceal mucosa was elevated and irregular. The periappendiceal tissue showed thickening. Microscopically, the lesion was multiple appendiceal diverticula. The diverticula were penetrating the muscle layer. The mucosa showed erosions in places. Much fibrosis, abscess formations, and lymphocytic infiltration were seen in the subserosa. Abscesses were also seen in the diverticular lumens. Some diverticula penetrated into the subserosa. The pathologic diagnosis was appendiceal diverticulitis. When they encounter an appendiceal mass, clinicians should consider appendiceal diverticulitis as a differential diagnosis.

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