Subserous lymphangioma of the sigmoid colon: an uncommon cause of acute abdomen in pediatric patients

Abstract Few reports on the prevalence of acute abdomen (AAbd) in pediatric patients with Lassa fever (LF) are available, and no firm policy on its management exists. Here, we report on its prevalence in and the response to treatment among a cohort of children with confirmed LF. Six (10.3%) of 58 children with LF had AAbd, whereas 6 (2.8%) of 215 children with AAbd had LF. Nonoperative treatment was successful in 5 of the 6 children with both AAbd and LF. We conclude that AAbd is not uncommon in pediatric patients with LF, and it could be responsive to nonoperative treatment. Testing for LF in all children with febrile AAbd might be justified in areas in which LF is endemic.

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Inflammatory Myofibroblastic Tumor of the Sigmoid Colon in an Infant: A Case Report

10.21203/rs.3.rs-775620/v1 ◽

2021 ◽

Author(s):

luyao wu ◽

xinyao meng ◽

xiaoyi sun ◽

tianqi zhu ◽

donghai yu ◽

...

Keyword(s):

Case Report ◽

Sigmoid Colon ◽

Inflammatory Myofibroblastic Tumor ◽

Pediatric Patients ◽

Abdominal Ultrasound ◽

The Body ◽

Pathological Examination ◽

Colon Anastomosis ◽

Lower Abdomen ◽

Inflammatory Infiltration

Abstract Background: Inflammatory myofibroblastic tumor (IMT), an infrequent mesenchymal lesion composed of myofibroblastic and fibroblastic spindle cells with inflammatory infiltration, mostly occurred in pediatric patients. IMT has been reported in a number of locations throughout the body. However, the cases occurred in the gastrointestinal tract, especially those involving the sigmoid colon in pediatric patients, are very rare and even have not been reported. Here we present a case of a large IMT originating from the sigmoid colon and invading the omentum and the surrounding tissues in an 11-month-old boy. Case presentation: The patient is an 11-month-old boy initially presenting with symptoms of fever and vomiting. Abdominal ultrasound revealed an inhomogeneous echo with a size of 9.9*4.6 cm in the left lower abdomen. Abdomen computed tomography (CT) scanning confirmed that a mass with a size of 10*8*6 cm located in the left middle and lower abdomen. Post-operative pathological examination confirmed the histopathologic diagnosis of IMT. Complete resection of the tumor along with the involved colon segments were performed and followed by end-to-end colon anastomosis. The boy recovered well without postoperative complications or recurrence during one-year follow-up. Conclusions: Colon IMT is extremely rare; its etiology and pathogeny are unclear. Imaging examination may provide reliable evidence for determining IMT. However, postoperative histopathologic examination is also important for the final diagnosis. Complete tumor excision, accompanied by rare recurrence and satisfying survival, is the best therapeutic approach at present. This case report may complete the clinical presentation of IMT by reminding physicians not to ignore the possibility of IMT in the colon.

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Crohn's Disease Complicated by Perforation of the Ileum and Sigmoid Colon Presenting as an Acute Abdomen. A Case Report.

Nippon Daicho Komonbyo Gakkai Zasshi ◽

10.3862/jcoloproctology.55.103 ◽

2002 ◽

Vol 55 (2) ◽

pp. 103-107

Author(s):

T. Hata ◽

M. Kinuta ◽

T. Kano ◽

S. Matsui ◽

T. Monden

Keyword(s):

Crohn’S Disease ◽

Case Report ◽

Crohn's Disease ◽

Acute Abdomen ◽

Sigmoid Colon

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Acute Abdomen in Pediatric Patients Admitted to the Pediatric Emergency Department

Pediatrics & Neonatology ◽

10.1016/s1875-9572(08)60027-3 ◽

2008 ◽

Vol 49 (4) ◽

pp. 126-134 ◽

Cited By ~ 22

Author(s):

Yu-Ching Tseng ◽

Ming-Sheng Lee ◽

Yu-Jun Chang ◽

Han-Ping Wu

Keyword(s):

Emergency Department ◽

Acute Abdomen ◽

Pediatric Patients ◽

Pediatric Emergency ◽

Pediatric Emergency Department

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COVID-19 associated multisystem inflammatory syndrome in children mimicking acute appendicitis - how to differentiate and conduct pediatric patients during the pandemic? - Proposal of a management flowchart

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-6991e-20213012 ◽

2021 ◽

Vol 48 ◽

Author(s):

LORAINE ENTRINGER FALQUETO ◽

CAROLINA MARTINS VISSOCI ◽

ISABELLA CRISTINA BONETTO FERREIRA ◽

AMANDA GINANI ANTUNES ◽

FERNANDO ANTÔNIO BERSANI AMADO ◽

...

Keyword(s):

Acute Appendicitis ◽

Acute Abdomen ◽

Initial Phase ◽

Pediatric Patients ◽

Pediatric Population ◽

Gastrointestinal Symptoms ◽

Signs And Symptoms ◽

Clinical History ◽

Pediatric Hospital ◽

Inflammatory Syndrome

ABSTRACT Introduction: the new coronavirus pandemic has been a reality throughout 2020, and it has brought great challenges. The virus predominantly manifests in the pediatric population with mild symptoms. However, an increase in the incidence of Multisystemic Inflammatory Syndrome in Children (MIS-C) associated with COVID-19 has been described in the literature. MIS-C manifests mainly with fever and gastrointestinal symptoms and may mimic acute abdomen due to acute appendicitis. The objective of this study is to propose a care flowchart for suspected cases of acute appendicitis in the initial phase in pandemic times, considering the possibility of MIS-C. This situation was brought up by a patient treated in a pediatric hospital in Brazil. Discussion: It was possible to identify common signs and symptoms in the reported patient and those published cases that may serve as alerts for early identification of MIS-C cases. Based on the literature review and on the similarities between the syndrome and the inflammatory acute abdomen in children, we elaborated an initial approach for these cases to facilitate the identification, early diagnosis, and management. The flowchart considers details of the clinical history, physical examination, and complementary exams prior to the indication of appendectomy in patients with initial phase symptoms. Conclusion: MIS-C, although rare and of poorly known pathophysiology, is most often severe and has a high mortality risk. The use of the proposed flowchart can help in the diagnosis and early treatment of MIS-C.

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Management of Pediatric Patients Presenting with Acute Abdomen Accompanying Dilatation of the Common Bile Duct

Pediatric Gastroenterology Hepatology & Nutrition ◽

10.5223/pghn.2018.21.3.203 ◽

2018 ◽

Vol 21 (3) ◽

pp. 203 ◽

Cited By ~ 1

Author(s):

Young A Kim ◽

Gyung Min Kim ◽

Peter Chun ◽

Eun Ha Hwang ◽

Sang Wook Mun ◽

...

Keyword(s):

Bile Duct ◽

Common Bile Duct ◽

Acute Abdomen ◽

Pediatric Patients ◽

The Common

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Torquated Giant Appendix Epiploica Mimicking Intraperitoneal Liposarcoma: Report of a Case

International Surgery ◽

10.9738/1394.1 ◽

2011 ◽

Vol 96 (2) ◽

pp. 117-119 ◽

Cited By ~ 2

Author(s):

Pascal Jeanmonod ◽

Jens Sperling ◽

Roland Seidel ◽

Sven Richter ◽

Otto Kollmar ◽

...

Keyword(s):

Acute Abdomen ◽

Sigmoid Colon ◽

Clinical Symptoms ◽

Iliac Fossa ◽

Ca 125 ◽

Epiploic Appendagitis ◽

Reactive Protein ◽

Pedunculated Tumor ◽

The Right ◽

Normal Laboratory

Abstract A 49-year-old woman presented with acute abdominal pain in the right iliac fossa in our emergency department. Pain was abrupt in onset and severely colicky in nature. Abnormal laboratory values included a C-reactive protein of 75 mg/L and a CA-125 of 70.3 U/mL. White blood cell count was normal. Abdominal computed tomography (CT) scan revealed an inhomogeneous mass of 9.5 × 3.5 × 5.5 cm in diameter close to the appendix vermiformis and the sigmoid colon. Because of the clinical symptoms of an acute abdomen an explorative laparotomy was performed. Intraoperatively a pedunculated tumor beginning at the serosa of the sigmoid colon was found. The appendix was unremarkable. The macroscopic aspect as well as the backtable incision of the tumor was suspicious of an intraperitoneal liposarcoma. Rapid section and histopathologic examination revealed necrotic fat tissue without any malignancy. The patient was discharged from the hospital 7 days after the operation with normal laboratory parameters and without further complication. When epiploic appendagitis is evident as a big tumor mass in addition to clinical symptoms of an acute abdomen and elevated tumor markers, surgical exploration is mandatory.

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Right Testicular Artery Occlusion and Acute Appendicitis by Angiostrongylus costaricensis

Case Reports in Surgery ◽

10.1155/2019/5670802 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Luis Enrique Sánchez-Sierra ◽

Roberto Antonio Martínez-Quiroz ◽

Héctor S. Antúnez ◽

Humberto Cabrera-Interiano ◽

Fernando Josué Barrientos-Melara

Keyword(s):

Acute Abdomen ◽

Pediatric Patients ◽

Surgical Intervention ◽

Clinical Manifestations ◽

Signs And Symptoms ◽

Artery Occlusion ◽

Histopathological Study ◽

Testicular Artery ◽

Case Presentation ◽

First Case

Introduction. Angiostrongylus costaricensis is a nematode from the superfamily Metastrongyloidea, whose etymology is “roundworm that lives in blood vessels”. This parasite can be found from the southern United States to northern Argentina and southern Brazil. In 1983, Morera and Ruiz published the first case of a testicular artery occlusion by A. costaricensis. Case Presentation. A five year old boy presented with eight days of pain, denying trauma backgrounds and followed with an increase of volume. The treatment was a right simply orchiectomy, finding necrosis of the testicle, the biopsy showed reddish-purple aspect and soft consistency. Histologic studies reveled the presence of a worm inside the testicular artery. Conclusion. The diagnosis of A. costaricensis infection should be considered in all pediatric patients, with signs and symptoms of orchitis or acute abdomen, from endemic areas, may cause occlusion of the testicular artery and appendicular artery causing testicular and cecal appendix necrosis, respectively, even putting the patient’s life at risk. The diagnosis is complex, because the clinical manifestations are similar to an orchitis or acute abdomen, therefore, the definitive diagnosis is made during the surgical intervention and histopathological study.

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Tubular Duplication of the Sigmoid Colon with Acute Abdomen: An Adult Case Report

Indian Journal of Surgery ◽

10.1007/s12262-014-1110-x ◽

2014 ◽

Vol 77 (S3) ◽

pp. 1005-1007 ◽

Cited By ~ 5

Author(s):

Roohollah Sobhani ◽

Mohammad Javad Fatemi ◽

Niloufar Ayoubi Yazdi ◽

Samira Alsaeidi

Keyword(s):

Case Report ◽

Acute Abdomen ◽

Sigmoid Colon ◽

Adult Case

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Cross-sectional study of the clinical characteristics and outcomes of children hospitalized with COVID-19 in Lima, Peru

Medwave ◽

10.5867/medwave.2021.01.8107 ◽

2021 ◽

Vol 21 (01) ◽

pp. e8107-e8107

Author(s):

Jesús Domínguez Rojas ◽

Matilde Estupiñan Vigil ◽

Raquel Garcés-Ghilardi ◽

Giancarlo Alvarado-Gamarra ◽

Olguita del Águila ◽

...

Keyword(s):

Respiratory Failure ◽

Acute Abdomen ◽

Pediatric Patients ◽

Pediatric Population ◽

Cross Sectional Study ◽

Hospitalized Patients ◽

Sectional Study ◽

Cross Sectional ◽

Presenting Symptoms ◽

Inflammatory Syndrome

Introduction Coronavirus 2019 (SARS-CoV-2) infection in children occurred in Peru as of March 2020, leading to pediatric patients' hospitalization in areas adapted for this purpose at the Edgardo Rebagliati Martins National Hospital. In the beginning, the demand for hospitalization was low, but it increased gradually. Consistent with international reports, the majority of patients presented mild or moderate symptoms. Nonetheless, there were also severe cases, even fatal ones. Objectives To describe the characteristics and clinical outcome of pediatric patients with COVID-19 hospitalized in a referral hospital in Lima, Peru, between March and August 2020. Methods A descriptive and inferential cross-sectional study was carried out. The population includes all hospitalized patients in the Department of Pediatrics, with clinical and surgical diagnoses associated with COVID-19. Results We included 100 patients, with an average age of 83.4 ± 54 months, with a predominance of male patients (55%). Hospitalized patients were grouped into five categories: respiratory failure (17%), multisystemic inflammatory syndrome (MIS-C) (31%), neurological presentation (19%), acute abdomen (20%), and patients with oncological problems (13%). Most of the patients (74%) had comorbidities. Regarding the presenting symptoms, intestinal pain predominated in the appendicitis group (90%, p < 0.001), fever was present in most patients with respiratory failure (64.7%); multisystemic inflammatory syndrome (90.3%), neurological manifestations (15.8%), acute abdomen (50%) and oncological conditions (61.5%) were also present in these patients. Kawasaki symptoms were found in 38.7% of the patients with multisystemic inflammatory syndrome. Mortality was 4%. Respiratory problems (29.4%) and multisystemic inflammatory syndrome (22.6%) required admission to intensive care, more frequently than the other presentations (p = 0.008). Conclusions We conclude that the vulnerability in the pediatric population is the one that has preexisting conditions. We divided our patients according to presentation, diagnosis, and complications, which were predominantly respiratory. We also had oncological patients with COVID-19.

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