scholarly journals Congenital hepatic hemangioma presenting with neonatal intestinal obstruction: A case report

2021 ◽  
Vol 10 ◽  
pp. 21
Author(s):  
Sumaira Noor Maham ◽  
Shabbir Ahmad ◽  
Muhammad Jawad Afzal ◽  
Nabila Talat
Keyword(s):  
Intestinal Obstruction ◽  
Abdominal Distension ◽  
Left Lobe ◽  
Jejunal Loop ◽  
Hepatic Hemangioma ◽  
Rare Presentation ◽  
Case Presentation ◽  
Hepatic Mass ◽  
Neonatal Intestinal Obstruction

Background: Congenital hepatic hemangioma usually presents with abdominal distension. Rarely it may cause intestinal obstruction. We present a case of congenital hepatic hemangioma causing neonatal intestinal obstruction. Case Presentation: A 4-day-old neonate presented with clinical and radiological features of neonatal intestinal obstruction. On exploration, a loop of jejunum was found adherent with a hepatic mass, arising from the left lobe of the liver. The hepatic mass profusely bled in an attempt of removing the adherent jejunal loop. Thus, the adherent portion was isolated and jejunojejunal end to end anastomosis was done. The hepatic mass along with an adherent small piece of jejunum was also excised. Histopathology showed hepatic hemangioma. The patient is doing fine on the 10-month follow-up. Conclusion: We report a rare presentation of congenital hepatic hemangioma with neonatal intestinal obstruction. Although the optimum therapy for hepatic hemangioma is medical management, at times, surgical resection becomes a necessary option.

scholarly journals Diagnostic dilemma of congenital segmental jejunal pseudo-dilatation associated with immature ganglion cells in the colon: A case report

2020 ◽  
Vol 9 ◽  
pp. 13
Author(s):  
Suman Bikram Adhikari ◽  
Shovita Rana ◽  
Sanat Chalise
Keyword(s):  
Intestinal Obstruction ◽  
Ganglion Cells ◽  
Abdominal Distension ◽  
Diagnostic Dilemma ◽  
Case Presentation ◽  
Male Baby ◽  
Radiological Features ◽  
Neonatal Intestinal Obstruction ◽  
Segmental Dilatation ◽  
Prompt Diagnosis

Background: Neonatal intestinal obstruction is one of the emergency conditions with many etiologies, amongst which congenital segmental dilatation of small intestine is one, which is characterized by three to four folds increase in diameter of the bowel. Immaturity of ganglion cells of large intestine is also one of the congenital intestinal neuronal malformations which may cause neonatal intestinal obstruction. Prompt diagnosis of these conditions is very difficult as clinical and radiological features are non-specific to them. Case Presentation: A 3-day-old male baby presented with failure to pass meconium, abdominal distension, and bilious vomiting. At surgery, the baby had congenital segmental pseudo-dilatation of jejunum with immature ganglion cells in colon. Since it was not typical of a congenital segmental dilatation, it was left as such. The baby needed another laparotomy for resection of segmental pseudo-dilatation along with ileostomy. Conclusion: Because of rarity and diagnostic dilemma, re-laparotomy with ileostomy, which could have been avoided, were performed in the baby. Lack of typical features of congenital segmental dilatation along with presence of immature ganglion cells in the colon were unusual findings in this case

Hydatid Disease Presenting as Cutaneous Fistula: Review of a Rare Clinical Presentation

2011 ◽  
Vol 96 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Vijay. Korwar ◽  
Gokulakkrishna. Subhas ◽  
Prabhuraj. Gaddikeri ◽  
B. S. Shivaswamy
Keyword(s):  
Hydatid Cyst ◽  
Hydatid Disease ◽  
Abdominal Distension ◽  
Fistula Tract ◽  
Cutaneous Fistula ◽  
Rare Presentation ◽  
Worldwide Distribution ◽  
Global Travel ◽  
Hepatic Hydatid

Abstract Hydatid disease has a worldwide distribution as a result of more global travel. Liver and lungs are the most common sites for the primary hydatid cysts in the human body. We managed a 68-year-old man who presented with abdominal distension and umbilical fistula, discharging daughter cysts. Ultrasound imaging of the abdomen showed hepatic hydatid cyst forming a fistula at the umbilicus. The patient underwent a laparotomy with partial cystectomy and excision of the fistula tract. The umbilicus healed after the procedure. The patient did not have any recurrences in 5 years of follow-up. Spontaneous cutaneous fistulization of liver hydatid cyst is a rare presentation. A detailed literature search revealed 15 cases published in all languages. Hydatid disease presenting as an umbilical fistula has not been reported yet. We summarize all these cases including the presentation, findings, management, and outcome. Combined surgical and medical treatment is successful in healing of hepatic hydatid cutaneous fistula.

scholarly journals Myxoedema ascites-Rare presentation of long standing hashimotos thyroiditis

2021 ◽  
Vol 6 (3) ◽  
pp. 204-206
Author(s):  
Garima Shah ◽  
Shubham Sharma ◽  
Bikram Shah
Keyword(s):  
Hashimoto’S Thyroiditis ◽  
Abdominal Distension ◽  
Autoimmune Disorder ◽  
Hashimoto's Thyroiditis ◽  
Dramatic Improvement ◽  
Rare Presentation ◽  
Thyroid Medication ◽  
Clinical Conditions ◽  
Rule Out

Hypothyroidism is among the common clinical conditions which are encountered in the medicine OPD. An autoimmune disorder called Hashimoto’s thyroiditis is a common cause for hypothyroidism followed by over response to hyperthyroidism treatment, radiation therapy, medications, congenital disease etc. Patients can present with sensitivity to cold, weight gain, constipation, menstrual abnormalities, and slow mentation with irritability, dry skin, hair loss, and fatigue. Rarely, uncontrolled hypothyroidism can present as pericardial effusion, pleural effusion and ascites. Ascites as the feature of hypothyroidism is uncommon and only less than four percent of patients with hypothyroidism /develop ascites.As it is rarely presented as ascites so its diagnosis is delayed but once it is diagnosed, treatment leads to clinical improvement.: A 20-year-old female presented to medicine OPD with non- tender abdominal distension, vomiting. She was a known case of Hashimoto's thyroiditis an autoimmune disorder; however, she was not compliant to thyroid medication. All necessary investigations were carried out to rule out the cause for ascites. With all the negative reports including imaging and supportive fluid cytology we attributed the symptoms to uncontrolled hypothyroidism as the patient was non-compliant to the thyroid medications. Also the picture of macrocytic anaemia in our patient supported the diagnosis. She was started on levothyroxine and was counselled. On a follow-up visit there was dramatic improvement of all the symptoms including ascites and her TSH was normal-2.017. Ascites as a symptom of hypothyroidism is rare and its pathophysiology is not fully understood however there are few theories and studies in the past which do explain ascites as the manifestation of hypothyroidism. Severe uncontrolled hypothyroidism though uncommon but can cause ascites. Being a reversible cause of ascites, it becomes important for clinicians to take hypothyroidism as one of the differential diagnosis for ascites. Our case supports the need of taking hypothyroidism as one of the cause, as it is easily treatable and patient can show dramatic improvement.

scholarly journals Role of Radiologist in Diagnosis of Neonatal Small Left Colon Syndrome: A Case Report

2020 ◽  
Author(s):  
Ibrahim Haruna Gele ◽  
Muhammad Baba Sule ◽  
Sadisu Mohammed Maaji ◽  
Abubakar Musa ◽  
Muhammad Abacha
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Splenic Flexure ◽  
Signs And Symptoms ◽  
Abdominal Distension ◽  
Contrast Enema ◽  
Left Colon ◽  
Abrupt Transition ◽  
Neonatal Intestinal Obstruction

Neonatal small left colon syndrome is a well-defined functional disease of the lower colon and it results in signs and symptoms of intestinal obstruction. It is an uncommon cause of neonatal intestinal obstruction characterised by an abrupt transition of intestinal caliber at or near the splenic flexure. More than 50% of affected patients are born to mothers with diabetes. We report a five-day-old neonate who presented with abdominal distension and vomiting diagnosed to have small left colon syndrome by contrast enema. He had surgical resection of the narrowed segment and anastomosis with subsequent resolution of symptoms.

Laparoscopy-guided percutaneous microwave ablation for symptomatic 12.8 cm hepatic hemangioma with low blood loss and short hospital stay post-operation: A case report and literature review

2020 ◽  
pp. 1-7
Author(s):  
Hui-Li Zhang ◽  
Hong-Bo Meng ◽  
Xiao-Long Li ◽  
Li-Ping Sun ◽  
Feng Lu ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Blood Loss ◽  
Microwave Ablation ◽  
Vena Cava ◽  
Abdominal Distension ◽  
Left Lobe ◽  
Gastric Body ◽  
Hepatic Hemangioma ◽  
Contrast Enhanced ◽  
Percutaneous Microwave Ablation

We described a patient with symptomatic giant hepatic hemangioma (GHH) treated with laparoscopic guided percutaneous microwave ablation (MWA). A 58 years’ old woman was referred to our hospital who presented with upper abdominal distension and appetite loss for more than 1 year. The medical history included untreated multiple hepatic hemangiomas (HH) that had been detected 13 years ago and hypertension for more than 12 years. Initial laboratory tests revealed D-dimer mild increase and negative tumor markers. Magnetic resonance (MR) imaging demonstrated multiple nodules of different sizes in the liver and the largest lesion was located on the left lobe (longest diameter 12.8 cm), which replaced the whole enlarged left lobe and compressed the gastric body and inferior vena cava. Contrast-enhanced ultrasound (CEUS) and contrast-enhanced MR imaging both showed the typical enhancement pattern of hemangioma and abnormal perfusion was seen in the surrounding liver parenchyma. With the laparoscopy guidance, we performed microwave ablation till the whole tumor was seen atrophy. The total operation duration was 2 hours, with intra-operative blood loss less than 20 ml. The post-operative course was uneventful. The patient was discharged 3 days after the operation. Abdominal distension decreased, appetite improved, blood pressure controlled at normal level after the operation. MR revealed significant volume reduction of the tumor after the operation.

scholarly journals HERNIATION THROUGH LESSER SAC: A RARE TYPE OF PRIMARY INTERNAL HERNIA CAUSING SMALL INTESTINAL OBSTRUCTION

2020 ◽  
pp. 1-2
Author(s):  
Pritam Kar ◽  
Ranjan George Baxla ◽  
Abhishek Kushwaha ◽  
Anup Kumar Mahato
Keyword(s):  
Intestinal Obstruction ◽  
Internal Hernia ◽  
Abdominal Distension ◽  
Jejunal Loop ◽  
Bowel Loop ◽  
Emergency Setting ◽  
Imaging Features ◽  
Rare Type ◽  
Lesser Sac ◽  
Internal Hernias

Primary internal hernia is a rare phenomenon, where there is protrusion of an abdominal organ mostly gut through epiploic foramen. Clinical presentation of internal hernia is non specific.Imaging has been of limited utility in cases of acute intestinal obstruction; moreover ,interpretation of imaging features is operator dependant. Thus internal hernias are usually detected at laparotomy and preoperative diagnosis in an emergency setting is either difficult or most of the time not suspected We describe the case of a 14-year-old male who presented with acute abdominal pain and abdominal distension with no history of trauma .A loop of jejunum was found to enter the lesser sac with multiple peforated jejunal loop 35cm distal to dj junction. .The segment of perforated bowel loop of length 10cm was resected and jejuno-jejunostomy was done.This is a rare type internal hernia into lesser sac.

scholarly journals Thyroid hemiagenesis with a TI-RADS 2 nodule in the contralateral lobe

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Senai Goitom Sereke ◽  
Anthony Oriekot ◽  
Felix Bongomin
Keyword(s):  
Thyroid Gland ◽  
Thyroid Tissue ◽  
Left Lobe ◽  
Thyroid Disorders ◽  
Case Presentation ◽  
Thyroid Hemiagenesis ◽  
History Of ◽  
Right Lobe

Abstract Background Thyroid hemiagenesis is a rare congenital anomaly in which one lobe of the thyroid gland fails to develop. There is an increased incidence of associated thyroid disorders in patients with thyroid hemiagenesis. Case presentation A 32-year-old Ugandan woman presented with a complaint of painless neck swelling of 3-months duration. The swelling was associated with a globus sensation. There was no history of thyroid – related problems or treatment prior to this presentation. Physical examination demonstrated a mobile right thyroid swelling without an obvious nodular contour. Neck ultrasound showed an absent left lobe of thyroid gland, a right lobe with a solitary nodule scoring two points on the Thyroid Imaging, Reporting and Data System (TI-RADS) and an isthmus in situ. Extensive search for possible ectopic thyroid tissue was negative. She was biochemically euthyroid. The patient was counseled about thyroid hemiagenesis and was put on a regular follow up in the clinic for the TI-RADS 2 nodule. Conclusion Thyroid hemiagenesis is often associated with other thyroid disorders. Its diagnosis should prompt an active search for other associated morphological or functional thyroid abnormalities.

scholarly journals Acute appendicitis causing small intestinal band obstruction in a premature baby: A case report

2020 ◽  
Vol 9 ◽  
pp. 12
Author(s):  
Iftikhar Ahmad Jan ◽  
Sarah Bin Hariz ◽  
Faisal Al Zidgali ◽  
Zahid Latif Saqi ◽  
Ghazy Habeeb Lutf
Keyword(s):  
Acute Appendicitis ◽  
Intestinal Obstruction ◽  
Stable Condition ◽  
Premature Baby ◽  
Uneventful Recovery ◽  
Common Symptom ◽  
Case Presentation ◽  
Bilious Vomiting ◽  
Neonatal Intestinal Obstruction ◽  
Small Intestinal

Background: Bilious vomiting is a common symptom of neonatal intestinal obstruction. The etiology is mostly related to congenital anomalies and other conditions causing intestinal obstruction. Case Presentation: We report a case of a seven days male premature baby (35 Weeks) that presented with features of intestinal obstruction including bilious vomiting and abdominal distention. X-ray abdomen showed features of complete small bowel obstruction. On laparotomy, the baby had acute appendicitis causing multiple adhesions, and an adhesion band was responsible for intestinal obstruction. Adhesions were divided, and appendectomy performed. Postoperatively the baby had an uneventful recovery and was discharged in a stable condition. Conclusion: Neonatal appendicitis causing intestinal obstruction is a rare phenomenon and should be considered in the differential diagnosis of babies presenting with bilious vomiting.

Thyroid Hemiagenesis With TI-RADS 2 Nodule in the Contralateral Lobe: a Case Report

2021 ◽  
Author(s):  
Senai Goitom Sereke ◽  
Anthony Oriekot ◽  
Felix Bongomin
Keyword(s):  
Thyroid Gland ◽  
Thyroid Tissue ◽  
Thyroid Function Test ◽  
Left Lobe ◽  
Case Presentation ◽  
Hormonal Function ◽  
Thyroid Hemiagenesis ◽  
History Of

Abstract Background: Thyroid hemiagenesis is a rare congenital anomaly in which one lobe of thyroid gland fails to develop. There is a higher incidence of associated thyroid disorders in patients with thyroid hemiagenesis. Case presentation: A 32-year-old female presented to a hospital with complaint of painless neck swelling of 3-month duration with associated globus sensations. There were no history of thyroid related problems or thyroid related treatment prior to her presentation. Physical examination demonstrated a mobile right thyroid swelling but no obvious nodular contour. Neck ultrasound demonstrated absent left lobe of thyroid gland, right thyroid gland with solitary nodule of TI-RADS 2 and isthmus in situ. Extensive search for possible ectopic thyroid tissue was negative. Thyroid function test was euthyroid. Conclusion: Early detection of this entity and follow up monitoring of thyroid morphologic and hormonal function have paramount importance.

scholarly journals A case report of intestinal obstruction caused by cryptogenic multifocal ulcerous stenosing enteritis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Cheng Chang ◽  
Chen Jiang ◽  
Yaoyao Miao ◽  
Bin Fang ◽  
Lili Zhang
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Surgical Treatment ◽  
Intestinal Obstruction ◽  
Rare Disease ◽  
Male Patient ◽  
Unknown Origin ◽  
Case Presentation ◽  
The Future

Abstract Background Cryptogenic multifocal ulcer stenosing enteritis (CMUSE) is a rare disease characterized by multiple superficial ulcers, stenosis, and obstruction of the small intestine of unknown origin, and the course can recur. Case presentation We encountered a 62-year-old male patient with intestinal obstruction. The patient was admitted to the hospital for surgical treatment due to intestinal obstruction, and was diagnosed with cryptogenic multifocal ulcer stenosis enteritis due to comprehensive surgery and postoperative pathological considerations. Conclusion In the future, we will continue to follow up the patient. The present study aims to remind clinicians of this disease, and reduce the incidence of misdiagnosis.

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