Inflammatory myofibroblastic tumour of genitourinary system

2021 ◽  
Vol 71 (10) ◽  
pp. 2467
Author(s):  
Muhammad Nauman ◽  
Asad Shahzad Hasan ◽  
Gauhar Sultan ◽  
Pardeep Kumar ◽  
Mudassir Hussain ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Inflammatory Myofibroblastic Tumor ◽  
Case Series ◽  
Lower Abdominal Pain ◽  
Flank Pain ◽  
Inflammatory Myofibroblastic Tumour ◽  
Genitourinary System ◽  
Inflammatory Myofibroblastic Tumors ◽  
Management Approaches ◽  
Work Up

We describe two cases of inflammatory myofibroblastic tumor (IMT) involving genitourinary system. One patient with mass of urinary bladder presented with lower abdominal pain. Other presented with a mass involving right kidney presented with right flank pain. At time there are no specific guidelines exist for the management of inflammatory myofibroblastic tumors. In this case series we will discuss the work-up and management approaches done for each case. Continuous...

scholarly journals Inflammatory Myofibroblastic Tumor of the Urinary Bladder with Atypical Clinical and Pathological Features: a Case Report

2021 ◽  
Author(s):  
Zhu Xingwang ◽  
Wang Yixiang ◽  
Liu Yili
Keyword(s):  
Abdominal Pain ◽  
Urinary Bladder ◽  
Clinical Features ◽  
Inflammatory Myofibroblastic Tumor ◽  
Lower Abdominal Pain ◽  
Partial Cystectomy ◽  
Ki 67 ◽  
Case Presentation ◽  
Anaplastic Lymphoma ◽  
Bladder Dome

Abstract Background: The inflammatory myofibroblastic tumor (IMT) of urinary bladder is very rare, this case and often misdiagnosed as bladder cancer. We report a patient with atypical clinical features with dysuria and lower abdominal pain. Case presentation: A 32-year-old man presented with dysuria and lower abdominal pain. Computed tomography (CT) demonstrated that a solitary non-papillary tumor was located at the wall of the bladder dome. Partial cystectomy was successfully managed. Immunohistochemically, positivity of the tumor cells for anaplastic lymphoma kinase (ALK), Actin (SM), vimentin, cytokine (CK), epithelial membrane antigen (EMA) and Ki-67. Based on the the above clinical features、histopathology and immunohistochemical, the tumor was definitively diagnosed as bladder’s IMT. After 24 months, there was no signs of recurrence and metastasis with CT and cystoscopy.Conclusion: A rare case of inflammatory myofibroblastic tumor of urinary bladder after partial cystectomy was reported. It is essential for urologists and scientists to entirely understand the characteristics of the inflammatory myofibroblastic tumor and make a better clinical guideline, to avoid over treatments.

Localized Inflammatory Myofibroblastic Tumor Involving the Genitourinary System: Adolescent Case Series and Review

Urology ◽  
2018 ◽  
Vol 122 ◽  
pp. 162-164
Author(s):  
Nicholas Saleem Raja ◽  
Ted Lee ◽  
Samuel Kaffenberger ◽  
Kate Kraft ◽  
Aaron Udager ◽  
...  
Keyword(s):  
Inflammatory Myofibroblastic Tumor ◽  
Case Series ◽  
Genitourinary System

scholarly journals Blind Dates - Potential Killers: Jujube Kernel Caused Enterobrosis Need to be Differentiated with Acute Appendicitis – A Chinese Single Center Case Series Study

2020 ◽  
Author(s):  
Zhi ye Bao ◽  
Chun hu Zhang ◽  
Bo qian Liu ◽  
Jia yi Zhu ◽  
Zhan sheng Wang ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Clinical Manifestations ◽  
Case Series ◽  
Lower Abdominal Pain ◽  
Diffuse Peritonitis ◽  
Elderly Age ◽  
Ct Examination ◽  
Case Series Study ◽  
Enhanced Ct

Abstract Background: Accidentally swallowed date kernels are high risk factors for enterobrosis. Most patients showed no obvious symptoms at the beginning but later developed lower abdominal pain, which should be differentiated with acute appendicitis, especially in elder patients without a clear medical history. This study investigated the clinical features, diagnosis and treatment of enterobrosis caused by accidentally swallowed kernel of Chinese date in adults. Methods: A retrospective analysis was performed on 14 cases of adult patients suffered from date kernel - induced enterobrosis during June 2016 to June 2019. All these patients received treatment in the first hospital of China medical university. Results: Eleven female and three male patients were diagnosed, and they were mainly in the middle to elderly age, with 12/14 patients (86%) above 50 years old. The main clinical manifestations were abdominal pain, with onset times from seven hours to four days, and all patients visited the emergency department. Physical signs of local or diffuse peritonitis were presented as guarding tenderness, rebounding, and increased rigidity. Through full-abdominal enhanced CT examination, high density linear objects were identified at the terminal or distal ileum segments in 11/14 (78%) patients. During emergent laparotomy, enterobrosis were found in all patients. Secondary perforations were also detected in 6/14 (42%) patients on the opposing side of the first puncturing sites. The fusiform kernels with two sharp tips were extracted by minimal enterotomies in 13 patients. In one patient with colonic perforation, sigmoid colostomy was performed. All patients were cured and 93% of them were discharged within two weeks. Conclusions: Full-abdominal enhanced CT examination is of great diagnostic value for the intestinal perforation caused by date kernels, and patients can benefit from early surgical treatment after definite diagnosis. Thorough exploration should be performed to detect whether a second perforation was formed on the contrary site of first piercing site. Caution should be taken to void “blind dates” ingestion, and special tools such as seeders and slicers are recommended to removal kernels in advance, thus prevent the potential killing threats of enterobrosis.

scholarly journals Cryptomenorrhea Secondary to Past Childhood Pelvic Trauma in Young Adolescent Girls: Case Series

2019 ◽  
Vol 01 (03) ◽  
pp. 119-121
Author(s):  
Syeda Batool Mazhar ◽  
Javeria Mumtaz ◽  
Qurratulain Saeed ◽  
Farzana Nawaz
Keyword(s):  
Abdominal Pain ◽  
Urinary Retention ◽  
Adolescent Girls ◽  
Diagnostic Laparoscopy ◽  
Case Series ◽  
Lower Abdominal Pain ◽  
Pelvic Trauma ◽  
Young Adolescent ◽  
Primary Amenorrhea ◽  
Detailed History

Primary amenorrhea secondary to childhood pelvic trauma is very rare. We report two cases of adolescent girls with cryptomenorrhoea. Case 1 presented at 14 years of age with primary amenorrhea and cyclical lower abdominal pain for 1 year. She was run over by a tractor when she was three years old. Ultrasonography pelvis showed hematometra. Examination under anesthesia with diagnostic laparoscopy proceed laparotomy revealed uterine avulsion at level of isthmus. The second case presented at 13 years of age with urinary retention. Catheterization was not possible due to malpositioning of urethra so suprapubic catheterization was performed by urologists. Ultrasonography pelvis revealed hematocolpos. Detailed history revealed run over injury by a vehicle when she was two years old. Examination under anesthesia showed obstruction due to adhesions high up in vagina which were divided.

scholarly journals A Case Series on Epiploic Appendagitis: An Underdog in Acute Abdomen

2021 ◽  
Author(s):  
Tharun Ganapathy Chitrambalam ◽  
Pradeep Joshua Christopher ◽  
Sudha Kanthasamy ◽  
Jeyakumar Sundaraj
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Clinical Presentation ◽  
Acute Abdominal Pain ◽  
Case Series ◽  
Lower Abdominal Pain ◽  
Surgical Excision ◽  
Epiploic Appendagitis ◽  
Common Causes ◽  
Epiploic Appendage

Epiploic appendagitis is an uncommon yet a significant surgical diagnosis that every surgeon should be aware. It occurs due to the torsion of the epiploic appendage which gives rise to acute abdominal pain that can mimic other common causes of acute abdominal pain like appendicitis or cholecystitis. The treatment of epiploic appendagitis depend on clinical presentation, severity and it varies from conservative management to surgical excision. This case series is about eight patients presented with complaints of lower abdominal pain. After clinical examination they were initially diagnosed to have appendicitis or diverticulitis. The Computed Tomography (CT) -based diagnoses were appendicitis, omental infarct, diverticulitis or epiploic appendagitis. All of them were subjected to diagnostic laparoscopy and found to have an inflammed epiploic appendage which was excised laparoscopically.

Nutcracker syndrome: symptoms of syncope and hypotension improved following endovascular stenting

Vascular ◽  
2012 ◽  
Vol 20 (6) ◽  
pp. 337-341 ◽  
Author(s):  
Ryan Daily ◽  
Jerry Matteo ◽  
Todd Loper ◽  
Martin Northup
Keyword(s):  
Abdominal Pain ◽  
Renal Vein ◽  
Left Renal Vein ◽  
Lower Abdominal Pain ◽  
Flank Pain ◽  
Nutcracker Syndrome ◽  
Endovascular Stenting ◽  
External Compression ◽  
Multiple Episodes

‘Nutcracker syndrome’ encompasses classical symptoms of hematuria and flank pain resulting from the compression of the left renal vein between the aorta and the superior mesenteric artery. In patients with unexplained left-sided hematuria, flank pain or non-specific abdominal pain, careful interrogation of diagnostic abdominal imaging should be performed to exclude the possibility of external compression on the left renal vein. The patient discussed in this case report is a 19-year-old woman with unilateral hematuria. Her symptoms started 13 months prior with nausea, lower abdominal pain and weight loss. Six months after the nausea began, she started having syncope, sometimes multiple episodes in one day. Syncope is one of the more rarely reported symptoms associated with nutcracker syndrome. As more cases are reported, endovascular repair is becoming an alternative treatment for nutcracker syndrome. The patient was treated with stenting of her left renal vein. At the three-week follow-up, she reported near resolution of nausea and abdominal pain. She had gained four pounds, no longer had gross hematuria and had had no episodes of syncope and her blood pressure had normalized. Endovascular specialists should be aware of the variety of symptoms that can occur with nutcracker syndrome, including syncope. The severity of these symptoms should guide the recommendation for intervention.

scholarly journals Pain Abdomen as a Presentation of Congenital Malrotation of Gut: A Case Series

2021 ◽  
Vol 8 (4) ◽  
pp. 65-68
Author(s):  
Syed Sajid Hussain Shah ◽  
Yousaf Aziz Khan ◽  
Bibi Aalia
Keyword(s):  
Abdominal Pain ◽  
Case Series ◽  
Failure To Thrive ◽  
Recurrent Abdominal Pain ◽  
Late Presentation ◽  
Recurrent Pain ◽  
Mortality And Morbidity ◽  
Delay In Diagnosis ◽  
History Of ◽  
Work Up

Malrotation of the gut can present at any age but the majority of patients present in neonatal period or early infancy. Most children present with a history of recurrent colicky abdominal pain, vomiting which can be bilious and failure to thrive. Delay in diagnosis leads to increase in mortality and morbidity. Here we present a series of three patients, one girl aged 6 years, one 10 months old boy and one 10 years old boy, who got admitted at our Pediatric Department in a one month period. Patients had a history of recurrent abdominal pain and occasional vomiting, seen and managed by multiple paediatricians and GP doctors with extensive diagnostic workup but never the accurate diagnosis was made. Thorough history was taken and examination done, planned work up done for diagnosis. High index of suspicion is needed in children presenting with recurrent pain in the abdomen. Targeted work-up should be done and patients be kept on follow-up for diagnosis of late presentation of congenital malrotation of the gut.

Chronic lower abdominal pain is commonly associated with pelvic congestion syndrome

2016 ◽  
Vol 76 (10) ◽  
Author(s):  
A Jurga-Karwacka ◽  
GM Karwacki ◽  
FD Schwab ◽  
A Schötzau ◽  
C Zech ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion

scholarly journals Pyometra: An Atypical Cause of Abdominal Pain

2021 ◽  
Vol 9 ◽  
pp. 232470962110224
Author(s):  
Leonidas Walthall ◽  
Marc Heincelman
Keyword(s):  
Abdominal Pain ◽  
Vaginal Discharge ◽  
Elderly Women ◽  
Lower Abdominal Pain ◽  
Endometrial Biopsy ◽  
Laboratory Evaluation ◽  
Inpatient Service ◽  
Gynecologic Malignancy ◽  
Intravenous Contrast ◽  
Lower Quadrant

Pyometra, a purulent infection of the uterus, is a rare cause of a very common complaint—abdominal pain. Risk factors include gynecologic malignancy and postmenopausal status. The classically described presentation includes abdominal pain, fever, and vaginal discharge. In this article, we present an atypical presentation of nonperforated pyometra in an 80-year-old female who was admitted to the internal medicine inpatient service. She initially presented with nonspecific subacute right lower quadrant abdominal pain. Physical examination did not demonstrate vaginal discharge. Laboratory evaluation failed to identify an underlying etiology. Computed tomography scan of the abdomen and pelvis with oral and intravenous contrast demonstrated a 6.5 × 6.1 cm cystic containing structure within the uterine fundus, concerning for a gynecologic malignancy. Pelvis ultrasound confirmed the mass. Endometrial biopsy did not reveal underlying malignancy, but instead showed frank pus, leading to the diagnosis of pyometra. This report illustrates that pyometra should be considered in the differential diagnosis of lower abdominal pain in elderly women.

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