scholarly journals ADULT PRESENTATION OF HIRSCHSPRUNG’S DISEASE; A CASE REPORT

2021 ◽  
Vol 31 (03) ◽  
pp. 163-166
Author(s):  
Zainab Malik ◽  
Salma Gul ◽  
Khurram Khaliq Bhinder
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Rare Case ◽  
Young Patients ◽  
Lower Abdominal Pain ◽  
Hirschsprung Disease ◽  
Failure To Thrive ◽  
Late Presentation ◽  
Congenital Diseases ◽  
Adult Presentation

 Abstract  Young patients presenting with chronic constipation and failure to thrive, should be promptly investigated and looked upon for late presentation of congenital diseases like Hirschsprung disease (HD). This case is reported to highlight rare case of adult presentation of HD who presented to emergency department with complaints of lower abdominal pain, flatulence and lethargy. Considering the findings of CT scan suspicion of Adult presentation of HD was given and lateral biopsy confirmed the diagnosis.   

A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

2020 ◽  
pp. 1-3
Author(s):  
Jinping Xu ◽  
Jinping Xu ◽  
Ruth Wei ◽  
Salieha Zaheer
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Femoral Hernia ◽  
Rare Case ◽  
Hernia Recurrence ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
History Of

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

scholarly journals The Effect of Leucocytosis, Gender Difference, and Ultrasound in the Diagnosis of Acute Cholecystitis in the Elderly Population

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Arda Demirkan ◽  
Ayça Koca Tanrıverdi ◽  
Arda Çetinkaya ◽  
Onur Polat ◽  
Müge Günalp
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Acute Cholecystitis ◽  
Blood Cells ◽  
White Blood Cells ◽  
Young Patients ◽  
The Elderly ◽  
Quadrant Pain ◽  
Group I ◽  
Group Ii

Introduction. Acute cholecystitis is one of the most common reasons of acute abdominal pain for older patients to present to the emergency department (ED). Presentation may differ from that of the younger patient and is often complicated by coexistent disease due to elderliness. In this study, we aimed to evaluate the clinical presentation of acute cholecystitis, with special focus on comparision between elderly and young patients. Materials and Methods. This study included 318 patients who were admitted to the emergency department with right upper quadrant pain during a period of determined 8 months. After retrospective data collection, patients were groupped in accordance with their age, <65 and ≥65 years. Those who had ultrasonographic signs such as wall thickening and fluid collection were diagnosed as acute cholecystitis. Results. The young group (Group I) consisted of 225 patients, 132 females and 93 males. In Group I, 39 patients were diagnosed as acute cholecystitis of whom 27 were females and 15 were males. The elderly group (Group II) consisted of 93 patients 48 females and 45 males. In Group II, 36 patients were diagnosed as acute cholecystitis of whom 15 were females and 21 were males. Regarding the diagnosis of acute cholecystitis, the female to male ratio is 2.25 in Group I and 0.71 in Group II (p=0.016). The average white blood cells counts of patients with acute cholecystitis in Group I and in Group II were 9907x109/L(±4.437) and 17083x109/L(±7485), respectively (p<0,001). Conclusions. Acute cholecystitis is a common diagnosis in elderly patients with right upper quadrant pain. It is more frequent in female in the early ages, but the gender difference tends to change with age. Elderly patients demonstrate a higher level of white blood cells when compared to young patients in acute cholecystitis. Clinicians must maintain a degree of awareness in the evaluation of geriatric patients with right upper quadrant abdominal pain.

scholarly journals A rare case of extragonadal immature teratoma mimicking as subserosal pedunculated myoma

2020 ◽  
Vol 9 (6) ◽  
pp. 2649
Author(s):  
Aditi Rai ◽  
Ramesh Bettaiah ◽  
Minal Kumbhalwar ◽  
Isha Rani ◽  
Hema Garlapati
Keyword(s):  
Abdominal Pain ◽  
Rare Case ◽  
Mature Teratoma ◽  
Young Patients ◽  
Immature Teratoma ◽  
Primary Surgery ◽  
Ovarian Cancers ◽  
Histopathologic Diagnosis ◽  
Preservation Of Fertility ◽  
Cell Malignancy

Immature teratomas are usually derived from a malignant transformation of mature teratoma. The pure immature teratoma accounts for less than 1% of all ovarian cancers. It is the second most common germ cell malignancy and accounts for 10-20% of all ovarian malignancies seen in women younger than 20 years of age. Extragonadal origin are extremely rare and the most common extragonadal site of these teratomas is the omentum. We hereby describe a case report of a 29-year-old lady who presented with abdominal pain and her imaging with an ultrasound revealed a mass with features suggestive of a subserosal fibroid. She underwent a laproscopic myomectomy. A histopathologic diagnosis of Immature teratoma was made following her primary surgery. She subsequently underwent a staging laparotomy which was followed by chemotherapy. Immature teratomas predominantly occur in young patients, and preservation of fertility is an important factor in its management. Treatment should be initiated as soon as possible after surgery, preferably within 7-10 days, in those patients who require chemotherapy.

scholarly journals Hematocolpos mimicking acute urinary retention in Emergency Department

2013 ◽  
Vol 12 (1) ◽  
pp. 81-82
Author(s):  
Sazwab Reezak Shamsuddin ◽  
Mohd Syafwan bin Adnan ◽  
Mohd Hashairi Fauzi
Keyword(s):  
Emergency Department ◽  
Urinary Tract Infection ◽  
Abdominal Pain ◽  
Clinical Practice ◽  
Urinary Tract ◽  
Acute Urinary Retention ◽  
Medical Science ◽  
Lower Abdominal Pain ◽  
Unusual Finding ◽  
Lower Urinary

Lower abdominal pain with lower urinary tracts symptoms in young girls presented to Emergency Department (ED) is urinary tract infection (UTI) until proven otherwise. We reported a case of classic UTI presentation with unusual finding of hematocolpos. We believed the unusual circumstance of this case is likely to be repeated in some other clinical practice and such differential diagnoses should be considered. DOI: http://dx.doi.org/10.3329/bjms.v12i1.13357 Bangladesh Journal of Medical Science Vol. 12 No. 01 January’13 pp.81-82

scholarly journals Duodenal perforation in an adult with uncorrected Tetralogy of Fallot

2020 ◽  
Vol 6 (1) ◽  
pp. 23-25
Author(s):  
Jamil Ahmad ◽  
Hira Bakhtiar ◽  
Maryam Karim
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Data Analysis ◽  
Tetralogy Of Fallot ◽  
Conflict Of Interest ◽  
Rare Case ◽  
Research Data ◽  
Duodenal Perforation ◽  
Common Cause ◽  
Collection Data

Intestinal perforation is a common cause of acute abdomen presenting in the Accident & Emergency department. A rare case is presented of a 34-year-old male, known case of uncorrected Tetralogy of Fallot (TOF), developing sudden abdominal pain, bilious vomiting and jaundice. The authors declared no conflict of interest. All authors contributed substantially to the planning of research, data collection, data analysis, and write-up of the article, and agreed to be accountable for all aspects of the work.

scholarly journals Laparoscopic transabdominal preperitoneal repair of concurrent spigelian and groin hernias: a rare case

2021 ◽  
Vol 8 (7) ◽  
pp. 2244
Author(s):  
Aditya C. Oak ◽  
Vishakha R. Kalikar ◽  
Ankur K. Patel ◽  
Roy V. Patankar
Keyword(s):  
Abdominal Pain ◽  
Mesh Repair ◽  
Rare Case ◽  
Lower Abdominal Pain ◽  
Abdominal Wall Hernia ◽  
Spigelian Hernia ◽  
Preperitoneal Repair ◽  
Rare Type ◽  
Direct Hernia ◽  
Groin Hernias

Spigelian hernia is a rare type of abdominal wall hernia due to congenital defect in the transversus aponeurosis fascia. It has a prevalence of 2%. Traditionally, an anterior hernioplasty was used to repair these defects. Only a few cases have been reported in the literature. Here we discuss a case of a 66 year old female with chronic lower abdominal pain with swelling in left inguinal area diagnosed with spigelian hernia on ct scan along with left direct hernia as well as left femoral hernia found incidentally and repaired using totally extra peritoneal single mesh repair.

Lipoleiomyoma Causing Adnexal Torsion

2016 ◽  
Vol 33 (1) ◽  
pp. 47-49 ◽  
Author(s):  
Christopher Kiefer ◽  
Joseph Minardi ◽  
Debra Williams ◽  
Shelley M. Layman
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Fibrous Tissue ◽  
Lower Abdominal Pain ◽  
Reproductive Age ◽  
Emergency Physicians ◽  
Adnexal Torsion ◽  
Aged Woman ◽  
Middle Aged Woman ◽  
Patient At Risk

Abdominal pain in women of reproductive age is a frequently encountered chief complaint in the emergency department. Adnexal torsion is a time-sensitive diagnosis that is essential for emergency physicians to consider in the initial differential diagnosis. Bedside sonography can be used to assist the clinician in the detection of adnexal masses placing the patient at risk for torsion. Lipoleiomyomas are uncommon, benign neoplasms consisting of variable portions of mature lipocytes, smooth muscle, or fibrous tissue. Very few cases have been reported, with no cases previously reported by emergency physicians using bedside ultrasound. A case is presented of a middle-aged woman who presented to the emergency department with acute lower abdominal pain. At the time of the initial history and physical examination, bedside screening sonogram was performed, which allowed rapid diagnosis of a large, heterogeneous, relatively avascular adnexal mass that was later identified as a lipoleiomyoma, a rare adnexal neoplasm, that resulted in adnexal torsion.

scholarly journals Uterus Didelphys: Report of a Puerperal Torsion and a Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Lucio M. A. Cipullo ◽  
Slobodan Milosavljevic ◽  
Elisabeth D. van Oudgaarden
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Caesarean Section ◽  
Lower Abdominal Pain ◽  
Emergency Laparotomy ◽  
Review Of The Literature ◽  
Uterus Didelphys

A 29-year-old Para 2 was admitted to the emergency department with increasing lower abdominal pain. The patient had undergone an uncomplicated elective repeat caesarean section 7 days before being admitted to the emergency department. An emergency laparotomy revealed a uterus didelphys with a torsion of one of the uteri.

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.

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