scholarly journals Right lower quadrant mass in a geriatric patient

2021 ◽  
Vol 84 (2) ◽  
pp. 383-384
Author(s):  
J Dupont ◽  
A Wolthuis ◽  
K Fagard
Keyword(s):  
Abdominal Mass ◽  
Liver Function Tests ◽  
Deficiency Anemia ◽  
Laboratory Findings ◽  
Lower Quadrant ◽  
Elevated Liver Function Tests ◽  
Ischemic Attack ◽  
Loss Of Appetite ◽  
Right Lower Quadrant ◽  
Tomography Scan

An 88-year old man presented at the geriatric outpatient clinic with fatigue and weakness since three weeks. One month before presentation, he was admitted with erysipelas of the left lower leg. After discharge, he progressively developed loss of appetite and fatigue. The day before presentation, he noticed a painless swollen lump in his right lower quadrant (Figure 1A). His medical history consisted of a transient ischemic attack, osteopenia, polymyalgia rheumatica treated with steroids, appendicular abscess treated with antibiotics and percutaneous drainage six years before, gallstones, chronic kidney disease, iron deficiency anemia and diverticulosis. Laboratory findings showed an elevated CRP (191.0mg/dL [≤ 5.0mg/dL]) and mildly elevated liver function tests. A computed tomography scan was performed and showed a large abdominal mass

scholarly journals Primary biliary cirrhosis and hepatic sarcoidosis: A case report

2014 ◽  
Vol 71 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Tamara Alempijevic ◽  
Aleksandra Sokic-Milutinovic ◽  
Ljubisa Toncev ◽  
Aleksandra Pavlovic-Markovic ◽  
Srdjan Djuranovic ◽  
...  
Keyword(s):  
Case Report ◽  
Primary Biliary Cirrhosis ◽  
Liver Function ◽  
Elevated Serum ◽  
Liver Function Tests ◽  
Unknown Etiology ◽  
Biliary Cirrhosis ◽  
Laboratory Findings ◽  
Function Tests ◽  
Elevated Liver Function Tests

Introduction. Primary biliary cirrhosis (PBC) is an immunemediated chronic progressive inflammatory liver disease leading to destruction of small interlobular bile ducts. Sarcoidosis is a chronic disorder of unknown etiology characterized by non-caseous granulomas. Case report. We reported a 69-year-old female patient with abdominal pain, malaise, vertigo, headaches, hands tremor and partial loss of hearing. Initial laboratory findings revealed elevated liver function tests and cholesterol with positive antimytochondrial and antinuclear antibodies. Liver biopsy revealed granuloma typical for PBC and granulomatous lesions typical for sarcoidosis. Elevated serum angiotensin-converting enzyme and granulomatous lesion on the brain magnetic resonance imaging (MRI) were detected and the patient was diagnosed with overlap of PBC and liver sarcoidosis and neurosarcoidosis. The patient was treated with ursodeoxicholic acid (UDCA) and prednisolone. Six months later the patient was symptom-free with laboratory findings within normal range. Conclusion. In PBC patients it is important to consider coexisting granulomatous liver diseases if elevated liver function tests persist despite UDCA therapy.

scholarly journals Giant Appendicolithiasis Presenting with Chronic Abdominal Pain and Mass: A Case Report

1970 ◽  
Vol 29 (3) ◽  
Author(s):  
Engida Abebe ◽  
Kirubel Abebe
Keyword(s):  
Patient Outcomes ◽  
District Hospital ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Chronic Abdominal Pain ◽  
Abdominal Ct ◽  
Lower Quadrant ◽  
High Index Of Suspicion ◽  
Right Lower Quadrant ◽  
Cecal Cancer

BACKGROUND: Appendicitis is the most common cause of acute abdomen. The diagnosis of appendicitis can be easy when it presents with the classical symptoms or is very challenging when present with atypical presentation. Around 20-30% of patients operated on for appendicitis have appendicolithiasis. Appendicolithiasis are usually small in size, and are called giant when more than 2cm in size.CASE DETAIL: A 36 years old man was referred from a district hospital with a diagnosis of cecal cancer. His complaints were right lower quadrant (RLQ) abdominal mass of 03 months and pain of 18 months duration. Colonoscopy was normal but abdominal CT showed a RLQ mass with a dense radio-opaque shadow at its center.CONCLUSIONS: Giant appendicolith is a rare condition. A high index of suspicion and careful review of imaging findings is the key in early diagnosis and improved patient outcomes. 

scholarly journals Appendiceal Mucocele Presenting as a Right Adnexal Mass: A Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Grigor Gortchev ◽  
Slavcho Tomov ◽  
Dobromir Dimitrov ◽  
Vasil Nanev ◽  
Tatyana Betova
Keyword(s):  
Adnexal Mass ◽  
Abdominal Mass ◽  
Gynecologic Oncology ◽  
Cystic Mass ◽  
Tumor Removal ◽  
Lower Quadrant ◽  
Surgical Specimen ◽  
Mucocele Of The Appendix ◽  
The Right ◽  
Right Lower Quadrant

A 68-year-old female presented to the Gynecologic Oncology Clinic with a right-lower quadrant abdominal mass  cm in diameter palpable on pelvic examination. Her routine laboratory tests were normal. Transvaginal ultrasonography revealed a cystic mass in the right adnexa 3.9 cm in diameter, which was thought to arise in the ovary. At the time of laparoscopy, a  cm tumor arising from the distal end of the appendix was noted. A laparoscopic appendectomy with tumor removal was performed. Histologic examination of the surgical specimen revealed a mucocele of the appendix (AM). Although rare, this tumor should be considered in the differential diagnosis of a right adnexal mass. These tumors can be identified laparoscopically and removed by minimally invasive surgery.

scholarly journals Abdominal Mass Secondary to Human Toxocariasis

2017 ◽  
Vol 8 (1) ◽  
pp. 4 ◽  
Author(s):  
Javad Ghoroubi ◽  
Leili Mohajerzadeh ◽  
Maliheh Khoddami ◽  
Alireza Mirshemirani ◽  
Naser Sadeghian ◽  
...  
Keyword(s):  
Abdominal Mass ◽  
Ileocecal Valve ◽  
Large Mass ◽  
Larva Migrans ◽  
Abdominal Ultrasonography ◽  
Lower Quadrant ◽  
Helminthic Infection ◽  
History Of ◽  
Abdominal Examination ◽  
Right Lower Quadrant

Toxocariasis is an extensive helminthic infection that leads to visceral larva migrans in humans. A 2.5-year-old girl referred for abdominal mass. She had history of pharyngitis for two weeks. There were no other symptoms. Abdominal examination revealed an irregular solid mass in right lower quadrant (RLQ). Abdominal ultrasonography revealed an echohetrogenic large mass in RLQ, liver, and retroperitoneal area. Abdominal CT scan showed a huge mass. At laparotomy a large retroperitoneal mass that involved right liver lobe, bladder, ileocecal valve, small and large intestines was found. At histopathology diagnosis of toxocariasis was made.

scholarly journals Biliary Sphincter of Oddi Dysfunction

2021 ◽  
Vol 15 (1) ◽  
pp. 443-449
Author(s):  
Asim Haider ◽  
Ayesha Siddiqa ◽  
Nisha Ali ◽  
Shehriyar Mehershahi
Keyword(s):  
Liver Function ◽  
Sphincter Of Oddi ◽  
Liver Function Tests ◽  
Sphincter Of Oddi Dysfunction ◽  
Quadrant Pain ◽  
Laboratory Findings ◽  
Function Tests ◽  
Laboratory Investigations ◽  
Elevated Liver Function Tests ◽  
Oddi Dysfunction

Sphincter of Oddi dysfunction (SOD) is a syndrome caused by either dyskinesia or stenosis of the sphincter of Oddi. It has been categorized into biliary and pancreatic SOD based on clinical features and laboratory findings. We present a case of a 51-year-old female (post-cholecystectomy) who presented with intermittent chronic right upper quadrant pain. Laboratory investigations showed persistently elevated liver function tests and a dilated common bile duct without the presence of any stones. Endoscopic retrograde cholangiopancreatography with manometry showed an elevated sphincter of Oddi pressure, thus confirming the diagnosis of SOD. She underwent endoscopic sphincterotomy and papillotomy with normalization of liver function tests and resolution of her chronic symptoms.

scholarly journals Mesenteric Adenitis Caused by Salmonella Typhi: A Case Report

2021 ◽  
Vol 20 (2) ◽  
Author(s):  
Nik Haszroel Hysham Nik Hashim ◽  
Nur Ain Che Azmi
Keyword(s):  
Abdominal Ultrasound ◽  
Salmonella Typhi ◽  
Full Blood Count ◽  
Quadrant Pain ◽  
Lower Quadrant Pain ◽  
Lower Quadrant ◽  
Right Lower Quadrant Pain ◽  
Mesenteric Adenitis ◽  
Loss Of Appetite ◽  
Right Lower Quadrant

Both mesenteric adenitis and acute appendicitis may present with fever and right lower quadrant pain. This presentation makes it challenging to provide a timely and accurate diagnosis to avoid unnecessary surgery. We report a case of an 8-year-old who was admitted with fever and right lower quadrant pain, loss of appetite, and diarrhoea. There were tenderness and rigidity in the right lower quadrant of the abdomen. Hepatomegaly was present. Full blood count showed pancytopenia, and serum transaminases were mildly elevated. The clinical features in typhoid fever are not specific, making it difficult to differentiate from other infectious causes such as malaria, dengue, or leptospirosis, common in the region. This report illustrates a rare case of mesenteric adenitis caused by Salmonella serotype Typhi. It also shows the benefit of doing an abdominal ultrasound to help the surgeon decide whether surgery is necessary.

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