Splenic hemangiosarcoma and concurrent ossifying gastric adenocarcinoma in a dog

1997 ◽  
Vol 33 (5) ◽  
pp. 434-437 ◽  
Author(s):  
SE Turnquist ◽  
LA Cohn ◽  
A Reed
Keyword(s):  
Weight Loss ◽  
Diagnostic Imaging ◽  
Gastric Adenocarcinoma ◽  
Abdominal Mass ◽  
Mass Effect ◽  
Abdominal Neoplasms ◽  
Pendulous Abdomen ◽  
Chronic Vomiting

An eight-year-old, spayed female, mixed Airedale terrier was presented for chronic vomiting and weight loss. Although emaciated, the dog had a pendulous abdomen with a palpable, left-sided, cranial abdominal mass. Diagnostic imaging confirmed a mass effect associated with both the spleen and stomach; it was unclear whether one mass or two was present. Necropsy confirmed the presence of two unrelated malignant abdominal neoplasms: a splenic hemangiosarcoma and an ossifying gastric adenocarcinoma.

scholarly journals Sclerosing Mesenteritis, a Rare Cause of Mesenteric Mass in a Young Adult: A Case Report

2021 ◽  
Vol 8 ◽  
Author(s):  
Eliana Piombino ◽  
Costanza D'Agata ◽  
Maria Carolina Picardo ◽  
Claudia Caltavuturo ◽  
Gaetano Magro ◽  
...  
Keyword(s):  
Weight Loss ◽  
Plasma Cells ◽  
Abdominal Mass ◽  
Correct Diagnosis ◽  
Inflammatory Cells ◽  
Mass Effect ◽  
Sclerosing Mesenteritis ◽  
Rapid Weight Loss ◽  
Eosinophilic Cytoplasm ◽  
Mesenteric Mass

Sclerosing mesenteritis (SM) is a rare fibroinflammatory disorder that involves mesenteric adipose tissue, more frequently localized in the small intestine, with an insidious clinical presentation having symptoms related to mass effect, usually resulting in bowel obstruction, mesenteric ischemia, as well as rapid weight loss. We report a case of a 23-year-old male presenting with palpable abdominal mass, mesogastric pain, and a history of rapid weight loss, who underwent exploratory laparoscopy. A hemorrhagic and gelatinous nodular tumor mass of the mesentery was identified and the surgical procedure was converted to a laparotomic approach. Histologically, the mass was composed of a proliferation of bland-looking spindle cells with slightly eosinophilic cytoplasm and elongated normochromatic nuclei with mild nuclear atypia, haphazardly set in a collagenized stroma; fat necrosis and inflammatory cells (lymphocytes, plasma-cells, and histiocytes) were also evident. The diagnosis of sclerosing mesenteritis was made. Our case emphasizes that histology remains pre-eminent for a correct diagnosis of SM, as pre-operative radiological-based diagnosis is non-specific.

scholarly journals Fetus in fetu: two case reports from North African country

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Moutaz Ragab ◽  
Omar Nagy Abdelhakeem ◽  
Omar Mansour ◽  
Mai Gad ◽  
Hesham Anwar Hussein
Keyword(s):  
Histopathological Examination ◽  
Case Reports ◽  
Abdominal Mass ◽  
Mature Teratoma ◽  
Surgical Techniques ◽  
Rare Condition ◽  
Mass Effect ◽  
Fetus In Fetu ◽  
Vascular Connection ◽  
First Case

Abstract Background Fetus in fetu is a rare congenital anomaly. The exact etiology is unclear; one of the mostly accepted theories is the occurrence of an embryological insult occurring in a diamniotic monochorionic twin leading to asymmetrical division of the blastocyst mass. Commonly, they present in the infancy with clinical picture related to their mass effect. About 80% of cases are in the abdomen retroperitoneally. Case presentation We present two cases of this rare condition. The first case was for a 10-year-old girl that presented with anemia and abdominal mass, while the second case was for a 4-month-old boy that was diagnosed antenatally by ultrasound. Both cases had vertebrae, recognizable fetal organs, and skin coverage. Both had a distinct sac. The second case had a vascular connection with the host arising from the superior mesenteric artery. Both cases were intra-abdominal and showed normal levels of alpha-fetoprotein. Histopathological examination revealed elements from the three germ layers without any evidence of immature cells ruling out teratoma as a differential diagnosis. Conclusions Owing to its rarity, fetus in fetu requires a high degree of suspicion and meticulous surgical techniques to avoid either injury of the adjacent vital structures or bleeding from the main blood supply connection to the host. It should be differentiated from mature teratoma.

scholarly journals Diagnostic utility of alarm features in predicting malignancy in patients with dyspeptic symptoms

2021 ◽  
Author(s):  
Anurag Shetty ◽  
Girisha Balaraju ◽  
Shiran Shetty ◽  
Cannanore Ganesh Pai
Keyword(s):  
Weight Loss ◽  
Epigastric Pain ◽  
Characteristic Curve ◽  
Abdominal Mass ◽  
Screening Tools ◽  
Disease Epidemiology ◽  
Dyspeptic Symptoms ◽  
Malignant Lesions ◽  
Alarm Features ◽  
Gastric Malignancy

Abstract Background Clinical features are of modest benefit in determining the etiology of dyspepsia. Dyspeptic patients with alarm features are suspected to have malignancy; but the proportions of patients and true cutoff values of various quantitative parameters in predicting malignancy are explored to a lesser extent. Methods This is a prospective observational study of consecutive patients undergoing esophagogastroduodenoscopy (EGD) for dyspeptic symptoms. Patients’ alarm features and clinical details were recorded in a predesigned questionnaire. The diagnostic accuracy of alarm features in predicting malignancy was studied. Results Nine hundred patients, 678 (75.3%) males, with a mean (standard deviation [SD]) age of 44.6 (13.54) years were enrolled. Commonest indication for EGD was epigastric pain in 614 (68.2%) patients. Dyspepsia was functional in 311 (34.6%) patients. EGD revealed benign lesions in 340 (37.8%) and malignancy in 50 (5.5%) patients. Among the malignant lesions, gastric malignancy was present in 28 (56%) and esophageal malignancy in 20 (40%) patients. Alarm features were present in 206 (22.9%), out of which malignant lesions were seen in 46 (22.3%) patients. Altogether, the alarm features had a sensitivity of 92% and specificity of 81.2% for predicting malignancy. The sensitivity and specificity for weight loss were 76% and 90.8%, while that of abdominal mass were 10% and 99.9% respectively. Based on receiver operating characteristic curve, the optimal age for screening of malignancy was 46.5 years in this population. Conclusions Patients of age group 40 to 49 years with dyspeptic alarm symptoms (predominant weight loss) need prompt endoscopy to screen for malignancy. The alarm features are inexpensive screening tools, found to be useful in India, and should be utilized in countries with similar healthcare conditions and disease epidemiology.

scholarly journals Disseminated Intravascular Coagulation as an Initial Manifestation of Metastatic Prostate Cancer Emergently Treated with Docetaxel-Based Chemotherapy

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Kavita Agrawal ◽  
Nirav Agrawal ◽  
Levin Miles
Keyword(s):  
Prostate Cancer ◽  
Weight Loss ◽  
Disseminated Intravascular Coagulation ◽  
Metastatic Prostate Cancer ◽  
Degradation Products ◽  
Specific Antigen ◽  
Mass Effect ◽  
Whole Body ◽  
Initial Manifestation ◽  
Intravascular Coagulation

A 70-year-old male presented with hematuria and bruising of arms and legs for the last three days. He also complained of urinary frequency and hesitancy and weight loss of 40 pounds over a span of four months. Initial blood tests showed prothrombin time (PT) of 25.1 seconds, international normalized ratio (INR) of 2.5, partial thromboplastin time (PTT) of 43.9 seconds, fibrinogen of 60 mg/dl, fibrin degradation products (FDP) of more than 20 μg/ml, and platelets of 88,000/μl. The impression was disseminated intravascular coagulation (DIC). A search was initiated to determine the underlying etiology precipitating DIC. Due to urinary symptoms and weight loss, prostate-specific antigen (PSA) was ordered. PSA was elevated at 942 μg/dl. Computed tomography (CT) of the abdomen and pelvis without contrast showed an enlarged prostate with mass effect on the bladder base, left-sided hydronephrosis, and numerous enlarged pelvic lymph nodes. A bone scan of the whole body showed increased sclerosis of the L3 vertebral body. There was a concern for metastatic prostate cancer precipitating DIC. On first admission, our patient’s DIC was stabilized with FFP and cryoprecipitate transfusions. He refused chemotherapy, and degarelix was not economically feasible. Accordingly, he was started on androgen deprivation therapy (ADT), bicalutamide, and leuprolide as an inpatient, pending the tissue biopsy. The patient refused a prostate biopsy. A bone marrow biopsy was performed which confirmed metastatic prostate adenocarcinoma. The patient was stable for discharge with a plan for outpatient chemotherapy. Subsequently, he was lost to follow-up with the oncology. Six months after the initial presentation, he was readmitted with hematuria. Repeat PSA worsened to 1,970 μg/dl. Blood work was consistent with acute DIC. He refused chemotherapy again. So, he was restarted on ADT. However, his hematuria and DIC panel were worsening. He was emergently started on docetaxel as an inpatient (after patient agreement). Within three days of starting chemotherapy, his hematuria resolved and DIC panel showed consistent improvement.

Esophageal/gastric adenocarcinoma in a dog

1997 ◽  
Vol 33 (1) ◽  
pp. 42-44 ◽  
Author(s):  
M Takiguchi ◽  
J Yasuda ◽  
A Hashimoto ◽  
K Ochiai ◽  
C Itakura
Keyword(s):  
Weight Loss ◽  
Gastric Adenocarcinoma ◽  
Histopathological Diagnosis ◽  
Intact Female ◽  
Mixed Breed ◽  
History Of ◽  
Contrast Radiography

A nine-year-old, intact female, mixed-breed dog was presented with a history of chronic regurgitation and weight loss. Endoscopy and contrast radiography confirmed the presence of a distal esophageal mass. The dog was euthanized, and histopathological diagnosis of the mass was an esophageal/gastric adenocarcinoma.

scholarly journals Two Neonates with Congenital Hydrocolpos

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Vydehi Murthy ◽  
Jessica Costalez ◽  
Julie Weiner ◽  
Kristin Voos
Keyword(s):  
Prenatal Diagnosis ◽  
Reproductive Tract ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Mass Effect ◽  
Cystic Mass ◽  
Sacrococcygeal Teratoma ◽  
Mri Imaging ◽  
Fetal Diagnosis ◽  
High Index Of Suspicion

Introduction. Neonatal hydrocolpos is a rare condition. Hydrocolpos is cystic dilatation of the vagina with fluid accumulation due to a combination of stimulation of secretary glands of the reproductive tract and vaginal obstruction. The differential for a neonatal presentation of lower abdominal mass includes urogenital anomalies, Hirschsprung’s, disease or sacrococcygeal teratoma. Prenatal diagnosis and early newborn imaging studies leads to early detection and treatment of these cases.Case. We report here two cases of neonatal hydrocolpos with prenatal diagnosis of lower abdominal mass. Postnatally, ultrasound, MRI imaging, and cystoscopy confirmed large cystic mass as hydrocolpos with distal vaginal obstruction. Both patients had enlarged renal system secondary to mass effect.Conclusion. High index of suspicion for hydrocolpos in a newborn presenting with fetal diagnosis of infraumbilical abdominal mass will facilitate timely intervention and prevention of complications.

scholarly journals A Chronic Psychogenic Vomiting Case of Dramatic Response to Escitalopram

2016 ◽  
Vol 3 (1) ◽  
pp. 30-31
Author(s):  
Onur Ozturk ◽  
Mustafa Yasin Selcuk
Keyword(s):  
Weight Loss ◽  
Case Report ◽  
Physical Examination ◽  
Health Center ◽  
Family Health ◽  
Previous Treatment ◽  
Specific Patient ◽  
The Family ◽  
Radiological Examinations ◽  
Chronic Vomiting

This case report describes the treatment of an interesting patient with vomiting for years. The patient admitted to the family health center with chronic vomiting and weight loss. Her physical examination was unremarkable. The complaint of patient in who organic pathogen were excluded by biochemical and radiological examinations was evaluated psychologically; her complaints were ended following the initiation of escitalopram therapy unlike previous treatment. In this report, we represent a specific patient for the escitalopram treatment and thanks to this, it contributes a unique sample to the literature about escitalopram usage in the treatment of chronic vomiting.

scholarly journals Posture controls mechanical tuning in the black widow spider mechanosensory system

2018 ◽  
Author(s):  
Natasha Mhatre ◽  
Senthurran Sivalinghem ◽  
Andrew C Mason
Keyword(s):  
Prey Capture ◽  
Abdominal Mass ◽  
Mechanical Vibration ◽  
The Body ◽  
Black Widow ◽  
Vibration Sensing ◽  
Black Widow Spiders ◽  
Freely Suspended ◽  
Pendulous Abdomen ◽  
Mechanical Tuning

Spiders rely on mechanical vibration sensing for sexual signalling, prey capture and predator evasion. The sensory organs underlying vibration detection, called slit sensilla, resemble cracks in the spider's exoskeleton, and are distributed all over the spider body. Those crucial to sensing web- and other substrate-borne vibrations are called lyriform organs and are densely distributed around leg joints. It has been shown that forces that cause bending at leg joints also activate these lyriform organs. Little is known of how the biomechanics of the body of a freely-suspended spider in its natural posture interact with vibrations introduced into the body and how this affects vibration perception. Female black widow spiders, in particular, have a striking body-form; their long thin legs support a large pendulous abdomen. Here, we show that in their natural posture, the large abdominal mass of black widow females, interacts with the spring-like behaviour of their leg joints and determines the mechanical behaviour of different leg joints. Furthermore, we find that adopting different body postures enables females to alter both the level and tuning of the mechanical input to lyriform organs. Therefore, we suggest that posture may be used to flexibly and reversibly focus attention to different classes or components of web vibration. Postural effects thus emphasize the dynamic loop of interactions between behaviour and perception, i.e. between 'brain' and body.

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