Gastrointestinal Intramural Pancreatic Pseudocysts in a Dog: A Case Report and Human Literature Review

2021 ◽  
Author(s):  
Tiffany A. Johnson ◽  
Arathi Vinayak ◽  
Jin Y. Heo ◽  
Todd A. Green
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Disease Process ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Pancreatic Pseudocysts ◽  
Serum Samples ◽  
Cystic Fluid ◽  
Duodenal Resection ◽  
Intraoperative Gastroscopy

ABSTRACT A 9.5 yr old Yorkshire terrier presented with chronic intermittent vomiting and lethargy of 1.5 yr duration that progressed to generalized weakness. Insulin:glucose ratio was consistent with an insulinoma. Triple-phase computed tomography revealed a mid-body pancreatic nodule. The mid-body pancreatic nodule was enucleated; histopathology was consistent with an insulinoma. Two weeks after the operation, the dog presented for anorexia and diarrhea. Abdominal ultrasound revealed a thick-walled cystic lesion along the dorsal stomach wall. An intramural gastric pseudocyst was diagnosed via exploratory laparotomy and intraoperative gastroscopy. Comparison of amylase and lipase levels of the cystic fluid with that of concurrent blood serum samples confirmed the lesion was of pancreatic pseudocyst origin. The gastric pseudocyst was omentalized. Two weeks after the operation, the dog re-presented for anorexia, regurgitation, and diarrhea. An intramural duodenal pseudocyst was identified and treated with a duodenal resection and anastomosis. The dog has remained asymptomatic and recurrence free based on serial abdominal ultrasounds 22 mo following insulinoma removal. To our knowledge, this phenomenon of pancreatic pseudocysts forming in organs other than the pancreas has not been reported in dogs. This case report and comprehensive human literature review purpose is to raise awareness of this disease process in dogs.

scholarly journals Mysterious Gelly Belly: a Case Report of Pseudomyxoma Peritonei and Literature Review

2020 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Literature Review ◽  
Pseudomyxoma Peritonei ◽  
Clinical Condition ◽  
Imaging Techniques ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Primary Site ◽  
Diffuse Abdominal Pain

Pseudomyxoma peritonei (PMP) is a rare clinical condition defined as extensive intraperitoneal spread of mucus associated with a variety of mucinous tumors. Although appendix has usually been implicated as the primary site, some reports found no cause. This case also describes a PMP with no identifiable primary site. A 52-year-old male presented with an abdominal distension evolving for 3 months associated with diffuse abdominal pain, imaging techniques objective intra peritoneal mucoid materials with septated ascites but it failed to identify the primary site. Exploratory laparotomy with Biopsy confirmed PMP but also failed to found the original site.

Leiomyoma of the Ileum: A Case Report and Literature Review

2016 ◽  
Vol 70 (1) ◽  
pp. 43-46
Author(s):  
Ivana Roso ◽  
Igor Fildiski ◽  
Milcho Panovski
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Literature Review ◽  
Clinical Presentation ◽  
Exploratory Laparotomy ◽  
Definitive Diagnosis ◽  
Histopathological Analysis ◽  
Laboratory Findings ◽  
Ct Angiogram ◽  
Small Intestines

Abstract Introduction. Leiomyomas are infrequently localized on the ileum. They are diagnosed accidentally or due to complications from their existence. Case report. We present a case of a 65-year-old patient, with CT angiogram performed due to a pain, swelling and coldness in the lower extremities, which pointed to a well-vascularized tumorous formation on the small intestines. Anamnestic and laboratory findings were negative for the existence of carcinoid. Exploratory laparotomy with partial resection of the ileum was performed, using “no touch” technique and a termino-terminal anastomosis was done. Results. The operative and postoperative period were uneventful. The histopathological finding confirmed leiomyoma of the small bowel. Conclusions. Leiomyomas of the small intestines are rare and their clinical presentation is atypical. The surgical therapy is primary and often indicated to accidentally discovered lesions. Definitive diagnosis is confirmed with histopathological analysis from which the further therapy depends.

scholarly journals Comedone-Like Lesions as a Manifestation of Lichen Planopilaris beyond the Scalp: A Case Report with Dermoscopic Features and Literature Review

2021 ◽  
pp. 106-113
Author(s):  
Wimolsiri Iamsumang ◽  
Suthinee Rutnin ◽  
Poonkiat Suchonwanit
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Lichen Planus ◽  
Disease Process ◽  
The Body ◽  
The Other ◽  
Inflammatory Condition ◽  
Lichen Planopilaris ◽  
Scarring Alopecia ◽  
Clinical Presentations

Lichen planopilaris is a rare inflammatory condition that is also known as follicular lichen planus. Although the condition commonly affects the scalp, it sometimes involves the other regions of the body with a variety of clinical presentations. The involvement beyond the scalp is considered to be a generalized nature of disease process. In this report, we present a case of generalized follicular lichen planus in a 34-year-old Thai female presenting with comedone-like lesions on the trunk and extremities as well as scarring alopecia on the scalp. Dermoscopic features were also discussed.

scholarly journals Pseudopregnancy ...a case report

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Literature Review ◽  
Disease Process ◽  
Signs And Symptoms ◽  
Scientific Explanations ◽  
Societal Pressure

Pseudopregnancy is a condition in which there is a firm belief of a non-pregnant woman in her pregnancy [1-3]. It is a cluster of many signs and symptoms which includes rare and strange phenomena like pseducyesis, delusion of pregnancy, false pregnancy, phantom pregnancy, historical pregnancy, simulated pregnancy etc [2,3]. This case study along with the literature review will follow the scientific explanations and the strong societal pressure on women that precipitate and maintain this disease process [1-3].

scholarly journals Pancreatic Pseudocyst with Fistula to the Common Bile Duct Resolved by Combined Biliary and Pancreatic Stenting – A Case Report and Literature Review

2009 ◽  
Vol 23 (8) ◽  
pp. 557-559 ◽  
Author(s):  
Jaber A Al Ali ◽  
Henry Chung ◽  
Peter L Munk ◽  
Michael F Byrne
Keyword(s):  
Case Report ◽  
Chronic Pancreatitis ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Literature Review ◽  
Pancreatic Pseudocyst ◽  
Unusual Case ◽  
Present Report ◽  
Pancreatic Pseudocysts ◽  
The Common

Pancreatic pseudocysts develop in 10% to 20% of patients with chronic pancreatitis, and can cause a variety of complications such as infection, bleeding or development of fistulae. However, fistulous communication with the common bile duct is very rare. The present report describes an unusual case of a patient with a large, symptomatic pancreatic pseudocyst with a fistula to the common bile duct that was treated successfully by combined biliary and pancreatic stenting.

scholarly journals An Unusual Presentation of Ludwig’s Angina Complicated by Cervical Necrotizing Fasciitis: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Kristelle Chueng ◽  
David J. Clinkard ◽  
Danny Enepekides ◽  
Yousef Peerbaye ◽  
Vincent Y. W. Lin
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Literature Review ◽  
Necrotizing Fasciitis ◽  
Disease Process ◽  
Unusual Presentation ◽  
Airway Compromise ◽  
Review Of The Literature ◽  
Ludwig’S Angina ◽  
Ludwig's Angina

Ludwig’s angina can seldom be complicated by necrotizing fasciitis. Due to the rapidly progressing nature of this infection and the potential for airway compromise and death, it is important to be aware of different ways in which this disease process can present in order to recognize and treat it emergently. We report here an unusual presentation of a case of Ludwig’s angina complicated by necrotizing fasciitis in an elderly patient. The clinical features, diagnosis, and treatment are discussed in detail as well as a brief literature review on craniocervical necrotizing fasciitis.

scholarly journals Mysterious Gelly Belly: a Case Report of Pseudomyxoma Peritonei and Literature Review

2020 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Literature Review ◽  
Pseudomyxoma Peritonei ◽  
Clinical Condition ◽  
Imaging Techniques ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Primary Site ◽  
Diffuse Abdominal Pain

Pseudomyxoma peritonei (PMP) is a rare clinical condition defined as extensive intraperitoneal spread of mucus associated with a variety of mucinous tumors. Although appendix has usually been implicated as the primary site, some reports found no cause. This case also describes a PMP with no identifiable primary site. A 52-year-old male presented with an abdominal distension evolving for 3 months associated with diffuse abdominal pain, imaging techniques objective intra peritoneal mucoid materials with septated ascites but it failed to identify the primary site. Exploratory laparotomy with Biopsy confirmed PMP but also failed to found the original site.

scholarly journals Transverse Colonic Volvulus: A Case Report and Literature Review of a Rare Disease

2019 ◽  
pp. 1-6
Author(s):  
John Cull ◽  
John Cull ◽  
Joshua Schammel ◽  
Palmer M ◽  
Schammel C
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Literature Review ◽  
Rare Disease ◽  
Surgical Procedures ◽  
Transverse Colon ◽  
Delayed Diagnosis ◽  
Exploratory Laparotomy ◽  
Colonic Volvulus ◽  
Cancer Inflammation

Obstructions of the large and small bowel are frequently caused by cancer, inflammation, post-surgical adhesions, hernias, and, more rarely, volvulus, representing <10% of all reported cases. Of these, volvulus of the transverse colon (TCV) is found in <5% of all instances of colonic volvulus with delayed diagnosis and treatment resulting in infarction, peritonitis, and death. Given the morbidity and the fact that TCV most often develops acutely, diagnosis of this condition is considered to be a surgical emergency. Common surgical procedures to correct this often involve urgent exploratory laparotomy, followed by either colopexy or colectomy with subsequent creation of colostomy or anastomoses. This is a review of all of the treatment and complications of transverse colonic volvulus published in the last 75 years.

scholarly journals Perforated appendicitis in a preterm neonate: A case report with literature review

2017 ◽  
Vol 3 (4) ◽  
pp. 6
Author(s):  
Sanuja Bose ◽  
Derek Wakeman
Keyword(s):  
Case Report ◽  
Mortality Rate ◽  
Literature Review ◽  
Gestational Age ◽  
Literature Search ◽  
Preterm Neonate ◽  
Perforated Appendicitis ◽  
Exploratory Laparotomy ◽  
Preterm Neonates ◽  
Rare Entity

Neonatal appendicitis is a rare entity, with a mortality rate that has decreased in past decades but remained high. Of cases reported in the literature, more than 50% occur in preterm neonates, and none have been diagnosed preoperatively. Here, we report the case of a female infant of 27-4/7 weeks’ gestational age, who presented with perforated appendicitis on day of life (DOL) 30. She was thought to have medically refractory necrotizing enterocolitis (NEC), but was found, instead, to have perforated appendicitis during an exploratory laparotomy. A thorough literature search indicates she is the second youngest neonate to survive perforated appendicitis to date.

Pseudolymphoma of the parapharyngeal space

1991 ◽  
Vol 105 (2) ◽  
pp. 137-140
Author(s):  
Barbara Kreel ◽  
John S. Rubin ◽  
Elaine S. Jaffe
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Head And Neck ◽  
Parapharyngeal Space ◽  
Disease Process ◽  
Accurate Diagnosis ◽  
First Case

AbstractA case report of pseudolymphoma of the parapharyngeal space is presented, together with a literature review of pseudolymphoma and management suggestions for such lesions when they occur in the head and neck. To the best of the authors' knowledge, this represents the first case report of pseudolymphoma presenting within the parapharyngeal space. The key to management of these lesions is based on accurate diagnosis, with differentiation of pseudolymphoma from lymphocytic lymphoma, the disease process which it mimics.

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