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.

Bullosis Diabeticorum in a Young Child: Case Report of a Very Rare Entity and a Literature Review

2017 ◽  
Vol 41 (2) ◽  
pp. 129-131 ◽  
Author(s):  
Anca Chiriac ◽  
Irina Costache ◽  
Cristian Podoleanu ◽  
Adrian Naznean ◽  
Simona Stolnicu
Keyword(s):  
Case Report ◽  
Young Child ◽  
Literature Review ◽  
Rare Entity ◽  
Bullosis Diabeticorum

scholarly journals Emergency surgical management of sub-hepatic appendicular perforation with abscess; rare presentation of a common disease: a case report

2021 ◽  
Vol 9 (11) ◽  
pp. 3478
Author(s):  
S. K. Sekendar Ali ◽  
Narendra Nath Mukhopadhyay
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Perforated Appendicitis ◽  
Exploratory Laparotomy ◽  
Clinical Suspicion ◽  
Common Disease ◽  
Emergency Setting ◽  
Atypical Presentation ◽  
Rare Presentation ◽  
High Level

Subhepatic appendicitis is a very rare presentation that has been rarely reported, accounting for 0.01% of acute appendicitis case. It is difficult to diagnose and prime to be aware of variants, manage such challenging case in emergency setting. We present a case of 29 years male patient with subhepatic perforated appendicitis and its sequelae-abscess and peritonitis who underwent an exploratory laparotomy and appendectomy. The initial diagnosis and surgical management of such patients is challenging due to very rare and atypical presentation in emergency setting. A high level of clinical suspicion, promote decision to operate and skillful surgical approach is discussed with briefly.

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.

Polymorphonuclear Leukocyte Function in the Preterm Neonate: Effect of Chronologic Age

PEDIATRICS ◽  
1991 ◽  
Vol 87 (5) ◽  
pp. 675-679
Author(s):  
Shaista S. Usmani ◽  
Jerrold S. Schlessel ◽  
Concepcion G. Sia ◽  
Shahid Kamran ◽  
Shahnaz D. Orner
Keyword(s):  
Gestational Age ◽  
Polymorphonuclear Leukocyte ◽  
Preterm Neonate ◽  
Preterm Neonates ◽  
Term Neonates ◽  
Leukocyte Function ◽  
Pmn Functions ◽  
Gestational Age At Birth ◽  
Normal Adults ◽  
Age At Birth

In this study, effect of chronologic age on polymorphonuclear leukocyte (PMN) chemiluminescence and random and chemotactic motility was evaluated in 38 stable preterm neonates of less than 32 weeks' gestation during the first month of life. Chemiluminescence and random and chemotactic motility of PMNs from preterm neonates were first evaluated at mean postnatal age of 9.8 days and then weekly for an ensuing 21-day period. For comparison, one blood sample was obtained for PMN functions from 14 healthy term neonates younger than 72 hours of age and seven normal adults. On day 1 PMN chemiluminescence and random and chemotactic motility values in preterm neonates were significantly lower (P < .001) compared with those in term neonates and PMN function values of term neonates were significantly lower (P < .001) than those of adults. Although initial PMN chemiluminescence and random and chemotactic motility values in preterm neonates were depressed, subsequent values on days 7, 14, and 21 increased significantly (P < .002). On day 21 (mean postnatal age of 30.8 days) no differences existed in chemiluminescent activity and random motility between preterm and term neonates; chemotactic motility in preterm neonates, however, remained impaired. Mean cumulative age (gestational age at birth plus postnatal age) of preterm neonates on day 21 of study was 32.5 weeks, suggesting that chronologic age has more effect on maturational changes in PMN functions than gestational age.

A Case Report on the Surgical Management of Subhepatic Perforated Appendicitis: A Rare Presentation

2020 ◽  
Author(s):  
Mumin Hakim ◽  
Rania Mostafa ◽  
Mohammed Al Shehri ◽  
Sherif Sharawy
Keyword(s):  
Case Report ◽  
Acute Appendicitis ◽  
Female Patient ◽  
Surgical Management ◽  
Perforated Appendicitis ◽  
Exploratory Laparotomy ◽  
Atypical Presentation ◽  
Review Of Literature ◽  
Rare Presentation ◽  
Case Presentation

Abstract Background: Subhepatic appendicitis is an exceedingly rare presentation accounting for 0.01% of Acute appendicitis. It is of prime importance to be aware of various variants and thereby managing such challenging cases accordingly.Case presentation: We present a middle-aged female patient with subhepatic perforated appendicitis and peritonitis who underwent an exploratory laparotomy and appendectomy.Conclusions: Surgical management of such patients is challenging due to an atypical presentation. The surgical management of such patients is discussed with a brief review of literature.

Subungual Schwannoma, a Rare Entity: A Case Report and Literature Review

2020 ◽  
Vol 25 (04) ◽  
pp. 508-512
Author(s):  
Jason D. Wink ◽  
Olatomide Familusi ◽  
Ines C. Lin
Keyword(s):  
Case Report ◽  
Literature Search ◽  
Glomus Tumor ◽  
Single Case ◽  
Case Reports ◽  
Ring Finger ◽  
Dominant Male ◽  
Rare Entity ◽  
Single Case Report ◽  
Slow Growing

We present a case of a 26-year-old right hand dominant male landscaper with a slow growing right ring finger subungual mass. MRI confirmed a 0.9 × 1.5 × 0.9 cm well circumscribed subungual mass believed to be consistent with a glomus tumor, although size and symptoms were not consistent with that diagnosis. The mass was completely excised and diagnosis of schwannoma was confirmed by H&E histology. A literature search was performed utilizing the term “subungual schwannoma.” Four case reports were found describing this diagnosis in the hand as well as a single case report describing it in the foot. In summary, this is a 26-year-old male who presents with a schwannoma in the unusual subungual location. Although rare, based on our case and the existing literature, subungual schwannomas should be included in the differential diagnosis of a slow growing subungual mass, particularly if symptoms and exam are inconsistent with more common etiologies.

Hemobilia a Rare Entity: Case Report and Literature Review

2016 ◽  
Vol 04 (04) ◽  
Author(s):  
Richard Beaumont ◽  
Iris Garcia ◽  
Marie Josee Valladares
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Rare Entity

scholarly journals Intraosseous Hemangioma of the Middle Turbinate: A Case Report of a Rare Entity and Literature Review

2015 ◽  
Vol 28 (2) ◽  
pp. 148-151 ◽  
Author(s):  
Ryan Goff ◽  
Steven Weindling ◽  
Vivek Gupta ◽  
Aziza Nassar
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Middle Turbinate ◽  
Rare Entity ◽  
Intraosseous Hemangioma

scholarly journals Oesophageal atresia with tracheo-oesophageal fistula in a preterm neonate in Limbe, Cameroon: case report & brief literature review

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Leopold N Aminde ◽  
Veronica N Ebenye ◽  
Walters T Arrey ◽  
Noah F Takah ◽  
George Awungafac
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Preterm Neonate ◽  
Oesophageal Atresia

scholarly journals Gallstone Ileus: A Case Report

2020 ◽  
Vol 8 (C) ◽  
pp. 121-124
Author(s):  
Darmadi Darmadi ◽  
Riska Habriel Ruslie ◽  
Carolus Trianda Samosir
Keyword(s):  
Case Report ◽  
Mortality Rate ◽  
Bowel Obstruction ◽  
High Mortality ◽  
Medical Condition ◽  
Gallstone Ileus ◽  
Exploratory Laparotomy ◽  
Water Soluble ◽  
Intestinal Lumen ◽  
Female Population

BACKGROUND: Gallstone ileus (GI) is a mechanical obstruction in the intestinal lumen due to gallstones. Its prevalence is very low, but it possesses a high mortality rate. It is commonly found in older female population. CASE REPORT: We reported a case of GI in a 61-year-old Chinese female, who presented with acute onset of abdominal pain, nausea, and intermittent vomiting. On water-soluble contrast follow-through examination, she showed total bowel obstruction on the level of terminal ileum due to suspected gallstone. Exploratory laparotomy with procedure of enterolithotomy and stone removal by milking the bowel distal to the stone were performed. Post-operative course was uneventful, but the patient was discharged at post-operative day 8. Furthermore, the patient underwent cholecystectomy and fistula repair in the following days (two-stage surgery). She was followed up in the clinic for 12 months and the patient remained asymptomatic. CONCLUSION: GI is a rare medical condition with a high mortality rate, commonly affecting females and elder population. It must be considered in a patient with bowel obstruction, especially with a history of cholelithiasis. Many clinicians prefer enterolithotomy alone, followed by cholecystectomy at later date, because of its lower morbidity and report high spontaneous fistula closure.

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