scholarly journals A Rare Presentation of Gastric Carcinoma With Gastric Perforation and Septic Shock

Cureus ◽  
2021 ◽  
Author(s):  
Reem Moala AlHazmi ◽  
Dunya Nasrallah Alfaraj ◽  
Shaykhah Nasser AlNaimi ◽  
Sarah Mohammed AlQahtani ◽  
Mashael Hamed AlJuwayed ◽  
...  
2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Tiffany A. Perkins ◽  
Alberic Rogman ◽  
Murali K. Ankem

Abstract Background Emphysematous pyelonephritis (EPN) with gas in the inferior vena cava (IVC) is a rare presentation and to our knowledge, this is the first case report in the urologic literature. Case presentation A 35-Year-old obese diabetic Hispanic female presented to the emergency room with a clinical picture of septic shock. Prompt computerized tomography scan revealed EPN with gas throughout the right renal parenchyma and extending to the right renal vein, IVC, and pulmonary artery. She died before surgical intervention Conclusion This case demonstrates that patients presenting with severe EPN have a high mortality risk and providers should acknowledge that septic shock, endogenous air emboli, or a combination of both could result in cardiovascular collapse and sudden death.


2016 ◽  
Vol 21 (4) ◽  
pp. 207
Author(s):  
KartikChandra Mandal ◽  
Shibsankar Barman ◽  
Samiran Biswas ◽  
Rajarshi Kumar ◽  
Madhumita Mukhopadhyay ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Richdeep S. Gill ◽  
Sumeet S. Gill ◽  
Harshdeep Mangat ◽  
Sarvesh Logsetty

Gastric tuberculosis is a rare presentation of tuberculosis infection. Gastric perforation associated with tuberculosis is exceedingly rare with five previously published cases. We present a case of a male patient that developed presumed gastric tuberculosis secondary to pulmonary tuberculosis infection. He subsequently developed gastric perforation and sepsis, for which he was treated both surgically and medically. Despite ongoing antituberculosis treatment, the patient's condition worsened and the patient died secondary to multiorgan failure. This case highlights gastric perforation as a rare but devastating complication of pulmonary tuberculosis.


2010 ◽  
Vol 92 (1) ◽  
pp. e27-e28 ◽  
Author(s):  
Raed Tayyem ◽  
Imran Ilyas ◽  
Iain Smith ◽  
Ian Pickford

Rapunzel syndrome complicated with gastric perforation is a very rare presentation of trichobezoar. Trichobezoar is an uncommon condition affecting predominantly females. It has non-specific clinical presentation, a wide range of complications, and, if not treated appropriately, carries significant mortality. Traditional treatment of trichobezoar is surgical, though, attempts have been made to excise endoscopically, dissolve chemically or fragment using extracorporeal shock waves. We report a case of a very large trichobezoar occupying most of the stomach and duodenum complicated with gastric perforation, and summarise the literature regarding trichobezoar aetiology, diagnostic difficulties, and management.


2020 ◽  
Vol 10 (3) ◽  
pp. 215-217
Author(s):  
Mohammad Kamrul Ahsan ◽  
Jamal Uddin Ahmed ◽  
Md Jubaidul Islam

Norwegian scabies is characterized by hyperkeratotic, heavily scaling, crusted lesions rarely presents as exfoliative dermatitis (erythroderma). This term applies when 90% or more of the skin surface is involved by scabies. A 75-year-old woman having uncontrolled diabetes mellitus and hypertension was admitted in BIRDEM general hospital with generalized erythroderma for 6 months and high fever along with vomiting for 4 days. Clinical and laboratory findings were suggestive of severe sepsis with septic shock, which were being managed by supportive medications. Microscopic examination of scales and crusts dissolved in 10% KOH revealed fields teeming with scabies mites and eggs. A skin biopsy was planned but could not be done due to critical condition of the patient. Despite of all supportive measures, patient expired due to septic shock before starting definitive treatment of Norwegian scabies. Birdem Med J 2020; 10(3): 215-217


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