scholarly journals Retroperitoneal Ganglioneuroma in a Patient Presenting With Vague Abdominal Pain

Cureus ◽  
2020 ◽  
Author(s):  
Malik Hatim Hussain ◽  
Zafar Iqbal ◽  
Muhammad Shoaib Mithani ◽  
Muhammad Noman Khan
Keyword(s):  
Abdominal Pain ◽  
Vague Abdominal Pain

Extramedullary haematopoiesis presenting as a periportal mass

2020 ◽  
Vol 13 (7) ◽  
pp. e235064
Author(s):  
Faranak Rafiee ◽  
Sara Haseli ◽  
Seyed Hamed Jafari ◽  
Pooya Iranpour
Keyword(s):  
Bone Marrow ◽  
Abdominal Pain ◽  
Histopathological Examination ◽  
Final Diagnosis ◽  
Extramedullary Haematopoiesis ◽  
Abdominal Ct ◽  
Rare Presentation ◽  
Abdominal Ct Scan ◽  
History Of ◽  
Vague Abdominal Pain

Extramedullary haematopoiesis (EMH) is defined as haematopoiesis occurring in organs outside the bone marrow. The liver is one of the rare sites of EMH, and to the best of our knowledge, a few cases of adult EMH of the liver have been reported in the last 20 years. Here, we reported the case of a 68-year-old man with a known history of myelofibrosis presented with vague abdominal pain. An abdominal CT scan showed a hypoattenuating periportal mass encasing the portal vein. The final diagnosis of EMH was made through the histopathological examination. This is a rare presentation of EMH, which may be easily mistaken for other pathologies such as metastases. Familiarity with this type of presentation aids in correctly diagnosing it in an appropriate clinical setting.

Giant Celiac Artery Aneurysm with Associated Visceral Occlusive Disease

Vascular ◽  
2004 ◽  
Vol 12 (6) ◽  
pp. 390-393
Author(s):  
Marcus D'Ayala ◽  
Jonathan S. Deitch ◽  
John deGraft-Johnson ◽  
Eric Nguyen ◽  
Deirdre McGagh ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Clinical Practice ◽  
Unusual Case ◽  
Surgical Repair ◽  
Artery Aneurysm ◽  
Celiac Artery ◽  
Occlusive Disease ◽  
Open Surgical Repair ◽  
Celiac Artery Aneurysm ◽  
Vague Abdominal Pain

Celiac artery aneurysms are rarely seen in clinical practice. We report an unusual case of a large celiac artery aneurysm in a patient with associated visceral occlusive disease who presented with vague abdominal pain and underwent uneventful open surgical repair.

Type IIIb Endoleak Associated with an Infected Thoracoabdominal Endograft

2016 ◽  
Vol 11 (5) ◽  
pp. 367-369
Author(s):  
Nathan T. Orr ◽  
Michael A. Winkler ◽  
Eleftherios S. Xenos
Keyword(s):  
Abdominal Pain ◽  
Stent Graft ◽  
Male Patient ◽  
Thoracoabdominal Aneurysm ◽  
Type Iiib ◽  
Aneurysm Repair ◽  
Endograft Infection ◽  
Thoracoabdominal Aneurysm Repair ◽  
Infectious Etiology ◽  
Vague Abdominal Pain

We present a 63-year-old male patient who presented with vague abdominal pain after an endoluminal thoracoabdominal aneurysm repair. He was found to have an infected endograft and an associated type IIIb endoleak. We believe that the infection contributed to the fabric degradation along the endograft and resulted in an expanding endoleak. Graft explantation was not performed because of the patient's multiple comorbidities, and the endoleak was treated with an additional stent graft and suppressive antibiotics. Endograft infection may lead to endograft degradation and associated leak. Therefore, an infectious etiology, although rare, should be considered when evaluating a delayed type IIIb endoleak.

Celiac Artery Aneurysms: A Case Report and Review of the Literature

2006 ◽  
Vol 72 (8) ◽  
pp. 746-749 ◽  
Author(s):  
John M. Connell ◽  
David C. Han
Keyword(s):  
Abdominal Pain ◽  
Mesenteric Ischemia ◽  
Mortality Rates ◽  
Celiac Artery ◽  
Review Of The Literature ◽  
Common Cause ◽  
Male Predominance ◽  
Surgical Emergencies ◽  
Elective Repair ◽  
Vague Abdominal Pain

Celiac artery aneurysms (CAA) are uncommon. Most are asymptomatic, but up to 20 per cent will present as surgical emergencies. We present a case of an asymptomatic CAA discovered in a 56-year-old male during evaluation for nephrolithiasis. Only rough estimates of the prevalence of CAA are available, ranging between 0.005 per cent and 0.05 per cent. There appears to be a slight male predominance, and atherosclerotic degeneration is the most common cause. Although most patients are asymptomatic, some will present with vague abdominal pain, nausea, vomiting, or symptoms of mesenteric ischemia. Rupture is a devastating presentation, with reported mortality rates from 35 per cent to 80 per cent. Repair is performed by ligation or reconstruction. Ligation should be considered in an urgent setting, with reconstruction preferred for elective repair. Morbidity and mortality from elective repair should not exceed 5 per cent. Repair of CAA should be undertaken unless major comorbid factors are prohibitive.

scholarly journals A Rare Case of Cystic Schwannoma of the Portal Triad

2016 ◽  
Vol 28 (1) ◽  
pp. 33 ◽  
Author(s):  
Dimitrios Avgerinos ◽  
Meshach Heenatigala ◽  
Andrew Lo
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Back Pain ◽  
Rare Case ◽  
The Body ◽  
Portal Triad ◽  
Pancreatic Cystadenoma ◽  
Time Of Operation ◽  
Cystic Schwannoma ◽  
Vague Abdominal Pain

Schwannomas can occur anywhere throughout the body andhave often been mistaken for more-sinister lesions, especiallywhen found in relation to the pancreas. Clinical symptomsrange from none to vague abdominal pain, back pain,anorexia, weight loss, vomiting, jaundice, and episodes ofcholangitis and gastrointestinal bleeding. Preoperative diagnosisis difficult, and endoscopic ultrasound with fine-needleaspiration is often limited in specificity. Given the low statisticallikelihood of schwannomas, therapy is usually targeted at thepossibility of pancreatic cystadenoma/cystadenocarcinoma.Simple enucleation is usually the preferred treatment, anddiagnosis can be established at the time of operation by frozensection. Schwannomas can be malignant, but preoperativeimaging and pathology can help establish the benign natureof most specimens. Patients typically do well with resolution ofsymptoms. Here we present the case of a patient with abdominalpain and a peripancreatic mass observed with computedtomography, who was found to have a cystic schwannomaextending from the portal triad. The mass was removed andthe patient was discharged without complications.

scholarly journals ISOLATED PRIMARY HYDATID CYST OF THE PANCREAS: A CASE REPORT

2015 ◽  
Vol 8 (1) ◽  
Author(s):  
Mehmet Eren Yuksel ◽  
Bulent Aytac ◽  
Ahmet Karamercan
Keyword(s):  
Abdominal Pain ◽  
Hydatid Cyst ◽  
Surgical Intervention ◽  
Treatment Options ◽  
Abdominal Ultrasound ◽  
The Body ◽  
Stage 4 ◽  
Primary Hydatid Cyst ◽  
Caucasian Female ◽  
Vague Abdominal Pain

Hydatid disease is caused by tapeworm Echinococcus granulosus. E. granulosus forms hydatid cysts in human body, mostly in the liver and the lung. However, isolated primary hydatid cyst of the pancreas is rarely seen. Hereby, we report a 40-year-old Caucasian female with a hydatid cyst in the body of the pancreas. The patient, complaining of vague abdominal pain was examined with abdominal ultrasound. The ultrasound scan of abdomen revealed an exophytic cystic lesion in the body of the pancreas, approximately 7.5x5 cm in size. The defined lesion was thought to be compatible with hydatid cyst stage 4-5. The  surgical team informed the patient about all possible treatment options. The patient was put on albendazole treatment, 400 mg twice daily, for two months. Despite the medical treatment, the patient complained about abdominal pain and discomfort affecting her daily life. Therefore, she decided for surgical intervention. Following the intraoperative application of scolicidal hypertonic 20% NaCl solution, partial cystectomy with capitonnage was performed. The patient did well postoperatively. Isolated primary hydatid cyst of the pancreas is rarely seen, however, it should be taken into account in the differential diagnosis of abdominal pain, especially in endemic areas. 

Gossypiboma - A Diagnostic Dilemma

2021 ◽  
Vol 11 (5) ◽  
pp. 329-332
Author(s):  
Faaizah Shaikh ◽  
Sujoy Mani ◽  
Abhay Gursale
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Exploratory Laparotomy ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Surgical Sponge ◽  
Retained Foreign Body ◽  
History Of ◽  
Gastric Mass ◽  
Vague Abdominal Pain

A surgical sponge is the most common type of retained foreign body (RFB) also known as a gossypiboma (gossypium = cotton, boma = concealment). It is mostly asymptomatic but can lead to a host of symptoms in the patient ranging from pain in the abdomen to anorexia and weight loss. It poses a diagnostic challenge not just for the surgeon but also the radiologist as it can mimic an intraabdominal mass. Here we present a case of a 58 yrs old male who presented with dysphagia and abdominal pain on and off who was radiologically diagnosed as a case of gastric mass and subsequently underwent exploratory laparotomy where it was proven to be a gossypiboma. The case attempts to highlight the importance of keeping gossypiboma as a differential diagnosis for patients with vague abdominal pain and history of a surgery in the past. Key words: gossypiboma, sponge, abdominal pain, computed tomography, foreign body.

scholarly journals Appendicular schwannoma presenting as vague abdominal pain

2018 ◽  
Vol 2018 (7) ◽  
Author(s):  
Abdullah Mohammed Alshamrani ◽  
Rami Abdulrahman Sairafi ◽  
Ali Mohammed Alzahrani ◽  
Mostafa Abdel-Raheem
Keyword(s):  
Abdominal Pain ◽  
Vague Abdominal Pain
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