Mesenteric Cystic Lymphangioma “Intra-abdominal Catastrophe”

2020 ◽  
pp. 1-5
Author(s):  
R. S. Kiran ◽  
S. Sarmukh ◽  
H. Azmi
Keyword(s):  
Intestinal Obstruction ◽  
Histopathological Examination ◽  
Primary Anastomosis ◽  
Abdominal Mass ◽  
Exploratory Laparotomy ◽  
Small Bowel Resection ◽  
Cystic Lymphangioma ◽  
Co Morbidity ◽  
Mesenteric Mass ◽  
Life Threatening

Lymphangioma is a benign tumour of lymphatic origin. Lymphangioma in peritoneal cavity is extremely rare (5%), particularly in adults. Hereby, we are reporting a case of a Malay gentleman with no co morbidity presented with sign and symptoms of intestinal obstruction. We proceeded with exploratory laparotomy with small bowel resection with primary anastomosis. Intraoperatively, revealed soft mesenteric mass measuring around 5X5 cm and it was 80 cm from duodenum-jejunum flexure. Histopathological examination showed mesenteric cystic lymphangioma (MCL). Cystic intra-abdominal mass should be included MCL as a diagnosis although it’s rare. Surgical management is still a mainstay of treatment due to its potential to invade vital structures and develop life threatening complication such as intestinal obstruction and bleeding. The surgical outcome after a complete clear margin resection can avoid recurrence.

A Rare Cause of Mechanical Intestinal Obstruction: A Neoplastic Intra-Abdominal Testis

2016 ◽  
Vol 101 (3-4) ◽  
pp. 167-170
Author(s):  
Fatih Ciftci ◽  
Suat Benek ◽  
Cem Kezer
Keyword(s):  
Intestinal Obstruction ◽  
Acute Abdomen ◽  
Undescended Testis ◽  
Abdominal Mass ◽  
Relevant Literature ◽  
Large Diameter ◽  
Exploratory Laparotomy ◽  
Clinical Findings ◽  
Surgical Units ◽  
Mechanical Intestinal Obstruction

The acute abdomen has many etiologies frequently encountered in emergency surgical units. Approximately 20% of surgical admissions for acute abdominal conditions are for intestinal obstruction. Clinicians often overlook rarer causes. A 43-year-old man presented to the emergency ward with the clinical findings of ileus. Computed tomography revealed a heterogeneous necrotic 168 × 100-mm mass between the sigmoid colon and urinary bladder. Physical examination revealed a palpable intra-abdominal mass that was removed via exploratory laparotomy. On histopathologic examination, the mass was identified as a seminoma. The literature contains few reports of seminoma as a cause of acute abdomen and ileus, mostly seen between the ages of 30 and 40 years. We report a patient with seminoma arising in an undescended testis that presented as a palpable painful lower abdominal mass and mechanical intestinal obstruction, despite the large diameter of the mass, as well as review relevant literature.

scholarly journals Giant mesenteric cystic lymphangioma: a rare cause of intra-abdominal catastrophe

2019 ◽  
Vol 6 (11) ◽  
pp. 4184
Author(s):  
Gopalakrishnan Gunasekaran ◽  
Debasis Naik ◽  
Sakthivel Chinnakkulam Kandhasamy ◽  
Dhirendra Nath Soren
Keyword(s):  
Head And Neck ◽  
Acute Abdomen ◽  
Rare Case ◽  
Clinical Presentation ◽  
Abdominal Mass ◽  
Cystic Lymphangioma ◽  
Life Threatening ◽  
Benign Tumours

Lymphangiomas are uncommon benign tumours and occur mainly in children with the most common sites being head and neck followed by the axilla and mediastinum. Intra-abdominal lymphangiomas are rare. Clinical presentation is diverse ranging from incidentally discovered abdominal mass to symptoms of acute abdomen. Life threatening complications are more likely to develop in children. We here present a rare case of giant mesenteric cystic lymphangioma causing intra-abdominal catastrophe in an adult.

scholarly journals Ileal volvulus due to ascaris lumbricoides: a diagnosis revisited

2019 ◽  
Vol 6 (2) ◽  
pp. 614
Author(s):  
Ipseet Mishra ◽  
Sudip Haldar ◽  
Souvik Paul
Keyword(s):  
Ascaris Lumbricoides ◽  
Wide Spectrum ◽  
Primary Anastomosis ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Small Bowel Volvulus ◽  
Clinical Presentations ◽  
Life Threatening ◽  
High Index Of Suspicion ◽  
Early Surgical Intervention

Ascariasis infestation is a common helminthic disease in developing countries with a wide spectrum of clinical presentations, one of which can be acute abdomen. Small bowel volvulus is a serious life-threatening emergency. The aetiology may be primary as is often seen in Africa and Asia, while in Western countries other predisposing conditions usually initiate the volvulus. Ascariasis is highly prevalent in India and so, a myriad of different presentations is quite obvious. Here the authors have reported a case of a 6year old boy presenting with features of acute intestinal obstruction-central abdominal pain, repeated vomiting and abdominal distension. After evaluation with abdominal radiography and ultrasonography, exploratory laparotomy was planned. A secondary ileal volvulus compact with worms of ascaris lumbricoides was found. Resection of non-viable ileum was done after evacuation of worms by enterotomy followed by primary anastomosis. Prompt clinical diagnosis, a high index of suspicion for complications and early surgical intervention are critical in minimizing morbidity in cases of Intestinal Ascariasis.

scholarly journals SMALL BOWEL DIVERTICULAR DISEASE;

2013 ◽  
Vol 20 (05) ◽  
pp. 776-782
Author(s):  
ANSAR LATIF ◽  
ANILA ANSAR ◽  
MUHAMMAD QASIM BUTT
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Intestinal Obstruction ◽  
Teaching Hospital ◽  
Abdominal Mass ◽  
Exploratory Laparotomy ◽  
Study Patient ◽  
Military Hospital ◽  
Study Results ◽  
Bleeding Per Rectum

Objectives: 1). To see the prevalence of small bowel diverticulosis in patients presenting with acute abdomen. 2). To knowpresentation and complications of diverticulosis in teaching hospital in Sialkot region of Pakistan. Introduction: Small bowel diverticulardisease may be complicated by small bowel obstruction. Multiple diverticulosis represents an uncommon pathology of the small bowel.Related complications such as diverticulitis, perforation, bleeding or intestinal obstruction, and acute pancreatitis appear in 10-30% ofthe patients, increasing the morbidity and mortality rates. This pathology which is uncommon is much higher in our study in patientsundergoing exploratory laparotomy in district level hospitals in Sialkot region of Pakistan. Study Design: Prospective and observational.Setting and duration: Combined Military Hospital, Sialkot (June 2005 to August 2010). Islam teaching hospital, Sialkot (September 2010to September 2012). Methods: 260 consecutive patients undergoing exploratory laparotomy for obstruction, peritonitis, pain and massabdomen were included in the study. Patient with established cause of obstruction were excluded. The data including demographicinformation, presentation, operative findings, complications and follow up were entered in structured proforma. Patients with less thanthree months of followup were also excluded from study. Results: Small bowel diverticuli were encountered in 24 (9%) out of 260 patientsincluding; 8 (3%) Meckel's, 9 (3.5%) jejunal, 3 (1.2%) duodenal and 4 (1.5%) Ileal diverticuli. These patients with diverticuli presented asintestinal obstruction, peritonitis, mass abdomen, vague abdominal pain and one patient with fresh bleeding per rectum. The indicationsof surgery were peritonitis 6 (25%), intestinal obstruction 13 (54.2%), abdominal mass 3(12.5%), nonspecific abdominal pain 1 (4.2%)and fresh bleeding per rectum of obscure origin 1 (4.2%). Complications encountered as Intestinal obstruction due to adhesion formationin 8; obstruction due to congenital bands attached to diverticuli in 3; diverticular perforation in 2; peritonitis due to diverticulitis in2,bleeding from arteriovenous malformation within the jejuna diverticuli in 1 and mass formation due to volvulus in 1. Three duodenaldiverticuli and 4 jejunal diverticuli were found as silent pathologies synchronous with other active pathologies.

scholarly journals Tumor Neuroendocrino del Ciego: Reporte de Caso

2019 ◽  
Vol 30 (2) ◽  
Author(s):  
Paúl Andrade
Keyword(s):  
Intestinal Obstruction ◽  
Neuroendocrine Tumor ◽  
Male Patient ◽  
Neuroendocrine Carcinoma ◽  
Histopathological Examination ◽  
Primary Anastomosis ◽  
Right Hemicolectomy ◽  
Small Cells ◽  
Aggressive Tumor ◽  
Well Differentiated

Neuroendocrine carcinoma (NEC) of the colon is a rare and very aggressive tumor, generally diagnosticated in an incidental way and during resolution of complications such as perforation or intestinal obstruction. The case of a 58-year-old male patient who was surgically intervened for presenting localized peritonitis pedhora scan to a perforated blind neuroendocrine tumor. Right hemicolectomy whit ganglion D2 resection and ileo – transverse primary anastomosis was performed. Histopathological examination described a well-differentiated neuroendocrine carcinoma of small cells, with no vascular or neuronal infiltration. Now the patient is awaiting chemotherapy without the need for secondary surgical review.

scholarly journals Acute Uterine Torsion Mimicking Tumor Lysis Syndrome

2020 ◽  
pp. 1-3
Author(s):  
Helena C van Doorn ◽  
H (Dineke) PM Smedts ◽  
Helena C van Doorn ◽  
Kinge Bergsma
Keyword(s):  
Laboratory Tests ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Tumor Lysis Syndrome ◽  
Exploratory Laparotomy ◽  
Hemoglobin Level ◽  
Tumor Lysis ◽  
Total Hysterectomy ◽  
Uterine Torsion ◽  
Life Threatening

Background: Non-gravid uterine torsion is rare and mostly diagnosed at surgery. This report describes a patient with a large abdominal mass, critical illness, and tumor lysis syndrome. Case: A female presented with acute abdominal pain. Physical exam showed a large abdominal mass and abdominal rigidity. Serial laboratory tests showed a drop in hemoglobin level, progressive renal failure and serum uric acid and phosphate concentrations compatible with tumor lysis syndrome. Computed tomography showed a 30 cm mass filling the pelvis and abdomen. At an emergency exploratory laparotomy, a 360 degrees torsion of the uterus was found. An uneventful total hysterectomy was done. After surgery renal function restored. Conclusion: Uterine torsion is rare and can be potentially life threatening when presenting as tumor lysis syndrome

Case Report: Gastrointestinal Basidiobolomycosis with Multi-Organ Involvement Presented with Intussusception

2021 ◽  
Author(s):  
Zahra Jafarpour ◽  
Gholamreza Pouladfar ◽  
Alireza Dehghan ◽  
Mohammad Hossein Anbardar ◽  
Hamid Reza Foroutan
Keyword(s):  
Liposomal Amphotericin ◽  
Colonic Mucosa ◽  
Bowel Wall ◽  
Abdominal Mass ◽  
Exploratory Laparotomy ◽  
Peripheral Eosinophilia ◽  
Liver Sample ◽  
Erythrocyte Sedimentation ◽  
Life Threatening ◽  
High Erythrocyte Sedimentation Rate

Gastrointestinal basidiobolomycosis (GIB) is a rare, life-threatening fungal infection affecting immunocompetent individuals in tropical and subtropical regions. A diverse presentation of GIB has been reported, but no report has yet been published on intussusception. We describe a 23-month-old immunocompetent boy from a subtropical area in Iran who presented with intussusception. Prolonged fever, an abdominal mass, hepatomegaly, high erythrocyte sedimentation rate, and peripheral eosinophilia strongly suggested GIB. Accordingly, GIB was diagnosed based on the characteristic histopathology (the Splendore-Hoeppli phenomenon) detected in a liver sample taken via biopsy. Exploratory laparotomy showed several organs, including the colon, gall bladder, liver, and abdominal wall, were involved. Antifungal therapy with trimethoprim/sulfamethoxazole, liposomal amphotericin B, a saturated solution of potassium iodide, and surgical resection of involved tissues were used with improved outcome. The presence of non-septate fungal hyphal elements in the colonic mucosa led to the thickening of the bowel wall, leading to secondary intussusception.

scholarly journals Perforated Jejunal Diverticulum - an Unusual Presentation

2015 ◽  
Vol 1 (1) ◽  
pp. 43-45
Author(s):  
Kamal Koirala ◽  
Mahesh Khakurel ◽  
Reeta Barai
Keyword(s):  
Abdominal Pain ◽  
Histopathological Examination ◽  
Primary Anastomosis ◽  
Exploratory Laparotomy ◽  
Health Sciences ◽  
Unusual Presentation ◽  
Jejunal Segment ◽  
Acute Peritonitis ◽  
Jejunal Diverticulum ◽  
Acute Complications

Jejunal diverticula are rare and usually asymptomatic. Acute complications may include haemorrhage, diverticulitis, obstruction, abscess formation and perforation. Here we report a case of 61 years lady who presented with generalized abdominal pain, vomiting and fever. There were features of acute peritonitis on examination. Exploratory laparotomy revealed a perforated jejunal diverticulum. Resection of the jejunal segment containing the perforated diverticulum and primary anastomosis was done. Histopathological examination revealed jejunal diverticulum with pinhole perforation. DOI: http://dx.doi.org/10.3126/jpahs.v1i1.13016   Journal of Patan Academy of Health Sciences. 2014 Jun;1(1):43-45

scholarly journals HETEROTOPIC SALIVARY GLAND

2018 ◽  
Vol 25 (02) ◽  
pp. 332-334
Author(s):  
Afra Samad ◽  
Madiha Syed ◽  
Arbaz Samad
Keyword(s):  
Differential Diagnosis ◽  
Salivary Gland ◽  
Intestinal Obstruction ◽  
Salivary Glands ◽  
Histopathological Examination ◽  
Exploratory Laparotomy ◽  
Clinical Impression ◽  
Gland Tissue ◽  
History Of ◽  
Bleeding Per Rectum

Background: Salivary glands heterotopia is defined as presence of salivary glandtissue outside its normal location.1 Salivary gland heterotopia in ileum leading to obstruction& intussusception is extremely rare. Only two such cases have been reported previously.Case Report: We report a case of 2 years old male who presented with history of vomiting,constipation and bleeding per rectum for one week. Clinical impression was intestinal obstructionand intussusception. An emergency exploratory laparotomy was performed and intraluminalileal polyp was resected. Histopathological examination of the excised polyp demonstratedsalivary gland tissue. Conclusion: Though extremely rare heterotopic salivary gland should beconsidered in differential diagnosis of intestinal obstruction and intussusception.

scholarly journals 1228 Massive Gastrointestinal Bleeding Secondary to Bleeding Jejunal Diverticulum

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A. Mukhtar A Mukhtar ◽  
B.A. Abdalaziz Alshareif ◽  
M. Gareeballah Yousif Hijazi ◽  
M Y Ibrahim
Keyword(s):  
Histopathological Examination ◽  
Primary Anastomosis ◽  
Exploratory Laparotomy ◽  
Intestinal Bleeding ◽  
Upper Gastrointestinal Endoscopy ◽  
Jejunal Diverticulum ◽  
Massive Gastrointestinal Bleeding ◽  
Blood Clots ◽  
Lower Endoscopy ◽  
Upper Gastrointestinal

Abstract Usually, the Jejunal diverticula appeared multiple and vary in size. These false diverticula lack the muscular coat of the normal intestinal walls, and most patients presented with it were asymptomatic. Although 10% of all patients develop complications such as perforation, obstruction, or bleeding, which then requires surgical intervention, but bleeding is relatively rare among these complications. A case of 74 years old lady was referred to our hospital because of persistent hematemesis and fresh melena. Her previous and recent upper gastrointestinal endoscopy both revealed only gastric erosions without any active bleeding. Also, previous, and recent colonoscopy was done but not completed due to the presents of fresh blood and blood clots along the colon, which led to improper visualization. Her selective mesenteric angiography was done together with upper and lower endoscopy, but none of them revealed the source of bleeding. Emergency exploratory laparotomy was undertaken, and a prominent single jejunal diverticulum with a prominent vessel entering it was noted, and no bleeding from other sites detected. Enterotomy was performed, and enteroscopy confirmed ulceration at the jejunal diverticulum site. Resection of the portion containing the diverticulum and primary anastomosis was done, and this cured the patient. The histopathological examination of the specimen showed an ulcerative lesion with an exposed vessel suggestive of the source of bleeding. Although jejunal diverticula incidence is rare, it is important to look for such lesions in patients with intestinal bleeding. Keywords: jejunal diverticulum, small intestine, intestinal bleeding.

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