scholarly journals An Unusual Case of Gastrointestinal Bleeding

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Kristin N. Fiorino ◽  
Brian Lestini ◽  
Kim E. Nichols ◽  
Sudha A. Anupindi ◽  
Asim Maqbool
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Gastrointestinal Bleeding ◽  
Unusual Case ◽  
Abdominal Mass ◽  
Abdominal Ultrasound ◽  
Gi Bleeding ◽  
History Of ◽  
Computed Tomography Angiogram ◽  
Mibg Scan

A 10-year-old boy presented with a 3-day history of worsening abdominal pain, fever, emesis and melena. Abdominal ultrasound revealed a right upper quadrant mass that was confirmed by computed tomography angiogram (CTA), which showed an 8 cm well-defined retroperitoneal vascular mass.123Iodine metaiodobenzylguanidine (123MIBG) scan indicated uptake only in the abdominal mass. Subsequent biopsy revealed a paraganglioma that was treated with chemotherapy. This case represents an unusual presentation of a paraganglioma associated with gastrointestinal (GI) bleeding and highlights the utility of CTA and123MIBG in evaluation and treatment.

scholarly journals Primary Ureteral Hemangiosarcoma in a dog

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Joseph A. Polit ◽  
Elisabeth V. Moore ◽  
Ember Epperson
Keyword(s):  
Computed Tomography ◽  
Adjunctive Therapy ◽  
Poor Prognosis ◽  
Abdominal Mass ◽  
Abdominal Ultrasound ◽  
Pathological Findings ◽  
Case Presentation ◽  
Routine Monitoring ◽  
Abdominal Radiographs ◽  
History Of

Abstract Background Primary ureteral neoplasia in dogs is extremely rare. To the best of the authors’ knowledge, this is the second documented case of a primary ureteral hemangiosarcoma. This case report describes the clinical and pathological findings of a primary distal ureteral hemangiosarcoma. Case presentation A 12-year-old spayed female goldendoodle was presented with a history of polyuria and weight loss. Abdominal radiographs revealed a large cranial abdominal mass. Abdominal ultrasound and computed tomography (CT) identified a left sided distal ureteral mass with secondary hydroureter and a left lateral hepatic mass with no evidence of connection or diffuse metastasis. A left ureteronephrectomy, partial cystectomy, and left lateral liver lobectomy were performed. Histopathology was consistent with primary ureteral hemangiosarcoma and a hepatocellular carcinoma. Adjunctive therapy including chemotherapy was discussed but declined. Conclusion Due to its rarity, the authors of this case presentation believe that ureteral hemangiosarcoma should be included as a differential diagnosis when evaluating a ureteral mass. With the unknown, and suspected poor prognosis, routine monitoring with adjunctive therapy should be considered.

scholarly journals Primary aortoduodenal fistula without an abdominal aortic aneurysm: A case report

2020 ◽  
Vol 73 (5-6) ◽  
pp. 180-182
Author(s):  
Slobodan Torbica
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Abdominal Aortic Aneurysm ◽  
Case Report ◽  
Aortic Aneurysm ◽  
Gastrointestinal Bleeding ◽  
Abdominal Ultrasound ◽  
Aortoduodenal Fistula ◽  
Abdominal Aortic ◽  
Rate Case

Introduction. Aortoenteric fistula is a communication between the aorta and segments of the gastrointestinal tract. Primary aortoduodenal fistula is an extremely rare cause of gastrointestinal bleeding associated with a high mortality rate. Case Report. We report a case of a 63-year-old man admitted due to abdominal pain lasting for a week. Abdominal ultrasound and computed tomography angiography revealed an aortoduodenal fistula without an aortic aneurysm. Conclusion. This case is an example of a rare cause of gastrointestinal bleeding, as well as presentation of aortoduodenal fistula that was not caused by an abdominal aortic aneurysm.

scholarly journals Unusual case of Giardia lamblia causing eosinophilic ascites along with Plesiomonasshigelloides gastroenteritis

Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 321-323
Author(s):  
Ballal Mamatha ◽  
Shetty Vignesh ◽  
Agarwal Manali ◽  
Nayal Bhavna ◽  
Umakanth Shashikiran
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Giardia Lamblia ◽  
Complete Resolution ◽  
Unusual Case ◽  
Peripheral Eosinophilia ◽  
Short Trip ◽  
Eosinophilic Ascites ◽  
History Of

A case report of a healthy, immunocompetent male,an international traveller from Germany who had visited India for a short trip,presented at our OPD with a history of loose stools, fever and abdominal pain,for two months. After thorough investigations, he was diagnosed to have an infection withGiardia lambliaacute gastroenteritis (AGE) along witheosinophilic ascites with peripheral eosinophilia, withassociatedPlesiomonasshigelloidesdiarrhoea. He was then treated with metronidazole and cotrimoxazole, which resulted in complete resolution of the symptoms.

scholarly journals Pott’s disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case

2020 ◽  
Vol 32 (3) ◽  
pp. 168-175
Author(s):  
Nneka Iloanusi
Keyword(s):  
Computed Tomography ◽  
Unusual Case ◽  
Surgical Drainage ◽  
Optimal Outcome ◽  
Ultrasound Guided ◽  
Pott’S Disease ◽  
Tb Treatment ◽  
Nigerian Woman ◽  
History Of ◽  
Abscess Wall

Bilateral psoas abscesses are uncommon in Pott’s disease. We describe a 28-year-old Nigerian woman with a 2-year history of constitutional symptoms and a 1-year history of bilateral paravertebral masses. She had received anti-tuberculosis (TB) treatment in an interrupted manner. A computed tomography (CT) scan revealed T10–T12 spondylitis, wedge collapse and extensive bilateral psoas abscesses. Histology of the abscess wall was definitively diagnosed as soft tissue TB, and special staining for acid-fast bacilli was positive. She was successfully treated with anti-TB therapy and ultrasound-guided surgical drainage of 6 L of abscess fluid. Complicated cases of Pott’s disease may require multi-disciplinary interventions for optimal outcome.

scholarly journals Computed Tomography Imaging in Lemmel Syndrome: A Report of Two Cases

2019 ◽  
Vol 9 ◽  
pp. 23
Author(s):  
Giulia Frauenfelder ◽  
Annamaria Maraziti ◽  
Vincenzo Ciccone ◽  
Giuliano Maraziti ◽  
Oliviero Caleo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Acute Abdominal Pain ◽  
Imaging Modality ◽  
Biliary Duct ◽  
History Of ◽  
The Common ◽  
Solid Lesions

Lemmel syndrome is a rare and misdiagnosed cause of acute abdominal pain due to a juxtapapillary duodenal diverticulum causing mechanical obstruction of the common bile duct. Frequently, patients suffering from Lemmel syndrome have a history of recurrent access to the emergency room for acute abdominal pain referable to a biliopancreatic obstruction, in the absence of lithiasis nuclei or solid lesions at radiological examinations. Ultrasonography (US) may be helpful in evaluation of upstream dilatation of extra-/intra-hepatic biliary duct, but computed tomography (CT) is the reference imaging modality for the diagnosis of periampullary duodenal diverticula compressing the intrapancreatic portion of the common bile duct. Recognition of this entity is crucial for targeted, timely therapy avoiding mismanagement and therapeutic delay. The aim of this paper is to report CT imaging findings and our experience in two patients affected by Lemmel syndrome.

Tummy Ouchie

2020 ◽  
pp. 103-110
Author(s):  
Nkeiruka Orajiaka ◽  
Meghan Dishong
Keyword(s):  
Abdominal Pain ◽  
Early Diagnosis ◽  
Gold Standard ◽  
Care Management ◽  
Nonoperative Management ◽  
Abdominal Mass ◽  
Abdominal Ultrasound ◽  
Abdominal Emergencies ◽  
Morbidity Risk ◽  
Red Currant

Intussusception is one of the most common abdominal emergencies in children. The classic triad of symptoms involves colicky abdominal pain, an abdominal mass, and red currant jelly stools, but this is seen in only about 15% of cases of children with intussusception. Early diagnosis and management reduce morbidity, risk for complications, and surgical intervention. Abdominal ultrasound is generally accepted as the gold standard for diagnosis. Treatment typically involves an air or hydrostatic enema; however, variability and controversies still exist in treatment and post-care management for nonsurgical cases. Variability also still exists in post-reduction care of children with intussusception. Feeding and monitoring times after nonoperative management differ between institutions. Some patients are advanced to feeds as tolerated while some others are placed in fasting to rest the bowel and prevent recurrence.

scholarly journals A rare cause of small bowel diaphragm disease presenting with palpated abdominal mass

2019 ◽  
Vol 2019 (8) ◽  
Author(s):  
Aghyad K Danial ◽  
Ahmad Al-Mouakeh ◽  
Yaman K Danial ◽  
Ahmad A Nawlo ◽  
Ahmad Khalil ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Medical History ◽  
Rare Complication ◽  
Abdominal Mass ◽  
Past Medical History ◽  
Abdominal Symptoms ◽  
Diaphragm Disease ◽  
History Of ◽  
Specific Symptoms

Abstract Small bowel diaphragm disease is a rare complication related to non-steroidal anti-inflammatory drug (NSAID) use. It presents with non-specific symptoms such as vomiting, abdominal pain, subacute bowel obstruction and occasionally as an acute abdominal condition. We report a case of diaphragm disease in a 33-year-old female who presented with vomiting, constipation and abdominal pain started 5 days earlier. Physical examination revealed palpated abdominal mass. The patient’s past medical history was remarkable for NSAID use. The patient was managed by surgical resection of involved intestine and diagnosis was confirmed by histological examination. Although there are few published cases of diaphragm disease in the medical literature, we recommend that this disease should be considered as one of the differential diagnoses when assessing patients presenting with non-specific abdominal symptoms with remarkable past medical history of NSAID use.

scholarly journals An unusual case of acute lower gastrointestinal bleeding due to fungal infection

2020 ◽  
Vol 48 (11) ◽  
pp. 030006052096782
Author(s):  
Jianchun Xiao ◽  
Ruopeng Zhang ◽  
Wanqi Chen ◽  
Beizhan Niu
Keyword(s):  
Gastrointestinal Bleeding ◽  
Fungal Infection ◽  
Lupus Erythematosus ◽  
Unusual Case ◽  
Exploratory Laparotomy ◽  
Lower Gastrointestinal Bleeding ◽  
Pathological Examination ◽  
Disorder Of Consciousness ◽  
Glucocorticoid Treatment ◽  
History Of

A 63-year-old woman was admitted to our hospital with herpes zoster viral infection and intermittent disorder of consciousness. On day 13 of hospitalization for glucocorticoid treatment, the patient experienced seven episodes of hematochezia. She had a 2-year history of systemic lupus erythematosus and had undergone splenectomy at 40 years of age. Computed tomography and electronic endoscopy revealed bleeding and contrast agent leakage into the splenic flexure of the colon. The patient underwent an emergency exploratory laparotomy and left hemicolectomy for suspected active hemorrhaging into the digestive tract. Pathological examination revealed that the bleeding had been caused by a fungal infection. No further hemorrhaging occurred after the surgery, suggesting that intestinal fungal infection might be a potential differential diagnosis for gastrointestinal bleeding in compromised hosts.

scholarly journals Carcinosarcoma of the Gallbladder with Chondrosarcomatous Differentiation and Intracytoplasmic Eosinophilic Hyaline Globules (Thanatosomes): A Report of a Case and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Jumana A. Alratroot ◽  
Amani A. Joudeh ◽  
Samir S. Amr
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Lymph Nodes ◽  
Ct Scan ◽  
Unusual Case ◽  
Distal Gastrectomy ◽  
Malignant Cells ◽  
Review Of The Literature ◽  
Hyaline Globules ◽  
Transverse Colectomy

A 52-year-old woman presented with abdominal pain and vomiting. Computed tomography (CT) scan of the abdomen revealed a huge exophytic gallbladder mass displacing or invading the surrounding structures. The patient underwent radical cholecystectomy, transverse colectomy, distal gastrectomy, and liver bed resection. Histologically, the tumor showed both carcinomatous and sarcomatous components, with prominent chondrosarcomatous differentiation. In addition, several malignant cells showed intracytoplasmic eosinophilic hyaline globules (Thanatosomes). The tumor showed metastatic deposits to the omentum, the liver, and the peripancreatic lymph nodes. We report this unusual case and present a review of all cases of carcinosarcoma of the gallbladder with chondrosarcomatous differentiation.

scholarly journals Lipoleiomyosarcoma an extremely unusual sarcoma of uterus: A case report

1970 ◽  
Vol 2 (1) ◽  
pp. 67-70 ◽  
Author(s):  
Abhimanyu Jha ◽  
Gita Sayami ◽  
Deepti Adhikari
Keyword(s):  
Smooth Muscle ◽  
Abdominal Pain ◽  
Case Report ◽  
Postmenopausal Woman ◽  
Unusual Case ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Lower Abdominal Pain ◽  
First Case ◽  
Well Differentiated

Uterine lipoleiomyosarcoma is a heterologous sarcoma composed of variable proportions of malignant lipoblasts histologically corresponding to well differentiated liposarcoma and malignant smooth muscle cells corresponding to leiomyosarcoma. Finding of benign lipomatous component in a typical leiomyoma (lipoleiomyoma) is not an uncommon, however, lipoleiomyosarcoma is an extremely rare malignant tumor and only very few cases have been reported so far. We report a case of lipoleiomyosarcoma of uterine corpus in a postmenopausal woman presenting with lower abdominal pain and abdominal mass. Diagnosis of lipoleiomyosarcoma was confirmed by histopathological examination of hysterectomy specimen. This is the first case of lipoleiomyosarcoma of uterus reported from Nepal. Keywords: Lipoleiomyosarcoma, uterus, histopathology, unusual case.   doi:10.3126/njog.v2i1.1482    N. J. Obstet. Gynaecol Vol. 2, No. 1, p. 67 - 70 May -June 2007

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