scholarly journals Degenrative Fibroid and Sclerosing Peritonitis

2012 ◽  
Vol 2012 ◽  
pp. 1-2
Author(s):  
Michael Critchley ◽  
John Bagley ◽  
Pervis Iqbal
Keyword(s):  
Liver Cirrhosis ◽  
Bowel Wall ◽  
Rare Condition ◽  
Abdominal Distension ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Interesting Case ◽  
Wall Thickening ◽  
Sclerosing Peritonitis ◽  
Bowel Wall Thickening

Sclerosing peritonitis is a rare condition characterised by ascites, peritoneal and bowel wall thickening. Causes reported in the literature include luteal ovarian the comas, peritoneal dialysis, peritoneal chemotherapy and liver cirrhosis. We report an interesting case of a woman presenting with diarrhoea, abdominal distension, ascites and pleural effusion. She was subsequently diagnosed with Sclerosing Peritonitis caused by a degenerating fibroid which was successfully treated by Total Abdominal Hysterectomy and Bilateral Salpingoophrectomy.

Correlation of Bowel Wall Thickening Seen Using Computerized Tomography With Colonoscopies

2017 ◽  
Vol 27 (3) ◽  
pp. 154-157 ◽  
Author(s):  
Arda Isik ◽  
Mehmet Soyturk ◽  
Sakir Süleyman ◽  
Deniz Firat ◽  
Kemal Peker ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Bowel Wall ◽  
Wall Thickening ◽  
Bowel Wall Thickening

CT Evaluation of Target-like Bowel Wall Thickening

1997 ◽  
Vol 36 (2) ◽  
pp. 271
Author(s):  
In Young Bae ◽  
Mi Young Kim ◽  
Chang Hea Suh ◽  
Soon Gu Cho ◽  
Jin Hee Kim ◽  
...  
Keyword(s):  
Bowel Wall ◽  
Wall Thickening ◽  
Ct Evaluation ◽  
Bowel Wall Thickening

scholarly journals ADENEXAL CYSTS

2011 ◽  
Vol 18 (01) ◽  
pp. 32-40
Author(s):  
TEHREEN RIAZ ◽  
SARWAT JABEEN ◽  
WASEEM TALIB ◽  
Nabeela Shami
Keyword(s):  
Demographic Data ◽  
Lower Abdominal Pain ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Ovarian Tumour ◽  
Risk Of Malignancy ◽  
Histopathologic Evaluation ◽  
Operative Findings

Objectives: (1) To evaluate the risk of malignancy in surgically removed ovarian cysts that was before the operation neither simple nor complex. (2) To determine the relationship of age with type of ovarian tumour. (3) To categorize the management of these cases according to the intra-operative findings. (4) To analyze the occurrence of various histopathological types of tumour. Date Source: Medline Study Design: Single centered prospective descriptive study of 150 cases. Place and Duration of Study: Department of Obstetrics and Gynaecology at Shaikh Zayed Hospital Lahore from 1st July 2005 to,31st December 2006. Subject and method: 150 patients presented with adnexal cysts on preoperative ultrasonography, peroperative findings and histopathology reports. These patients were followed up in OPD. Results: Showed the distribution of non-neoplastic and neoplastic tumours which were 84% and 16% respectively. The occurrence of malignancy increased with advancing age especially after 45 years Common presentations were lower abdominal pain (53%) followed by menstrual disturbances (30%), abdominopelvic mass, abdominal distension and infertility. Risk of malignancy also increased with parity. 73% masses were unilateral, 84% benign masses were unilocular whilst 85% malignant masses were echogenic and the complex cysts with papillary projection and multiloculations showed 3-6 times higher risk of malignancy. Most patients were managed by exploratory laparotomy. Cystectomy and total abdominal hysterectomy were the commonest procedures performed. Regarding histopathologic evaluation 40% patients had tumours, 2.66% borderline malignancy and 13.3% malignant. 44% had non-neoplastic lesions. Serous and endometriotic cysts were the commonest benign histopathologic types and among malignant ones, epithelial ovarian tumours were the leading variants. Conclusions: Preoperative characterization of adnexal masses using sonographic and demographic data may have considerable potential in determining risk of malignancy and may be advantageous in terms of counseling patients for management.

scholarly journals Sarcomatoid Carcinoma of the Urinary Bladder Treated with Adjuvant Radiotherapy: A Case Report

2009 ◽  
Vol 2 ◽  
pp. CCRep.S3126 ◽  
Author(s):  
Cem Onal ◽  
Berrin Pehlivan ◽  
Nebil Bal ◽  
Erkan Topkan ◽  
Ferhat Kilinc ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Local Treatment ◽  
Sarcomatoid Carcinoma ◽  
Conformal Radiotherapy ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Wall Thickening ◽  
Bladder Tumors ◽  
Large Tumor ◽  
3D Conformal Radiotherapy

Sarcomatoid carcinoma is a rare tumor of the urinary bladder accounting for less than 0.5% of all primary urinary bladder tumors. Since the patients were presented with large tumor with extended stages, outcome was found to be poor. In order to improve local control, adjuvant local treatment may be practical. We report a rare case with sarcomatoid carcinoma of the urinary bladder diagnosed with immunuhistochemical (IHC) study and treated with 3D-conformal radiotherapy (3DCRT) post-operatively. A 55-year old female patient complained about painless hematuria for 2 months. Computed tomography of the pelvic region revealed tumor and wall thickening at the left posterolateral side of the bladder. Total cystectomy with lymph node dissection and total abdominal hysterectomy and bilateral salphingo-oopherectomy was performed and histopathological and immunohistochemical findings strongly correlate with sarcomatoid carcinoma. The patient was treated with 3D conformal radiotherapy (3DCRT) with a total dose of 59.4 Gy with 1.8 Gy fractional daily doses. Patient was alive without any local recurrence and distant metastasis 10 months after surgery.

scholarly journals Epiploic Appendagitis: An Often Misdiagnosed Cause of Acute Abdomen

2019 ◽  
Vol 13 (3) ◽  
pp. 364-368
Author(s):  
Vishnu Charan Suresh Kumar ◽  
Kishore Kumar Mani ◽  
Hisham Alwakkaa ◽  
James Shina
Keyword(s):  
Abdominal Pain ◽  
Bowel Wall ◽  
Acute Diverticulitis ◽  
Lower Abdominal Pain ◽  
Wall Thickening ◽  
Antibiotic Administration ◽  
Epiploic Appendagitis ◽  
High Attenuation ◽  
History Of ◽  
Bowel Wall Thickening

Epiploic appendages are peritoneal structures that arise from the outer serosal surface of the bowel wall towards the peritoneal pouch. They are filled with adipose tissue and contain a vascular stalk. Epiploic appendagitis is a rare cause of acute lower abdominal pain. It most commonly results from torsion and inflammation of the epiploic appendages, and its clinical features mimic acute diverticulitis or acute appendicitis resulting in being often misdiagnosed as diverticulitis or appendicitis. This frequently leads to unnecessary hospitalization, antibiotic administration, and unwarranted surgeries. Epiploic appendagitis is usually diagnosed with CT imaging, and the classic CT findings include: (i) fat-density ovoid lesion (hyperattenuating ring sign), (ii) mild bowel wall thickening, and (iii) a central high-attenuation focus within the fatty lesion (central dot sign). It is treated conservatively, and symptoms typically resolve in a few days. Therefore, epiploic appendagitis should be considered as one of the differential diagnosis for acute lower abdominal pain and prompt diagnosis of epiploic appendagitis can avoid unnecessary hospitalization and surgical intervention. In this case report, we discuss a 72-year-old woman who presented with a 2-day history of acute left lower abdominal pain.

scholarly journals Giant villous adenoma of the sigmoid colon: an unusual cause of homogeneous, segmental bowel wall thickening

2020 ◽  
Vol 6 (4) ◽  
pp. 20200016
Author(s):  
Jeffrey Sacks ◽  
Seymour Atlas ◽  
Alar Enno ◽  
Leonardo Santos ◽  
Jeremy Humphries ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Sigmoid Colon ◽  
Malignant Transformation ◽  
Villous Adenoma ◽  
Bowel Wall ◽  
Wall Thickening ◽  
Colonic Adenomas ◽  
Bowel Wall Thickening ◽  
Villous Adenomas

Colonic adenomas are commonly encountered lesions that are a precursor of colorectal cancer. Of these, villous adenomas are a rarer, more advanced subtype that are larger in size than tubular adenomas and have a higher risk of malignant transformation. We present a patient with a giant villous adenoma of the sigmoid colon identified on CT as homogeneous segmental bowel wall thickening.

scholarly journals Chronic Active Epstein-Barr Virus-Associated Enteritis: CT Findings and Clinical Manifestation

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Bo Zhang ◽  
Xia Wang ◽  
Xiaoyan Tian ◽  
Yongping Cai ◽  
Xingwang Wu
Keyword(s):  
Epstein Barr Virus ◽  
Bowel Wall ◽  
Clinical Symptoms ◽  
Wall Thickening ◽  
Barr Virus ◽  
Ct Findings ◽  
Pathologic Findings ◽  
Bowel Wall Thickening ◽  
Epstein Barr ◽  
Fat Stranding

Aim. To improve the identification and computed tomography (CT) diagnostic accuracy of chronic active Epstein-Barr virus (EBV)-associated enteritis (CAEAE) by evaluating its CT findings and clinical manifestation. Methods. The data of three patients with pathologically and clinically confirmed CAEAE who underwent CT enterography (CTE) were retrospectively reviewed from January 2018 to October 2019. The following data were evaluated: imaging characteristics (length of involvement, pattern of mural thickening, pattern of attenuation, perienteric abnormalities), clinical symptoms, endoscopic records, laboratory examinations, and pathologic findings. Results. Based on CT findings, two patients demonstrated segmental bowel wall thickening (involvement length >6 cm), asymmetric thickening, layered attenuation, fat stranding, and adenopathy, whereas the remaining one had no positive finding. The endoscopic results of all patients showed numerous irregular ulcers in the colon, and one patient had a focal esophageal ulcer. The major clinical symptoms were abdominal pain (n=3), retrosternal pain (n=1), fever (n=3), diarrhea (n=2), hematochezia (n=1), and adenopathy (n=3). The main laboratory examination indicators were increased serum EBV DNA load (n=1) and increased inflammatory markers (n=3). With regard to the main pathologic findings, all patients showed positive EBV-encoded RNA (EBER) situ hybridization in the colonic biopsy specimen, with one patient being positive in the esophagus. Conclusion. CAEAE is rare and is usually misdiagnosed as inflammatory bowel disease (IBD). The imaging features of CAEAE overlap with those of Crohn’s disease and ulcerative colitis. The presence of segmental and asymmetric bowel wall thickening, layered attenuation, and fat stranding in the CTE image may be helpful in differentiating CAEAE from IBD.

Bowel Wall Thickening on CT Scan Is a High Yield Colonoscopy Indication

2012 ◽  
Vol 10 (3) ◽  
pp. 330-331 ◽  
Author(s):  
Ronak S. Modi ◽  
Harinder Singh ◽  
Nishita Patel ◽  
Ayaz Matin ◽  
Daniel A. Ringold
Keyword(s):  
Ct Scan ◽  
Bowel Wall ◽  
High Yield ◽  
Wall Thickening ◽  
Bowel Wall Thickening
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