scholarly journals Dynamic Change of Intestinal Duplication in an Adult Patient: A Case Report and Literature Review

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Abhishek Shah ◽  
Jimin Du ◽  
Yutian Sun ◽  
Dianbo Cao
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Congenital Abnormality ◽  
Dynamic Change ◽  
Cystic Mass ◽  
Histopathological Analysis ◽  
Esophageal Epithelium ◽  
Intestinal Duplication ◽  
Ileal Duplication ◽  
Intestinal Gland

Intestinal duplication in an adult is an uncommon congenital abnormality because only minority of cases present in adulthood. More than 80% of cases occur before the age of two years as an acute abdomen, bowel obstruction or other complications associated with it. Duplication has two types, either cystic or tubular. Here, we report a case of an adult who was diagnosed preoperatively on CT scan as tubular intestinal duplication. CT images showed change in the morphology of the cystic mass after one week of antibiotics administration. On histopathological analysis, the resected duplicated segment had esophageal epithelium in addition to the intestinal gland. So far, we found no report describing CT findings of dynamic change of ileal duplication in the English literatures.

Leiomyoma of the Ileum: A Case Report and Literature Review

2016 ◽  
Vol 70 (1) ◽  
pp. 43-46
Author(s):  
Ivana Roso ◽  
Igor Fildiski ◽  
Milcho Panovski
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Literature Review ◽  
Clinical Presentation ◽  
Exploratory Laparotomy ◽  
Definitive Diagnosis ◽  
Histopathological Analysis ◽  
Laboratory Findings ◽  
Ct Angiogram ◽  
Small Intestines

Abstract Introduction. Leiomyomas are infrequently localized on the ileum. They are diagnosed accidentally or due to complications from their existence. Case report. We present a case of a 65-year-old patient, with CT angiogram performed due to a pain, swelling and coldness in the lower extremities, which pointed to a well-vascularized tumorous formation on the small intestines. Anamnestic and laboratory findings were negative for the existence of carcinoid. Exploratory laparotomy with partial resection of the ileum was performed, using “no touch” technique and a termino-terminal anastomosis was done. Results. The operative and postoperative period were uneventful. The histopathological finding confirmed leiomyoma of the small bowel. Conclusions. Leiomyomas of the small intestines are rare and their clinical presentation is atypical. The surgical therapy is primary and often indicated to accidentally discovered lesions. Definitive diagnosis is confirmed with histopathological analysis from which the further therapy depends.

scholarly journals Giant sublingual hamartoma with medial cleft tongue: a case report and literature review

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094208
Author(s):  
Juan Li ◽  
Chi Mao ◽  
Lian Ma ◽  
Xia Zhou
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Oral Cavity ◽  
Multidisciplinary Approach ◽  
Relevant Literature ◽  
Speech Development ◽  
Histopathological Analysis ◽  
Staged Surgery ◽  
Cleft Tongue ◽  
Normal Speech

Hamartomas commonly occur in respiratory and digestive organs, such as the lungs, pancreas, and liver; they rarely occur in the oral cavity, especially in the sublingual region. This report describes a 5-month-old boy who presented with a giant sublingual hamartoma and medial cleft tongue. He underwent corrective operations at 5 months, 11 months, and 31 months of age. Histopathological analysis revealed features suggestive of hamartoma. There have been no signs of recurrence. The boy exhibited normal speech development at 3 years of age; all other oral functions were unaffected at that time. This report includes a review of relevant literature. The findings in this report and previous literature suggest that a multidisciplinary approach, carefully planned staged surgery, and rehabilitation are needed to achieve favorable outcomes in patients with hamartoma in the oral cavity.

scholarly journals Life-threatening onset of coeliac disease: a case report and literature review

2020 ◽  
Vol 7 (1) ◽  
pp. e000406 ◽  
Author(s):  
Matteo Guarino ◽  
Edoardo Gambuti ◽  
Franco Alfano ◽  
Andrea Strada ◽  
Rachele Ciccocioppo ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Coeliac Disease ◽  
Transglutaminase 2 ◽  
Duodenal Mucosa ◽  
Electrolyte Imbalance ◽  
Clear Correlation ◽  
Histopathological Analysis ◽  
Emergency Setting ◽  
Life Threatening

BackgroundCoeliac disease (CD) results from an immune-mediated reaction to gluten in genetically predisposed individuals. In rare cases CD may occur with acute features deferring the diagnosis and exposing these patients to possible life-threatening complications. Herein we present the case of a young woman with a coeliac crisis, that is, a sudden clinical onset characterised by severe electrolyte imbalance due to an unknown (previously unrecognised) CD.MethodsThis is a case report and literature review revealing that coeliac crisis is under-reported, with a total of 48 adult cases so far published. The diagnosis in our case was established by histopathological analysis of multiple duodenal biopsies. The patient’s serum was tested by enzyme-linked immunoassay to detect antitransglutaminase IgA antibodies.ResultsIn contrast to cases reported in the literature, with male gender predominance and a mean age of 50±17 years, our patient was a young female case of coeliac crisis. However, like in our patient, a higher incidence of coeliac crisis was associated with the human leucocyte antigen (HLA)-DQ2 haplotype, versus HLA-DQ8, and a severe (Marsh-Oberhüber 3c) duodenal mucosa atrophy. Notably, there is no clear correlation between the antitissue transglutaminase 2 IgA antibody titre and coeliac crisis onset/severity, as confirmed by our case report.ConclusionsThe present case highlights that CD may manifest quite abruptly with a severe malabsorption syndrome, that is, electrolyte abnormalities and hypoproteinaemia. Our case should alert physicians, in particular those in the emergency setting, that even a typically chronic disorder, such as CD, may show life-threatening complications requiring urgent management.

scholarly journals Giant Eccrine Acrospiroma: A Case Report and Review of the Literature

2003 ◽  
Vol 11 (1) ◽  
pp. 43-46
Author(s):  
UðUr Koçer ◽  
Hasan Mete Aksoy ◽  
YiðIt Özer TiftikcioðLu ◽  
Dilek Ertoy ◽  
Önder Karaaslan
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Histological Examination ◽  
Histopathological Examination ◽  
Complete Removal ◽  
Cystic Mass ◽  
Review Of The Literature ◽  
Sweat Duct ◽  
Clinical Appearance

Background Acrospiromas are histologically distinct cutaneous tumours of sweat duct origin and usually measure 1 to 2 cm in size. Objective We describe a patient with a large benign eccrine acrospiroma. Methods Case report and literature review. Results A 50-year-old woman underwent excision of a 5.5×5.0 cm cystic mass located on the left gluteal region, and the resulting defect was closed by a local flap. A diagnosis of benign eccrine acrospiroma was made after histopathological examination. On histological examination, the lesion was characterized by multilobular dermal masses composed of a biphasic cell population. There was no recurrence five months after the operation. Conclusion Although eccrine acrospiromas are usually benign, they can, on rare occasions, undergo malignant transformation. In addition, the clinical appearance of this lesion is not specific and differential diagnosis from other lesions, both benign and malignant, can only be done after the complete removal of the lesion.

scholarly journals Adult Pancreatic Hemangioma: Case Report and Literature Review

2009 ◽  
Vol 2009 ◽  
pp. 1-5 ◽  
Author(s):  
Gerhard S. Mundinger ◽  
Shannon Gust ◽  
Shien T. Micchelli ◽  
Elliot K. Fishman ◽  
Ralph H. Hruban ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Cystic Mass ◽  
Radiographic Diagnosis ◽  
Presenting Symptoms ◽  
Pathological Specimen ◽  
Head Of The Pancreas ◽  
Pancreatic Hemangioma

We report an adult pancreatic hemangioma diagnosed on pathological specimen review following pylorus preserving pancreaticoduodenectomy for a symptomatic cystic mass in the head of the pancreas. Eight cases of adult pancreatic hemangioma have been reported in literature since 1939. Presenting symptoms, radiographic diagnosis, pathologic characteristics, and treatment of adult pancreatic hemagiomas are discussed following review of all published cases.

scholarly journals Torsion of a Communicating Hydrocele Presented as Acute Scrotum: A Case Report and Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Ivonete Siviero ◽  
Ivens Baker Méio ◽  
Saulo Marcos Rebello Ferrante ◽  
Danielle Nunes Forny ◽  
André Lima da Cunha
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Cystic Mass ◽  
Diagnosis And Treatment ◽  
High Ligation ◽  
Acute Scrotum ◽  
Operative Findings ◽  
High Index Of Suspicion

Torsion of a communicating hydrocele is extremely rare, and the cause is unclear. We report the case of a 3-year-old boy referred to us with acute scrotum. Operative findings revealed torsion of a communicating hydrocele with a 360-degree rotation of the distal end. We performed surgical excision of the necrotic cystic mass and high ligation of the peritoneal communication. A high index of suspicion is required for the correct diagnosis and treatment of this condition, which should be included among the causes of acute scrotum in childhood.

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