scholarly journals Spontaneous Rupture of Pyometra

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Fatemeh Mallah ◽  
Tahere Eftekhar ◽  
Mohammad Naghavi-Behzad
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Tract ◽  
Rare Complication ◽  
Abdominal Cavity ◽  
Clinical Findings ◽  
Diffuse Peritonitis ◽  
Spontaneous Perforation ◽  
Definite Diagnosis ◽  
Incarcerated Hernia ◽  
First Case

Spontaneous perforation is a very rare complication of pyometra. The clinical findings of perforated pyometra are similar to perforation of the gastrointestinal tract and other causes of acute abdomen. In most cases, a correct and definite diagnosis can be made only by laparotomy. We report two cases of diffuse peritonitis caused by spontaneous perforated pyometra. The first case is a 78-year-old woman with abdominal pain for which laparotomy was performed because of suspected incarcerated hernia. The second case is a 61-year-old woman with abdominal pain for which laparotomy was performed because of symptoms of peritonitis. At laparotomy of both cases, 1 liter of pus with the source of uterine was found in the abdominal cavity. The ruptured uterine is also detected. More investigations revealed no malignancy as the reason of the pyometra.

scholarly journals A rare case of urinary bladder stone secondary to migrating Intra Uterine Device.

2019 ◽  
Vol 5 (1) ◽  
pp. 32-34
Author(s):  
Sonam Jamtsho
Keyword(s):  
Rare Complication ◽  
Abdominal Cavity ◽  
Bladder Stone ◽  
Surgical Department ◽  
Contraceptive Devices ◽  
First Case ◽  
Intrauterine Contraceptive ◽  
Systemic Side Effects ◽  
And Migration ◽  
National Referral Hospital

 Intrauterine contraceptive devices (IUCDs) is one of the most commonly used in Bhutan. IUCDs are effective, safe, cheap, and has minimal systemic side effects. One of the major but rare complications is perforation of uterus and migration into pelvic and abdominal cavity and organs. Migrating into urinary balder is a rare complication. We report the first case of bladder stone secondary to migrating Copper T in a 50-year-old female who presented to the surgical department of Jigme Dorji Dorji Wangchuck National Referral Hospital.

Eosinophilic gastroenteritis in an adolescent male with history of chronic bullous disease

2021 ◽  
Vol 14 (2) ◽  
pp. e238532
Author(s):  
Carol Stephanie C Tan-Lim ◽  
Juan Miguel L Murillo ◽  
Marysia Stella T Recto ◽  
Mary Anne R Castor
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Allergic Diseases ◽  
Eosinophilic Gastroenteritis ◽  
Adolescent Male ◽  
Inflammatory Disorder ◽  
Bullous Disease ◽  
First Case ◽  
History Of

Eosinophilic gastroenteritis is a rare inflammatory disorder of the gastrointestinal tract. Although commonly associated with allergic diseases, it is also rarely associated with autoimmune disorders. This case report describes a 17-year-old Filipino male with eosinophilic gastroenteritis, manifesting as abdominal pain, vomiting and diarrhoea. He had no allergic diseases, but he was previously diagnosed with chronic bullous disease. His symptoms improved with the initiation of corticosteroids. To date, this is the first case report of a patient with eosinophilic gastroenteritis and chronic bullous disease.

scholarly journals Abdominal Pregnancy in the Small Intestine Presenting as Acute Massive Lower Gastrointestinal Hemorrhage

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Apiradee Pichaichanlert ◽  
Vor Luvira ◽  
Nakhon Tipsunthonsak
Keyword(s):  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Ectopic Pregnancy ◽  
Gastrointestinal Hemorrhage ◽  
Abdominal Cavity ◽  
Reproductive Organs ◽  
Abdominal Pregnancy ◽  
Lower Gastrointestinal Hemorrhage ◽  
First Case ◽  
Female Reproductive Organs

An abdominal pregnancy is an ectopic pregnancy in which the implantation site occurs in the abdominal cavity outside the female reproductive organs. There have been four reported cases that ruptured into the gastrointestinal tract and into the large intestine. We present the first case of an abdominal pregnancy rupturing into the small intestine with a good outcome.

scholarly journals A pediatric case of Meckel diverticulum with uncommon presentation showing no lower gastrointestinal bleeding

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Sanaz Mehrabani ◽  
Soheil Osia
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Tract ◽  
Bowel Obstruction ◽  
Congenital Abnormality ◽  
Rare Complication ◽  
Lower Gastrointestinal Bleeding ◽  
Meckel Diverticulum ◽  
Pediatric Case ◽  
Intestinal Hemorrhage ◽  
Uncommon Presentation

Meckel’s diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract. Painless intestinal hemorrhage is a frequently occurring complication that relates to MD in children. Bowel obstruction is a rare complication of MD in children. We report on the case of a fouryear old male child who presented with abdominal pain and hematemesis. Finally, bowel obstruction due to MD was confirmed at surgery.

Metastatic lesions in the gastroduodenum — an unusual manifestation of malignant melanoma and pulmonary adenocarcinoma

Open Medicine ◽  
2014 ◽  
Vol 9 (6) ◽  
pp. 762-767
Author(s):  
Daniela Benedeto-Stojanov ◽  
Goran Bjelaković ◽  
Maja Milentijević ◽  
Dragan Stojanov ◽  
Vesna Brzački ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Tract ◽  
Malignant Melanoma ◽  
Lung Tumor ◽  
Duodenal Bulb ◽  
Metastatic Lesions ◽  
First Case ◽  
History Of ◽  
Upper Gastrointestinal ◽  
Immunohistochemical Stains

AbstractThe gastrointestinal tract (GIT) is an unusual site for metastasis. The rate of GIT metastases detected clinically is very low because of unspecific symptoms and signs of GIT involvement, which include general weakness, tiredness, weight loss, unspecific abdominal pain, fatigue, and anemia. We report clinical, endoscopic, and pathological patterns of two patients (malignant melanoma and primary lung tumor) with metastatic lesions in the gastroduodenum. The first case is a 59-year-old man with unspecific symptoms as nausea, vomiting and abdominal pain. He underwent resection of skin melanoma on his back one year before. Upper gastrointestinal endoscopy revealed two melanotic polypoid masses with ulcerations at the tip, one in the stomach and one in the duodenal bulb. Endoscopic biopsy of these polypoid masses and immunohistochemical stains confirmed the diagnosis of metastatic malignant melanoma. The second case is a 73-year-old man with a two-day history of melena and unspecific abdominal pain. Three weeks before, the patient was operated on for the adenocarcinoma of the lung. Endoscopy of the upper gastrointestinal tract revealed irregular polypoid mass with ulcerations at the tip: three of the stomach mucosa, two in the duodenal bulb and more than ten hemorrhagic polypoid masses at the desendent duodenum. Biopsies of these lesions confirmed the diagnosis of metastatic lung adenocarcinoma. In patients with a history of malignant melanoma and lung cancer unspecific symptoms, like abdominal pain, anemia, and gastrointestinal bleeding gastroduodenal metastases should be suspected. The diagnosis requires careful endoscopic examinations of the mucosa for metastatic lesions and biopsy with special immunohistochemical stains.

scholarly journals Generalized Peritonitis Secondary to Spontaneous Perforation of Pyometra in a 63-Year-Old Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Ahmed Abu-Zaid ◽  
Osama AlOmar ◽  
Ahmed Nazer ◽  
Ayman Azzam ◽  
Zainab Abudan ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Abdominal Cavity ◽  
Uneventful Recovery ◽  
Diffuse Peritonitis ◽  
Spontaneous Perforation ◽  
High Grade Fever ◽  
Diffuse Abdominal Pain ◽  
Generalized Peritonitis ◽  
Plain Chest Radiograph ◽  
Free Air

Spontaneous perforation of pyometra resulting in generalized diffuse peritonitis is extremely uncommon. Herein, we report the case of a 63-year-old woman who presented to emergency department with a 2-day history of severe diffuse abdominal pain, high-grade fever, nausea, and vomiting. Acute abdomen series was done, and upright plain chest radiograph showed free air under diaphragm. A noncontrast-enhanced computed tomography scan showed a significantly distended fluid-filled uterus measuring 10 × 7.8 × 10 cm, in addition to a single focus of perforation involving the uterine fundus and associated with presence of free air within the nondependant area. No evidence of ascites or pelvi-abdominal lymphadenopathy was identified. A preoperative diagnosis of generalized peritonitis secondary to spontaneous perforation of uterus was established. Subsequently, patient underwent urgent exploratory laparotomy which revealed pus-filled uterus with perforated fundus. Diagnosis of generalized peritonitis secondary to spontaneous perforation of pyometra was established. Consequently, patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy, as well as thorough drainage and irrigation of pelvi-abdominal cavity. Postoperatively, patient was admitted to intensive care unit. Histopathological examination of uterus was negative for malignancy, and surgical culture grewStreptococcus constellatus. Patient had an uneventful recovery. Moreover, a brief literature review on pyometra is presented.

A case of spastic quadriparesis secondary to enteric fever

2021 ◽  
pp. 004947552199759
Author(s):  
Ajay Bhatta ◽  
Prabhat Kumar
Keyword(s):  
Abdominal Pain ◽  
Gastrointestinal Tract ◽  
Enteric Fever ◽  
Psychiatric Symptoms ◽  
Rare Complication ◽  
Systemic Disease ◽  
Salmonella Typhi ◽  
Neurological Manifestations ◽  
Organ Systems ◽  
Spastic Quadriparesis

Enteric fever is a systemic disease characterised predominantly by fever and abdominal pain, caused by dissemination of Salmonella Typhi or Salmonella Paratyphi. Enteric fever can affect many organ systems including liver, gastrointestinal tract, kidney and brain. Neurological manifestations occur in 2%–40% of patients and include meningitis, Gullian-Barré syndrome, neuritis and neuro-psychiatric symptoms. Spastic quadriparesis is a rare complication.

Synchronous celiac axis and superior mesenteric artery embolism

VASA ◽  
2011 ◽  
Vol 40 (6) ◽  
pp. 495-498 ◽  
Author(s):  
Rajkovic ◽  
Zelic ◽  
Papes ◽  
Cizmek ◽  
Arslani
Keyword(s):  
Atrial Fibrillation ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Abdominal Cavity ◽  
Celiac Axis ◽  
Contrast Administration ◽  
Artery Embolism

We present a case of combined celiac axis and superior mesenteric artery embolism in a 70-year-old patient that was examined in emergency department for atrial fibrillation and diffuse abdominal pain. Standard abdominal x-ray showed air in the portal vein. CT scan with contrast showed air in the lumen of the stomach and small intestine, bowel distension with wall thickening, and a free gallstone in the abdominal cavity. Massive embolism of both celiac axis and superior mesenteric artery was seen after contrast administration. On laparotomy, complete necrosis of the liver, spleen, stomach and small intestine was found. Gallbladder was gangrenous and perforated, and the gallstone had migrated into the abdominal cavity. We found free air that crackled on palpation of the veins of the gastric surface. The patient’s condition was incurable and she died of multiple organ failure a few hours after surgery. Acute visceral thromboembolism should always be excluded first if a combination of atrial fibrillation and abdominal pain exists. Determining the serum levels of d-dimers and lactate, combined with CT scan with contrast administration can, in most cases, confirm the diagnosis and lead to faster surgical intervention. It is crucial to act early on clinical suspicion and not to wait for the development of hard evidence.

Antibiotic Therapy Did Not Prevent the Rupture of Mycotic Aneurysm of the Superior Mesenteric Artery

2015 ◽  
Vol 18 (3) ◽  
pp. 088
Author(s):  
Ye-tao Li ◽  
Xiao-bin Liu ◽  
Tao Wang
Keyword(s):  
Abdominal Pain ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Acute Abdominal Pain ◽  
Rare Complication ◽  
Emergency Operation ◽  
History Of

<p class="p1"><span class="s1">Mycotic aneurysm of the superior mesenteric artery (SMA) is a rare complication of infective endocarditis. We report a case with infective endocarditis involving the aortic valve complicated by multiple septic embolisms. The patient was treated with antibiotics for 6 weeks. During preparation for surgical treatment, the patient developed acute abdominal pain and was diagnosed with a ruptured SMA aneurysm, which was successfully treated with an emergency operation of aneurysm ligation. The aortic valve was replaced 17 days later and the patient recovered uneventfully. In conclusion, we present a rare case with infective endocarditis (IE) complicated by SMA aneurysm. Antibiotic treatment did not prevent the rupture of SMA aneurysm. Abdominal pain in a patient with a recent history of IE should be excluded with ruptured aneurysm.</span></p>

scholarly journals Pyosalpinx due to Cronobacter sakazakii in an elderly woman

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Satoshi Ohira ◽  
Eri Ikeda ◽  
Kyosuke Kamijo ◽  
Tomokuni Nagai ◽  
Koji Tsunemi ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
Lower Abdominal Pain ◽  
The Elderly ◽  
Pathological Examination ◽  
Milk Formula ◽  
Adult Women ◽  
Cronobacter Sakazakii ◽  
Left Edge ◽  
Powdered Milk ◽  
First Case

Abstract Background Cronobacter sakazakii (C. sakazakii) is a bacterium known to cause severe neonatal infections in premature infants with the consumption of contaminated powdered milk formula. Adult infections are rare, and there have been no reports of pyosalpinx due to C. sakazakii to date. Case presentation We report a case of left pyosalpinx due to C. sakazakii in a sexually inactive postmenopausal woman. A 70-year-old woman presented to our hospital with left lower abdominal pain and fever. Abdominal computed tomography disclosed a cystic mass continuous with the left edge of the uterus. Urgent laparotomy revealed a ruptured left pyosalpinx with pus-like content. Left salpingo-oophorectomy, resection of the right tube, and washing of the abdominal cavity with saline were performed. Pathological examination of the left adnexa showed tubal tissue with acute inflammation and inflammatory exudate, which were compatible with pyosalpinx, and pus culture yielded C. sakazakii. Conclusions This is the first case report of pyosalpinx due to C. sakazakii. Cronobacter sakazakii infections in adult women might occur in the elderly, whose immunity has weakened. Further accumulation of cases of C. sakazakii infection is needed to clarify the etiology and behavior of C. sakazakii in adults.

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