scholarly journals Two Neonates with Congenital Hydrocolpos

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Vydehi Murthy ◽  
Jessica Costalez ◽  
Julie Weiner ◽  
Kristin Voos
Keyword(s):  
Prenatal Diagnosis ◽  
Reproductive Tract ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Mass Effect ◽  
Cystic Mass ◽  
Sacrococcygeal Teratoma ◽  
Mri Imaging ◽  
Fetal Diagnosis ◽  
High Index Of Suspicion

Introduction. Neonatal hydrocolpos is a rare condition. Hydrocolpos is cystic dilatation of the vagina with fluid accumulation due to a combination of stimulation of secretary glands of the reproductive tract and vaginal obstruction. The differential for a neonatal presentation of lower abdominal mass includes urogenital anomalies, Hirschsprung’s, disease or sacrococcygeal teratoma. Prenatal diagnosis and early newborn imaging studies leads to early detection and treatment of these cases.Case. We report here two cases of neonatal hydrocolpos with prenatal diagnosis of lower abdominal mass. Postnatally, ultrasound, MRI imaging, and cystoscopy confirmed large cystic mass as hydrocolpos with distal vaginal obstruction. Both patients had enlarged renal system secondary to mass effect.Conclusion. High index of suspicion for hydrocolpos in a newborn presenting with fetal diagnosis of infraumbilical abdominal mass will facilitate timely intervention and prevention of complications.

scholarly journals Fetus in fetu: two case reports from North African country

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Moutaz Ragab ◽  
Omar Nagy Abdelhakeem ◽  
Omar Mansour ◽  
Mai Gad ◽  
Hesham Anwar Hussein
Keyword(s):  
Histopathological Examination ◽  
Case Reports ◽  
Abdominal Mass ◽  
Mature Teratoma ◽  
Surgical Techniques ◽  
Rare Condition ◽  
Mass Effect ◽  
Fetus In Fetu ◽  
Vascular Connection ◽  
First Case

Abstract Background Fetus in fetu is a rare congenital anomaly. The exact etiology is unclear; one of the mostly accepted theories is the occurrence of an embryological insult occurring in a diamniotic monochorionic twin leading to asymmetrical division of the blastocyst mass. Commonly, they present in the infancy with clinical picture related to their mass effect. About 80% of cases are in the abdomen retroperitoneally. Case presentation We present two cases of this rare condition. The first case was for a 10-year-old girl that presented with anemia and abdominal mass, while the second case was for a 4-month-old boy that was diagnosed antenatally by ultrasound. Both cases had vertebrae, recognizable fetal organs, and skin coverage. Both had a distinct sac. The second case had a vascular connection with the host arising from the superior mesenteric artery. Both cases were intra-abdominal and showed normal levels of alpha-fetoprotein. Histopathological examination revealed elements from the three germ layers without any evidence of immature cells ruling out teratoma as a differential diagnosis. Conclusions Owing to its rarity, fetus in fetu requires a high degree of suspicion and meticulous surgical techniques to avoid either injury of the adjacent vital structures or bleeding from the main blood supply connection to the host. It should be differentiated from mature teratoma.

scholarly journals Giant Appendicolithiasis Presenting with Chronic Abdominal Pain and Mass: A Case Report

1970 ◽  
Vol 29 (3) ◽  
Author(s):  
Engida Abebe ◽  
Kirubel Abebe
Keyword(s):  
Patient Outcomes ◽  
District Hospital ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Chronic Abdominal Pain ◽  
Abdominal Ct ◽  
Lower Quadrant ◽  
High Index Of Suspicion ◽  
Right Lower Quadrant ◽  
Cecal Cancer

BACKGROUND: Appendicitis is the most common cause of acute abdomen. The diagnosis of appendicitis can be easy when it presents with the classical symptoms or is very challenging when present with atypical presentation. Around 20-30% of patients operated on for appendicitis have appendicolithiasis. Appendicolithiasis are usually small in size, and are called giant when more than 2cm in size.CASE DETAIL: A 36 years old man was referred from a district hospital with a diagnosis of cecal cancer. His complaints were right lower quadrant (RLQ) abdominal mass of 03 months and pain of 18 months duration. Colonoscopy was normal but abdominal CT showed a RLQ mass with a dense radio-opaque shadow at its center.CONCLUSIONS: Giant appendicolith is a rare condition. A high index of suspicion and careful review of imaging findings is the key in early diagnosis and improved patient outcomes. 

scholarly journals Acute liver lobe torsion in a kitten

2021 ◽  
Vol 7 (1) ◽  
pp. 205511692199029
Author(s):  
Katherine M Tallaj ◽  
Yonaira Cortes ◽  
Kristi M Gannon ◽  
Arthur A Fettig
Keyword(s):  
Point Of Care ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Mass Effect ◽  
Abdominal Ultrasound ◽  
Acute Onset ◽  
Intact Male ◽  
Liver Lobe ◽  
Case Summary ◽  
Abdominal Radiographs

Case summary A 10-week-old intact male domestic shorthair kitten presented for an acute onset of lethargy, vomiting and anorexia. An abdominal mass effect was palpable on presentation. Blood work, abdominal radiographs and point-of-care abdominal ultrasound showed severe anemia, decreased serosal detail and abdominal effusion, respectively. Based on the concern for an abdominal organ torsion or ruptured mass, an emergency abdominal exploratory surgery was performed. Torsion of the entire caudate liver lobe was discovered with a secondary hemoabdomen, and a liver lobectomy was performed. The kitten was stabilized and discharged 3 days after surgery. At the recheck examination, 15 days postoperatively, the patient was reported to be doing well. Relevance and novel information Liver lobe torsion is a rare condition previously reported in six other cats; however, this is the first peer-reviewed report in a kitten successfully treated with surgery with no identifiable underlying cause.

scholarly journals Type IV Sacrococcygeal Teratoma Associated with Urogenital Sinus: Difficulties in the Prenatal Differential Diagnosis

2013 ◽  
Vol 2 (1) ◽  
pp. 9
Author(s):  
Zeki Şahinoğlu ◽  
Ayşenur Cerrah Celayir ◽  
Mehmet Reşit Asoglu ◽  
Nahit Özcan
Keyword(s):  
Differential Diagnosis ◽  
Pregnant Woman ◽  
Prenatal Diagnosis ◽  
Obstructive Uropathy ◽  
Cystic Mass ◽  
Urogenital Sinus ◽  
Sacrococcygeal Teratoma ◽  
Prenatal Ultrasonography ◽  
Type Iv ◽  
Renal Malformations

Sacrococcygeal teratoma (SCT) is being more often detected due to availability of prenatal ultrasonography. Type IV SCT could be misdiagnosed as cloacal abnormalities due to the pelvic midline cystic mass associated with renal malformations and obstructive uropathy during the pregnancy. We discuss difficulties in the prenatal differential diagnosis of SCT and urogenital sinus in a 26-year-old pregnant woman, admitted to our prenatal diagnosis centre for a detailed US for a pre-sacral mass.

Chronic uterine abscess in a Bolivian grey titi monkey (Plecturocebus donacophilus)

2020 ◽  
Vol 8 (3) ◽  
pp. e001138
Author(s):  
Sarrah Kaye
Keyword(s):  
Reproductive Tract ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Clinical Signs ◽  
Abdominal Distension ◽  
Mass Effect ◽  
Uterine Wall ◽  
Titi Monkey ◽  
Titi Monkeys ◽  
Uterine Abscess

An 11-year-old, reproductively active female Bolivian grey titi monkey (Plecturocebus donacophilus) in a zoological institution was presented for abdominal distension without concurrent clinical signs. Physical examination and imaging studies detected a uterine mass. Preoperative bloodwork revealed anaemia and hyperglobulinaemia. Hysterectomy was performed, but the patient died under anaesthesia. Histopathological examination found a chronic uterine abscess with effacement of the uterine wall and generalised inflammation consistent with sepsis. This case documents an uncommon reproductive tract lesion in a New World primate, and demonstrates the value of routine reproductive health monitoring in non-human primates, as not all pathologies will have clinical signs perceptible by caretakers. Earlier diagnosis may have resulted in an improved outcome in this case. Uterine abscess could be a differential diagnosis in cases of abdominal mass effect or distension in female titi monkeys.

scholarly journals Use of Diagnostic Laparoscopy for Identification of Bilateral Noncommunicating Hydroceles in an Infant with Right-Sided Abdominoscrotal Mass and Left-Sided Scrotal Mass

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Kian Asanad ◽  
Pooya Banapour ◽  
Monica Metzdorf
Keyword(s):  
Diagnostic Laparoscopy ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Cystic Mass ◽  
Internal Ring ◽  
Scrotal Mass ◽  
Scrotal Ultrasound ◽  
Scrotal Swelling ◽  
Abdominoscrotal Hydrocele ◽  
Rule Out

Infantile abdominoscrotal hydrocele (ASH) is a rare condition characterized by a dumbbell-shaped cystic mass extending from the scrotum to the abdomen. We present the case of a 4-month-old infant who presented with progressively enlarging bilateral scrotal swelling and a tense, ballotable right-sided abdominal mass with extension into the scrotum. Scrotal ultrasound revealed bilateral hydroceles but exam and ultrasound could not rule out communication. At the time of planned hydrocelectomy, initial diagnostic laparoscopy was used to identify a massive right-sided ASH extending from the internal ring to the umbilicus and a large noncommunicating left-sided hydrocele that was visible with application of pressure to the left side of the scrotum. Following confirmation of anatomy with diagnostic laparoscopy, a scrotal approach to hydrocelectomy was performed as well as bilateral orchidopexy.

Bone marrow necrosis and fat embolism syndrome: a near fatal complication in previously undiagnosed sickle beta + thalassaemia

2021 ◽  
Vol 14 (1) ◽  
pp. e238317
Author(s):  
Nibash Budhathoki ◽  
Sunita Timilsina ◽  
Bebu Ram ◽  
Douglas Marks
Keyword(s):  
Bone Marrow ◽  
Multiorgan Failure ◽  
Rare Condition ◽  
Altered Mental Status ◽  
Fat Embolism ◽  
Bone Marrow Necrosis ◽  
Embolism Syndrome ◽  
Hb S ◽  
High Index Of Suspicion ◽  
Specific Symptoms

Prevalence of haemoglobin sickle-β+ thalassaemia (Hb S/β+thal) is variable with geography ranging from 0.2% to 10% among sickle cell patients. Clinical presentation of Hb S/β+thal patients depends on HbA level, with milder disease often going undiagnosed. However, rarely these patients can present with a fulminant vaso-occlusive crisis (VOC). Given VOC can present with non-specific symptoms, the diagnosis and treatment is often delayed. Here, we present a patient who initially developed altered mental status, pancytopenia and multiorgan failure due a critical VOC resulting in bone marrow necrosis and fat embolism. Subsequent workup confirmed that our patient had Sickle-β+ thalassaemia, which had gone undiagnosed, despite subclinical evidence of haemolysis on routine lab work for years. Following diagnosis and initiation of RBC exchange, he improved significantly and was discharged home. High index of suspicion and bone marrow biopsy is vital for early diagnosis and management of this rare condition.

Intraorbital Abscess: A Rare Cause of Orbit Compression

FACE ◽  
2021 ◽  
pp. 273250162110050
Author(s):  
Samuel Ruiz ◽  
Rizal Lim
Keyword(s):  
Pediatric Population ◽  
Rare Complication ◽  
Disease Process ◽  
Rare Condition ◽  
External Drainage ◽  
Direct Extension ◽  
Life Threatening ◽  
History Of ◽  
High Index Of Suspicion ◽  
Prompt Diagnosis

Introduction: Intraorbital abscess is a rare complication of rhinosinusitis that affects most commonly the pediatric population. It is thought to be caused by direct extension or venous spread of infections from contiguous sites and can lead to life-threatening complications, like permanent visual loss and cerebral abscesses. Objectives: Intraorbital abscess is a rare condition that requires prompt diagnosis and treatment to avoid serious complications. Our objectives are to provide an overview of this rare disease process and its management including our successful treatment experience. Case Description: We present a 2 case report of a 13-year-old pediatric male and a 66-year-old male with history of chronic sinusitis who presented with a right intraorbital abscess successfully treated with external drainage with decompression of the orbit. Conclusion: When intraorbital abscess is encountered, a high index of suspicion is needed to allow prompt and accurate diagnosis for this infrequent condition. Timely surgical drainage of the abscess is needed to prevent the development of fatal complications.

Prenatal diagnosis of acute bladder distension associated with fetal sacrococcygeal teratoma—a case report

1995 ◽  
Vol 15 (12) ◽  
pp. 1160-1164 ◽  
Author(s):  
U. Elchalal ◽  
I. Ben-Shachar ◽  
M. Nadjari ◽  
E. Gross ◽  
Z. Appleman ◽  
...  
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Sacrococcygeal Teratoma ◽  
Bladder Distension

Tracheoinnominate fistula: surgical management of an iatrogenic disaster

2006 ◽  
Vol 120 (8) ◽  
pp. 676-680 ◽  
Author(s):  
R W Ridley ◽  
J B Zwischenberger
Keyword(s):  
Operating Room ◽  
Surgical Management ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Pectoralis Major Muscle ◽  
Muscle Flap ◽  
Rare Condition ◽  
Innominate Artery ◽  
Significant Potential ◽  
High Index Of Suspicion

Tracheoinnominate fistula (TIF) is a rare condition with significant potential for mortality if surgical intervention is not immediate. We present two cases of successfully managed TIF. Both cases involve ligation and resection of the innominate artery at the TIF followed by a pectoralis major muscle flap. In both cases, success was largely due to a high index of suspicion and immediate control of the bleeding with transport to the operating room for surgical repair. The history, aetiology, and pathogenesis of TIF are reviewed, yielding an algorithm for recommended management of TIF.

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