scholarly journals TAP-Stenting Technique for Bifurcation Stenosis of Celiac Artery

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Yucel Colkesen ◽  
Taner Seker ◽  
Osman Kuloglu ◽  
Murat Çayli
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Liver Injury ◽  
Clinical Course ◽  
Laboratory Data ◽  
Exploratory Laparotomy ◽  
Celiac Artery ◽  
Hepatic Enzymes ◽  
Total Occlusion ◽  
Endovascular Recanalization

We report a clinical course of a patient who developed severe ischemic liver injury and total occlusion of the celiac artery (CA). A 40-year-old man presented with abdominal pain. Computed tomography indicated total occlusion of the CA. Laboratory data demonstrated markedly elevated hepatic enzymes. An exploratory laparotomy was not necessitated due to absence of peritonism. The patient was successfully treated by endovascular recanalization of the CA occlusion via transcatheter balloon angioplasty and TAP-stenting (T-stenting and small protrusion) technique. Endovascular intervention in patients solely with liver failure appears practicable and early treatment is advised.

Incidental Diagnosis of Pseudomyxoma Peritonei After Emergent Splenectomy

2020 ◽  
pp. 000313482095482
Author(s):  
Alexandra C. Ferre ◽  
Matthew Burstein ◽  
Kevin M. El-Hayek
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Pseudomyxoma Peritonei ◽  
Exploratory Laparotomy ◽  
Histological Evaluation ◽  
Splenic Trauma ◽  
Computed Tomography Imaging ◽  
Moderate Amount ◽  
Tomography Imaging ◽  
Unexpected Findings

Pseudomyxoma peritonei (PMP) is a rare disease associated with mucinous ascites. Pseudomyxoma peritonei has a low incidence and is difficult to diagnose. Pseudomyxoma peritonei usually presents with vague abdominal pain after significant progression. Computed tomography imaging is the most common modality for diagnosis; however, diagnosis as a result of surgical intervention in cases of acute abdomen has become increasingly common. We present a unique case of a 66-year-old man who was incidentally diagnosed with PMP after undergoing an emergent splenectomy for presumed blunt trauma. The patient presented to the emergency room with abdominal pain, shortness of breath, and diaphoresis. Computed tomography imaging revealed a splenic hematoma with suspicion of extravasation and a moderate amount of free intraperitoneal fluid consistent with blood. The patient was taken to the operating room emergently for an emergent splenectomy where splenic laceration was noted, as were multiple areas of nodularity in the omentum and cecum. Histologic evaluation of these lesions led to the diagnosis of PMP. After recovery from his initial splenectomy, the patient underwent exploratory laparotomy, cytoreductive surgery, cholecystectomy, removal of appendiceal mucocele, and hyperthermic intraperitoneal chemotherapy without complication. Final pathology was consistent with PMP and primary mucinous appendiceal adenocarcinoma. This case highlights an unusual presentation of PMP for a patient who was undergoing surgery for presumed splenic trauma. Surgeons must maintain a high index of suspicion and should perform histological evaluation when such unexpected findings are encountered.

Endovascular treatment of isolated spontaneous celiac artery dissection

Vascular ◽  
2012 ◽  
Vol 20 (2) ◽  
pp. 118-120 ◽  
Author(s):  
Tao Zhang ◽  
Xiaoming Zhang ◽  
Xuemin Zhang ◽  
Jingjun Jiang ◽  
Bingying Zhou
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Treatment Options ◽  
Celiac Artery ◽  
Artery Dissection ◽  
Selective Angiography ◽  
Entry Site ◽  
Diagnostic Modalities

This report presents the case of a patient with isolated spontaneous celiac artery dissection. The patient developed acute abdominal pain that was induced by eating. Computed tomography and selective angiography revealed an intimal flap that separated the true and false lumens located 3 cm from the origin of the celiac artery. We treated the patient with a stent that was deployed endovascularly into the celiac artery to seal the entry site. Postoperative angiography revealed that the graft was patent and the follow-up period was uneventful. The etiology, clinical features, diagnostic modalities and treatment options of isolated spontaneous celiac artery dissection are reported.

scholarly journals Abdominal actinomycosis mimicking a transverse colon malignancy: a case report and review of the literature

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Gnanaselvam Pamathy ◽  
Umesh Jayarajah ◽  
Dayal Sathyajith Gamlaksha ◽  
Roshana Constantine ◽  
Anura S. K. Banagala
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Transverse Colon ◽  
Rare Complication ◽  
Stage Iv ◽  
Exploratory Laparotomy ◽  
Needle Aspiration ◽  
Bacterial Disease ◽  
Abdominal Actinomycosis ◽  
Descending Colon

Abstract Background Actinomycosis is a rare inflammatory bacterial disease caused by Actinomyces species which can infrequently affect the large intestine. Disseminated actinomycosis is reported as a rare complication associated with intrauterine devices. We report a case of intra-abdominal actinomycosis mimicking a transverse colon malignancy. Case presentation A previously healthy 40-year-old Sinhalese woman was evaluated for intermittent colicky left-sided abdominal pain for 2 months’ duration. Computed tomography of the abdomen showed a circumferential thickening of the wall and narrowing of the lumen of the descending colon with evidence of extraluminal extension to the adjacent parietal peritoneum and abdominal wall suggestive of a stage IV neoplasm. An exploratory laparotomy with extended left hemicolectomy was performed. Macroscopic evaluation revealed a mass lesion with multiple abscesses attached to the transverse and descending colon. Histology was suggestive of actinomycosis with no evidence of malignancy. Conclusions Abdominal actinomycosis should be considered in a young patient with chronic abdominal pain. It should be understood that the presentation may be vague and highly variable. Computed tomography-guided biopsy/fine needle aspiration or laparoscopy and biopsy may be useful in arriving at a diagnosis and can prevent unnecessary surgical intervention.

scholarly journals Trauma to a Hepatoblastoma: A Case Report

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Mohd Latiff Iqramie Muhamad Zaki ◽  
Hamzah Sukiman ◽  
Mohanaprakash KR Arasappan ◽  
Ariff Iskandar Ahmad
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Liver Injury ◽  
Clinical Presentation ◽  
Left Lobe ◽  
Older Children ◽  
Distended Abdomen ◽  
Post Traumatic ◽  
Previous Medical History

We are reporting a case of previously undiagnosed hepatoblastoma in a healthy child, who presented acutely in a post-traumatic setting. We reported a 7-year-old boy, with no previous medical history, presented with gradual worsening abdominal pain following an episode of trivial trauma to the abdomen two weeks prior. He was anaemic at presentation, and had a distended abdomen with a tender enlarged liver. Computed tomography (CT) of the abdomen showed a grossly enlarged left lobe of the liver, within which was an organized hematoma. Serum alphafetoprotein (α-FP) was raised significantly. The liver injury was managed conservatively and the child recovered well. He is set to undergo staging scans and further workup, in anticipation of subsequent systemic therapy. Though exceedingly unlikely in older children, the diagnosis of hepatoblastoma should be entertained in those with an enlarged liver with a clinical presentation masquerading as a ‘straightforward’ liver injury.

scholarly journals A case of emphysematous cystitis diagnosed by exploratory laparotomy

2013 ◽  
Vol 5 (2) ◽  
pp. 9
Author(s):  
Keisuke Takano ◽  
Hidetada Fukushima ◽  
Yasuyuki Kawai ◽  
Yasuyuki Urisono ◽  
Michiaki Hata ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Peritoneal Fluid ◽  
Fluid Collection ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Urinary Frequency ◽  
Rare Form ◽  
Emphysematous Cystitis ◽  
Peritoneal Sign

Emphysematous cystitis is a rare form of infection. Well known symptoms are: dysuria, urinary frequency and lower abdominal pain. We experienced a case of emphysematous cystitis presented with atypical peritoneal sign and computed tomography findings of massive intra-peritoneal fluid collection and abnormal gas appearance in pelvic space. Due to its presentation as acute abdomen, patient underwent exploratory laparotomy and the diagnosis of emphysematous cystitis was established. As far as we know, our case is the first report of emphysematous cystitis with intra-peritoneal fluid collection.

scholarly journals Intraluminal Meigration of Gossypiboma without Intestinal Obstruction for Fourteen years

2008 ◽  
Vol 47 (171) ◽  
Author(s):  
Romeo Kansakar ◽  
P Thapa ◽  
S Adhikari
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Foreign Body ◽  
Intestinal Obstruction ◽  
Fistulous Tract ◽  
Exploratory Laparotomy ◽  
Surgical Sponge ◽  
External Communication ◽  
Upper Abdominal ◽  
Intraluminal Migration

A 55 years lady presented with dull aching right upper abdominal pain with intermittent episodes of diarrhea following cholecystectomy which she underwent fourteen years back. Ultrasound and computed tomography findings were suggestive of foreign body in right subhepatic space. Exploratory laparotomy revealed circumvented loop of ileum with intra luminal mass sized 5x10 cm, resection anastomosis of the segment of ileum was performed. When opened it contained a surgical sponge with no external communication but an internal fistulous tract was present between the proximal and distal loops beyond the mass. Though intraluminal migration of retained surgical sponge has often been reported, complete intraluminal migration without features of obstruction or external opening is rarely seen.JNMA J Nepal Med Assoc. 2008 Jul-Sep;47(171):136-138.

scholarly journals Migratory abdominal pain

2010 ◽  
Vol 2010 (8) ◽  
pp. 7-7
Author(s):  
Will Kieffer
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Exploratory Laparotomy ◽  
Plain Radiography

Abstract A 63 year old woman, presenting as an emergency provides an useful example of the difficulties in diagnosing acute appendicitis when faced with an atypical history. This patient underwent plain radiography, computed tomography, repeat biochemical investigations and finally an exploratory laparotomy before the diagnosis of acute appendicitis was made. The case was confounded by a highly mobile caecal pole which brought the inflamed appendix to lie over the pancreas highlighting the need for vigilance in diagnosing acute appendicitis.

scholarly journals Enucleation of a giant symptomatic gastric lipoma, a safe surgical approach

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Rafaela Parreira ◽  
Tiago Rama ◽  
Teresa Eloi ◽  
Vítor Carneiro ◽  
Maria Inês Leite
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Clinical Presentation ◽  
Pyloric Obstruction ◽  
Asymptomatic Patients ◽  
Recurrent Vomiting ◽  
Low Incidence ◽  
Diagnostic Modalities ◽  
Benign Tumours ◽  
Gastric Lipoma

Abstract Gastric lipomas are rare, representing 2–3% of all benign tumours of the stomach. Most of these stomach neoplasms are small and detected incidentally during endoscopic or radiology evaluations. Computed tomography is highly specific imaging for lipoma diagnosis. Endoscopy and endoscopic ultrasound are other important diagnostic modalities to confirm the diagnosis. Identifying typical features can avoid biopsy or surgery in asymptomatic patients. In patients with larger lesions, usually more than 2 cm, clinical presentation may encompass haemorrhage, abdominal pain, pyloric obstruction and dyspepsia. As a result of its extreme low incidence, treatment is not standardized, though it is widely accepted that a symptomatic tumour mandates resection. Here, we present the case of a 60-year-old female presenting with abdominal pain and recurrent vomiting due to a giant gastric lipoma (80 × 35 × 35 mm). The patient underwent laparotomy and an enucleation was performed.

scholarly journals Idiopathic ovarian vein thrombosis causing pulmonary embolism: case report and literature review

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110106
Author(s):  
Wenrui Li ◽  
Saisai Cao ◽  
Renming Zhu ◽  
Xueming Chen
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Abdominal Pain ◽  
Case Report ◽  
Literature Review ◽  
Ovarian Vein ◽  
Review Of Literature ◽  
Vein Thrombosis ◽  
Medical Disorder ◽  
Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a rare medical disorder, which is most often found in the immediate postpartum period. OVT is rarely considered idiopathic. We report a case of idiopathic OVT with pulmonary embolism in a 33-year-old woman who presented with abdominal pain. Computed tomography and postoperative pathology confirmed the diagnosis of idiopathic OVT. To date, only 12 cases of idiopathic OVT have been reported. In this case report, we present a summary of these cases and a review of literature regarding management of idiopathic OVT.

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