scholarly journals Malrotated Subhepatic Caecum with Subhepatic Appendicitis: Diagnosis and Management

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Hock Chin Chong ◽  
Feng Yih Chai ◽  
Dhayal Balakrishnan ◽  
Siti Mohd Desa Asilah ◽  
Irene Nur Ibrahim Adila ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Surgical Management ◽  
Severe Pain ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Diagnostic Approach ◽  
Rare Entity ◽  
Epigastric Region ◽  
Diagnosis And Management ◽  
Surgical Emergency

Subhepatically located caecum and appendix is a very rare entity. It occurs due to the anomaly in fetal gut rotation that results in an incomplete rotation and fixation of the intestine. Appendicitis, which is a common surgical emergency, in combination with the abnormal subhepatic location, presents a great challenge in its diagnosis and management. Here, we describe a 42-year-old male with chronic dyspepsia who presented with sepsis and severe pain at his right hypochondriac and epigastric region. The final diagnosis was acute appendicitis of the subhepatic appendix. Our discussion focuses on the diagnostic approach and clinical and surgical management. We hope that our report will increase the awareness among the clinicians and hasten the management of such rare condition to avoid complications.

scholarly journals A case of meconium peritonitis due to bowel perforation diagnosed at anomaly scan at 20 weeks.

2020 ◽  
Vol 19 (4) ◽  
pp. 163-166
Author(s):  
Prabha Sinha ◽  
Shabnum Sibtain ◽  
Hakmi Aoun
Keyword(s):  
Bowel Resection ◽  
Bowel Perforation ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Meconium Peritonitis ◽  
Antenatal Period ◽  
Diagnosis And Management

Meconium peritonitis is a rare condition in a fetus which occurs due to perforation of the bowel in the antenatal period. It has serious neonatal consequences resulting in death if the diagnosis is delayed soon after delivery. However, its detection is difficult as the presentation is very variable. A case of meconium peritonitis and pseudocyst detected in a fetus at 33 weeks and 2 days of gestation is discussed regarding its diagnosis and management. Final diagnosis was made only after delivery and managed by surgery (bowel resection). The outcome after treatment was favourable because of the timely intervention.

scholarly journals HERLYN WERNER WUNDERLICH SYNDROME;

2019 ◽  
Vol 26 (02) ◽  
Author(s):  
Bushra Khan
Keyword(s):  
Acute Appendicitis ◽  
Ct Scan ◽  
Surgical Management ◽  
Ovarian Cyst ◽  
Pelvic Mass ◽  
High Index ◽  
Associated Anomalies ◽  
Diagnosis And Management ◽  
Technical Advances ◽  
High Index Of Suspicion

Mullerian duct anomalies are underreported because these remain unrecognized. Unfortunately our knowledge of epidemiology has not paralleled the technical advances involved in their diagnosis and management. We report a case of 13 years old girl who presented with normal menarche and progressively severe dysmenorrhea. She was diagnosed to have a pelvic mass which was initially misdiagnosed as acute appendicitis, for which appendectomy was done. Later on, it was thought to be an ovarian cyst, till the time her IVU and CT scan confirmed diagnosis of Herlyn Werner Wunderlich Syndrome. Surgical management relieved symptoms. The aim is to create awareness among clinicians to keep a high index of suspicion of mullein duct and associated anomalies in young girls.

Petrous Apex Cephaloceles: Radiology Features and Surgical Management of a Rare Entity

2020 ◽  
Author(s):  
Madeline Epsten ◽  
Mehmet Kocak ◽  
Andre Beer Furlan ◽  
Bledi C. Brahimaj ◽  
Richard W. Byrne ◽  
...  
Keyword(s):  
Surgical Management ◽  
Petrous Apex ◽  
Rare Entity

A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

2016 ◽  
Vol 19 (1) ◽  
pp. 028
Author(s):  
Shengjun Wu ◽  
Peng Teng ◽  
Yiming Ni ◽  
Renyuan Li
Keyword(s):  
Computed Tomography ◽  
Heart Transplantation ◽  
Coronary Sinus ◽  
Unusual Case ◽  
Superior Vena ◽  
Vena Cava ◽  
Final Diagnosis ◽  
Rare Entity ◽  
First Case ◽  
Enhanced Computed Tomography

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

scholarly journals Diagnosis and management of the infected total knee replacement: a practical surgical guide

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Akos Zahar ◽  
Martin Sarungi
Keyword(s):  
Surgical Management ◽  
Joint Infection ◽  
Level Of Evidence ◽  
Surgical Guide ◽  
Diagnosis And Management ◽  
Early Revision ◽  
Prosthetic Joint ◽  
Implant Retention ◽  
Total Knee ◽  
Key Steps

Abstract Purpose Prosthetic joint infection (PJI) after total knee arthroplasty (TKA) is a significant burden in health care. Diagnosis and proper management are challenging. A standardised procedure for the diagnostic workup and surgical management provides clear benefits in outcome. Methods Several diagnostic protocols and definitions for PJI were established in recent years. Proper PJI diagnosis remains critical for success and for choosing the optimal treatment option. A distinct workup of diagnostic steps, the evaluation of the results in a multidisciplinary setup and the meticulous surgical management of the infection are the key factors of successful treatment. Results The management of PJI after TKA consists of early revision with debridement and implant retention (DAIR) in early cases or staged revision in late infections beyond 30 days postoperative or after onset of acute symptoms. The revision is performed as a two-stage procedure with the use of a fixed or mobile antibiotic spacer, or in selected cases as a single-stage operation with the use of local and systemic antibiotic treatment. Conclusions This paper reflects the opinion of two revision surgeons who follow the same protocol for diagnosis and treatment of PJI after TKA, highlighting the key steps in diagnosis and management. Level of evidence Expert’s opinion

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.

Extraarticular joint ankylosis: a rare presentation

2021 ◽  
Vol 14 (11) ◽  
pp. e244616
Author(s):  
Saurabh Kumar ◽  
Arun Paul Charllu
Keyword(s):  
Temporomandibular Joint ◽  
Mouth Opening ◽  
Rare Condition ◽  
Rare Disorder ◽  
Progressive Decrease ◽  
Rare Presentation ◽  
Diagnosis And Management ◽  
Posterior Maxilla ◽  
Mechanical Interference ◽  
Joint Ankylosis

Pseudoankylosis is a rare condition that causes inability to open the mouth due to condition related to outside of the temporomandibular joint. Most literature refers to this hypomobility disorder, a result of fusion of the zygomatic bone to the coronoid process, and very rarely is insidious coronoid hyperplasia causing mechanical interference with the posterior maxilla has been reported. We present a case of a 45-year-old woman, who presented with coronoid malformation and overgrowth resulting in progressive decrease in mouth opening. She was managed with coronoidectomy, following which good mouth opening was obtained. In this paper we discuss about the diagnosis and management of this rare disorder.

Appendiceal hernia: an extremely rare condition

2021 ◽  
Vol 103 (2) ◽  
pp. e50-e52
Author(s):  
GA Molina ◽  
CL Rojas ◽  
WG Aguayo ◽  
MA Moyon ◽  
P Gálvez ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Incisional Hernia ◽  
Rare Condition ◽  
Full Recovery ◽  
Incisional Hernias ◽  
Inguinal Hernias ◽  
Clinical Awareness

Appendix-associated hernias are extremely rare. They have been described sporadically in the literature, mostly as inguinal hernias. Appendix-associated incisional hernias are even more unusual. High clinical awareness is needed as complications can arise if misdiagnosis or delay occurs. We present an 80-year-old man with acute appendicitis in an incisional hernia. After successful surgery, the patient made a full recovery.

DIAGNOSIS AND MANAGEMENT OF PLANTAR PLATE TEAR IN AN ELITE 400m HURDLER

2016 ◽  
Vol 19 (02) ◽  
pp. 1672002
Author(s):  
Robin Chatterjee ◽  
Nikos Malliaropoulos ◽  
Nat Padhiar
Keyword(s):  
Surgical Management ◽  
Repetitive Motion ◽  
Diagnosis And Management ◽  
Hammer Toe ◽  
Plantar Plate ◽  
Definitive Management ◽  
Mtp Joints

The plantar plate is a fibrocartilaginous structure that lies deep to the metatarsal heads and provides stability to the metatarsophalangeal (MTP) joints. Repetitive motion may lead to irritation, inflammation and tear of the plate. In this case, a 400m hurdler reported metatarsalgia, swelling and misalignment of the second[Formula: see text]toe, in the absence of trauma. Pain was experienced during the toe off phase of hurdling. The patient had a hammer toe and a positive Lachman’s Test on examination. Fluoroscopy guided second MTP joint arthrogram confirmed the diagnosis of plantar plate tear. Complete Plantar Plate Repair and Weil’s Osteotomy were then carried out for definitive management after physiotherapy and analgesia failed to provide relief. Although there are numerous conservative measures to treat this ailment, surgical management remains the most effective.

scholarly journals Perforated Meckel’s Diverticulitis in a Patient with Unknown Intestinal Malrotation: Clinical Pitfall

2021 ◽  
Vol 2021 ◽  
pp. 1-3
Author(s):  
Marie Burgard ◽  
Floryn Cherbanyk ◽  
François Pugin ◽  
Bernhard Egger
Keyword(s):  
Acute Appendicitis ◽  
Clinical Presentation ◽  
Final Diagnosis ◽  
Intestinal Malrotation ◽  
Radiological Imaging ◽  
Atypical Clinical Presentation ◽  
Lower Abdominal Quadrant ◽  
Meckel’S Diverticulitis ◽  
The Right ◽  
Abdominal Quadrant

Symptomatic Meckel’s diverticulum is rare in adults. The most frequent complications are intestinal obstruction and diverticulitis. Diagnosis of Meckel’s diverticulitis can be challenging due to nonspecific clinical manifestation of pain in the right lower abdominal quadrant, mimicking acute appendicitis. If associated with congenital malformation, such as intestinal malrotation, the anomalous anatomy makes the diagnosis even more challenging. In such cases, radiological imaging is essential to guide further management. We present a case of Meckel’s diverticulitis in which physicians were initially misguided because of the atypical clinical presentation. Yet, anamnestic details directed to a potential underlying malformation, leading to supplementary radiological examination and the final diagnosis.

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