Large Adrenal Pseudocyst Presenting with Epigastric Distress and Abdominal Distention

Cihangir Erem; Fatih Celik; Abdülkadir Reis; Arif Hacıhasanoglu; Atilla Gör

doi:10.1159/000085752

Large Adrenal Pseudocyst Presenting with Epigastric Distress and Abdominal Distention

Medical Principles and Practice ◽

10.1159/000085752 ◽

2005 ◽

Vol 14 (4) ◽

pp. 284-287 ◽

Cited By ~ 5

Author(s):

Cihangir Erem ◽

Fatih Celik ◽

Abdülkadir Reis ◽

Arif Hacıhasanoglu ◽

Atilla Gör

Keyword(s):

Abdominal Distention ◽

Adrenal Pseudocyst ◽

Epigastric Distress

Download Full-text

Abdominal Distention, Nonobstructed Megacystis, Microcolon and Intestinal Hypoperistalsis in a Newborn Female

PEDIATRICS ◽

10.1542/peds.137.supplement_3.405a ◽

2016 ◽

Vol 137 (Supplement 3) ◽

pp. 405A-405A

Author(s):

Lisa F. Akiyama ◽

Amitai Kohn ◽

David A. Bloom

Keyword(s):

Abdominal Distention

Download Full-text

EFFECT OF LAPAROTOMY AND ABDOMINAL DISTENTION ON LUNG VOLUME

Journal of Thoracic Surgery ◽

10.1016/s0096-5588(20)32667-2 ◽

1933 ◽

Vol 2 (5) ◽

pp. 444-452

Author(s):

Henry K. Beecher ◽

H.H. Bradshaw ◽

G. Lindskog

Keyword(s):

Lung Volume ◽

Abdominal Distention

Download Full-text

Challenge in diagnosis of late onset necrotizing enterocolitis in a term infant: a case report

BMC Pediatrics ◽

10.1186/s12887-021-02626-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Gunadi ◽

Dian Nirmala Sirait ◽

Aditya Rifqi Fauzi ◽

Ninditya Nugroho ◽

Fadil Fahri ◽

...

Keyword(s):

Ct Scan ◽

Necrotizing Enterocolitis ◽

Intestinal Inflammation ◽

Late Onset ◽

Gastrointestinal Disease ◽

Early Recognition ◽

Ileocecal Valve ◽

Abdominal Distention ◽

Clinical Deterioration ◽

Wall Thickening

Abstract Background Necrotizing enterocolitis (NEC) is a common devastating inflammatory gastrointestinal disease and frequently occurs in premature infants. Here, we reported a case of late-onset NEC in a term neonate with good outcome after surgery for long-term follow-up. Case presentation Ten-week-old male came to emergency unit due to prolonged diarrhea and abdominal distention. He was born at gestational age of 40 weeks with birth weight and Apgar score of 2800 g and 7/8, respectively. He had no history of formula feeding. Two weeks before admitted to the hospital, the patient had frequent diarrhea with fever. He was found lethargic with abdominal distention, absence of bowel sounds and abdominal tenderness. Plain abdominal x-ray and CT scan showed gastric and intestinal dilatation and gasless colon, suggesting a small bowel obstruction, and bowel wall thickening indicating peritonitis, without any free subdiaphragmatic air (pneumoperitoneum). Moreover, the patient did not have a congenital heart disease. While in intensive medical treatment, he showed a continuous clinical deterioration. All findings were suggestive of intestinal inflammation with clinical deterioration, and we decided to perform an emergency exploratory laparotomy and found an ischemia along the jejunoileal with a perforation at 25 cm above the ileocecal valve. Subsequently, we performed a double-barrel ileostomy through a separate incision from the laparotomy. Histopathological findings confirmed the diagnosis of NEC. We closed the stoma at postoperative day 43. The patient was discharged uneventfully a month after stoma closure. Conclusion Abdominal CT scan might be useful to establish an early recognition of late-onset NEC; thus, immediate surgical intervention might be performed to decrease its morbidity and mortality. Moreover, late-onset NEC in term neonates might occur without any risk factors or significant co-morbidities.

Download Full-text

Hepatic Inflammatory Myofibroblastic Tumor Detected in the Fetal Period That Caused an Oncologic Emergency

Case Reports in Oncology ◽

10.1159/000511052 ◽

2020 ◽

Vol 13 (3) ◽

pp. 1513-1519

Author(s):

Hirotaka Kato ◽

Yasuyuki Mitani ◽

Taro Goda ◽

Masaki Ueno ◽

Shinya Hayami ◽

...

Keyword(s):

Inflammatory Myofibroblastic Tumor ◽

Emergency Operation ◽

Cystic Mass ◽

Abdominal Distention ◽

Tumor Biopsy ◽

Emergency Cesarean ◽

Subcutaneous Edema ◽

Male Neonate ◽

Circulation Dynamics ◽

Inflammatory Effect

A huge abdominal cystic lesion with ascites was detected in a male neonate at 31 weeks of gestation. Increasing ascites and the appearance of subcutaneous edema were detected, which caused fetal hydrops. The patient was delivered by emergency cesarean section at 33 weeks of gestation. The birth weight was 2,407 g, and the Apgar score was 8/9 points (1-/5-min values). Breathing at birth was stable, but the patient presented with remarkable abdominal distention due to the ascites. Later, the patient presented with tachypnea, and breathing gradually worsened, so an emergency operation was performed. There were no intraoperative findings within the small intestine, but there was a large amount of ascites and a cystic mass arising from the liver. The patient’s breathing and circulation dynamics could only be stabilized by ascites removal, so only a tumor biopsy was performed. The pathological findings led to the diagnosis of an inflammatory myofibroblastic tumor, and steroids were administered early after surgery for the purpose of an anti-inflammatory effect and tumor shrinkage. The abdominal distention was alleviated, and blood examinations showed a reduced inflammatory response. There was no apparent shrinkage of the tumor, however; thus, radical surgical treatment was performed on day 24. The postoperative course was uneventful, so the patient was discharged on day 36. Seven years after the operation there has been no recurrence or distant metastasis.

Download Full-text