Left Lateral and Left Middle Liver Lobe Torsion in a Saint Bernard Puppy

2006 ◽  
Vol 42 (5) ◽  
pp. 381-385 ◽  
Author(s):  
Dirsko J.F. von Pfeil ◽  
L. Ari Jutkowitz ◽  
Joe Hauptman
Keyword(s):  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Surgical Intervention ◽  
Abdominal Mass ◽  
Rare Condition ◽  
Abdominal Discomfort ◽  
Liver Lobe ◽  
Saint Bernard ◽  
Left Middle ◽  
Exploratory Surgery

A 5-month-old, male Saint Bernard was presented for acute collapse and abdominal discomfort. Significant findings were a cranial abdominal mass, hemorrhagic abdominal effusion, anemia, and disseminated intravascular coagulation. An exploratory surgery revealed torsion of both the left lateral and middle liver lobes, a condition that has not been previously described in the veterinary literature. Torsion of one or more hepatic lobes is a rare condition but should be considered as a differential diagnosis for acute abdomen syndrome in both young and mature dogs. Early diagnosis and prompt surgical intervention may be curative.

scholarly journals Vertebral osteomyelitis in an adolescent girl

2020 ◽  
Vol 8 ◽  
pp. 2050313X2094978
Author(s):  
Shafee Salloum
Keyword(s):  
Differential Diagnosis ◽  
Back Pain ◽  
Blood Culture ◽  
Early Diagnosis ◽  
Lower Back Pain ◽  
Bacterial Growth ◽  
Adolescent Girl ◽  
Surgical Intervention ◽  
Vertebral Osteomyelitis ◽  
Lower Back

We present a case of a 13-year-old girl with vertebral osteomyelitis. She had been experiencing lower back pain for 5 weeks, initially thought to be due to muscular causes. The blood culture showed no bacterial growth, and she was treated empirically only with antibiotics. She responded well to treatment and required no surgical intervention. Vertebral osteomyelitis should be in the differential diagnosis in an adolescent who complains of worsening lower back pain. Early diagnosis and treatment are essential in avoiding complications.

Slide Tracheoplasty in the Management of Congenital Tracheal Stenosis

1997 ◽  
Vol 106 (11) ◽  
pp. 914-919 ◽  
Author(s):  
Steven H. Dayan ◽  
Michael E. Dunham ◽  
Constantine Mavroudis ◽  
Carl L. Backer ◽  
Lauren D. Holinger
Keyword(s):  
Early Diagnosis ◽  
Tracheal Stenosis ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Rare Condition ◽  
Pericardial Patch ◽  
Congenital Tracheal Stenosis ◽  
Slide Tracheoplasty ◽  
Lost To Follow Up

Long-segment congenital tracheal stenosis (LSCTS) is a rare condition. Originally, it was felt to be uniformly fatal; however, advances in technique have made surgical repair and survival possible. Our objective is to report results and technique of slide tracheoplasty for the treatment of LSCTS in the context of the overall experience at the Children's Memorial Hospital in Chicago. We reviewed 37 cases of infants and children with LSCTS. Thirty of the 37 infants underwent surgical intervention. Slide tracheoplasty resulted in survival in 1 of 2 infants, and pericardial patch tracheoplasty resulted in survival in 21 of 28 (75%). Of the 30 patients who had surgical repair, 7 (23%) have died, and 1 has been lost to follow-up (3%). Follow-up has ranged from 6 months to 13 years. Slide tracheoplasty is a satisfactory adjunct to existing techniques. With early diagnosis and appropriate management of LSCTS, survival is possible in a majority of patients.

Pyoderma gangrenosum producing saddle nose deformity

1998 ◽  
Vol 112 (9) ◽  
pp. 870-871 ◽  
Author(s):  
George A. Worley ◽  
Michael J. Wareing ◽  
Robert J. Sergeant
Keyword(s):  
Differential Diagnosis ◽  
Early Diagnosis ◽  
Pyoderma Gangrenosum ◽  
Surgical Intervention ◽  
Rare Complication ◽  
Saddle Nose ◽  
Saddle Nose Deformity ◽  
Minor Surgery ◽  
Diagnostic Confusion ◽  
Nose Deformity

AbstractPyoderma gangrenosum affecting the nose is rare and this may lead to diagnostic confusion because of the large differential diagnosis. As diagnosis is made, largely, on the basis of exclusion the treatment of pyoderma gangrenosum may be unduly delayed. The condition is often disfiguring, particularly following inappropriate surgical intervention, and early diagnosis is therefore important.We present a case of pyoderma gangrenosum managed initially in the community with minor surgery and resulting in the rare complication of saddle nose deformity.

scholarly journals Cranio-vertebral junction tuberculosis

2012 ◽  
Vol 01 (01) ◽  
pp. 061-065 ◽  
Author(s):  
Keyword(s):  
Early Diagnosis ◽  
Surgical Intervention ◽  
Treatment Protocol ◽  
Case Series ◽  
Disease Process ◽  
Rare Condition ◽  
Craniovertebral Junction ◽  
Inflammatory Lesions ◽  
Malignant Lesions ◽  
High Index Of Suspicion

Abstract There are variety of diseases which affect the region of craniovertebral junction, including congenital, malignant lesions, traumatic and infective/inflammatory lesions. CVJ tuberculosis is an extremely rare condition, accounting for 0.3 to 1% of all cases of spinal TB. Few case series have been reported in the literature about this rare condition, but there appears to be lack of consensus even on basic issues like whether to undertake surgical intervention or prefer a conservative approach in cases of CVJ TB. These cases can present with a myriad of symptoms and one needs to have a high index of suspicion for early diagnosis. Early diagnosis and treatment is very important for a favorable outcome. In this article, we have tried to review the available literature and also share our experience about this condition so as to have a better understanding of the disease process and have a more rational treatment protocol.

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 Congenital Internal Hernia: Rare Cause of Acute Abdominal Pain

2021 ◽  
pp. 791-794
Author(s):  
Jay Patel ◽  
Antoine Hamedi ◽  
Muhammad Khalil ◽  
Jessica El-Bahri
Keyword(s):  
Abdominal Pain ◽  
Early Diagnosis ◽  
Internal Hernia ◽  
Poor Prognosis ◽  
Surgical Intervention ◽  
Acute Abdominal Pain ◽  
Rare Condition ◽  
Internal Hernias ◽  
Congenital Internal Hernia ◽  
Prompt Diagnosis

Acute abdominal pain is a common presenting symptom that possesses a wide differential. Congenital internal hernias are a rare condition that often presents with abdominal pain and can lead to obstruction. Early diagnosis is often difficult and therefore can present acutely and in an emergent setting. Prompt recognition of symptoms and evaluation are important to prevent poor prognosis. We are presenting a case of a congenital internal hernia in a patient presenting with nonspecific symptoms. Prompt diagnosis and subsequent surgical intervention allowed for appropriate management and resolution of symptoms.

Pyloric Atresia: A Case Report

PEDIATRICS ◽  
1973 ◽  
Vol 51 (3) ◽  
pp. 574-577
Author(s):  
Eng Chuan Saw ◽  
Neil R. Arbegast ◽  
Thomas P. Comer
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Intestinal Obstruction ◽  
Surgical Intervention ◽  
Pyloric Atresia ◽  
High Intestinal Obstruction

A case of pyloric atresia is reported. This brings the total to 30 such cases in the literature and makes this patient the 22nd survivor in the series. Pyloric atresia must be considered in the differential diagnosis of any high intestinal obstruction in the newborn with bile-free emesis. Early diagnosis and surgical intervention give the patient the best chance of survival.

Talar Osteochondroma Fracture Presenting as Posterior Ankle Impingement

2016 ◽  
Vol 106 (3) ◽  
pp. 225-228 ◽  
Author(s):  
Ersin Ercin ◽  
Mustafa Gokhan Bilgili ◽  
Mehmet Gamsizkan ◽  
Serdar Avsar
Keyword(s):  
Differential Diagnosis ◽  
Bone Tumors ◽  
Surgical Intervention ◽  
Rare Condition ◽  
Histologic Examination ◽  
Posterior Aspect ◽  
Benign Bone Tumors ◽  
Ankle Impingement ◽  
Posterior Ankle Impingement

Osteochondromas are the most common benign bone tumors. They are usually asymptomatic and found incidentally. When symptomatic, the symptoms are usually due to its location and size. Fracture of an osteochondroma presenting as posterior ankle impingement is a rare condition. We describe a 22-year-old man with solitary exostosis who presented with a posterior ankle mass and posterior ankle impingement with 2 years of follow-up. Surgical intervention was the treatment of choice in this patient, and histologic examination revealed a benign osteochondroma. Osteochondromas found in the posterior aspect of the talus can be complicated by fracture due to persistent motion of the ankle. Talar osteochondroma should be included in the differential diagnosis of posterior ankle impingement causes. Posterior talar osteochondromas, especially when a stalk is present, should be treated surgically before it is more complicated by a fracture and posterior ankle impingement.

scholarly journals Results of operative treatment of omphalocele with an additional lobe of the liver, and pyloric stenosis

2020 ◽  
Vol 10 (1) ◽  
pp. 81-88
Author(s):  
Anna A. Shchukina ◽  
Olga G. Mokrushina ◽  
Alexandra S. Gurskaya ◽  
Elena Yu. Dyakonova ◽  
Dinara M. Akhmedova
Keyword(s):  
Decision Making ◽  
Differential Diagnosis ◽  
Postoperative Period ◽  
Surgical Intervention ◽  
Anterior Abdominal Wall ◽  
Individual Case ◽  
Liver Lobe ◽  
National Medical ◽  
Surgical Ward ◽  
Surgical Tactics

Purpose. Presentation of clinical cases of rare combination of omphalocele with pylorostenosis in the postoperative period and additional liver lobe. Materials and methods. In National Medical Research Center for Childrens Health of health surgical ward of newborns and infants for the 2019 us operated 2 children who performed surgery involving intra-operative decision making about further surgical tactics. Results. the results of surgical treatment of newborns with omphalocele combined with hypertrophic pylorostenosis and extra liver lobe are presented. Conclusions. In patients with malformations of the anterior abdominal wall in the postoperative period, when regurgitation syndrome appears, it is necessary to make a differential diagnosis between the functional and organic causes of obstruction. When confirming the organic nature of the obstruction, surgical intervention is indicated. It is necessary to be able to timely and objectively assess the risks and expediency of the approach when choosing surgical tactics in each individual case.

scholarly journals Mirizzi syndrome mimicking cholangiocarcinoma. Case report

2020 ◽  
Vol 50 (2) ◽  
Author(s):  
Gabriel Lorente Mitsumoto ◽  
Lucas Augusto Monetta da Silva ◽  
Mauricio Alves Ribeiro ◽  
Mariana Martins Tocchio ◽  
Nátalie Emy Yvamoto ◽  
...  
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Preoperative Diagnosis ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Mirizzi Syndrome ◽  
Biliary Injury ◽  
Review Of The Literature

Mirizzi syndrome (MS) is a rare condition whose clinical presentation is unspecific, with obstructive jaundice being the most common form. MS is often not recognized at initial presentation, which can result in morbidity and biliary injury. Preoperative diagnosis is uncommon and over 50% of patients with MS are diagnosed during surgery. There are no clinical features to distinguish MS from cholangiocarcinoma, except that patients with cholangiocarcinoma are on average ten years older than patients with MS. We report the case of a 51-year-old female patient who presented with jaundice and weight loss. Following investigation with laboratory and imaging exams, the initial diagnosis was Bismuth II cholangiocarcinoma. The patient underwent surgical intervention, and anatomopathological examination of the specimen showed the correct diagnosis to be MS. Despite the rarity of its incidence, physicians must keep MS in mind as a possible differential diagnosis for cholangiocarcinoma and vice-versa. We discuss this case in the context of a brief review of the literature on Mirizzi syndrome mimicking cholangiocarcinoma.

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