scholarly journals Primary Hyperparathyroidism as a Rare Cause of Unexplained Recurrent Abdominal Pain: Case Presentation and Literature Review

Cureus ◽  
2021 ◽  
Author(s):  
Soliman M Bin Yahib ◽  
Bader Algarni ◽  
Abdulaziz Alghamdi ◽  
Safi Nassan
Author(s):  
Rashid Hameed ◽  
Noshine Irrum ◽  
Subodhini P. Arachchige ◽  
Edwin Tan ◽  
Jacinta Tobin

In genetically susceptible individuals, gluten ingestion triggers and immune infiltration and bowel damage in the classical pattern of coeliac disease, with variable symptoms. Intussusception is a condition where one segment of intestine ‘telescopes’ inside of another portion of intestine, which may cause symptoms of abdominal pain due to obstruction. Intussusception has been associated with coeliac disease. We report a 4-year-old girl presented with recurrent abdominal pain of variable severity and found to have intussusception on two occasions, which on both occasions reduced spontaneously during ultrasound examinations. She was later diagnosed with coeliac disease. This case highlights the importance of considering coeliac screening in patients with a history of recurrent abdominal pain and intussusception.


2013 ◽  
Vol 102 (5) ◽  
pp. 444-445
Author(s):  
Gösta Alfvén ◽  
Thomas Casswall ◽  
Greger Lindberg ◽  
Thomas Mårtensson ◽  
Béla Veress

2018 ◽  
Vol 6 (1) ◽  
pp. 20-21
Author(s):  
Dipendra Gautam ◽  
Ishwor Raj Devkota ◽  
Sandesh Mainali ◽  
Bijaya Kumar Chaudhari

Introduction: Parathyroid adenoma is the single most common cause of hyperparathyroidism. Reported incidence of parathyroid adenoma varies widely and is 30- 90%. Approximately 80% to 85% of patients with primary hyperparathyroidism were found to have solitary parathyroid adenoma.The hyperparathyroidism due to parathyroid adenoma may progress insidiously over several years and eventually presents as renal colic or symptoms may manifest over a considerably shorter period of time. Greater than 50% of patients present with nephrolithiasis or nephrocalcinosis. The present case report describes a 48 year old male patient with symptoms of abdominal pain.Nepalese Journal of ENT Head and Neck Surgery, Vol. 6, No. 1, 2015 


2021 ◽  
Author(s):  
Yash B Shah ◽  
Derek Lee ◽  
Tamim S. Khaddash

Abstract Background Idiopathic myointimal hyperplasia of the mesenteric vein (IMHMV) is a rare, often undiagnosed pathology affecting the colon. Patients typically present with severe abdominal pain and inflammation caused by smooth muscle proliferation of the veins, leading to arterialization, stenosis, and potential occlusion. The etiology remains unclear, but it has been hypothesized that an arteriovenous connection may be associated with the pathology. This is the first reported case supporting such an association. Endovascular embolization is generally a less invasive alternative to surgical resection in the treatment of such vascular disorders, and our case highlights the potential benefits of endovascular treatment. Case Presentation This report describes a 24-year-old female patient with findings of colitis and an abnormal arteriovenous connection of the inferior mesenteric arterial and venous system. Partial embolization of this arteriovenous connection temporarily improved symptoms, but the presence of multiple smaller feeder vessels not amenable to embolization ultimately necessitated colonic resection for definitive treatment. Although prior reports have hypothesized that arterial pressurization of the veins may cause myointimal hyperplasia, to the authors’ knowledge, this is the first report of IMHMV with an associated abnormal arteriovenous connection. Conclusions This case illustrates the possibility of a pathogenic relationship between an arteriovenous connection and IMHMV. It is presumable that early radiologic analysis for an abnormal arteriovenous connection in colitis patients may facilitate IMHMV diagnosis, and early diagnosis may even facilitate the success of embolization.


2021 ◽  
Vol 8 (10) ◽  
pp. 3160
Author(s):  
Ji Chen ◽  
Anik Sarkar ◽  
Mouhannad Jaber

Median arcuate ligament syndrome (MALS) is a rare condition where chronic recurrent abdominal pain is related to the compressive effects of the median arcuate ligament on the coeliac artery. The mechanism behind this phenomenon is incompletely understood but thought to be both ischemic and neuropathic in nature. As a result, the management of this condition remains controversial. Furthermore, while there have been a variety of options both radiological and interventional described for the investigation of MALS, there has yet to be a consensus in how patients exhibiting symptoms should be assessed and worked up. In this article, we described a laparoscopic coeliac trunk first approach in a young female patient and following review of the literature, propose an algorithm that can be used in the assessment and management of suspected MALS.


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