Abstract #330 Insulinoma or Prancreatic Adenocarcinoma – A Diagnostic Dilemma?

It is sometime difficult to find out the cause of haemolysis in haemolytic anaemia due to inconclusive results of investigation. Diagnosis of immune haemolytic anaemia is often difficult when Coomb’s test is negative. Here we present such a case of fourteen years old girl who presented with haemolytic anaemia with negative Coomb’s test. Due to high clinical suspicion we labelled her as a case of Coomb’s negative immune haemolytic anaemia and she responded well to steroid.

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Malignant Melanoma of Anal Canal – A Diagnostic Dilemma

International Archives of BioMedical and Clinical Research ◽

10.21276/iabcr.2016.2.2.17 ◽

2016 ◽

Vol 2 (2) ◽

Author(s):

Bushra Siddiqui ◽

Shahbaz Habib Faridi ◽

Syed Shamshad Ahmad ◽

Kafil Akhtar ◽

Suhailur Rehman ◽

...

Keyword(s):

Malignant Melanoma ◽

Anal Canal ◽

Diagnostic Dilemma

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Adenocarcinoma of the Appendix in Elderly: Diagnostic dilemma

New Emirates Medical Journal ◽

10.2174/0250688201999200908145403 ◽

2020 ◽

Vol 01 ◽

Author(s):

Heba Nofal ◽

Hayder Al-Masari ◽

Marwan Mohammed Rashed ◽

Reham Ainawi ◽

Desh Idnani ◽

...

Keyword(s):

Acute Appendicitis ◽

Ct Scan ◽

Laparoscopic Appendectomy ◽

Signs And Symptoms ◽

Morbidity And Mortality ◽

Diagnostic Dilemma ◽

Increased Risk

: Acute appendicitis in elderly continue to be a diagnostic dilemma as it raises both the suspicion of malignancy and increased risk of morbidity and mortality. Cancers of the appendix are rare and most of them are found accidentally on appendectomies performed for acute appendicitis. When reviewed, majority of the tumors were carcinoid, adenoma, and lymphoma. Adenocarcinomas of appendix are only 0.08% of all cancers and the treatment remains controversial. This paper presents a case of 75-year-old female presented to emergency (ER) with signs and symptoms mimicking acute appendicitis, laparoscopic appendectomy was planned after a CT scan was done as it was suggesting acute appendicitis. The specimen then was sent foe pathology lab and a diagnosis of adenocarcinoma of the appendix was made.

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