Mysterious Gelly Belly: a Case Report of Pseudomyxoma Peritonei and Literature Review

Pseudomyxoma peritonei (PMP) is a rare clinical condition defined as extensive intraperitoneal spread of mucus associated with a variety of mucinous tumors. Although appendix has usually been implicated as the primary site, some reports found no cause. This case also describes a PMP with no identifiable primary site. A 52-year-old male presented with an abdominal distension evolving for 3 months associated with diffuse abdominal pain, imaging techniques objective intra peritoneal mucoid materials with septated ascites but it failed to identify the primary site. Exploratory laparotomy with Biopsy confirmed PMP but also failed to found the original site.

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Hydatid Disease Simulating Acute Abdomen: A Case Report and Brief Review of the Literature

Case Reports in Gastrointestinal Medicine ◽

10.1155/2012/387102 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Georgios Lianos ◽

Georgios Baltogiannis ◽

Avrilios Lazaros ◽

Konstantinos Vlachos

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Hydatid Disease ◽

Acute Abdominal Pain ◽

Abdominal Distension ◽

The Body ◽

Parasitic Disease ◽

Review Of The Literature ◽

Diffuse Abdominal Pain ◽

Operating Surgeon

Introduction. Hydatid disease is caused by the tapewormEchinococcus granulosusand is still a matter of public health in many regions of the world, where it is an endemic parasitic disease. Although the liver is the most involved organ, hydatidosis can be found anywhere in the human body. Rare forms of location may lead to diagnostic and therapeutic dilemmas.Case Report. Herein we report a rare case of acute abdominal pain and progressively increasing abdominal distension due to abdominal and multiple splenic echinococcosis in a 72-year-old Caucasian male. We also provide a brief review of the literature.Conclusion. Although hydatid disease is found most often in the liver and lungs, rarely any organ of the body can be involved by this zoonosis. Though rare, the possibility of unusual location of echinococcosis must always be considered by the operating surgeon, when dealing with diffuse abdominal pain in endemic areas, because any misinterpretation may result in unfavorable outcomes.

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Pneumoperitoneum due to perforated appendicitis: a rare anatomo-radiologic correlation

ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) ◽

10.1590/s0102-67202008000300011 ◽

2008 ◽

Vol 21 (3) ◽

pp. 142-143

Author(s):

André Luiz Santos Rodrigues ◽

Marcelino Ferreira Lobato ◽

Augusto César Santana ◽

Lucas Crociati Meguins ◽

Daniel Felgueiras Rolo

Keyword(s):

Peptic Ulcer ◽

Severe Sepsis ◽

Abdominal Pain ◽

Case Report ◽

Medical Literature ◽

Perforated Appendicitis ◽

Perforated Peptic Ulcer ◽

Exploratory Laparotomy ◽

Diffuse Peritonitis ◽

Diffuse Abdominal Pain

BACKGROUND: Pneumoperitoneum is usually associated with a perforated peptic ulcer. However, perforated appendicits may be evolved on it. In the medical literature, the anatomo-radiologic correlation between them is an uncommon event. CASE REPORT: Man with 56-year-old look for assistance with diffuse abdominal pain and distension associated with fever, vomit and absence of flatus and evacuation for about 14 days. The chest radiography revealed a pneumoperitoneum. Diffuse peritonitis was found during the exploratory laparotomy. Appendectomy, peritoneal cavity cleaning and drainage with tubular drains were carried out. However, severe sepsis occurred and the patient died on the 16th post-operative day with multiple systemic organ failure. CONCLUSION: Although rare as pneumoperitoneum ethiology, acute appendicitis may be thought as it's cause.

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Gossypiboma: A case report

Journal of Clinical Images and Medical Case Reports ◽

10.52768/2766-7820/1359 ◽

2021 ◽

Vol 2 (5) ◽

Author(s):

Alabi KO ◽

◽

Fayose SB ◽

Akinwumi AI ◽

Adeyeye A ◽

...

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Good Condition ◽

Abdominal Distension ◽

Exploratory Laparotomy ◽

Fecal Fistula ◽

Significant Morbidity ◽

Recent Past ◽

Care Processes ◽

High Index Of Suspicion

This case underscores the need for clinicians to bear the possibil‑ ity of gossypiboma in mind when patients who have had abdominal surgery in the recent past present with unresolving abdominal pain. This 46 year old woman who had an elective hysterectomy done three months earlier presented with unresolving abdominal pain of three months and lower abdominal distension of a day duration. Fol‑ lowing exploratory laparotomy, an 18 cm by 18 cm towel was recov‑ ered from her peritoneal cavity. She subsequently developed fecal fistula which was successfully managed conservatively and was dis‑ charged in good condition on 20th post-operative day. Gossypiboma is a rare but grave complication of abdominal and pelvic surgeries with attendant significant morbidity or even mortal‑ ity. Adequate attention to patient care processes may reduce its oc‑ currence and high index of suspicion is needed for its diagnosis. Keywords: abdominal sponge; gossypiboma; intra‑abdominal.

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Idiopathic ovarian vein thrombosis causing pulmonary embolism: case report and literature review

Journal of International Medical Research ◽

10.1177/03000605211010649 ◽

2021 ◽

Vol 49 (6) ◽

pp. 030006052110106

Author(s):

Wenrui Li ◽

Saisai Cao ◽

Renming Zhu ◽

Xueming Chen

Keyword(s):

Computed Tomography ◽

Pulmonary Embolism ◽

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Ovarian Vein ◽

Review Of Literature ◽

Vein Thrombosis ◽

Medical Disorder ◽

Ovarian Vein Thrombosis

Ovarian vein thrombosis (OVT) is a rare medical disorder, which is most often found in the immediate postpartum period. OVT is rarely considered idiopathic. We report a case of idiopathic OVT with pulmonary embolism in a 33-year-old woman who presented with abdominal pain. Computed tomography and postoperative pathology confirmed the diagnosis of idiopathic OVT. To date, only 12 cases of idiopathic OVT have been reported. In this case report, we present a summary of these cases and a review of literature regarding management of idiopathic OVT.

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Huge retrovesical hydatid cyst with pelvic localization as the primary site: a case report

Acta Radiologica ◽

10.1080/02841850701422138 ◽

2007 ◽

Vol 48 (8) ◽

pp. 918-920 ◽

Cited By ~ 2

Author(s):

A. M. Halefoglu ◽

A. Yasar

Keyword(s):

Differential Diagnosis ◽

Abdominal Pain ◽

Case Report ◽

Hydatid Cyst ◽

Cystic Mass ◽

Primary Site ◽

Cystic Disease ◽

The World ◽

Indirect Hemagglutination ◽

Indirect Hemagglutination Test

We present a patient with symptoms of abdominal pain and frequent urination due to a huge mass in the retrovesical region. All imaging modalities revealed a cystic mass containing small daughter cysts located between the urinary bladder and rectum. Its characteristics led us to suspect the presence of a hydatid cyst, and an indirect hemagglutination test for Echinococcus granulosus was found positive. No other involvement of hydatid cystic disease was detected. The primary site for the hydatid disease was therefore regarded as the pelvis, on which only a few cases have been reported previously. The patient started albendazole therapy, but refused operation. Hydatid cyst should always be considered in the differential diagnosis of abdominopelvic masses in endemic regions of the world.

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An unusual case of pediatric abdominal pain

CJEM ◽

10.2310/8000.2011.110163 ◽

2011 ◽

Vol 13 (02) ◽

pp. 133-138 ◽

Cited By ~ 3

Author(s):

Lars P. Bjoernsen ◽

M. Bruce Lindsay

Keyword(s):

Abdominal Pain ◽

Colonic Obstruction ◽

Exploratory Laparotomy ◽

Symptomatic Treatment ◽

Systematic Evaluation ◽

White Female ◽

Symptomatic Therapy ◽

Regional Lymph Nodes ◽

Diffuse Abdominal Pain ◽

Gastrografin Enema

ABSTRACTChronic and recurrent abdominal pains are common complaints in children and adolescents, but the evaluation in the emergency department (ED) can be challenging. We present a rare yet serious case of a 17-year-old white female who presented to the ED with a 2-day history of diffuse abdominal pain, nausea, and intractable vomiting. Abdominal examination and imaging, including computed tomography (CT), were negative during an episode 6 weeks previously. This was her fifth similar episode in a 2-month period, and she had been seen at three different hospitals and admitted on each occasion. Three days prior to presentation to our ED, she was seen at a gastroenterology clinic and diagnosed with irritable bowel syndrome and an ovarian cyst. Symptomatic therapy during the current presentation, with intravenous fluids, antiemetics, and parenteral narcotics, failed to alleviate her abdominal pain and vomiting. Emergent CT evaluation revealed a high-grade colonic obstruction with focal circumferential narrowing in the transverse colon and a lower gastrointestinal follow-through radiograph with Gastrografin enema showed a classic “apple-core” lesion. Colonic adenocarcinoma with positive regional lymph nodes was found during emergent exploratory laparotomy. Pediatric patients with recurrent, episodic abdominal pain should undergo systematic evaluation and symptomatic treatment. A previous negative workup should not dissuade emergency physicians from proceeding with a systematic and thorough evaluation of the pediatric patient presenting with abdominal pain and vomiting.

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Abdominal intussusception associated with coeliac disease: case report and literature review

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20211904 ◽

2021 ◽

Author(s):

Rashid Hameed ◽

Noshine Irrum ◽

Subodhini P. Arachchige ◽

Edwin Tan ◽

Jacinta Tobin

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Coeliac Disease ◽

Recurrent Abdominal Pain ◽

Immune Infiltration ◽

Disease Case ◽

Classical Pattern ◽

History Of

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.

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A Giant Intradiaphragmatic Bronchogenic Cyst: Case Report and Literature Review

Tumori Journal ◽

10.5301/tj.5000669 ◽

2017 ◽

Vol 103 (1_suppl) ◽

pp. S25-S27 ◽

Cited By ~ 1

Author(s):

Xin Gao ◽

Min Zhai ◽

Haitao Zhang ◽

Yunliang Wang ◽

Jin Zhou

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Chest Pain ◽

Literature Review ◽

Bronchogenic Cyst ◽

Early Embryogenesis ◽

Congenital Lesions ◽

Left Diaphragm ◽

The Right ◽

Bronchogenic Cysts

Bronchogenic cysts are congenital lesions developing during early embryogenesis. The intradiaphragmatic location is extremely rare. We present a giant bronchogenic cyst arising from the left crus of diaphragm. Based on our literature review results, intradiaphragmatic bronchogenic cysts have the following characteristics: 1) they are more common in female patients; 2) the patients are usually asymptomatic, or present with symptoms of chest pain, abdominal pain, and hiccups; 3) the cysts located in the left diaphragm are more than those in the right diaphragm, most of which are located in the area of the left diaphragm crus.

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