scholarly journals Hemoperitoneum in Third Trimester of Pregnancy: Unusual Cause-Spontaneous Rupture of Uterine Varices

2014 ◽  
Vol 5 (2) ◽  
pp. 66-68
Author(s):  
Snehal Dhobale ◽  
Revathi S Rajan
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Clinical Presentation ◽  
Venous Pressure ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Third Trimester ◽  
Exact Etiology

ABSTRACT Spontaneous uterine varices rupture is a very rare condition (1/10,000 pregnancies), leading to significant maternal and fetal morbidity and mortality. Though the exact etiology is still unknown, it seems to be associated with an increased in venous pressure. The rupture especially occurs in third trimester. We encounter a case of 31 years old primigravida with pain in abdomen since 1 day not relieved by medication. Abdominal ultrasound revealed hemoperitoneum. Emergency exploratory laparotomy revealed 1.5 litres of hemoperitoneum and confirmed the diagnosis of ‘spontaneous rupture of uterine varices’. The clinical presentation of spontaneous rupture of uterine varices is not specific and clinical examination and ultrasonographic scanning may be insufficient for diagnosis. This rare condition has to be taken into account to the differential diagnosis in a pregnant woman with severe abdominal pain. How to cite this article Dhobale S, Rajan RS, Rao KA. Hemoperitoneum in Third Trimester of Pregnancy: Unusual Cause-Spontaneous Rupture of Uterine Varices. Int J Infertil Fetal Med 2014;5(2):66-68.

scholarly journals Choledochal Cyst Coexisting with Gallbladder Carcinoma - An Uncommon Case Report

2017 ◽  
Vol 16 (4) ◽  
pp. 602-605
Author(s):  
Jahangir Hossain Bhuiyan ◽  
Mohibul Aziz ◽  
Omar Faruk ◽  
Mahbub Hasan
Keyword(s):  
Choledochal Cyst ◽  
Gallbladder Carcinoma ◽  
Medical Science ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Low Grade ◽  
College Hospital ◽  
Medical College ◽  
Operative Recovery

Choledochal Cyst is a relatively rare condition. Even rarer is a choledochal cyst in association with a gallbladder carcinoma. This study reports a rare case of choledochal cyst coexisting with gallbladder carcinoma in a Bangladeshi patient. A 35 year old lady presented at IBN Sina Medical College Hospital, Kallyanpur, Dhaka with the history of recurrent right upper quadrant abdominal pain from childhood, which became severe for last 4 days before admission. The pain was colicky in nature and radiated to the back. Episodes were associated with low-grade fever, anorexia as well as vomiting. The preoperative diagnosis was made by abdominal ultrasound and MRCP. Exploratory laparotomy, enbloc cholecystectomy with excision of the choledochal cyst and roux-en-Y hepaticojejunostomy was also done. Post operative recovery was uneventful. Patient was followed up for six months and no obvious complication was noticed. Early suspicion of this rare pancreato-billiary disease is important because surgical treatment is the only way to avoid the complications of the disease.Bangladesh Journal of Medical Science Vol.16(4) 2017 p.602-605

CT diagnosis and management of mesenteric torsion in a dog

2020 ◽  
Vol 8 (3) ◽  
pp. e001102
Author(s):  
Gabriel Carbonell Rossello ◽  
Ricardo Guillem Gallach ◽  
Manuel Jimenez Pelaez
Keyword(s):  
Abdominal Pain ◽  
Medical Treatment ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Abdominal Distention ◽  
Intestinal Lumen ◽  
Ct Diagnosis ◽  
En Bloc ◽  
Diagnosis And Management ◽  
Small Intestines

An eight-year-old, 35 kg, female spayed Doberman Pincher dog was presented with peracute abdominal distention and severe abdominal pain associated with vomiting. Radiographs showed segmental gas and fluid-distended small intestines and loss of serosal detail. Abdominal ultrasound revealed segmental hypomotile, fluid distended small intestines and high amount of gas in the intestinal lumen. CT showed signs consistent with a segmental mesenteric torsion. Exploratory laparotomy and en bloc enterectomy of the torsioned necrotic segment of the jejunum (50 per cent approximately) was performed. The patient was discharged 1 week after surgery with some sporadic vomiting and diarrhoea, which resolved with medical treatment within a week.

Transverse vaginal septum presenting as secondary amenorrhoea: a rare clinical presentation

2020 ◽  
Vol 13 (8) ◽  
pp. e235374 ◽  
Author(s):  
Garima Yadav ◽  
Neha Agrawal ◽  
Sureka Binit ◽  
Pratibha Singh
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Menstrual Cycle ◽  
Clinical Presentation ◽  
Primary Amenorrhea ◽  
Early Age ◽  
Cell Debris ◽  
Vaginal Septum ◽  
Secondary Amenorrhea ◽  
Transverse Vaginal Septum

Transverse vaginal septum is one of the variants of Mullerian duct anomaly, caused as a result of defective fusion or recanalisation of vaginal and Mullerian organs. At an early age, it commonly presents as primary amenorrhea along with cyclical abdominal pain while later on usually it presents as dyspareunia and infertility. Our 22-year-old patient presented with secondary amenorrhea. It is very unusual for a transverse vaginal septum to cause secondary amenorrhea. MRI and clinical examination raised the suspicion of transverse vaginal septum causing secondary amenorrhea. She attained regular menstrual cycle after septum excision. The proposed theory behind it is obliteration of microperforated transverse vaginal septum because of menstrual blood and cell debris. Thus, a rare possibility of transverse vaginal septum should also be considered as a differential diagnosis of secondary amenorrhea.

scholarly journals Multiple infarcted regenerative nodules in liver, spleen and kidney after gastric and oesophageal bleeding: A case report

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094239
Author(s):  
Anlong Wang ◽  
Yefei Shu
Keyword(s):  
Computed Tomography ◽  
Hepatocellular Carcinoma ◽  
Differential Diagnosis ◽  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Rare Condition ◽  
Sudden Onset ◽  
Gastric Bleeding ◽  
Regenerative Nodules ◽  
Hepatic Lesions

Infarcted regenerative nodules in a cirrhotic liver is a rare condition that may be confused with hepatocellular carcinoma on imaging. We report here a case of a 58-year-old man with live cirrhosis who presented with abdominal pain and distension and sudden onset of haematemesis. Computed tomography (CT) showed diffuse multinodular infarcted regenerative nodules and gastric bleeding. Physicians should include infarcted regenerative nodules in any differential diagnosis of multiple hepatic lesions in liver cirrhosis, particularly in patients with gastrointestinal varices.

Appendiceal Intussusception: A Diagnostic Challenge

2017 ◽  
Vol 28 (01) ◽  
pp. 030-033 ◽  
Author(s):  
Adriana Nica ◽  
Yaniv Lakovski ◽  
Enrique Freud ◽  
Inbal Samuk
Keyword(s):  
Abdominal Pain ◽  
Early Recognition ◽  
Average Length ◽  
Medical Center ◽  
Rare Condition ◽  
Abdominal Ultrasound ◽  
Ileocolic Intussusception ◽  
Diagnostic Challenge ◽  
Intermittent Abdominal Pain ◽  
Appendiceal Intussusception

Introduction Appendiceal intussusception is a rare condition in children characterized by an invagination of the appendix into the cecum to various degrees. The treatment is appendectomy; however since symptoms are not specific, clinical diagnosis is challenging and frequently only intraoperative. We present a series of five patients with appendiceal intussusception and discuss features that may direct the pediatric surgeon to achieve early recognition and provide optimal treatment. Materials and Methods The database of a tertiary medical center was retrospectively reviewed for all patients treated for appendiceal intussusception during the period from January 1995 to January 2016. Data collected by chart review included demographics, clinical characteristics, imaging studies, surgical technique, and outcome. The findings were analyzed by descriptive statistics. Results This series included five patients (two females and three males) with ages ranging between 27 and 42 months (mean: 35.2). Patients presented with intermittent abdominal pain (IAP, all five patients), alternate vomiting (three of five patients), alternate diarrhea (two of five patients), fever (two of five patients), and rectal bleeding (one of five patients). The average length of symptoms was 22.6 days. Eighteen diagnostic studies were performed, including abdominal ultrasound for all patients, barium enema for three patients with secondary ileocolic intussusception, and abdominal computed tomography (CT) for one patient. The average number of studies per patient was 3.6. In surgery, the appendiceal intussusception was found to be complete in four patients, whereas it was partial in the remaining patient. In all patients, appendectomy was performed with resection of a small rim of cecal wall due to marked congestion and edema in an attempt to decrease recurrence. Conclusion The mainstay of clinical presentation is intermittent abdominal pain while patients may be completely asymptomatic between attacks. Appendiceal intussusception may act as a leading point to ileocolic intussusception and is frequently concealed by it. The treatment is appendectomy. Both pediatric surgeons and radiologists should be aware of this occurrence to provide adequate management and avoid complications.

scholarly journals Achalasia Secondary to Submucosal Invasion by Poorly Differentiated Adenocarcinoma of the Cardia, Siewert II: Consideration on Preoperative Workup

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Antonino Agrusa ◽  
Giorgio Romano ◽  
Giuseppe Frazzetta ◽  
Giovanni De Vita ◽  
Daniela Chianetta ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Differential Diagnosis ◽  
Clinical Presentation ◽  
Gastroesophageal Junction ◽  
Rare Condition ◽  
Submucosal Invasion ◽  
Poorly Differentiated Adenocarcinoma ◽  
Endoscopic Findings ◽  
Poorly Differentiated ◽  
Secondary Achalasia

Secondary achalasia due to submucosal invasion of cardia by gastric cancer is a rare condition. We report a case of pseudoachalasia, secondary to the involvement of gastroesophageal junction by poorly differentiated gastric cancer, initially mistaken as idiopathic form. We focus on the difficulty to establish differential diagnosis only on the basis of routine exams and we stress the necessity of “second level” instrumental exams; EUS in routine workup in selected patients should be considered. We support that routine workup based on history, clinical presentation, radiological and endoscopic findings, and certainly manometry could be insufficient for a correct differential diagnosis between primary and secondary forms in some patients.

scholarly journals Intestinal Obstruction in a Child with Massive Ascariasis

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Munanura Turyasiima ◽  
Paul Matovu ◽  
Gloria Kiconco ◽  
Walufu Ivan Egesa ◽  
Phillip Sunday ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Clinical Presentation ◽  
Acute Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Postoperative Management ◽  
Soft Mass ◽  
History Of ◽  
Abdominal Examination ◽  
The Tropics

Soil-transmitted helminths are so prevalent in the tropics and low developing countries. Pediatric clinical presentation of ascariasis, the most common helminth, as the intestinal obstruction is not only rare but also less described. We present a case of a 4-year-old girl with massive ascariasis. She presented with a 3-day history of acute abdominal pain associated with vomiting and an episode of passing long white roundworms, about 5 cm in length, through the nose. The child had mild constipation and passed pellets of hard stool once in the last 72 hours. She was in fair general condition at the examination but had significant findings on abdominal examination. On palpation, there was a soft mass localized in the left paraumbilical area and no tenderness, with normal bowel sounds on auscultation. Exploratory laparotomy was sanctioned where roundworms (Ascaris lumbricoides), saucepan full, were delivered through a 2.5 cm enterotomy incision. Postoperative management was carried out, and the child discharged on the 7th day of treatment including a 3-day course of albendazole 400 mg daily.

scholarly journals Giant Fibrothecoma of the Ovary in a Young Patient a Case Report

2021 ◽  
pp. 1-3
Author(s):  
Martínez Rodas O ◽  
Keyword(s):  
Clinical Presentation ◽  
Abdominal Cavity ◽  
Pelvic Mass ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Free Fluid ◽  
Stromal Tumors ◽  
Menopausal Women ◽  
Space Compression ◽  
Post Menopausal

Fibrothecomas are benign ovarian stromal tumors, they are rare tumors of gonadal stromal cell origin that represent 3-4% of all ovarian tumors. It commonly occurs in post-menopausal women. The clinical presentation is often nonspecific, whereas patients more frequently present with a pelvic mass, metrorrhagia, and pelvic pain. We present a 35-year-old patient, nulli-pregnant, with no personal or family pathological history, who attended a medical consultation for presenting progressive abdominal distention of 6 months of evolution in addition to abdominal pain in the last 2 months type colic which increased during her menstrual periods concomitantly alteration in your defecatory habits. Abdominal ultrasound was performed, finding a solid intrapelvic mass of approximately 14x10x10 cm in diameter of probable left ovarian origin, free fluid in the Douglas space, compression and displacement of intestinal loops and bladder. The patient underwent surgery and an exploratory laparotomy was performed, finding a pelvic tumor adhered to the tube and left ovary, in addition to ascites fluid in the abdominal cavity, complete resection of the tumor, ovary and left salpingue was performed.

scholarly journals Unruptured ectopic pregnancy in rudimentary horn of unicornuate uterus at fourteen weeks with previous vaginal delivery

2020 ◽  
Vol 9 (12) ◽  
pp. 5166
Author(s):  
Jaydip Hindocha ◽  
Sneh Sonaiya
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Peritoneal Lavage ◽  
Iliac Fossa ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Left Iliac Fossa ◽  
Rudimentary Horn ◽  
Unicornuate Uterus ◽  
Mullerian Ducts

Unicornuate uterus with a rudimentary horn is an anomaly of the mullerian duct and is an extremely rare condition. This condition results when one of the paired mullerian ducts fails to fuse completely. Its incidence is estimated to be one in 76,000 pregnancies.Pregnancy in the rudimentary horn of the unicornuate uterus is difficult to diagnose on ultrasound and can be easily missed out. Hence the pregnancy usually gets detected after rupture when the mother presents with the complaint of severe abdominal pain. This is a case report of a 24 year old G2P1A0L1 female who presented to us with complaints of tenderness in the left iliac fossa and mild abdominal distention. Clinical examinations, radiological investigations, and exploratory laparotomy revealed a unicornuate uterus with an unruptured left rudimentary horn pregnancy at 14 weeks with mild hemoperitoneum. Following the exploratory laparotomy, excision of the left rudimentary horn and thorough peritoneal lavage was performed.

scholarly journals Torsion of cecal appendix. Report of the first Italian case and review of the literature

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Salvatore Fabio Chiarenza ◽  
Lorenzo Costa ◽  
Cosimo Bleve
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Pediatric Patients ◽  
Clinical Presentation ◽  
Clinical Signs ◽  
Rare Condition ◽  
Vermiform Appendix ◽  
Lower Quadrant ◽  
Italian Case ◽  
Right Lower Quadrant

In pediatric patients appendicitis is the most common cause of abdominal pain and surgery. Torsion of vermiform appendix is a rare cause, clinically indistinguishable from appendicitis with usually an intraoperative diagnosis. The first description of vermiform appendix torsion was made by Payne in 1918. Clinical presentation is similar to acute appendicitis. Preoperative investigations play a minimal role. Etiology of this condition is unclear, but is possible to distinguish a primary and a secondary torsion. We report a case of 5-years-old boy who presented with right lower quadrant abdominal pain. His clinical signs, symptoms and investigations mimicked an acute appendicitis. Intraoperatively we found a 720° appendix torsion on its base with its mesentery rotated in counter-clockwise direction. The appendix was gangrenous in appearance. A video-assisted trans-umbilical appendectomy was performed. We describe clinical presentation and management of this rare condition reviewing the literature.

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