A 51-year-old man presented with abdominal pain and cessation of bowel movements for three days. Imaging showed pneumoperitoneum and distension of the small intestine upstream of a large mass. Exploratory laparotomy revealed gas cysts in the small intestine and a volvulus. Resection of the affected small intestine segment showed intestinal cystic pneumatosis. Intestinal cystic pneumatosis is a rare condition characterized by gas-filled cysts in the intestinal wall. It is usually mild but can cause complications like volvulus requiring surgery. Treatment is typically medical but surgery is needed for complicated cases.
Abdominal Imaging Case Studies #27.pptxSean M. Fox
Drs. Kylee Brooks and Parker Hambright are Emergency Medicine Residents and Drs. Alexis Holland and William Lorenz are Surgery Residents at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham, Brent Matthews, and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides. This month’s cases include:
• Iatrogenic Esophageal Perforation
• Emphysematous Cystitis
• Meckel’s Diverticulum
• Paraesophageal Hernia
This case report describes a 61-year-old male patient who presented with chronic abdominal pain and was found to have xanthogranulomatous cholecystitis (XGC), a rare inflammatory disease of the gallbladder, along with gallstones. Imaging studies revealed thickening of the gallbladder wall and a mass, concerning for possible gallbladder carcinoma. The patient underwent cholecystectomy and was found to have XGC pathology, characterized by lipid-laden macrophages and chronic inflammatory cells infiltrating the gallbladder wall. XGC is a benign condition that can be confused for gallbladder cancer. The patient's surgery and recovery were uncomplicated.
Management of Perforated Duodenal Diverticulum: Case Reportasclepiuspdfs
It has been reported that duodenal diverticula are common but perforated duodenal diverticulum is a rare entity. At this time, there is no standardized management for perforated duodenal diverticulum. In these cases, patients usually complain of vague abdominal pain and computed tomography scan is mostly ordered used as an important diagnostic method. Diagnosis and the severity of the disease need to be assessed before any intervention. Essentially, the perforated small bowel is treated with surgical intervention. However, conservative treatment with broad-spectrum antibiotics and strict nil per os has been offered in the past for stable patients. Below, we report one case of perforated duodenal diverticulum that we managed with conservative treatment.
Endoscopic drainge of pancreatic absces inchildrenMEDHAT EL-SAYED
This case study describes the minimally invasive management of necrotizing pancreatitis in a 13-year-old pediatric patient. The patient presented with severe abdominal pain, respiratory distress, shock, and other symptoms. Imaging showed necrosis of the pancreatic body and tail with fluid collections. The patient was admitted to the ICU and received antibiotics, fluids, and other supportive care. An endoscopic transmural drainage was performed to drain the fluid collections. The patient's condition improved and follow-up imaging showed resolution of the fluid collections over time with endoscopic management. The case demonstrates the successful treatment of necrotizing pancreatitis in a pediatric patient with minimally invasive endoscopic drainage.
Peptic ulcers form in the stomach or duodenum due to an imbalance between acid secretions and mucosal defenses. Risk factors include H. pylori infection in 90% of cases, NSAID use, and stress. Complications include hemorrhage, perforation, and obstruction. H. pylori survives stomach acid through urease production. Diagnosis involves symptoms and imaging. Treatment depends on complications but usually involves antibiotics to eradicate H. pylori along with acid suppression. Surgery may be needed for perforation or obstruction.
The document discusses liver abscesses, which can be pyogenic (caused by bacteria like E. coli or K. pneumoniae) or amebic (caused by the parasite E. histolytica). A 64-year-old man presented with abdominal pain and was found to have a liver abscess based on imaging. Liver abscesses are typically treated with antibiotics and sometimes require drainage depending on their size and characteristics. Diagnosis and treatment of pyogenic vs. amebic abscesses can differ based on culture results and response to medications.
Perforated peptic ulcers commonly occur in middle-aged patients, often due to smoking and NSAID use. Symptoms include sudden severe abdominal pain. Diagnosis involves chest X-ray showing free air or CT scan. Treatment is surgical closure of the perforation along with antibiotics. Upper GI bleeding treatment involves resuscitation, diagnosis via endoscopy, and treatment of the bleeding source, such as ulcers. Gastric outlet obstruction is usually due to peptic ulcer disease or gastric cancer, causing non-bilious vomiting, weight loss, and metabolic abnormalities like hypochloremic alkalosis. Treatment involves rehydration, gastric decompression, investigation of the cause, and sometimes surgical gastroenterostomy.
This document presents a case report of a 46-year-old male who developed abdominal cocoon (sclerosing encapsulating peritonitis) following recovery from COVID-19 pneumonia. The patient presented with small bowel obstruction. CT imaging and exploratory laparotomy revealed dense adhesions and a thick fibrotic sac encasing the jejunum (abdominal cocoon). The sac was surgically excised. It is postulated that COVID-19 induced gut inflammation may have contributed to the development of abdominal cocoon in this patient. Abdominal cocoon is a rare cause of small bowel obstruction that can be difficult to diagnose but is typically managed through surgical lysis of adhesions and membrane removal
Abdominal Imaging Case Studies #27.pptxSean M. Fox
Drs. Kylee Brooks and Parker Hambright are Emergency Medicine Residents and Drs. Alexis Holland and William Lorenz are Surgery Residents at Carolinas Medical Center in Charlotte, NC. They are interested in medical education. With the guidance of Drs. Kyle Cunningham, Brent Matthews, and Michael Gibbs, they aim to help augment our understanding of emergent abdominal imaging. Follow along with the EMGuideWire.com team as they post these monthly educational, self-guided radiology slides. This month’s cases include:
• Iatrogenic Esophageal Perforation
• Emphysematous Cystitis
• Meckel’s Diverticulum
• Paraesophageal Hernia
This case report describes a 61-year-old male patient who presented with chronic abdominal pain and was found to have xanthogranulomatous cholecystitis (XGC), a rare inflammatory disease of the gallbladder, along with gallstones. Imaging studies revealed thickening of the gallbladder wall and a mass, concerning for possible gallbladder carcinoma. The patient underwent cholecystectomy and was found to have XGC pathology, characterized by lipid-laden macrophages and chronic inflammatory cells infiltrating the gallbladder wall. XGC is a benign condition that can be confused for gallbladder cancer. The patient's surgery and recovery were uncomplicated.
Management of Perforated Duodenal Diverticulum: Case Reportasclepiuspdfs
It has been reported that duodenal diverticula are common but perforated duodenal diverticulum is a rare entity. At this time, there is no standardized management for perforated duodenal diverticulum. In these cases, patients usually complain of vague abdominal pain and computed tomography scan is mostly ordered used as an important diagnostic method. Diagnosis and the severity of the disease need to be assessed before any intervention. Essentially, the perforated small bowel is treated with surgical intervention. However, conservative treatment with broad-spectrum antibiotics and strict nil per os has been offered in the past for stable patients. Below, we report one case of perforated duodenal diverticulum that we managed with conservative treatment.
Endoscopic drainge of pancreatic absces inchildrenMEDHAT EL-SAYED
This case study describes the minimally invasive management of necrotizing pancreatitis in a 13-year-old pediatric patient. The patient presented with severe abdominal pain, respiratory distress, shock, and other symptoms. Imaging showed necrosis of the pancreatic body and tail with fluid collections. The patient was admitted to the ICU and received antibiotics, fluids, and other supportive care. An endoscopic transmural drainage was performed to drain the fluid collections. The patient's condition improved and follow-up imaging showed resolution of the fluid collections over time with endoscopic management. The case demonstrates the successful treatment of necrotizing pancreatitis in a pediatric patient with minimally invasive endoscopic drainage.
Peptic ulcers form in the stomach or duodenum due to an imbalance between acid secretions and mucosal defenses. Risk factors include H. pylori infection in 90% of cases, NSAID use, and stress. Complications include hemorrhage, perforation, and obstruction. H. pylori survives stomach acid through urease production. Diagnosis involves symptoms and imaging. Treatment depends on complications but usually involves antibiotics to eradicate H. pylori along with acid suppression. Surgery may be needed for perforation or obstruction.
The document discusses liver abscesses, which can be pyogenic (caused by bacteria like E. coli or K. pneumoniae) or amebic (caused by the parasite E. histolytica). A 64-year-old man presented with abdominal pain and was found to have a liver abscess based on imaging. Liver abscesses are typically treated with antibiotics and sometimes require drainage depending on their size and characteristics. Diagnosis and treatment of pyogenic vs. amebic abscesses can differ based on culture results and response to medications.
Perforated peptic ulcers commonly occur in middle-aged patients, often due to smoking and NSAID use. Symptoms include sudden severe abdominal pain. Diagnosis involves chest X-ray showing free air or CT scan. Treatment is surgical closure of the perforation along with antibiotics. Upper GI bleeding treatment involves resuscitation, diagnosis via endoscopy, and treatment of the bleeding source, such as ulcers. Gastric outlet obstruction is usually due to peptic ulcer disease or gastric cancer, causing non-bilious vomiting, weight loss, and metabolic abnormalities like hypochloremic alkalosis. Treatment involves rehydration, gastric decompression, investigation of the cause, and sometimes surgical gastroenterostomy.
This document presents a case report of a 46-year-old male who developed abdominal cocoon (sclerosing encapsulating peritonitis) following recovery from COVID-19 pneumonia. The patient presented with small bowel obstruction. CT imaging and exploratory laparotomy revealed dense adhesions and a thick fibrotic sac encasing the jejunum (abdominal cocoon). The sac was surgically excised. It is postulated that COVID-19 induced gut inflammation may have contributed to the development of abdominal cocoon in this patient. Abdominal cocoon is a rare cause of small bowel obstruction that can be difficult to diagnose but is typically managed through surgical lysis of adhesions and membrane removal
Tuberculous Ileal Perforation in Post-Appendicectomy PeriOperative Period: A ...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
This document discusses a case of intestinal obstruction in a patient with a history of colon cancer. It provides background on the patient's symptoms and signs, including abdominal pain and distention, vomiting, and hemoccult-positive stool. The next steps are described as an abdominal series to determine the level and severity of obstruction. The pathophysiology of mechanical bowel obstruction is traced, involving distention, pain, potential ischemia and necrosis. Nursing management focuses on acute pain, risk for deficient fluid volume, risk for imbalanced nutrition, and ineffective tissue perfusion monitoring.
Annular pancreas is an uncommon condition in adults.
The ring formation generally originates from the failure of
normal clockwise rotation of ventral pancreas. First
described by Tiedmann in 1818, its incidence is
1:20,000 population. It has bimodal presentation i.e is seen
either in Infants or in 4th & 5th decade of life.
The patient presented with symptoms of intestinal obstruction including abdominal pain, nausea, vomiting and abdominal distension. Physical exam revealed abdominal tenderness and laboratory tests showed signs of dehydration and inflammation. Radiographic imaging confirmed multiple dilated loops of small bowel consistent with mechanical intestinal obstruction. The obstruction was determined to be complete based on symptoms. The patient's history of previous appendectomy suggested the underlying cause was likely adhesive obstruction. Treatment involved fluid resuscitation, gastrointestinal decompression and antibiotics, with potential for surgical lysis of adhesions if symptoms did not improve.
Dr. Deepak. B
MS Surgery (JIPMER), DNB Surgery, MNAMS, Mch GISurgery(GB Pant, Delhi)
Dr. Deepak is a consultant surgical gastroeneterologist. He has acquired vast experience in the field of gastrointestinal surgery. In the past, he has worked for various premier institute of India. He obtained his MBBS degree from JSS medical college Mysore, Master of Surgery from premier institute JIPMER, Puducherry, the institute of national importance. Later he procured his Mch GI Surgery from another top-tier institute of India (GB Pant, Delhi Government). He has experience of more than 1000 laparoscopic surgeries and more than 300 advanced laparoscopic surgeries.
This document discusses intestinal obstruction, which occurs when the normal flow of intestinal contents is impaired by a blockage. There are several types, including mechanical obstruction by adhesions, tumors, or foreign bodies; paralytic ileus involving impaired intestinal motility; and strangulation obstruction involving compromised blood supply. Symptoms include abdominal pain, distention, vomiting, and constipation or diarrhea. Diagnosis involves imaging and labs. Treatment involves correcting fluid/electrolytes, decompressing the bowel, and sometimes surgery to remove the obstruction. Nursing care focuses on pain relief, maintaining fluid/electrolyte balance, and monitoring for complications like peritonitis.
This case report describes a 60-year-old man who presented with chronic diarrhea, weight loss, and feculent breath 10 years after undergoing gastric resection for peptic ulcer disease. Contrast examination revealed a gastrojejunocolic fistula connecting the stomach, jejunum, and transverse colon. The patient underwent a single-stage surgical procedure to resect the affected areas and reconstruct the gastrointestinal tract. His symptoms resolved after surgery and he gained 15 kg in weight over the following months.
Peritonitis is an inflammation of the peritoneum membrane that lines the abdominal cavity. It can result from a rupture or perforation in the abdomen or from other medical conditions. Symptoms include abdominal pain, bloating, fever, and nausea. Treatment involves antibiotics and may require surgery to address the underlying cause. The prognosis depends on the number of organ systems affected, with higher organ failure associated with higher mortality rates.
This document describes a case of a 12-year-old female who presented with abdominal pain and signs of peritonitis. She underwent an exploratory laparotomy which revealed a Meckel's diverticulum with gastric mucosa and a jejunal perforation. She had a complicated postoperative course requiring a second surgery. Meckel's diverticulum is a common congenital abnormality caused by incomplete vitelline duct obliteration. It can contain heterotopic gastric or pancreatic mucosa and commonly presents in children with GI bleeding. Surgical resection is often required for complications like perforation or obstruction.
Abdominal Splenosiscausing Hydronephrosis- A Case Reportsemualkaira
Splenosis is anuncommenprocess ofintra abdominal or extra abdominal splenic tissue seeding, mostly post traumatic.The issueof splenosismostly comesupinpatientspresentingwith suspicious nodules inthe abdominal or chest cavity. It is exactly these patients with a history of blunt abdominal trauma who should be considered as candidates for having splenosis and should be screened with a proper medical history and with the use of novel non invasive imaging modalities thus sparing the patients unnecessary and potentially dangerous procedures.
Abdominal Splenosiscausing Hydronephrosis- A Case Reportsuppubs1pubs1
Splenosis is anuncommenprocess ofintra abdominal or extra abdominal splenic tissue seeding, mostly post traumatic.The issueof splenosismostly comesupinpatientspresentingwith suspicious nodules inthe abdominal or chest cavity. It is exactly these patients with a history of blunt abdominal trauma who should be considered as candidates for having splenosis and should be screened with a proper medical history and with the use of novel non invasive imaging modalities thus sparing the patients unnecessary and potentially dangerous procedures.
Neutropenic enterocolitis ( Typhilitis )Tarek Ahmed
Neutropenic enterocolitis, also known as Typhilitis is a medical emergency seen in neutropenic patients especially cancer patients who receive myelosuppressive therapy.
Spontaneous Gall Bladder Perforation: A rare clinical entity, a diagnostic an...Crimsonpublisherssmoaj
Gallbladder perforation requiring an emergent treatment is usually a complication of cholecystitis [1]. Acute cholecystitis develops in up to 2% of patients affected by asymptomatic cholelithiasis. Gallbladder perforation occurs in 2 to 11% of acute cholecystitis cases. Due to the high mortality that can be caused by a delay in the correct diagnosis and following adequate surgical treatment, gallbladder perforation represents a special diagnostic and surgical challenge [2].
https://crimsonpublishers.com/smoaj/fulltext/SMOAJ.000505.php
For more Open access journals in Crimson Publishers
Please click on: https://crimsonpublishers.com/
For more articles in Open access journal of Innovation in Surgical Medicine Open Access Journal Please click on: https://crimsonpublishers.com/smoaj/index.php
Primary Gastric Actinomycosis: The first ever report of Primary Gastric Actinomycosis from India.
Source: International Journal of Medical Research & Health Sciences
This document discusses abdominal tuberculosis, which can involve the gastrointestinal tract, peritoneum, and organs within the abdominal cavity. The ileoceal junction is most commonly affected. Clinical presentation varies greatly due to the complex pathological process. Diagnosis relies on a combination of investigations including imaging, laparoscopy, and biopsy. Treatment involves a combination of chemotherapy and sometimes surgery for complications like perforation or failure to resolve symptoms. Abdominal tuberculosis remains a diagnostic challenge due to its variable presentation and similarities to other diseases.
The document discusses complications of peptic ulcers, including perforation, hemorrhage, gastric outlet obstruction, penetration, and malignant change. Perforation is a common complication that occurs when a weak spot in the stomach or duodenal wall ruptures. Symptoms include severe abdominal pain. Treatment involves surgery to repair the perforation along with antibiotics and resuscitation. Bleeding is another major complication that can range from mild to life-threatening. Symptoms include vomiting blood or black stools. Treatment involves endoscopic methods to stop bleeding along with fluid replacement and medications. Surgery may be needed if bleeding cannot be controlled otherwise or for other complications like perforation.
Laparoscopic Excision of Foregut Duplication Cyst of StomachApollo Hospitals
Retroperitoneal gastric duplication cysts lined by ciliated columnar epithelium are extremely rare lesions and its presentation during adulthood is a diagnostic challenge for treating clinicians. This entity often resembles cystic pancreatic neoplasm, retroperitoneal cystic lesions and sometimes as an adrenal cystic neoplasm. Correct diagnosis on the basis of radiological investigation is difficult and histopathologic analysis. We report a case of gastric duplication cyst in a 16year old girl that mimicked as a retroperitoneal /pancreatic /adrenal cystic lesion and was successfully managed by laparoscopy.
Inflammatory fibroid polyp (IFP) is a rare benign lesion, originating from the submucosa in the gastrointestinal tract. It generally appears as an isolated benign lesion, rarely located at the level of the ileum. Its origin is controversial. Clinical presentation varies depending on its location; invagination and
obstruction are the most common indicative symptoms when the polyp is located at the level of the small intestine. We report the case of a 60-year old patient with abdominal pain, nausea and vomiting and a personal history of intermittent constipation. Radiological imaging objectified ileo-ileal invagination
completely obstructing the ileum light. Segmental resection of the obstructed ileal segment and terminalterminal anastomosis were performed. The final diagnosis of IFP was established using histological examination.
This document discusses several causes of gastric bleeding and disorders, including gastric tumors like gastrointestinal stromal tumors (GISTs) and gastric lymphoma. GISTs are sensitive to the drug imatinib and tumors over 5 cm in diameter have metastatic potential. Primary gastric lymphoma is usually treated with chemotherapy or surgery alone for early-stage disease, while widespread lymphoma involves chemotherapy.
This paper continues the authors investigation into AD. We find that hydrogen peroxide appears to be the culprit in attacking the Papez circuit, especially in women. Familiarity with AT Math is assumed.
Mucocutaneous Involvement in Behcets Diseasenavasreni
Behçet’s disease is a chronic inflammatory disease characterized by its clinical polymorphism associating mucocutaneous involvement to systemic manifestations. The mucocutaneous lesions are considered the hallmark of the disease, being the most common symptoms presenting at the onset of disease. Our objective was to determine the characteristics of this skin involvement during Behçet’s disease. We conducted a descriptive study over a period of 30 years, having collected all patients with Behçet’s disease.
Eosinophilic Enterocolitis: A Rare Nosological Entitynavasreni
Eosinophilic enterocolitis is an exceptionally rare disease with few cases described in the literature. It is the least frequent manifestation of the broad spectrum of gastrointestinal eosinophilic diseases. We describe a case of a female patient presenting with a form of the disease manifested by Koenig’s syndrome and diarrhea.
More Related Content
Similar to Intestinal Cystic Pneumatosis : Rare Case
Tuberculous Ileal Perforation in Post-Appendicectomy PeriOperative Period: A ...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
This document discusses a case of intestinal obstruction in a patient with a history of colon cancer. It provides background on the patient's symptoms and signs, including abdominal pain and distention, vomiting, and hemoccult-positive stool. The next steps are described as an abdominal series to determine the level and severity of obstruction. The pathophysiology of mechanical bowel obstruction is traced, involving distention, pain, potential ischemia and necrosis. Nursing management focuses on acute pain, risk for deficient fluid volume, risk for imbalanced nutrition, and ineffective tissue perfusion monitoring.
Annular pancreas is an uncommon condition in adults.
The ring formation generally originates from the failure of
normal clockwise rotation of ventral pancreas. First
described by Tiedmann in 1818, its incidence is
1:20,000 population. It has bimodal presentation i.e is seen
either in Infants or in 4th & 5th decade of life.
The patient presented with symptoms of intestinal obstruction including abdominal pain, nausea, vomiting and abdominal distension. Physical exam revealed abdominal tenderness and laboratory tests showed signs of dehydration and inflammation. Radiographic imaging confirmed multiple dilated loops of small bowel consistent with mechanical intestinal obstruction. The obstruction was determined to be complete based on symptoms. The patient's history of previous appendectomy suggested the underlying cause was likely adhesive obstruction. Treatment involved fluid resuscitation, gastrointestinal decompression and antibiotics, with potential for surgical lysis of adhesions if symptoms did not improve.
Dr. Deepak. B
MS Surgery (JIPMER), DNB Surgery, MNAMS, Mch GISurgery(GB Pant, Delhi)
Dr. Deepak is a consultant surgical gastroeneterologist. He has acquired vast experience in the field of gastrointestinal surgery. In the past, he has worked for various premier institute of India. He obtained his MBBS degree from JSS medical college Mysore, Master of Surgery from premier institute JIPMER, Puducherry, the institute of national importance. Later he procured his Mch GI Surgery from another top-tier institute of India (GB Pant, Delhi Government). He has experience of more than 1000 laparoscopic surgeries and more than 300 advanced laparoscopic surgeries.
This document discusses intestinal obstruction, which occurs when the normal flow of intestinal contents is impaired by a blockage. There are several types, including mechanical obstruction by adhesions, tumors, or foreign bodies; paralytic ileus involving impaired intestinal motility; and strangulation obstruction involving compromised blood supply. Symptoms include abdominal pain, distention, vomiting, and constipation or diarrhea. Diagnosis involves imaging and labs. Treatment involves correcting fluid/electrolytes, decompressing the bowel, and sometimes surgery to remove the obstruction. Nursing care focuses on pain relief, maintaining fluid/electrolyte balance, and monitoring for complications like peritonitis.
This case report describes a 60-year-old man who presented with chronic diarrhea, weight loss, and feculent breath 10 years after undergoing gastric resection for peptic ulcer disease. Contrast examination revealed a gastrojejunocolic fistula connecting the stomach, jejunum, and transverse colon. The patient underwent a single-stage surgical procedure to resect the affected areas and reconstruct the gastrointestinal tract. His symptoms resolved after surgery and he gained 15 kg in weight over the following months.
Peritonitis is an inflammation of the peritoneum membrane that lines the abdominal cavity. It can result from a rupture or perforation in the abdomen or from other medical conditions. Symptoms include abdominal pain, bloating, fever, and nausea. Treatment involves antibiotics and may require surgery to address the underlying cause. The prognosis depends on the number of organ systems affected, with higher organ failure associated with higher mortality rates.
This document describes a case of a 12-year-old female who presented with abdominal pain and signs of peritonitis. She underwent an exploratory laparotomy which revealed a Meckel's diverticulum with gastric mucosa and a jejunal perforation. She had a complicated postoperative course requiring a second surgery. Meckel's diverticulum is a common congenital abnormality caused by incomplete vitelline duct obliteration. It can contain heterotopic gastric or pancreatic mucosa and commonly presents in children with GI bleeding. Surgical resection is often required for complications like perforation or obstruction.
Abdominal Splenosiscausing Hydronephrosis- A Case Reportsemualkaira
Splenosis is anuncommenprocess ofintra abdominal or extra abdominal splenic tissue seeding, mostly post traumatic.The issueof splenosismostly comesupinpatientspresentingwith suspicious nodules inthe abdominal or chest cavity. It is exactly these patients with a history of blunt abdominal trauma who should be considered as candidates for having splenosis and should be screened with a proper medical history and with the use of novel non invasive imaging modalities thus sparing the patients unnecessary and potentially dangerous procedures.
Abdominal Splenosiscausing Hydronephrosis- A Case Reportsuppubs1pubs1
Splenosis is anuncommenprocess ofintra abdominal or extra abdominal splenic tissue seeding, mostly post traumatic.The issueof splenosismostly comesupinpatientspresentingwith suspicious nodules inthe abdominal or chest cavity. It is exactly these patients with a history of blunt abdominal trauma who should be considered as candidates for having splenosis and should be screened with a proper medical history and with the use of novel non invasive imaging modalities thus sparing the patients unnecessary and potentially dangerous procedures.
Neutropenic enterocolitis ( Typhilitis )Tarek Ahmed
Neutropenic enterocolitis, also known as Typhilitis is a medical emergency seen in neutropenic patients especially cancer patients who receive myelosuppressive therapy.
Spontaneous Gall Bladder Perforation: A rare clinical entity, a diagnostic an...Crimsonpublisherssmoaj
Gallbladder perforation requiring an emergent treatment is usually a complication of cholecystitis [1]. Acute cholecystitis develops in up to 2% of patients affected by asymptomatic cholelithiasis. Gallbladder perforation occurs in 2 to 11% of acute cholecystitis cases. Due to the high mortality that can be caused by a delay in the correct diagnosis and following adequate surgical treatment, gallbladder perforation represents a special diagnostic and surgical challenge [2].
https://crimsonpublishers.com/smoaj/fulltext/SMOAJ.000505.php
For more Open access journals in Crimson Publishers
Please click on: https://crimsonpublishers.com/
For more articles in Open access journal of Innovation in Surgical Medicine Open Access Journal Please click on: https://crimsonpublishers.com/smoaj/index.php
Primary Gastric Actinomycosis: The first ever report of Primary Gastric Actinomycosis from India.
Source: International Journal of Medical Research & Health Sciences
This document discusses abdominal tuberculosis, which can involve the gastrointestinal tract, peritoneum, and organs within the abdominal cavity. The ileoceal junction is most commonly affected. Clinical presentation varies greatly due to the complex pathological process. Diagnosis relies on a combination of investigations including imaging, laparoscopy, and biopsy. Treatment involves a combination of chemotherapy and sometimes surgery for complications like perforation or failure to resolve symptoms. Abdominal tuberculosis remains a diagnostic challenge due to its variable presentation and similarities to other diseases.
The document discusses complications of peptic ulcers, including perforation, hemorrhage, gastric outlet obstruction, penetration, and malignant change. Perforation is a common complication that occurs when a weak spot in the stomach or duodenal wall ruptures. Symptoms include severe abdominal pain. Treatment involves surgery to repair the perforation along with antibiotics and resuscitation. Bleeding is another major complication that can range from mild to life-threatening. Symptoms include vomiting blood or black stools. Treatment involves endoscopic methods to stop bleeding along with fluid replacement and medications. Surgery may be needed if bleeding cannot be controlled otherwise or for other complications like perforation.
Laparoscopic Excision of Foregut Duplication Cyst of StomachApollo Hospitals
Retroperitoneal gastric duplication cysts lined by ciliated columnar epithelium are extremely rare lesions and its presentation during adulthood is a diagnostic challenge for treating clinicians. This entity often resembles cystic pancreatic neoplasm, retroperitoneal cystic lesions and sometimes as an adrenal cystic neoplasm. Correct diagnosis on the basis of radiological investigation is difficult and histopathologic analysis. We report a case of gastric duplication cyst in a 16year old girl that mimicked as a retroperitoneal /pancreatic /adrenal cystic lesion and was successfully managed by laparoscopy.
Inflammatory fibroid polyp (IFP) is a rare benign lesion, originating from the submucosa in the gastrointestinal tract. It generally appears as an isolated benign lesion, rarely located at the level of the ileum. Its origin is controversial. Clinical presentation varies depending on its location; invagination and
obstruction are the most common indicative symptoms when the polyp is located at the level of the small intestine. We report the case of a 60-year old patient with abdominal pain, nausea and vomiting and a personal history of intermittent constipation. Radiological imaging objectified ileo-ileal invagination
completely obstructing the ileum light. Segmental resection of the obstructed ileal segment and terminalterminal anastomosis were performed. The final diagnosis of IFP was established using histological examination.
This document discusses several causes of gastric bleeding and disorders, including gastric tumors like gastrointestinal stromal tumors (GISTs) and gastric lymphoma. GISTs are sensitive to the drug imatinib and tumors over 5 cm in diameter have metastatic potential. Primary gastric lymphoma is usually treated with chemotherapy or surgery alone for early-stage disease, while widespread lymphoma involves chemotherapy.
Similar to Intestinal Cystic Pneumatosis : Rare Case (19)
This paper continues the authors investigation into AD. We find that hydrogen peroxide appears to be the culprit in attacking the Papez circuit, especially in women. Familiarity with AT Math is assumed.
Mucocutaneous Involvement in Behcets Diseasenavasreni
Behçet’s disease is a chronic inflammatory disease characterized by its clinical polymorphism associating mucocutaneous involvement to systemic manifestations. The mucocutaneous lesions are considered the hallmark of the disease, being the most common symptoms presenting at the onset of disease. Our objective was to determine the characteristics of this skin involvement during Behçet’s disease. We conducted a descriptive study over a period of 30 years, having collected all patients with Behçet’s disease.
Eosinophilic Enterocolitis: A Rare Nosological Entitynavasreni
Eosinophilic enterocolitis is an exceptionally rare disease with few cases described in the literature. It is the least frequent manifestation of the broad spectrum of gastrointestinal eosinophilic diseases. We describe a case of a female patient presenting with a form of the disease manifested by Koenig’s syndrome and diarrhea.
This paper provides some simple calculations from AT Math and Physics on how stuttering may occur. We see that adrenaline affects the frequency of the human mind resulting in a nerve signal velocity that is too slow for the tongue muscle to respond, thus no clear speech.
Ethics Review Preparedness During COVID-19 Outbreak and Local IRBs in Pakista...navasreni
Current COVID-19 outbreak has shaken almost all aspects of health. Pakistan is lower middle income
country where health system is fragmented due to chronic state of underinvestment in health. Provision
of basic health care during the current COVID-19 outbreak remains daunting task. Ethics and
regulatory systems are not fully mature [1]
Dynamics of the COVID-19 Comparison between the Theoretical Predictions and t...navasreni
A new coronavirus disease, called COVID-19, appeared in the Chinese region of Wuhan at the end of
last year; since then the virus spread to other countries, including most of Europe. We propose a
differential equation governing the evolution of the COVID-19.
Pontocerebellar Hypoplasia: Literature Review and Clinical Studynavasreni
AbstractPontocerebellar Hypoplasia (PCH) refers to a group of rare, progressive, and hereditary neurode- generative disorders with prenatal onset. Different subtypes have been identified based on the mu- tations present, and all share common characteristics, such as severe cognitive, linguistic, and motor disabilities.
Aorto-Esophageal Fistula and Metallic Stentnavasreni
Esophageal metallic stents are indicated in the palliative treatment of malignant dysphagia [1]. The ones usually used are covered or partially covered. They have a low mortality rate directly asso- ciated (0.5-2%) [2]. As with any endoscopic therapeutic procedure, it can get complicated.
A Mild form of Familial Mediterranean Fever Associated with a Polymorphisms C...navasreni
This case report describes a patient with a mild form of familial Mediterranean fever (FMF) associated with a polymorphism in the MEFV gene. The patient experienced recurrent fever episodes accompanied by mild skin rashes and joint pain. Genetic testing identified a c.1588-69G>A polymorphism in intron 5 of the MEFV gene. The patient responded well to treatment with corticosteroids and colchicine, though had to discontinue colchicine due to side effects. The polymorphism is not rare and has been found in healthy subjects, suggesting it is associated with a milder form of FMF that requires other triggers to induce symptoms.
A hookah (shisha, waterpipe) use may increase the risk of suffering from serious symptoms due to
COVID-19. Like smoking, hookahs may exacerbate the risk for severe COVID-19 through shared use
and being difficult-to-clean the long pipes and having a cold water reservoir. Social gatherings also
provide an opportunity for the virus to spread.
Can Lung Ultrasound in Patients with Fever of Unknown Origin Detect Early Sig...navasreni
The increasing interest in Lung Ultrasound (LUS) over the last years led to a great diffusion and better experience in using this technique, which became an essential tool for clinicians. During the current Coronavirus Disease 2019 (COVID-19) pandemic, LUS is being extensively applied to the evaluation and monitoring....
Postpartum Meningitis by Enterococcus Faecalis Secondary to Neuraxial Anesthesianavasreni
Meningitis is an infrequent and serious cause of postpartum fever that requires early diagnosis and treatment to prevent serious complications and to reduce the high mortality rate. Neuraxial anesthesia is a frequently used technique in obstetrics. Meningitis is a very rare complication of neuraxial an- esthesia and enterococcus....
Superior Mesenteric Artery Syndrome Treated by Laparoscopic Duodenojejunostomynavasreni
Superior Mesenteric Artery syndrome (SMA Sd) is a very rare disease. It is suspected in the case of intestinal obstruction in severely underweight patients.
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1. Annals of Clinical and Medical
Case Reports
Intestinal Cystic Pneumatosis : Rare Case
Abdelhak B1*
, Said B1
, Moutaoukil M1
, Hakim K1
, Bouchentouf SM1
, Mountacer M1
and Bounaim A1
1
Department of Visceral Surgery, MVMIH, Rabat, Morocco
1. Abstract
ISSN 2639-8109
Research Article
2. Key words
Intestinal pneumatosis; Idiopathic
pneumoparitoneum; Small bowel
movements
Intestinal cystic pneumatosis is a rare condition characterized by the presence of gaseous cysts in the
intestinal wall.
We report the observation of a 51-year-old patient with dyspepsia syndrome and recurrent episodes
of abdominal pain who had a three-day cessation of materials and gas for three days. The clinical ex-
amination on admission showed a slightly distended abdomen, an empty rectal bulb with digital rectal
examination. The biological assessment was without abnormality, the radiography of the abdomen
without preparation showed central hydro-aeric levels of the hail-like type with a gaseous crescent
inter hepato-diaphragmatic. The abdominal CT objectified a pneumoperitoneum with aerobilia, an
upper digestive distension with probable proximal digestive volvulus. The patient was admitted to
the block and an exploratory laparotomy was performed which revealed the presence of a gas cyst in
several places in the small intestine with distension of the latter upstream of a large mass of benign
appearance. Taking a segment of the jejunum. We carried out an anastomosis resection of the small
intestine carrying out the mass which we sent to the pathological anatomy laboratory and the result
of which returned in favor of intestinal cystic pneumatosis. The postoperative suites were simple with
good evolution and resumption of transit at end of the third day.
Intestinalcysticpneumatosisisrareandgenerallymild.In85%ofcases,itissecondaryorassociated
withothergastrointestinal pathologies(inflammatoryboweldisease,pepticulcer,pyloric stenosis,
abdominal trauma) or extra gastrointestinal (chronic obstructive pulmonary disease, heart disease,
cysticfibrosis,lupus,knottyperiarthritis);Primitiveformsrepresentonly15%ofreportedcases.In
ourpatientweconcludedwithaprimaryintestinalcysticpneumatosis.Mostauthorsreportnon-spe-
cific signs. Some complications related to cystic volume have been described, they are rare but require
resection.Thisisthecaseofourpatientwhoseintestinalcysticpneumatosiswasresponsible forthe
volvulusofasegmentofthesmallintestinewhichinducedanocclusivesyndrome.Cysticintestinal
pneumatosis is the leading cause of pneumoperitoneum without digestive perforation. Computed
tomography with injection of contrast agent has good diagnostic accuracy. There is an important
diagnostic criterion, which is the lack of airport that differentiates it from intestinal gangrene. The
treatmentofuncomplicatedintestinal cystic pneumatosisis most oftenmedical, theaimof whichis
to reduce the anaerobic bacteria which is at the origin, metronidazole is often effective. Hyperbaric
oxygentherapyisusedforitsanti-anaerobicpowerandforitsabilitytocollapsecystsbypromoting
exchangeswiththeblood.Othertherapiessuchasoctreotideorendoscopicfenestrationshavebeen
used with varying results. In the forms complicated or resistant to medical treatment, the treatment
is surgical andconsists in resecting the affected intestinal segment, bylaparotomyor better by lapa-
roscopy given the benign nature of the pathology, this is the case of our patient who benefited from
emblematic of a resection of the mass and anastomosis of the small intestine.
Intestinal cystic pneumatosis is a rare and generally mild condition. Its diagnosis is most often made
on imaging, especially the abdominal computed tomography with injection of contrast product. Its
treatment remains medical for the benign forms whereas it is surgical for the complicated forms pref-
erably by laparoscopic approaches.
*Corresponding Author (s): Abdelhak Bensal, Department of Visceral Surgery,
Mohamed V-Rabat Military Instruction Hospital, Morocco Tele: 00212661292229, Email:
abdelbensal@ gmail.com
Citation: Abdelhak B. Intestinal Cystic Pneumatosis : Rare Case. Annals of Clinical and
Medical Case Reports. 2020; 4(8): 1-3.
Volume 4 Issue 8- 2020
Received Date: 30 July 2020
Accepted Date: 17 Aug2020
Published Date: 21 Aug2020
3. Volume 4 Issue 8-2020 ResearchArticle
uct. Its treatment remains medical for the benign forms whereas
it is surgical for the complicated forms preferably by laparoscopic
approaches.
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http://www.acmcasereport.com/ 3