1/6. Disseminated cystic lymphangiomatosis presenting with acute abdomen: report of a case and review of the literature.lymphangioma is an uncommon tumor. Lymphangiomatosis, a benign tumor consisting of a cluster of dilated lymphatic channels, is very unusual. Most lymphangiomatoses are found in the neck and head area. Less than 5% are diagnosed intraabdominally and they are very infrequently encountered in the retroperitoneal area. Herein, we report a rare case of a 32 year-old woman who had disseminated intra-abdominal and retroperitoneal cystic lymphangiomatosis, which presented as acute abdomen. She received exploratory laparotomy due to the suspicion of malignancy, which was finally confirmed as cystic lymphangiomatosis. The clinical manifestations, imaging features, and management of this patient are discussed and compared with previous literature.- - - - - - - - - - ranking = 1keywords = neck (Clic here for more details about this article) |
2/6. A case of metastatic squamous cell carcinoma of the hypopharynx manifesting as acute abdomen.INTRODUCTION: Squamous cell head and neck cancers are usually confined to local and regional sites but occasionally, patients may present with rare manifestations of distant metastases. CLINICAL PICTURE: A 23-year-old female was treated with concurrent chemo-radiotherapy for stage IVA post-cricoid squamous cell carcinoma. A month later, she presented with acute abdomen and was found to have extensive peritoneal nodules at laparotomy. intestinal obstruction soon followed. TREATMENT: She was managed conservatively for the intestinal obstruction and given weekly paclitaxel. OUTCOME: She continued to deteriorate and succumbed shortly after the diagnosis of carcinomatosis peritoneii. CONCLUSION: This rare and aggressive presentation reminds us to be cognizant of relapsed head and neck cancers manifesting atypically, and the need for more aggressive search of distant disease in at least some subgroups of head and neck cancer.- - - - - - - - - - ranking = 3keywords = neck (Clic here for more details about this article) |
3/6. Successful endovascular repair of a ruptured abdominal aortic aneurysm in a patient with unfavorable anatomy.Endovascular repair of an abdominal aortic aneurysm (AAA) offers hope of improved outcomes in patients presenting with acute rupture. However, a high proportion of such patients have unfavorable proximal neck anatomy and are not suitable for treatment with conventional endografts. Fenestrated endografts overcome the problem of a short proximal neck, but at present their deployment is time consuming and therefore not easily applicable to a ruptured AAA. In this case report, the authors describe a hybrid device (a composite thoracic and infrarenal stent graft) that was able to overcome the problem of a short wide proximal neck in a patient with a ruptured AAA.- - - - - - - - - - ranking = 3keywords = neck (Clic here for more details about this article) |
4/6. Radiological reasoning: incidentally discovered liver mass.OBJECTIVE: A 49-year-old woman presented to the emergency department after a fall in which she sustained a right subcapital hip fracture. During her hospital stay she developed abdominal pain, and a hypoechoic liver mass was found on sonography. Multiphase CT showed a hepatic mass with brisk arterial phase enhancement, rapid washout on the portal venous phase, and delayed phase hypodensity. The final pathology diagnosis was hepatocellular carcinoma. CONCLUSION: Incidental lesions are frequently discovered during routine radiographic evaluations. Correlation with clinical history and additional confirmatory imaging is essential for appropriate diagnosis and management.- - - - - - - - - - ranking = 1.1822733584606keywords = fracture (Clic here for more details about this article) |
5/6. A rare presentation of systemic salmonellosis.We are reporting an unusual case of disseminated salmonella enteritidis D, phage group E2 infection in an 18-year-old male, which was resistant to massive antibiotic treatment. Rare complications such as pylephlebitis, mediastinal adenopathy, osteomyelitis with pathological clavicular fracture, osteitis and spondylitis were observed. We found an immunological defect that no doubt contributed to this severe illness.- - - - - - - - - - ranking = 1.1822733584606keywords = fracture (Clic here for more details about this article) |
6/6. Porcelain appendix. A calcified mucocele fractures to produce an acute abdomen.mucocele of the appendix is rare and occasionally is accompanied by calcification. In a recent case, an eggshell-thin calcified mucocele fractured to produce an acute abdomen. This situation was not found in a review of the literature. A brief summary of the properties of mucocele is presented.- - - - - - - - - - ranking = 5.9113667923031keywords = fracture (Clic here for more details about this article) |