Cases reported "Prolapse"

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21/25. Caecal mass on barium enema study--a case for routine colonoscopy.

    prolapse of the ileal mucosa through the ileo-caecal valve or minor ileo-caecal intussuception is not uncommon and may occasionally be mistaken radiologically for a caecal neoplasm, especially if intestinal obstruction, abdominal pain or rectal bleeding is present. Colonoscopic visualisation and biopsy is important before surgery is advised. We describe a case of ileal mucosa prolapse masquerading as a caecal neoplasm on barium enema study. colonoscopy showed prolapse of the ileal mucosa which was easily reduced by air insufflation and therefore unnecessary surgery was avoided.
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ranking = 1
keywords = obstruction
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22/25. Prolapsing urethral polyp in child with hypospadias.

    This report details the first published case of a urethral polyp presenting as a prolapse through the proximally displaced meatus of a child with hypospadias. urethral obstruction, a symptom common to other reported urethral polyps, was absent. The congenital nature suggests a benign neoplastic process as the etiologic factor.
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ranking = 1
keywords = obstruction
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23/25. Prolapsing right atrial myxoma: clinical and heamodynamic considerations.

    A 22-year-old woman with a right atrial myxoma prolapsing to the right ventricle is described. The haemodynamic findings were similar to those of cases of prolapsing myxoma of the left atrium; a notching on the ascending limb of the right ventricular pressure curve, and an initial negative, irregular deflection on the pulmonary artery pressure curve with a pronounced rise in the mean right atrial pressure (18 mmHg) were found. On deep inspiration there was a significant deepening of the y descent from 12 mmHg to 2 mmHg, indicating a changing, dynamic obstruction of the right ventricle inflow tract. These haemodynamic features can be helpful in the diagnosis of prolapsing right atrial myxoma.
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ranking = 1
keywords = obstruction
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24/25. Prolapsing gastric polyp, an unusual cause of gastric outlet obstruction: a review of the pathology and management of gastric polyps.

    Gastric polyps are rare and largely asymptomatic, but attract importance because of their strong potential to progress to carcinoma. Rarely, pedunculated polyps arising in the antrum may prolapse through the pylorus, causing intermittent gastric outlet obstruction. We describe here our experience of four cases collected over a ten-year period, each presenting dissimilarly with this phenomenon. We review the literature referring to the pathogenesis of gastric polyps and their association with malignancy and other disorders. We proceed to discuss the efficacy of barium studies versus gastroscopy in detecting these lesions, the relative roles and merits of endoscopic polypectomy and surgery, and the importance of prolonged follow-up of patients harbouring gastric polyps.
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ranking = 5
keywords = obstruction
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25/25. airway obstruction due to arytenoid prolapse in a child.

    In paediatric patients, obstruction of the upper airway is still a common problem during general anaesthesia. This case report documents the susceptibility of arytenoids to prolapse in paediatric patients during halothane anaesthesia. The use of video endoscopy provides an excellent tool for visualizing this type of airway obstruction; and continuous positive airway pressure is an effective treatment for clearing the airway.
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ranking = 9.730220308048
keywords = airway obstruction, obstruction, airway
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