Arterio-Venous And Lymphatic Malformation Mimicking Acute Appendicitis In A Patient. Case Report And Review Of Literature

Arteriovenous and lymphatic malformations are a common phenomenon and can present in various clinical forms. They rarely present as a cause of acute abdomen, and in the literature, there are only a few cases where intra-abdominal arteriovenous malformation (AVM) presented as acute appendicitis in the adult population. Most of the cases are diagnosed post-operatively on histology but the previous reporting in the literature has made it possible for the radiologists to look for these anomalies and consider them as a probable cause of acute abdomen when no other obvious cause is found. We are presenting an interesting case of congenital vascular malformation mimicking acute appendicitis in a young female. She had a previous history of complications related to AVM and her complicated urological history was initially focussed causing a delay in referral to surgeons and imaging which lead to the final diagnosi

Two Rarities Together: A Free Peritoneal Body In A Hernia En Pantaloon Sac And Case Series Of Our Experience Of Finding Loose Peritoneal Bodies

Peritoneal loose bodies (PLBs) are rare findings that were reported extensively in the early nineteenth and twentieth century in the form of case series by Littre, Riedel and Macintosh. In the recent past, focus has shifted more towards symptomatic free peritoneal bodies. Although a proper intrabdominal examination and histopathology can help to clear the diagnosis, there is still no consensus in the surgical circle as to how to deal with them. Here, we report a case series of 4 cases of finding loose peritoneal bodies during intra-abdominal procedures, three of them were found during laparoscopic procedures (laparoscopic appendectomy, Robotic mesh rectopexy and laparoscopic bowel resection) while one was an open surgery (open inguinal hernia repair). This paper is unique as for the first time in the history it brings two surgical rarities together i.e. ‘hernia en pantaloon’ and free peritoneal body along with recommendations based on the literature, review to diagnose and treat loose peritoneal bodies.