Abdominal Catastrophe Secondary To Paraduodenal Hernia

An Internal hernia is a protrusion of abdominal viscera through the opening in the peritoneum or mesentery. We report the case of a left paraduodenal hernia (LPDH) combined with a small bowel obstruction in a 50-years-old male with pain abdomen and vomiting and no previous abdominal surgeries. An anteroposterior abdominal radiograph showed a clustered small bowel loops towards the left side of the abdomen and few air-fluid levels suggestive of obstruction. CECT abdomen showed a focal crowding of small bowel loops noted in the left anterior pararenal space with crowding of mesenteric vasculature and displacement of ascending left colic artery and inferior mesenteric vein anteriorly. The surgical intervention provided definitive diagnosis and treatment for LPDH. A paraduodenal hernia is a relatively rare cause of acute abdomen, and its diagnosis is often incorrect or delayed owing to its variable clinical manifestations. Therefore, it is important for the clinicians to recognize this condition, diagnose it early, and avoid making a wrong diagnosisowing to its high overall mortality rate

Spontaneous Rectus Sheath Hematoma Mimicking Acute Abdomen

Rectus sheath hematoma has been described in the past due to various etiologies with varying degrees of severity. It is a rare cause of acute abdomen. Clinical presentation may vary from person to person and based on site of collection and source of bleeding. Various management options including surgical and non-surgical measures have been described and generally present with tenderness with a mass of varying size based on the duration and amount of bleeding. Here, we present the case of a 72-year-old female with acute abdomen on presentation, unstable vitals, and severe pallor. A tender mass over the left lower part of the abdomen was found, and on further evaluation with imaging, the patient was found to have a rectus sheath hematoma. The hematoma was successfully treated with the evacuation of the hematoma and ligation of the bleeding vessel

Bleeding Jejunal Metastases Arising From Primary Alveolar Soft Part Sarcoma Of Thigh

Alveolar soft part sarcoma (ASPS) is a rare tumor (0.5–1% of sarcomas) of unknown etiology with a highly characteristic morphology. It tends to occur more often in the younger age group with a predilection for the female sex. Prognosis is generally poor and it often presents with late metastases. Here, we report the case of a 48-year-old female, who presented to the emergency department with a complaint of giddiness and melena. She was a known case of sarcoma ASPS left thigh with pulmonary secondaries. On evaluation, a bleeding tumor in the upper jejunum was found on upper GI endoscopy. As the patient’s hemodynamics were unstable, she had to be operated without further imaging. Post-operative period was uneventful

Gastrointestinal Mixed Neuroendocrine Carcinoma: Case Reports And Review Of Literature

Mixed adenoneuroendocrine carcinoma (MANEC) is a rare and relatively newer entity and classified into a separate category by the WHO 2010 Classification of Tumors. Accordingly, due to its rarity of diagnosis, further oncologic management is a challenge. They contain an adenocarcinoma part and a neuroendocrine part and are further classified based on grades. We present case series with a histological diagnosis of MANEC, its management, and clinical behavior in the follow-up period. Optimum mode of the management of these tumors is yet to be proposed, as these groups of tumors are highly aggressive and associated with poor prognosis.