ABSTRACT
Ogilvie's syndrome presents as a rare complication in the postpartum period. Prompt diagnosis is crucial to prevent colonic perforation, occurring in 25 to 40% of cases, leading to significant mortality.
ABSTRACT
Acute intestinal invagination is the pathology of infants and small children. Its occurrence in adults is rare, and it represents 1 to 5% of intestinal occlusions often leading to the discovery of an organic cause that may be tumor. We report the case of a 72-year-old patient admitted to the emergency room of Ibn Sina Rabat, Morocco, for intestinal occlusion. The abdominal CT scan showed a voluminous intestinal invagination on a very probable heterogeneous digestive mass. The treatment was an open right hemicolectomy. The histopathological examination of the surgical specimen concluded a colonic well-differentiated adenocarcinoma with a 30% mucinous component. By review of literature, we discuss diagnostic and therapeutic procedures in emergency.
Subject(s)
Intraoperative Care/methods , Peritonitis/diagnosis , Female , Humans , Male , Middle Aged , Peritonitis/physiopathology , Peritonitis/therapy , Risk FactorsABSTRACT
INTRODUCTION: Leiomyosarcomas are one of the most common soft tissue sarcomas, usually seen in deep, soft tissues of the extremities and retroperitoneum. Leiomyosarcoma primarily involving the gastrointestinal tract is uncommon. We present here a rare case of gastric leiomyosarcoma revealed by a massive hematemesis in a young woman. CASE REPORT: We present a case of primary gastric leiomyosarcoma in a 16-year-old woman who presented with massive hematemesis. Computed tomography scan examination revealed a tumor mass located in the anterior wall of the upper body and protruding into the lumen. The patient was treated by subtotal gastrectomy. The histological examination confirmed the diagnosis of leiomyosarcoma of the stomach. DISCUSSION: Primary stomach leiomyosarcoma is rare, accounting for only 1% of gastric tumors. Endoscopic ultrasound and biopsy are helpful in establishing the diagnosis. Surgical resection is the treatment of choice for gastric leiomyosarcomas.
Subject(s)
Hematemesis/etiology , Leiomyosarcoma/pathology , Stomach Neoplasms/pathology , Adolescent , Female , Gastrectomy , Humans , Immunohistochemistry , Leiomyosarcoma/complications , Leiomyosarcoma/surgery , Stomach Neoplasms/complications , Stomach Neoplasms/surgery , Tomography, X-Ray ComputedABSTRACT
Although intussusception is relatively common in children, it is clinically rare in adults A 54-year-old woman who presented with cramping abdominal pain and rectal bleeding was found to have sigmoid rectal intussusception secondary to adenomatous polyps of the sigmoid colon. Following confirmation of intussusception by CT scan, surgical resection was performed after manual reduction.
Subject(s)
Adenocarcinoma/complications , Intussusception/etiology , Sigmoid Diseases/etiology , Sigmoid Neoplasms/complications , Adenomatous Polyps/complications , Female , Humans , Middle Aged , Rectum/pathologyABSTRACT
INTRODUCTION: Gallbladder volvulus remains a relatively rare disorder. OBSERVATION: We report two cases, both in men older than 80 years and both diagnosed during surgery. Both patients presented signs of peritonitis (one generalized and the other localized) and severe sepsis. DISCUSSION: We review the literature about gallbladder volvulus to analyze its incidence, etiology, and clinical, radiologic and therapeutic characteristics.
