ABSTRACT
Stercoral perforation of the colon due to fecaloma is a rare disease and less than 100 cases have been described in the literature. The disease mainly involves the rectosigmoid colon. The condition is correlated with longstanding decubitus, chronic constipation, abuse of laxatives and/or constipating agents (anticholinergics, neuroleptics, etc). We report a case of 82-year old woman who presented a covered colonic perforation due to fecaloma, related with a history of longstanding decubitus because of senile dementia, chronic constipation and use of anticholinergic drugs.
Subject(s)
Fecal Impaction/complications , Intestinal Perforation/etiology , Sigmoid Diseases/etiology , Abdomen, Acute/etiology , Aged, 80 and over , Alzheimer Disease/complications , Alzheimer Disease/drug therapy , Anxiety/complications , Anxiety/drug therapy , Basal Ganglia Diseases/drug therapy , Basal Ganglia Diseases/etiology , Biperiden/adverse effects , Biperiden/therapeutic use , Cholinergic Antagonists/adverse effects , Cholinergic Antagonists/therapeutic use , Chronic Disease , Colon, Sigmoid/blood supply , Constipation/complications , Female , Humans , Intestinal Perforation/surgery , Ischemia/etiology , Laparotomy , Risperidone/adverse effects , Sigmoid Diseases/surgery , Ulcer/etiologyABSTRACT
Primary or tropical pyomyositis is a subacute infection of the skeletal muscle complicated by abscess formation. The disease is rare in the temperate climates and often misdiagnosed because of the vague clinical presentation. We herein report a case of a 38-year-old diabetic patient with a history of recent bone marrow biopsy presented multifocal primary pyomyositis complicated by meningitis.
Subject(s)
Bone Marrow/pathology , Diabetes Complications/etiology , Meningitis, Bacterial/etiology , Pyomyositis/etiology , Staphylococcal Infections/etiology , Adult , Biopsy/adverse effects , Humans , Male , Meningitis, Bacterial/microbiology , Pyomyositis/microbiologyABSTRACT
Multicystic nephroma is a relatively rare tumor of the kidney presenting unclear histological origin. Abdominal mass is a common onset sign in children while abdominal flank pain or abdominal discomfort, hematuria and recurrent urinary tract infections usually affect adults. Preoperative diagnosis is impossible especially in the adult variant of the tumor where clear cells carcinoma with cystic degeneration must always be suspected. We herein report a case of a 77 year old man complaining of flank abdominal pain and recurrent episodes of urinary tract infection due to a right-sided multicystic nephroma successfully treated with nephrectomy.
