ABSTRACT
A reduced and limited number of myenteric ganglia and low acetylcholinesterase activity in the lamina propria characterizes an unusual form of intestinal innervation disorder known as acquired or adult-onset hypoganglionosis. Only a few cases have been observed in adults, while the majority are diagnosed in infancy or youth. We report a rare case of colonic hypoganglionosis that presented as sigmoid volvulus in a 25-year-old female brought in to the ER. She underwent endoscopic decompression but developed a massive sigmoid volvulus with proximal colon dilatation. It was decided to do a total colectomy with an end ileostomy. The diagnosis was confirmed by histopathology, which revealed acquired hypoganglionosis. In order to prevent delayed or emergency presentation and the development of a stoma, the diagnosis of hypoganglionosis must be confirmed with full-thickness biopsies from all affected parts of the large bowel. Hypoganglionosis is rarely present, so young patients with a history of chronic constipation must be treated with a high index of suspicion.
Subject(s)
Appendicitis/diagnosis , Cryptorchidism/diagnosis , Cryptorchidism/surgery , Orchiectomy , Spermatic Cord Torsion/diagnosis , Spermatic Cord Torsion/surgery , Adult , Cryptorchidism/complications , Diagnosis, Differential , Humans , Male , Spermatic Cord Torsion/etiology , Treatment OutcomeSubject(s)
Adenocarcinoma/complications , Psoas Abscess/complications , Sigmoid Neoplasms/complications , Adenocarcinoma/diagnostic imaging , Adenocarcinoma/surgery , Aged, 80 and over , Colon, Sigmoid/surgery , Colostomy , Fatal Outcome , Female , Humans , Psoas Abscess/diagnostic imaging , Sigmoid Neoplasms/diagnostic imaging , Sigmoid Neoplasms/surgery , Tomography, X-Ray ComputedABSTRACT
Spigelian hernias represent 1-2% of all abdominal wall hernias. The pathogenesis often involves a dehiscence of the transverse and internal oblique muscle aponeurosis. The diagnosis is made by physical examination; but sometimes it is complicated by obesity. The risk of strangulation is important and can reach 30%. The abdominal CT scan is helpful in the description of hernia's topography and sometimes in diagnostic confirmation. The treatment is surgical. The rate of recurrence after direct closure is considerable. Synthetic mesh repair seems to be a more adequate alternative. The advent of laparoscopy has improved the management of these hernias.
Subject(s)
Hernia, Ventral/diagnosis , Hernia, Ventral/surgery , Laparoscopy/methods , Abdominal Muscles/pathology , Hernia, Ventral/etiology , Humans , Recurrence , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
The ectopic pancreas is defined by the presence of pancreatic tissue away from the pancreatic gland in the absence of any ductal or vascular connection. The authors report one exceptional case of aberrant pancreas located in the distal ileum with a double complication: Digestive hemorrhage and small bowel obstruction due to an entero-enteric Intussusception (AU)
No disponible
Subject(s)
Humans , Female , Adult , Choristoma/diagnosis , Pancreas , Ileum/pathology , Gastrointestinal Hemorrhage/etiology , Intussusception/etiology , Intestinal Obstruction/etiologySubject(s)
Appendectomy , Appendicitis/etiology , Cecal Diseases/surgery , Endometriosis/surgery , Laparoscopy , Adult , Cecal Diseases/diagnosis , Endometriosis/diagnosis , Female , HumansABSTRACT
Hydatid disease is endemic in Tunisia and has been considered as one of the most common surgical pathology. Several localizations have been described, but hydatidosis of the liver is the most frequent clinical entity. Primary hydatid cyst of the gallbladder is very rare. We report in this observation a new case of primary hydatid cyst of the gallbladder diagnosed by Magnetic Resonance Imaging (MRI).
