ABSTRACT
The occurrence of congenital diaphragmatic hernia in a pregnant adult is rare. In contrast to neonatal diaphragmatic hernias, most of the adult patients present with vague gastrointestinal symptoms mimicking other diseases hence the importance of high index of suspicion. We report a case of a young pregnant lady with congenital diaphragmatic hernia presenting with symptoms and clinical signs suggestive of acute pancreatitis. The patient had a laparotomy performed to reduce the hernial content and the diaphragmatic defect was successfully repaired.
Subject(s)
Hernia, Diaphragmatic/diagnosis , Pregnancy Complications/diagnosis , Adult , Female , Hernia, Diaphragmatic/pathology , Humans , Pregnancy , Pregnancy Complications/pathology , Tomography, X-Ray ComputedABSTRACT
Enteric duplication is an uncommon malformation of the gastrointestinal tract which is either asymptomatic or presents with vague symptoms mimicking other more common pathology. It is most commonly diagnosed when complications such as bleeding, intestinal obstruction or perforation occurs. This is a case report of a patient with this condition presenting with right iliac fossa pain and localised peritonitis mimicking acute appendicitis.
Subject(s)
Appendicitis/diagnosis , Ileal Diseases/diagnosis , Ileum/abnormalities , Intestinal Perforation/diagnosis , Pain/diagnosis , Adolescent , Cysts/diagnosis , Diagnosis, Differential , Humans , MaleABSTRACT
Isolated involvement of the clitoris by vascular malformation (VM) is very rare. Clinically, the lesion simulates female pseudohermaphroditism. A five-year-old girl presented with clitoromegaly and a clinical diagnosis of solitary VM of the clitoris was made. Magnetic resonance imaging showed characteristic features and confirmed the diagnosis and the extent of the VM. This is the first reported case of isolated involvement of the clitoris by VM to be diagnosed preoperatively.