ABSTRACT
In this case report, a 67-year-old woman underwent an endoscopic retrograde cholangiopancreatography (ERCP). The following day she was admitted to hospital due to abdominal pain. Blood tests showed amylase of 500 U/l and C-reactive protein of 300 mg/l, and suspicion of post-ERCP pancreatitis was raised. A CT scan of the abdomen showed signs of acute pancreatitis. After ten days the lower right leg started to swell. Deep venous thrombosis was ruled out, and a control CT-scan four weeks after admission showed abscesses in the right lower fossa and the lower right leg at knee level. Punctures had contents of amylase. Everything was interpreted as descending abscesses retroperitoneal from pancreas due to acute pancreatitis as an ERCP complication.
Subject(s)
Abscess/etiology , Cholangiopancreatography, Endoscopic Retrograde , Pancreatitis , Acute Disease , Aged , Amylases , Cholangiopancreatography, Endoscopic Retrograde/adverse effects , Female , Humans , Pancreatitis/etiologyABSTRACT
A 38-year-old man known with inflammatory bowel disease, received an ileostomy and a blinded colon. Eight years later the patient underwent a painful colonoscopy, performed under suspicion of malignancy in the blinded colon. Two days later the patient was admitted due to hoarseness, throat pain and a feeling of neck swelling but no abdominal pain. A chest X-ray showed subcutaneous emphysema in the neck region and pneumoperitoneum. We conclude, that colonoscopies can give a variety of complications, such as perforation in the colon with secondary subcutaneous emphysema in the neck and throat region.
Subject(s)
Colonoscopy/adverse effects , Pharyngitis/etiology , Pneumoperitoneum , Subcutaneous Emphysema , Adult , Colon/injuries , Humans , Intestinal Perforation/etiology , Male , Pneumoperitoneum/diagnostic imaging , Pneumoperitoneum/etiology , Radiography , Subcutaneous Emphysema/diagnostic imaging , Subcutaneous Emphysema/etiologyABSTRACT
Congenital diaphragmatic hernias are rare embryonic defects, mostly diagnosed in newborns with respiratory distress. The defect is often situated posterolaterally as a Bochdalek hernia. We report an unusual case of a 27-year old woman presenting with diffuse abdominal pain five days postpartum. An X-ray and a computed tomography displayed a herniation of the colon into the left chest cavity. Through converted open surgery, the 6 x 3 cm defect was repaired and the recovery was uneventful. Bochdalek hernias in adults may present as gastrointestinal emergencies and rapid diagnosis and operation are crucial.
Subject(s)
Hernias, Diaphragmatic, Congenital , Pregnancy Complications/etiology , Abdominal Pain/etiology , Acute Disease , Adult , Female , Hernias, Diaphragmatic, Congenital/complications , Hernias, Diaphragmatic, Congenital/diagnostic imaging , Hernias, Diaphragmatic, Congenital/surgery , Humans , Laparoscopy , Pregnancy , Radiography , Tomography, X-Ray ComputedABSTRACT
Fallopian tube cancer is rare and accounts for 0.3-1% of all gynaecological cancers. We describe a case of undiagnosed fallopian tube cancer presenting as a swollen inguinal lymph node and later diagnosed with PET-CT. Final histology revealed a serous adenocarcinoma of the fallopian tube with metastases to both ovaries and one inguinal lymph node. Recent studies suggest that serous borderline tumour of the ovaries originate from the fallopian tubes. The present case confirms this hypothesis. PET-CT is an important tool in diagnosing ovarian and fallopian tube cancers.
