ABSTRACT
We report an asymptomatic 23-year-old female patient who was diagnosed to have a transmigrated intrauterine device (IUD) during a routine gynecological examination. After the IUD had been located within the colonic wall by further investigation, the IUD was successfully extracted via transanal route by colonoscopic intervention.
Subject(s)
Endoscopy , Intestinal Fistula/therapy , Intrauterine Device Migration/adverse effects , Sigmoid Diseases/therapy , Uterine Diseases/therapy , Female , Fistula/etiology , Fistula/therapy , Humans , Intestinal Fistula/etiology , Intrauterine Devices/adverse effects , Sigmoid Diseases/etiology , Uterine Diseases/etiology , Young AdultABSTRACT
BACKGROUND: Hemobilia is a rare cause of upper GI bleeding and the reasons for the majority of the cases are iatrogenic. It is also one of the rarest vascular complication following laparoscopic cholecystectomy but acute pancreatitis due to postcholecystectomic hemobilia as a late complication of cholecystectomy is not yet described. CASE PRESENTATION: We presented the case of a 32-year-old female, admitted to our emergency surgery clinic with hematemesis, jaundice and abdominal pain who had a history of laparoscopic cholecystectomy 4 months ago. Patient was diagnosed as acute pancreatitis and obstructive jaundice caused by postcholecystectomic hemobilia. Afterwards she is successfully treated by ERCP, angiographic identification and embolization of right hepatic artery pseudoaneurysm. CONCLUSIONS: We presented that postcholecystectomic hemobilia may cause acute pancreatitis and acute pancreatitis caused by postcholecystectomic hemobilia should also be included to the rare complications which may occur following cholecystectomy.
Subject(s)
Cholecystectomy, Laparoscopic/adverse effects , Hemobilia/complications , Hemobilia/etiology , Pancreatitis/etiology , Acute Disease , Adult , Cholangiopancreatography, Endoscopic Retrograde , Embolization, Therapeutic , Female , Humans , Pancreatitis/diagnosis , Pancreatitis/therapy , Treatment OutcomeABSTRACT
INTRODUCTION: Rectus sheath hematoma is an uncommon cause of acute abdominal pain. It is an accumulation of blood in the sheath of the rectus abdominis, secondary to rupture of an epigastric vessel or muscle tear. It could occur spontaneously or after trauma. They are usually located infraumblically and often misdiagnosed as acute abdomen, inflammatory diseases or tumours of the abdomen. CASE PRESENTATION: We reported three cases of rectus sheath hematoma presenting with a mass in the abdomen and diagnosed by computerized tomography. The patients recovered uneventfully after bed rest, intravenous fluid replacement, blood transfusion and analgesic treatment. CONCLUSION: Rectus sheath hematoma is a rarely seen pathology often misdiagnosed as acute abdomen that may lead to unnecessary laparotomies. Computerized tomography must be chosen for definitive diagnosis since ultrasonography is subject to error due to misinterpretation of the images. Main therapy is conservative management.
