Rare Cause Of Abdominal Mass Research Articles

SQuiz your knowledge! A rare cause of abdominal mass following a cutaneous skin eruption.

sQuiz your knowledge! A rare cause of abdominal mass following a cutaneous skin eruption.

Fetus in fetu: a very rare cause of abdominal mass in a male infant, case report

Fetus in fetu: a very rare cause of abdominal mass in a male infant, case report

The investigation of incidence and radiological findings of gastrointestinal stromal tumor as a rare cause of abdominal mass

Aim: The aim of the present study was to evaluate the investigation of incidence and radiological findings of gastrointestinal stromal tumors (GIST) as a rare cause of abdominal mass, with current literature review. Material and Methods: Between February 2011 and May 2016, a total of 4,443 patients who underwent abdominal multislice computed tomography and magnetic resonance imaging due to the clinical indications for abdominal pain, abdominal swellingmass were analyzed in our hospital. The retrospective cross-sectional study included forty-five patients, who were subsequently diagnosed with GIST histopathologically. Results: GIST was identified in 45 (1%) patients. Of the total 45 patients, 21 (47%) were men and 24 (53%) were female. The mean age was 55 years, ranging from 35 to 73 years. As a result of radiological examinations, the tumor location was stomach in 22 cases (49%), small intestine in 12 cases (27%) and colon in 9 cases (20%). The retroperitoneal localization was also found in 2 cases (4%). The average size of the lesions ranged between 2 and 15 cm. Malignant degeneration and omental metastasis were seen in 11 (24%) and 7 cases (16%) respectively. Conclusion: GIST is a rare cause of abdominal mass with an incidence of 1% in our region. They are most commonly localized in the stomach, rarely in the omentum/mesentery and retroperitoneum. The Malignant transformation is not frequent. Diagnosis and evaluations of mass can be made successfully by radiological imaging modalities.

Cystic lymphatic malformation of the falciform ligament: a rare cause of abdominal mass

Cystic lymphatic malformation of the falciform ligament: a rare cause of abdominal mass Tariq O Abbas1, Adel Ismail1, Emran Amir21Paediatric Surgery Department, 2Pathology Department, Hamad General Hospital, Doha, QatarIntroduction: Lymphatic malformations are benign proliferations of the lymphatic vessels that occur most frequently in the skin of the axilla and neck. However, they can also occur in the mediastinum and retroperitoneum, and very rarely in the abdominal cavity.Case report: An 11-year-old male who presented with an intra-abdominal cyst is described here. Laparoscopic exploration showed that it was a cystic mass of the falciform ligament and it was resected laparoscopically. Histopathology confirmed the swelling to be a lymphatic malformation. To the authors' knowledge, this is only the second report of a pediatric patient with a lymphatic malformation in the falciform ligament.Conclusion: Intra-abdominal cystic lymphatic malformations should be considered in the differential diagnosis of any intra-abdominal cystic mass. Management is surgical excision.Keywords: lymphatic malformations, intra-abdominal, falciform ligament

Two cases of fetus in fetu

Fetus in fetu (FIF) is a rare cause of abdominal mass in children. One of the malformed monozygotic diamniotic twins is located in the body of other twin. It is differentiated from teratoma by the presence of vertebral organization with limb buds and other organ systems. Diagnosis is based on radiologic findings. Surgical excision is the treatment of choice, leading to the complete removal of the mass. To our knowledge, less than 200 cases have been described in the literature. Herein, we report 2 cases of FIF, a newborn who was diagnosed antenatally and a three-and-half-year- old boy diagnosed with mediastinal FIF after admission for recurrent respiratory tract infections.

Prenatal diagnosis of congenital pancreatic cyst: case report and review of the literature.

Large cystic masses within the fetal abdomen are occasionally detected by prenatal sonography, and the majority represent urinary tract anomalies, bowel obstruction, intestinal duplication, or choledochal, mesenteric, urachal, or ovarian cysts.1,2 Congenital pancreatic cyst is a rare cause of abdominal mass in the fetus. Indeed, among the 15 cases that have been reported in infants under the age of 2 years, only 2 were detected prenatally.3 We report a case of pancreatic hamartoma appearing as a large multicystic abdominal mass in association with polyhydramnios at 27 weeks’ gestation. The prenatal sonographic findings, clinical course, subsequent management, and outcome in this condition are reviewed. CASE REPORT

Splenic torsion with prune belly syndrome

SPLENIC TORSION is a rare cause of abdominal mass in childhood. Its occurrence is sporadic and associated anomalies are infrequent. One previously reported infant had the prune belly syndrome.' We present a second case of splenic torsion in a patient with prune belly syndrome, which suggests that this association is not merely fortuitous. CASE REPORT A 15-month-old male infant with prune belly syndrome associated with urethral atresia and a patent urachus had required a cutaneous vesicostomy at birth because of urinary obstruction. He presented with a three-day history of fever, anorexia, constipation, irritability, and progressive mucosal evagination of the vesicostomy. Physical examination revealed a temperature of 38.5 ~ C, blood pressure 94/62 mm Hg, and heart rate 140/minute. He was markedly irritable and had a distended abdomen. The left posterolateral mucosal surface of the bladder evaginated through the vesicostomy. A smooth, firm, sharply demarcated, tender mass was palpated in the left lower quadrant distinct from the left kidney. There was no hepatomegaly and the spleen was not felt in its normal position. A digital examination of the rectum showed impacted stool but no distinct mass. The hematocrit was 37%, the WBC 13,900/mm', and there were increased platelets. No burr cells, Heinz bodies, or Howell-Jolly bodies were present. An intravenous pyelogram showed hydronephrosis and megaureters unchanged from previous studies. Barium enema showed impacted feces and medial displacement of the left colon. Ultrasonography of the abdomen demonstrated a 9 x 4 cm mixed solid and fluid mass. An exploratory celiotomy was performed. The spleen was located in the left lower quadrant. The normal supporting ligaments were absent and there was torsion of the spleen upon its vascular pedicle with evidence of infarction of the parenchyma. The pancreas was not involved and the distal pancreas was mobile rather than fixed to the retroperitoneum. Splenectomy was performed without difficulty and the patient had an uneventful postoperative course.