We describe a case of the extremely rare entity of myxoglobulosis of the appendix in an 18-year-old man who underwent laparoscopic appendectomy with the clinical diagnosis of recurrent appendicitis. Transaction of the appendix after ligation resulted in extrusion of numerous whitish egg-like globules ranging in size from 0.2 to 0.7 cm in diameter. It was initially thought to be hydatid of appendix, resulting in emergent usage of povidine iodine as scolicidal after suction of all the cysts/eggs. On microscopic examination, the globules consisted of faintly eosinophilic laminations of mucin surrounding an amorphous granular core were found. The mucin was identified by positivity with histochemical mucin stains. After thorough microscopic examination of the appendix, our case was diagnosed as myxoglobulosis due to mucosal hyperplasia, associated with luminal obstruction with possibly a membrane.
Internal hernia may either be congenital or acquired. Acquired internal hernias are usually complications of previous abdominal surgery. Congenital internal hernia is a rare entity and it being a cause of small bowel obstruction is still rare. We report a case of congenital internal hernia presenting as acute intestinal obstruction and its surgical management.
Foreign body ingestion is mostly an accidental incident and usually seen in children than in adults. In adults fish bone ingestion is a common occurrence which is generally asymptomatic and passes through gut without any complications. Ingestion of fish bone leading to gut perforations has been reported and includes distal part of the gastrointestinal tract involving ileum, colon and rectum. Gastric perforation is quiet rare due to its thick muscular wall. Here we present a case of a 65 year old female who presented to our hospital with complains of pain abdomen, vomiting and epigastric lump. On thorough investigation a perforation in the posterior wall of stomach was found along with a fish bone inside an inflammatory lump near the pylorus in the lesser sac, with features of gastric outlet obstruction. Initial conservative management resolved the inflammatory lump and then diagnostic laparoscopy followed by open surgery was performed to retrieve the fish bone. Both open and laparoscopic methods have been successful in retrieving these foreign bodies. Careful investigations and high level of suspicion is required for proper diagnosis and treatment for this benign condition.
Spontaneous perforation of caecum is a rare entity. Here we present a case of 72-year-old male who had presented with pain, distension of abdomen with tense pneumo-peritonium and peritonitis. Exploratory laparotomy showed caecal perforation without any obvious cause. Various theories have been proposed regarding the pathology but still its etiology remains a dilemma. Though it is not a common entity, it weighs a high importance in case of diagnosis and prompt intervention due to its high mortality from peritonitis and septicaemia.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.