A 48-year-old woman presented with chronic right heel pain of two months' duration that had responded poorly to physiotherapy and conservative measures. Clinical assessment revealed exquisite tenderness over the medial calcaneal tuberosity as well as paraesthesia over the sole of the forefoot. Relative weakness of the abductor digiti minimi (ADM) was elicited. The Achilles tendon, alignment of the hindfoot, and the longitudinal arches were assessed to be normal. Magnetic resonance (MR) imaging of the right foot was performed. What do the MR images (Figs. 1 & 2) and lateral radiograph (Fig. 3) of the right foot show? CMEArticle
Rectosigmoid intussusception is a rare cause of bowel obstruction, accounting for only approximately 1%–2% of all bowel obstruction cases. While intussusception in adults typically occurs intra-abdominally and presents with signs and symptoms of intestinal obstruction, in rare cases, it can mimic a rectal prolapse if the intussusceptum protrudes through the anal canal. We herein report a case where an octogenarian woman presented with rectosigmoid intussusception through the anal canal, due to a sigmoid colon submucosal lipoma, who eventually required an open Hartmann’s procedure. Patients with rectal prolapse symptoms should be carefully examined to rule out intussuscepting masses as a differential, as it would necessitate earlier surgical intervention.
Spontaneous haemoperitoneum is a rare condition with a variety of aetiologies. Regardless of the cause, it is invariably a life-threatening condition that requires urgent diagnosis and management. The most common causes of spontaneous haemoperitoneum include gynaecological, hepatic, splenic and vascular causes. However, here, we present a rare case of spontaneous haemoperitoneum secondary to idiopathic omental venous malformation.Our patient presented with acute onset of right iliac fossa pain, and a CT scan revealed a massive haemoperitoneum. A laparoscopic converted to open laparotomy was performed to diagnose and treat the patient. We discuss the management approach for such patients with spontaneous haemoperitoneum.
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