Vein of Galen malformation (VGAM) results from an aneurysmal aberration with an arteriovenous shunting of blood. Vein of Galen aneurysmal malformations are the most frequent arteriovenous malformations in infants and fetuses. The congenital malformation develops during weeks 6–11 of fetal development. Infants often die from high-output congestive heart failure.
SummarySpontaneous gastric perforation is rare in children. It is usually associated with prematurity, foreign bodies and trauma. Anorexia nervosa (AN) can be an underlying condition although no cases are reported in the literature. We are reporting a rare case of 11-year-old boy with AN who presented with right iliac fossa pain mimicking acute appendicitis. Intraoperative findings proved a gastric perforation. Pathophysiology of this condition in AN is poorly understood. Gastric smooth muscle atrophy and ischaemia can be the possible underlying mechanisms. The case discussed here highlights the fact that any abdominal pain in patients with underlying eating disorders should raise suspicion of perforation as diagnosis can be far more complicated.
BACKGROUND
SummaryInversion of the uterus is a rare clinical problem. It is encountered as an obstetric emergency and is a diagnostic challenge in gynaecology. Non-puerperal inversion usually results from a tumour implanted on fundus of the uterus. Treatment depends on the associated pathology and the stage of the inversion. A rare case of non-puerperal uterine inversion caused by a large fundal submucous fibroid in a 58-year-old woman resulting in lower abdominal pain and vaginal bleeding was reported. After removal of fibroid, reduction of the inversion was successful and then abdominal hysterectomy was performed.
BACKGROUND
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