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Perforation of sigmoid colon by a migrated intrauterine contraceptive device (IUCD), diagnosis and surgical management: a case report.
J Surg Case Rep
January 2025
Cork University Hospital, Wilton, Cork, T12 DC4A, Republic of Ireland.
We describe the case of a 43-year-old woman presented with an 8-month history of intermittent non-specific abdominal pain. She had an Intrauterine Contraceptive Device (IUCD) inserted 4-years ago and the device was still in-situ. After initial gynaecological assessment, further clinical radiological investigations, computerized tomography imaging showed that the intraluminal part of the radiological foreign body was seen to be possibly perforating the sigmoid colon after having migrated.
View Article and Find Full Text PDFDiagnosis and management of sigmoid leiomyosarcoma presenting with intussusception: a case report.
J Surg Case Rep
December 2024
College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Ar Rimayah, Riyadh 11481, Saudi Arabia.
Sigmoid leiomyosarcoma is a rare type of cancer that originates from smooth muscles of the sigmoid colon. This case report details a 50-year-old female found to have this condition, presenting to the emergency department with intussusception. A CT scan revealed two intraluminal masses, with the largest 10 cm from the anal verge.
View Article and Find Full Text PDFGiant Appendiceal Mucocele with High Grade Mucinous Neoplasm-Case Report and Review of the Literature.
Diagnostics (Basel)
October 2024
Department of Emergency General Surgery, Emergency City Hospital, 300254 Timisoara, Romania.
Appendiceal mucocele is a rare entity first described by Carl von Rokitansky, characterized by cystic dilatation of the appendiceal lumen due to obstruction, epithelial proliferation or inflammation and accumulation of mucoid material. The cause can be either neoplastic or non-neoplastic. Patients with appendiceal mucocele can be asymptomatic or present with right lower quadrant pain which may mimic acute appendicitis.
View Article and Find Full Text PDFTumor Cell Implantation from an Oral Advanced Cancer at the Rectal Endoscopic Submucosal Dissection Site: A Case Report and Literature Review.
J Anus Rectum Colon
October 2024
Division of Gastroenterology and Hepatology, Kansai Medical University Medical Center, Moriguchi, Japan.
Article Synopsis
- This report examines instances of tumor cell implantation at sites where colorectal cancer has been surgically removed using endoscopic techniques, highlighting a unique case study involving advanced rectosigmoid cancer.
- The case involved a patient who had upper rectal cancer treated with endoscopic submucosal dissection, leading to cancer recurrence at the ESD site after 7 months, linked to the original advanced cancer.
- The literature review of 10 cases indicates that tumor implantation often occurs at resection sites, especially in areas near advanced cancers, pointing to the necessity of careful monitoring and preventive strategies during endoscopic procedures to reduce this implantation risk.
Fecal samples and rectal swabs adequately reflect the human colonic luminal microbiota.
Gut Microbes
October 2024
School of Medical Sciences, Faculty of Medicine and Health, Nutrition-Gut-Brain Interactions Research Centre, Örebro University, Örebro, Sweden.
The appropriateness of the fecal microbiota to adequately reflect the gut microbiota composition from more difficult to access luminal content at different colonic locations has been debated. Here, in a healthy population, luminal samples were collected from terminal ileum to rectum using an unique sampling technique without the need of prior bowel cleansing/preparation. Rectal swabs were collected immediately prior colonoscopy by an experienced physician, and fecal samples were collected at home by the participants themselves.
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