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Small Bowel Leiomyoma Mimics Neuroendocrine Tumor on 68Ga-DOTATATE PET/CT.
Clin Nucl Med
January 2025
Department of Nuclear Medicine, Royal Free London NHS Foundation Trust, London, United Kingdom.
A 57-year-old man with a 3-month history of lower abdominal pain and rectal bleeding with black stools underwent urgent abdominal CT, which revealed an ovoid hyperdense lesion in the ileum in the right iliac fossa. The prime differential was a midgut neuroendocrine tumor. Thus, the patient was referred for a 68Ga-DOTATATE PET/CT scan, which demonstrated intense activity in this lesion with no evidence of somatostatin receptor expression elsewhere.
View Article and Find Full Text PDFPerforated bowel following hysteroscopy with myomectomy in the emergency department.
Am J Emerg Med
January 2025
Cleveland Clinic Akron General, Department of Emergency Medicine, 1 Akron General Ave, Akron, OH 44307, USA; Northeast Ohio Medical University, 4209 St. OH-44, Rootstown, OH 44272, USA. Electronic address:
Article Synopsis
- Abdominal pain is a common reason for emergency department visits, and distinguishing between normal recovery and complications post-surgery, like in hysteroscopies with myomectomies, is crucial for physicians.
- A case involving a 33-year-old female who underwent a hysteroscopy and presented with severe abdominal pain highlighted the difficulty in diagnosing potential surgical complications, leading to imaging that initially suggested a low-grade obstruction.
- Ultimately, further examination revealed two perforations in the ileum due to uterine perforations, which were repaired successfully, showcasing the importance of thorough reassessment in post-operative patients.
Benign Tumors and Tumor-Like Conditions of Ampulla and Small Intestine: The PathologyOutlines.com Review.
Int J Surg Pathol
October 2024
PathologyOutlines.com Owner and Founder.
Article Synopsis
- The small intestine and ampulla can develop various benign tumors and tumor-like diseases that may resemble cancer, highlighting the need for pathologists to have a comprehensive understanding of these conditions.
- Key examples of these benign issues include Brunner gland lesions, different types of polyps, and various mesenchymal proliferations like inflammatory fibroid polyps and leiomyomas.
- The review aims to clarify the histopathological features of these benign conditions to aid pathologists in making accurate diagnoses and differentiating them from malignant tumors.
Challenging Surgical Management of Giant Uterine Leiomyomas With Ileal Resection: A Clinical Case Study.
Cureus
August 2024
Respiratory Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Uterine fibroids, or leiomyomas, are common benign tumors of the uterus, generally asymptomatic but potentially causing severe symptoms and complications in some cases, as demonstrated in this report. This case presents significant management challenges due to the fibroids' size, number, and location, including an unusual complication involving adhesion to the ileum. A 40-year-old female with a history of P2L1D1 and no significant comorbidities presented with three months of progressive abdominal pain and a rapidly enlarging mass resembling a 30- to 32-week gravid uterus and heavy menstrual bleeding.
View Article and Find Full Text PDFRecurrent Ileo-ileal Intussusception Caused by Inflammatory Fibroid Polyp: A Rare Case Report.
Arch Iran Med
June 2023
Department of General Surgery, Istanbul Sultanbeyli State Hospital, Istanbul, Turkey.
An inflammatory fibroid polyp is a rare benign lesion of the gastrointestinal tract, which can cause obstruction or intussusception when it reaches a large diameter. We present a case of a 46-year-old female admitted to our clinic with recurrent ileus attacks. We performed segmental resection of the small bowel due to a 3-cm pedunculated polypoid lesion located in the terminal ileum that caused ileo-ileal intussusception and whose pathology was reported as an inflammatory fibroid polyp.
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