To cite: Iliescu L, Orban C, Ioanitescu S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014203731 DESCRIPTION We present a case of a 63-year-old woman with hypertension and diabetes mellitus, who was admitted for left lumbar pain, fever (38.5°C) and nausea. Abdominal ultrasound revealed several heterogenous splenic nodules and an enlarged left kidney wi...

During their pregnancy Approximately 1 in 500 to 1 in 635 women will require non-obstetrical abdominal surgery. Acute appendicitis, cholecystitis, and intestinal obstruction are the most common non-obstetrical surgical emergencies complicating pregnancy. Other conditions that may require surgery during pregnancy include ovarian cysts, masses or torsion, symptomatic cholelithiasis, adrenal tumor...

Tuberculosis still remains a major health problem in India, with varying clinical presentations and involvement of different organs/systems. We encountered a 42 year old male patient presenting with persistent weight loss when he was diagnosed as having Type 2 DM. Upon performing a CECT abdomen, he was found to have multiple hypodense splenic abscesses and hepatic cysts with septations. USG gui...

Introduction Peliosis is an uncommon entity consisting of bloodfilled cavities found most frequently in the liver (peliosis hepatis), although its rare occurrence in the spleen has been described. Originally splenic peliosis was considered a histological curiosity with no clinical significance. Recently, however, 2 cases of fatal haemoperitoneum have been reported following rupture of splenic p...

Background: Rupture of the spleen in the absence of trauma or previously diagnosed disease is largely ignored in the emergency literature and is often not documented as such in journals from other fields. We have conducted a systematic review of the literature to highlight the surprisingly frequent occurrence of this phenomenon and to document the diversity of diseases that can present in this ...

Introduction. Hydatid disease (HD) is an infestation that is caused by the larval stage of Echinococcus granulosus. The liver is affected in approximately two-thirds of patients, the lungs in 25%, and other organs in a small proportion. Primary retroperitoneal hydatid cyst is extremely rare. The most common complaint is abdominal pain; however, the clinical features of HD may be generally depen...

BACKGROUND Rupture of the spleen in the absence of trauma or previously diagnosed disease is largely ignored in the emergency literature and is often not documented as such in journals from other fields. We have conducted a systematic review of the literature to highlight the surprisingly frequent occurrence of this phenomenon and to document the diversity of diseases that can present in this f...

A 27-year-old female presented with pain in the left hypochondrium for the past six months. An abdominal examination revealed mild splenomegaly. An abdominal ultrasonography showed two cystic lesions at the superior pole of the spleen. Contrast enhanced CT scan abdomen confirmed the USG findings, demonstrating splenomegaly with nonenhancing cystic lesions having internal septations and suspicio...

We reported a 54-year-old asymptomatic man who received PET-CT scan for physical health examination at our hospital. In PET-CT scan, we incidentally found a left suprarenal tumor located adjacent to diaphragmatic crus with almost no FDG activity. This tumor was cystic in nature and slightly enlarged in size on CT scan one year later. Laparoscopic adrenalectomy and resection of this suprarenal t...