A 78-year-old patient presented with shortness of breath after falling down. Transthoracic echocardiogram showed an extensive thrombus in the right atrium (RA), extensive thrombosis of the inferior vena cava (IVC), and abdominal aortic aneurysm (AAA). A magnetic resonance confirmed the thrombosis of the RA extending to the IVC, which was apparently fused to the abdominal aortic aneurysm (compre...

To cite: Watari T, Terashima T, Tokuda Y. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014206458 DESCRIPTION Coeliac artery compression syndrome (CACS), also known as Dunbar syndrome, is a rare disorder characterised by postprandial intestinal angina caused by insufficient coeliac blood supply to the gastrointestinal organs. Focal stenosis of the coeliac arter...

We report a rare case of giant mesenteric lipoma presenting with colicky abdominal pain. A 29-yr-old woman underwent laparoscopic resection for a giant mesenteric lipoma causing compression of the ileal loop. The resected ileal segment was encased by a giant fatty tissue, and normal mucosal fold patterns of the resected ileum were effaced by the mass. Microscopically, the mass was characterized...

To cite: Nishiguchi S, Shirobe T. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016217512 DESCRIPTION A 19-year-old healthy Korean boy presented with severe abdominal pain during the flight from Korea to Japan. Before his flight, the patient had no abdominal pain or surgical history in the past. A knee-chest position could relieve the symptoms. Vital signs were...

Anesthetized swine were tested for biomechanical and injury responses to lower abdominal steering wheel loading. The lower abdomens of 25 subjects were impacted with a segmented steering wheel. Tests included a wide spectrum of velocities, from 1.7 to 12.4 m/s, and forced abdominal compressions of 7.0%-54.5% of the vertical thickness of the lower abdomen. Lower abdominal injuries included contu...

Superior mesenteric artery syndrome involves compression of the third part of the duodenum due to narrowing of the area between the aorta and the superior mesenteric artery (SMA). We will describe the case of a 34-year-old with cerebral palsy who presented with abdominal pain, nausea, vomiting, and weight loss and was diagnosed with SMA syndrome via CT-imaging. With failure of conservative meas...

BACKGROUND Celiacomesenteric trunk (CMT) is a very rare anatomic finding in which the celiac artery and the superior mesenteric artery (SMA) originate from the abdominal aorta through a common trunk. Clinical associations with CMT include arterial aneurysm, thrombosis, and celiac artery compression. However, an association between CMT and abdominal venous congestion caused by left renal vein co...

Superior mesenteric artery syndrome (SMAS) is an uncommon condition, attributable to vascular compression of the third part of the duodenum between the superior mesenteric artery and the abdominal aorta. It can present in patients due to mechanical compression or severe weight loss. We present a unique case of SMAS in a patient undergoing carboplatin-based chemotherapy for mesothelioma. An 81-y...

Questions remain on the use of sequential pneumatic compression including where does the fluid flow to and whether fluid can be moved to the non-swollen tissues of the hypogastrium and gluteal region? During pneumatic massage of the limb, we studied pathways of lymph and mobile tissue fluid flow using lymphoscintigraphy: a) from the calf and thigh across the inguinal region to the healthy non-s...