OBJECTIVE Epiploic appendagitis (EA) is a rare entity caused by the inflammation of the appendix epiploica. It is a benign and self-limited condition presenting as acute onset abdominal pain. The inaccurate diagnosis of EA can lead to unnecessary hospitalization, antibiotic therapy, and surgery. Our aim is to describe the common clinical features of patients who were diagnosed with EA over a 2-...

A 37-year-old woman presented to the emergency department with 12 hours of gradually worsening left lower quadrant pain with anorexia, vomiting, and diarrhea. She also reported intermittent fever and chills. On exam, her initial vital signs were 102/68, pulse of 102, respirations 18, temperature of 97.5° F. She was mildly anxious secondary to pain. Abdominal exam revealed a soft abdomen with le...

We report here an ectopic case of Fasciola hepatica infection confirmed by recovery of an adult worm in the mesocolon. A 56-year-old female was admitted to our hospital with discomfort and pain in the left lower quadrant of the abdomen. Abdominal CT showed 3 abscesses in the left upper quadrant, mesentery, and pelvic cavity. On surgical exploration, abscess pockets were found in the mesocolon o...

a 33-year-old female presented with intermittent abdominal pain and severe attacks of lower gastrointestinal (gi) bleeding since 2 weeks. she has had history of irregular menses in last 3 months. in the labeled rbc-scan study, the bleeding site was detected in left upper quadrant (luq). in surgery, a tumor with the diameter of 2ã—1cm in a 65 cm distance of ligament of trietz was detected. in pa...

A 35-year-old woman presented with left upper quadrant abdominal pain for one year. There were no gastrointestinal symptoms. Ultrasonography showed a cystic lesion in the left renal area. A computed tomography scan revealed a 10.5 cm × 9 cm × 8.5 cm heterogeneous cystic mass, occupying the superior pole of the left kidney. There were areas of calcification in the lower portion of the cyst. The ...

A 63-year-old woman presented with a complaint of left buttock mass that had rapidly increased in size after a recent trauma. The patient was otherwise asymptomatic, denying any pain or constitutional symptoms. On physical exam, a well-defined, firm, freely mobile 20-cm mass with intact, non-erythematous overlying skin was palpated in the medial-lower quadrant of the left buttock, contiguous to...

Abstract Background Heterotaxy syndrome is a rare clinical entity that characterized by abnormal visceral organ arrangement in the chest and abdomen. Left atrial isomerism subcategory of heterotaxy presence multiple spleens with or without cardiac anomalies. Patients may remain asymptomatic their whole lives until they are diagnosed incidentally. Given patients left might demonstrate atypical p...