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  1. Article: Spontaneous omental infarction: A rare case of acute abdomen.

    Subasinghe, Duminda / Jayasinghe, Ravindri / Ranaweera, Gayani / Kodithuwakku, Uditha

    SAGE open medical case reports

    2022  Volume 10, Page(s) 2050313X221135982

    Abstract: Omental infarction is a rare but a sinister cause of acute abdomen. Preoperative diagnosis is challenging due to its rare nature. It poses nonspecific abdominal signs that can be easily mistaken with other more common intra-abdominal pathologies. We ... ...

    Abstract Omental infarction is a rare but a sinister cause of acute abdomen. Preoperative diagnosis is challenging due to its rare nature. It poses nonspecific abdominal signs that can be easily mistaken with other more common intra-abdominal pathologies. We report a case of a 37-year-old male patient presented with right lower quadrant abdominal pain with an elevation of inflammatory markers. His cross-sectional imaging did not a reveal specific diagnosis; therefore, a diagnostic laparoscopy was performed which revealed a non-inflamed appendix and an inflammatory mass formed by the ischemic omentum attached to the ascending colon. Diagnostic laparoscopy and subsequent laparotomy revealed spontaneous omental infarction. The histology of the resected specimen was in keeping with the omental necrosis. This case reflects the importance of considering omental infarction in patients presenting with abdominal pain and raised inflammatory markers. He made an uneventful recovery following surgery.
    Language English
    Publishing date 2022-11-07
    Publishing country England
    Document type Case Reports
    ZDB-ID 2736953-5
    ISSN 2050-313X
    ISSN 2050-313X
    DOI 10.1177/2050313X221135982
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Hepatic abscess following foreign body perforation of the colon: A case report.

    Subasinghe, Duminda / Jayasinghe, Ravindri / Kodithuwakku, Uditha / Fernandopulle, Nilesh

    SAGE open medical case reports

    2022  Volume 10, Page(s) 2050313X221103357

    Abstract: Liver abscess following foreign body perforation of the gastrointestinal tract is uncommon. Preoperative diagnosis is challenging as the ingestion of foreign body most often goes unnoticed with non-specific presentation. We report a case of a 68-year-old ...

    Abstract Liver abscess following foreign body perforation of the gastrointestinal tract is uncommon. Preoperative diagnosis is challenging as the ingestion of foreign body most often goes unnoticed with non-specific presentation. We report a case of a 68-year-old male patient presenting with abdominal pain and anorexia. His investigations and cross-sectional imaging revealed a liver abscess. A colonoscopy performed to find an etiology revealed an incidental finding of a colonic perforation from an impacted denture, which was successfully removed endoscopically. Therefore, pyogenic liver abscesses remain a therapeutic challenge despite advances in imaging and therapy. The case reflects the importance of investigating for etiology of unexplained liver abscesses. The patient made an uneventful recovery following abscess drainage by image-guided pigtail stent insertion. The colonic perforation was managed conservatively.
    Language English
    Publishing date 2022-06-10
    Publishing country England
    Document type Case Reports
    ZDB-ID 2736953-5
    ISSN 2050-313X
    ISSN 2050-313X
    DOI 10.1177/2050313X221103357
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Angelman syndrome presenting with a rare seizure type in a patient with 15q11.2 deletion: a case report.

    Ranasinghe, Jagath C / Chandradasa, Damitha / Fernando, Sanjaya / Kodithuwakku, Uditha / Mandawala, D E N / Dissanayake, Vajira H W

    Journal of medical case reports

    2015  Volume 9, Page(s) 142

    Abstract: Introduction: Angelman syndrome, a neurodevelopmental genetic disorder associated with abnormalities in chromosome15q11-q13, is inherited from the mother. Epilepsy is seen in 85 % of children with Angelman syndrome within the first 3 years of life and ... ...

    Abstract Introduction: Angelman syndrome, a neurodevelopmental genetic disorder associated with abnormalities in chromosome15q11-q13, is inherited from the mother. Epilepsy is seen in 85 % of children with Angelman syndrome within the first 3 years of life and is often severe and difficult to control.
    Case presentation: We report a case of a baby boy who presented at 13 months of age with a history of acute gastroenteritis and marked gross motor and speech developmental delay. He was found to have a microdeletion of the chromosome 15q11.2 region confirming the diagnosis of Angelman syndrome. He was the first child born to healthy, unrelated Sinhalese parents. The child had generalized extensor spasms involving both upper limbs and the head beginning at the age of 9 months, and he developed flexor and extensor spasms at the age of 13 months. His facial appearance was characteristic of Angelman syndrome. His electroencephalographic pattern did not correspond to any other of the patterns previously described in patients with Angelman syndrome. He had extensor and flexor spasms, which are rarely described in patients with Angelman syndrome. These symptoms responded to a combination of valproic acid and clonazepam.
    Conclusions: Angelman syndrome due to a microdeletion of the chromosome 15q11.2 region is often not diagnosed in infancy. Extensor and flexor spasms are not typically described seizure types in Angelman syndrome, and our patient's seizures responded well to a combination of valproic acid and clonazepam. Clinicians should suspect other possible seizure types in patients with Angelman syndrome and should treat the patient appropriately.
    MeSH term(s) Angelman Syndrome/complications ; Angelman Syndrome/genetics ; Chromosome Aberrations ; Chromosomes, Human, Pair 15/genetics ; Humans ; Infant ; Intellectual Disability/complications ; Intellectual Disability/genetics ; Male ; Seizures/complications ; Seizures/genetics
    Language English
    Publishing date 2015-06-16
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2269805-X
    ISSN 1752-1947 ; 1752-1947
    ISSN (online) 1752-1947
    ISSN 1752-1947
    DOI 10.1186/s13256-015-0622-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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