Multiloculated Cavitary Primary Pulmonary Hodgkin Lymphoma: Case Series

Primary pulmonary Hodgkin lymphoma (PPHL) is very rare and typically involves the superior portion of the lung. Pulmonary involvement is observed in 15–40% of Hodgkin lymphoma patients. Three such patients who presented with an unusual form of PPHL in radiological studies, i.e., multiloculated cavitary lesions, were admitted to our hospital. These lesions represent a new pathological and radiological feature of PPHL

Marked hemopneumopericardium in a patient with rectal cancer with distant metastasis: a case report

Abstract Introduction Hemopneumopericardium defines a condition of combined pathology of weakened, dense blood content (hemopericardium) and air (pneumopericardium) in the pericardial cavity with an air fluid level. It is a rare disease, with only one such case reported in the literature. In this case report, we assessed a patient rectal cancer in addition to hemopneumopericardium, dyspnea, and chest pain. Clinical case report A 47-year-old Arab woman previously diagnosed with rectal cancer metastasized to bones, lymph nodes, and lungs post-Hartmann procedure reported to the emergency department complaining of worsening dyspnea for 2 weeks, more significantly in the supine position. A productive cough with yellowish sputum characterized this; however, there was no pertinent family or psychological history. Examination of the respiratory system revealed dullness on the left side associated with decreased breath sound. The chest radiograph also revealed marked hydro-pneumopericardium. Spiral computed tomography angiography of pulmonary arteries demonstrated pericardial effusion with the air fluid level at pericardial space, implying hydro-pneumopericardium. Clinical conclusion A successful pericardiocentesis was performed, in which 180 cc of blood-filled pericardial fluid was drained, suggesting the presence of hemopneumopericardium. Hemopneumopericardium has multiple etiologies, yet critical intervention is restricted in patients with cardiac tamponade. Hence, pericardiocentesis could be a definitive treatment

Primary segmental intestinal volvulus associated with acute appendicitis

Introduction: Segmental intestinal volvulus without underlying causes is called Primary Segmental Volvulus. Herein, we report a rare case of segmental ileal volvulus associated with acute appendicitis. Case Presentation: A 3-year-old boy presented with complaints of diarrhoea associated with vomiting, central abdominal pain, and decreased activity for 2 days. He was referred to paediatric surgery as a case of acute appendicitis. Ultrasound of the abdomen showed acute appendicitis with ileoileal target sign. Laparotomy was done, which showed segmental ileal volvulus without malrotation associated with inflamed appendix and fecolith at the tip. Appendectomy plus intestinal resection and anastomosis were also done. Discussion: Primary Segmental Intestinal Volvulus is a very rare condition, and only a few cases have been reported in the literature. It has a prevalence of 22.9%–26.3% in children.In our case, ultrasound findings are suggestive of acute appendicitis and suspicion of intussusception. Intraoperatively, segmental intestinal volvulus was observed along with inflamed appendix and a fecolith at its tip. Conclusion: Primary Segmental Intestinal Volvulus should be considered as a differential diagnosis of any child patient who came with small bowel obstruction symptom. Keywords: Segmental intestinal volvulus, Malrotation, Fecolith, Acute appendicitis, Case repor

Successful treatment of acute renal failure secondary to complicated infective endocarditis by peritoneal dialysis: a case report

Abstract Background Infective endocarditis is one of the most common infections among intravenous drug addicts. Its complications can affect many systems, and these can include acute renal failure. There is a scarcity of cases in the literature related to acute renal failure secondary to infective endocarditis treated with peritoneal dialysis. In this paper, the case of a 48-year-old Saudi male is reported, who presented with features suggestive of infective endocarditis and who developed acute kidney injury that was treated successfully with high tidal volume automated peritoneal dialysis. To our knowledge, this is the second report of such an association in the literature. Case presentation A 48-year-old Saudi gentleman diagnosed to have a glucose-6-phosphate dehydrogenase deficiency and hepatitis C infection for the last 9 years, presented to the emergency department with a history of fever of 2 days’ duration. On examination: his temperature = 41 °C, there was clubbing of the fingers bilaterally and a pansystolic murmur in the left parasternal area. The results of the blood cultures and echocardiogram were supportive of the diagnosis of infective endocarditis, and the patient subsequently developed acute kidney injury, and his creatinine reached 5.2 mg/dl, a level for which dialysis is essential for the patient to survive. Conclusion High tidal volume automated peritoneal dialysis is highly effective as a renal replacement therapy in acute renal failure secondary to infective endocarditis if no contraindication is present