1.A Puzzling Case of Biliary Stricture with Calcified Liver Nodules
The International Medical Journal Malaysia 2013;12(2):79-82
Tuberculous (TB) biliary stricture with calcified liver nodules rendering obstructive jaundice is a rare
clinical phenomenon. Recently, we encountered a young patient with obstructive jaundice who was investigated
in a general hospital. He was sent to our hospital for subsequent management after undergoing a series of
investigations and biliary stenting. The radiological imagings performed revealed multiple calcified lesions in
the liver with proximal bile duct strictures. Blood investigations, tumor markers and tuberculous work up were
not remarkable. Subsequently, he underwent laparotomy and biliary reconstruction. Postoperatively, he was
discharged well. Histopathological examination of the hepatoduodenal nodes showed chronic infections and
granulomatous lymphadenitis, suspicious of a mycobacterium infection.
2.Non-O1, non-O139 Vibrio cholerae bacteraemia in splenectomised thalassaemic patient from Malaysia.
Deris ZZ ; Leow VM ; Wan Hassan MN ; Nik Lah AZ ; Lee SY ; Siti Hawa H ; Siti Asma H ; Ravichandran M
Tropical Biomedicine 2009;26(3):320-325
Vibrio cholerae infection is mainly caused acute diarrhoea disease. Bacteraemia due to non-O1 V. cholerae is rare and mainly reported in liver cirrhotic patients. We report one case of non-O1 V. cholerae bacteraemia in splenectomised thalassaemic patient who presented with septic shock secondary to abdominal sepsis. She had undergone emergency laporatomy and was managed in the intensive care unit for nine days. She was treated with meropenem and doxycyline and discharged well after fourteen days of admission. The V. cholerae was identified by API 20NE, serotype and polymerase chain reaction showed as non-O1, non-O139 strain. Besides known cholera-like toxin and El Tor hemolysin, with increasing reported cases of V. cholerae bacteraemia, there is possibility of other virulence factors that allow this organism to invade the bloodstream.
3.LARGE PRIMARY RETROPERITONEAL CAVERNOUS HEMANGIOMA.
SM IKHWAN ; MF AZEM FATHI ; O IQTIDAAR ; S ZUBAIDAH ; J HASNAN ; VM LEOW
Brunei International Medical Journal 2018;14(1):63-66
Primary retroperitoneal cavernous hemangioma is a very rare benign neoplasm. A retroperitoneal hemangioma may be detected accidentally or be symptomatic due to local compression on adjacent structures. We reported on the diagnosis and treatment of a patient with PRCH with a subtle clinical presentation and atypical findings on computed tomography imaging. The patient presented with right hypochondriac discomfort for one month duration. Computed tomography of the abdomen revealed a huge mass arising from right lobe of liver which was compressing the surrounding structures. Intraoperatively there was a huge cystic like mass arising from the retroperitoneum which had clear margin with the adjacent structures. The tumour was successfully excised with an intact capsule and histopathological examination revealed a cavernous hemangioma.
cystic
;
hemangioma
;
neoplasm
;
retroperitoneal