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Combination of ectopic pancreas and intestinal malrotation presenting as non-specific right iliac fossa pain in a SARS-CoV-2 positive patient

We describe the case of a 31-year-old man who presented with a 3-day history of right iliac fossa pain with associated nausea and vomiting. He denied any previous incidents of abdominal pain and had no relevant medical history or family history to note. Given the typical history, examination finding...

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Detalles Bibliográficos
Autores principales: Hwang, Woochan, Nemeth, Kristof, White, Annabelle, Bonomo, Luca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8112421/
https://www.ncbi.nlm.nih.gov/pubmed/33972302
http://dx.doi.org/10.1136/bcr-2021-241926
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author Hwang, Woochan
Nemeth, Kristof
White, Annabelle
Bonomo, Luca
author_facet Hwang, Woochan
Nemeth, Kristof
White, Annabelle
Bonomo, Luca
author_sort Hwang, Woochan
collection PubMed
description We describe the case of a 31-year-old man who presented with a 3-day history of right iliac fossa pain with associated nausea and vomiting. He denied any previous incidents of abdominal pain and had no relevant medical history or family history to note. Given the typical history, examination findings of localised peritonism and infection risk, he was taken to theatre for laparoscopic appendicectomy without diagnostic imaging. Intraoperatively, we noted gut malrotation and an inflammatory jejunal mass which was resected after converting to a mini-laparotomy. The inflammatory mass was reported to be an ectopic pancreatic tissue from histology. Given that this patient had tested positive for SARS-CoV-2 on admission, we propose a possible case of SARS-CoV-2 infection triggering inflammation of the ectopic pancreatic tissue.
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spelling pubmed-81124212021-05-25 Combination of ectopic pancreas and intestinal malrotation presenting as non-specific right iliac fossa pain in a SARS-CoV-2 positive patient Hwang, Woochan Nemeth, Kristof White, Annabelle Bonomo, Luca BMJ Case Rep Case Report We describe the case of a 31-year-old man who presented with a 3-day history of right iliac fossa pain with associated nausea and vomiting. He denied any previous incidents of abdominal pain and had no relevant medical history or family history to note. Given the typical history, examination findings of localised peritonism and infection risk, he was taken to theatre for laparoscopic appendicectomy without diagnostic imaging. Intraoperatively, we noted gut malrotation and an inflammatory jejunal mass which was resected after converting to a mini-laparotomy. The inflammatory mass was reported to be an ectopic pancreatic tissue from histology. Given that this patient had tested positive for SARS-CoV-2 on admission, we propose a possible case of SARS-CoV-2 infection triggering inflammation of the ectopic pancreatic tissue. BMJ Publishing Group 2021-05-10 /pmc/articles/PMC8112421/ /pubmed/33972302 http://dx.doi.org/10.1136/bcr-2021-241926 Text en © BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ. https://bmj.com/coronavirus/usageThis article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.
spellingShingle Case Report
Hwang, Woochan
Nemeth, Kristof
White, Annabelle
Bonomo, Luca
Combination of ectopic pancreas and intestinal malrotation presenting as non-specific right iliac fossa pain in a SARS-CoV-2 positive patient
title Combination of ectopic pancreas and intestinal malrotation presenting as non-specific right iliac fossa pain in a SARS-CoV-2 positive patient
title_full Combination of ectopic pancreas and intestinal malrotation presenting as non-specific right iliac fossa pain in a SARS-CoV-2 positive patient
title_fullStr Combination of ectopic pancreas and intestinal malrotation presenting as non-specific right iliac fossa pain in a SARS-CoV-2 positive patient
title_full_unstemmed Combination of ectopic pancreas and intestinal malrotation presenting as non-specific right iliac fossa pain in a SARS-CoV-2 positive patient
title_short Combination of ectopic pancreas and intestinal malrotation presenting as non-specific right iliac fossa pain in a SARS-CoV-2 positive patient
title_sort combination of ectopic pancreas and intestinal malrotation presenting as non-specific right iliac fossa pain in a sars-cov-2 positive patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8112421/
https://www.ncbi.nlm.nih.gov/pubmed/33972302
http://dx.doi.org/10.1136/bcr-2021-241926
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