ABSTRACT
Salmonella is a gram-negative bacilli bacterium that can infect and colonize humans, causing a wide range of clinical manifestations. The most common manifestation is gastroenteritis, usually after ingestion of undercooked and ill-prepared food, particularly in developing countries. Indonesia is among those reported to have a high incidence of Salmonella infection. Uncommonly, extraintestinal manifestations can affect distant body sites, either during or after the episode of bacteremia. This case report presents a rare case of a healthy 19-year-old female who developed an atypical chest wall abscess colonized by Salmonella in the context of experiencing gastroenteritis three weeks prior on her return from Bali, Indonesia. This case highlights the indolent course associated with a Salmonella chest wall abscess with a discussion of the current literature and management.
ABSTRACT
Colorectal small cell carcinomas are very rare neuroendocrine malignancies of the colon or rectum. They have poor prognosis due to the aggressive and highly recurrent nature of the disease. It is a malignancy that is also poorly understood with limited literature, and thus there is no consensus in management. This case report presents the clinical features and radiological images of an otherwise healthy 74-year-old gentleman with a rare and aggressive 112-mm rectosigmoid small cell carcinoma with evidence of metastatic disease. This report will also discuss the most current and pertinent diagnostic and therapeutic recommendations from the literature.
ABSTRACT
Gallbladder hydrops, otherwise known as gallbladder mucocele, is an uncommon gallbladder condition characterised by gallbladder distention and accumulation of clear mucous-like inspissated bile. Patients with gallbladder hydrops are usually asymptomatic and incidentally diagnosed on cross-sectional imaging or diagnostic laparoscopy. This case report presents a rare case of calculous gallbladder hydrops measuring 217mm in maximal length in a 56-year-old female presenting with atypical abdominal and urinary symptoms. The radiological and intraoperative images will also be presented to highlight the extensiveness of the disease and therefore the importance of considering gallbladder hydrops as a differential in these patients.