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Capturing Representative Hand Use at Home Using Egocentric Video in Individuals with Upper Limb Impairment

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Case report: caught by the pill cam…literally.

Dylan S Goto¹, Christina J Wai²

¹Department of Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, USA.

Journal of Surgical Case Reports

|August 3, 2022

Summary

Atypical small bowel obstruction due to recurrent renal cell carcinoma was initially missed on CT scans. This case highlights the importance of considering rare diagnoses in patients with prior surgery and unexpected symptoms.

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Area of Science:

Gastroenterology
Oncology
Radiology

Background:

Small bowel obstruction is a common surgical issue, often caused by adhesions in patients with prior abdominal surgeries.
Conservative management is typical, but computed tomography (CT) scans can miss intra-abdominal pathologies.

Observation:

A patient with prior surgery presented with an atypical small bowel obstruction, initially managed non-operatively based on CT findings.
The patient re-presented with hematochezia after a pill-cam procedure, and subsequent imaging revealed a new small bowel mass.

Findings:

The small bowel mass, not visible on prior imaging, was confirmed during a diagnostic laparoscopy.
Pathology identified the mass as recurrent renal cell carcinoma.

Implications:

This case underscores the limitations of CT scans in diagnosing all intra-abdominal pathologies.
It emphasizes the need for thorough investigation and consideration of unusual diagnoses, such as metastatic disease, in patients with recurrent or atypical symptoms.
Early detection and appropriate management of missed diagnoses are crucial for patient outcomes.