THE DIFFERENTIAL DIAGNOSIS OF SURGICAL LESIONS IN THE RIGHT HALF OF THE ABDOMEN AND PELVIS, WITH ESPECIAL REFERENCE TO THE DIAGNOSIS OF APPENDICITIS.

Background. Abernethy malformation is a rare splanchnic vascular abnormality characterizing extrahepatic abnormal shunts that is classified into types I and II. Abernethy malformation type I has a female predilection and is associated with a variety of concurrent hepatic benign or malignant tumours while type II with concurrent tumours is very rare in females. Case Report. We report a rare female case of Abernethy malformation type II with concurrent occupying lesion in the right liver, which was successfully transplanted; the occupying lesion was pathologically proven to be nodular hyperplasia. Conclusion. This case might provide further knowledge regarding Abernethy malformation. On imaging, the anatomy of portal vein should be carefully investigated to categorize Abernethy malformation, and a wide variety of differential diagnosis of concurrent occupying lesions should be taken into account.

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Update on Pulmonary Ossifications in the Differential Diagnosis of Solitary Pulmonary Nodules

Journal of Clinical Medicine ◽

10.3390/jcm10204795 ◽

2021 ◽

Vol 10 (20) ◽

pp. 4795

Author(s):

Jan F. Gielis ◽

Lawek Berzenji ◽

Vasiliki Siozopoulou ◽

Marloes Luijks ◽

Paul E. Y. Van Schil

Keyword(s):

Differential Diagnosis ◽

Pulmonary Nodule ◽

Solitary Pulmonary Nodule ◽

Lower Lobe ◽

Pulmonary Nodules ◽

Solitary Pulmonary Nodules ◽

Pulmonary Surgery ◽

Pubmed Database ◽

Post Mortem Findings ◽

The Right

Pulmonary ossifications have often been regarded as rare, post-mortem findings without any clinical significance. We have investigated the occurrence of pulmonary ossifications in patients undergoing thoracic procedures, and how this may affect the differential diagnosis of solitary pulmonary nodules. In addition, we have performed a literature search on the occurrence and possible pathogenesis of these ossifications. From January 2008 until August 2019, we identified pulmonary ossifications in 34 patients who underwent elective pulmonary surgery. Pre-operative imaging was unable to differentiate these ossifications from solid tumors. A definitive diagnosis was made by an experienced pathologist (VS, ML). The PubMed database was researched in December 2019 with the search terms “pulmonary ossifications”; “heterotopic ossifications”; and “solitary pulmonary nodule”. In total, 27 patients were male, with a mean age of 63 ± 12 years (age 41 to 82 on diagnosis). All lesions were identified on thoracic CT and marked for resection by a multidisciplinary team. A total of 17 patients were diagnosed with malignancy concurrent with ossifications. There was a clear predilection for the right lower lobe (12 cases, 35.3%) and most ossifications had a nodular form (70.6%). We could not identify a clear association with any other pathology, either cancerous or non-cancerous in origin. Oncologic or pulmonary comorbidities did not influence patient survival. Pulmonary ossifications are not as seldom as thought and are not just a curiosity finding by pathologists. These formations may be mistaken for a malignant space-occupying lesion, both pre-and perioperatively, as they are indistinguishable in imaging. We propose these ossifications as an underestimated addition to the differential diagnosis of a solitary pulmonary nodule.

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A case report of DOPA-responsive dystonia in a young woman

Bulletin of Russian State Medical University ◽

10.24075/brsmu.2020.031 ◽

2020 ◽

pp. 45-48

Author(s):

NA Belykh ◽

MA Akhkyamova ◽

VV Gusev ◽

OA Lvova

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Genetic Predisposition ◽

Emergency Treatment ◽

Sanger Sequencing ◽

Clinical Case ◽

Young Female ◽

Considerable Improvement ◽

The Right ◽

Pediatric Onset

Dopa-responsive dystonia (DRD) is a rare progressive genetically heterogenous disorder with pediatric onset. DRD is 3 times as prevalent in women than in men. This article reports a clinical case of DRD in a young female presenting with paraparesis, foot dystonia (more pronounced in the right foot) and pronounced walking impairment, who was admitted for emergency treatment to a Neurology Unit. Based on the additional tests, which included a levodopa trial and Sanger sequencing, the patient was diagnosed with DRD. Levodopa caused a considerable improvement of the symptoms. The article describes the clinical features of the disease, talks about its differential diagnosis, genetic predisposition and treatment strategy.

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A case of a rare pelvic neoplasm - unusually large angiofibromas

Diagnostic radiology and radiotherapy ◽

10.22328/2079-5343-2021-12-1-95-98 ◽

2021 ◽

Vol 12 (1) ◽

pp. 95-98

Author(s):

I. D. Pokladov ◽

O. N. Chernova ◽

A. V. Vazhenin ◽

R. E. Shtentsel

Keyword(s):

Differential Diagnosis ◽

Malignant Tumors ◽

Great Similarity ◽

Pelvic Tumors ◽

Average Size ◽

The Right ◽

Pelvic Neoplasm

Pelvic tumors are quite common. Of these, angiofibromas are very rare. It is causes difficulties in differential diagnosis. But getting the right diagnosis is important, given the great similarity with other, often malignant tumors. According to the literature, the average size of angiofibromas does not exceed 12 cm. We present the case of a patient with an unusually large angiofibroma.

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PROBLEM OF DIFFERENTIAL DIAGNOSIS IN INFANTS WITH LARGE HEARTS AND INCREASED BLOOD FLOW TO THE LUNGS

PEDIATRICS ◽

10.1542/peds.13.1.30 ◽

1954 ◽

Vol 13 (1) ◽

pp. 30-40

Author(s):

CHARLOTTE FERENCZ ◽

ARNOLD L. JOHNSON ◽

ALTON GOLDBLOOM

Keyword(s):

Blood Flow ◽

Differential Diagnosis ◽

Patent Ductus Arteriosus ◽

Ductus Arteriosus ◽

Pulmonary Veins ◽

Heart Catheterization ◽

Radiologic Findings ◽

The Right ◽

Increased Blood Flow ◽

Patent Ductus

This paper deals with the differential diagnosis of the cardiac lesion in infants who have enlargement of the heart associated with increased blood flow to the lungs, and in whom cyanosis is not a prominent feature. Some patients in this group have a patent ductus arteriosus in the absence of a typical continuous murmur, and these infants may urgently require the benefits of surgical therapy. Since the diagnosis can be established by aortography or heart catheterization, some criteria are required for the better selection of infants from this group in whom these investigations should be performed. Twenty-five infants form the subject of this study. In 19 the diagnosis was confirmed at autopsy. Eight patients had a patent ductus, either as an isolated lesion or in association with other defects; 10 had ventricular septal defects with or without overriding of the aorta; 5 had anomalous pulmonary vein drainage; one had an ostium atrioventricular communis and in one there was a functional single ventricle. Clinical, electrocardiographic and radiologic findings were analyzed. Important features which appear to favour the diagnosis of patent ductus arteriosus are full or collapsing pulses and a normal ECG or one showing evidence of combined ventricular hypertrophy. Suggestive, but of lesser importance, is the finding of an apical diastolic rumble and enlargement of the left atrium. All these findings may, however, be present in patients with other malformations, especially defects involving the ventricular septum. Evidence of marked hypertrophy of the right atrium and right ventricle by electrocardiography and fluoroscopy renders the presence of patent ductus unlikely and is consistent with the diagnosis of anomalous drainage of pulmonary veins.

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APPENDECTOMY IN CHILDREN WITH ACUTE RHEUMATIC FEVER

PEDIATRICS ◽

10.1542/peds.43.4.573 ◽

1969 ◽

Vol 43 (4) ◽

pp. 573-577

Author(s):

Jer-Shoung Lin ◽

Ramon Rodriguez-Torres

Keyword(s):

Differential Diagnosis ◽

Abdominal Pain ◽

Acute Appendicitis ◽

Rheumatic Fever ◽

Acute Rheumatic Fever ◽

Laboratory Data ◽

Initial Symptom ◽

C Reactive Protein ◽

Reactive Protein ◽

The Right

Clinical and laboratory data on five patients with appendectomy, later proved to have acute rheumatic fever, are presented in detail. The findings indicate that abdominal pain simulating acute appendicitis can be presented as the only initial symptom in acute rheumatic fever. Awareness and knowledge of the presence of clues-high fever, rapid sedimentation rate, prolonged P-R interval, and 4 plus C-reactive protein-usually help to make the differential diagnosis. However, if doubt remains, the right approach is to go ahead with surgery since these patients tolerate anesthesia and laparotomy very well.

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Huge Lipoma of the Right Parotid Gland: Case Report and Review of 42 Cases

Ear Nose & Throat Journal ◽

10.1177/014556131609500103 ◽

2016 ◽

Vol 95 (1) ◽

pp. E8-E13 ◽

Cited By ~ 1

Author(s):

Timuçin Baykul ◽

M. Asım Aydın ◽

Yavuz Fındık ◽

Derya Yıldırım

Keyword(s):

Differential Diagnosis ◽

Parotid Gland ◽

Preoperative Diagnosis ◽

Soft Mass ◽

Parotid Region ◽

Lipomatous Tumor ◽

Parotid Tumors ◽

Superficial Lobe ◽

The Right

Lipomas are rarely found in the parotid gland region. Because of their rarity at this site, they are not often considered in the differential diagnosis of parotid tumors. The parotid lipoma is a slowly growing, asymptomatic, freely movable, soft mass. Preoperative diagnosis is generally difficult. We present a case of a slowly enlarging mass of the parotid region in a 44-year-old man that proved to be a lipomatous tumor of the parotid gland. We also review 42 other cases from the literature. Our patient's huge tumor was located in the superficial lobe of the gland, and a parotidectomy with preservation of the facial nerve was performed. There was no complication or recurrence of the tumor after a follow-up of 1 year.

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Two Rhinoliths in a Single Nasal Cavity in an Elderly Patient Mimicking Fungal Sinusitis

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1201 ◽

2014 ◽

Vol 7 (2) ◽

pp. 76-79

Author(s):

Vishal Prasad ◽

Chandrakala Srinivas ◽

Sheetal Krishnappa ◽

Suresh T Narayan Rao ◽

Harshitha T Rajanna

Keyword(s):

Elderly Patient ◽

Differential Diagnosis ◽

Nasal Cavity ◽

Histopathological Examination ◽

Middle Turbinate ◽

The Elderly ◽

Nasal Discharge ◽

Fungal Sinusitis ◽

Nasal Mass ◽

The Right

ABSTRACT Objective To highlight an interesting and a rare case of two rhinoliths in a single nasal cavity of an elderly male patient, mimicking fungal sinusitis or malignancy. To emphasize that rhinolith has to be considered in the differential diagnosis of unilateral nasal mass even in the elderly. Case report A 55-year-old man presented with a right-sided nasal obstruction, foul-smelling nasal discharge and a mass in the right nasal cavity of 6 months duration. Endoscopic examination revealed a gritty, blackish brown mass filling the entire right nasal cavity. A clinical differential diagnosis of malignancy or fungal sinusitis was made. CT scan of paranasal sinus was suggestive of fungal sinusitis following which patient was posted for biopsy. Intraoperatively, patient was found to have two separate masses in the right nasal cavity which were removed. We found a septal perforation adjoining the area where the rhinolith was impacted, with septum pushed laterally and adherent to middle turbinate. However, there were no features suggestive of malignancy. Histopathological examination also ruled out malignancy and confirmed a vegetable foreign body with calcification around an acellular material. Conclusion Rhinolith, though rare should be considered in the differential diagnosis of unilateral nasal mass in the elderly. How to cite this article Prasad V, Srinivas C, Krishnappa S, Rao STN, Rajanna HT. Two Rhinoliths in a single nasal Cavity in an Elderly Patient Mimicking fungal sinusitis. Clin Rhinol An Int J 2014;7(2):76-79.

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Solar keratoma: An atypical case

Journal of the South African Veterinary Association ◽

10.4102/jsava.v86i1.1257 ◽

2015 ◽

Vol 86 (1) ◽

Cited By ~ 2

Author(s):

Sean M. Miller ◽

Ralph H. Katzwinkel

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Atypical Case ◽

Short Period ◽

The Right

This case report shows that keratomas can occur in both hind feet of equine patients and should be considered as a diagnosis for long-standing, intermittent lameness localised to the hooves. A Thoroughbred racehorse presented with long-standing abscessation of the right hind hoof. Owing to the long-standing nature, the abscess draining tract was surgically explored. A focal mass was found within the solar horn. Histopathology revealed the mass to be a keratoma. A similar mass was removed from the left hind hoof a few months later after similar presenting signs. This case shows that keratomas can occur in more than one hoof within a short period and should be considered a differential diagnosis for long-standing lameness localised to the hoof.

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