Agenesis of the right lung: An unusual presentation

Abstract Background Sinonasal melanoma is a rare head and neck tumour. It is associated with a poor prognosis, high rates of loco-regional recurrence and distant metastasis. Treatment of the disease is therefore complicated, and because of limited data regarding the cancer, management is frequently tailored to the individual patient. We describe an unusual presentation of sinonasal melanoma with relevant histology, radiology and clinical photography. Case presentation The case report describes the presentation of a 64-year-old man to the Ear, Nose and Throat department with progressive right-sided hearing loss. A thorough history highlighted other clinical symptoms including unilateral nasal obstruction and epistaxis. Clinical examination showed a right middle ear effusion with a polypoidal lesion in the right nasal cavity. Relevant imaging demonstrated a destructive process that required further assessment. An endoscopic sinus procedure was performed to obtain histological diagnosis as well as providing symptomatic relief. Histology confirmed malignant mucosal melanoma. The patient underwent maxillectomy and orbital exenteration (due to further progression of disease) at a tertiary centre with a plan for subsequent immunotherapy. This however has been delayed due to further surgery to excise a metastatic lesion to the right femur. Conclusions This case report highlights the importance of a thorough clinical history and examination. An unusual presentation of a sinonasal tumour can easily be missed leading to a significant delay in treatment. The case report also describes the use of functional endoscopic sinus surgery in order to obtain histological diagnosis and to debulk the tumour, providing symptomatic relief. The current literature regarding management will be discussed as well as current developments guiding future treatment.

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Recurrent transient heading disorientation heralding acute posterior cerebral artery (PCA) infarction

BMJ Neurology Open ◽

10.1136/bmjno-2019-000009 ◽

2019 ◽

Vol 1 (1) ◽

pp. e000009

Author(s):

Yong Chuan Chee ◽

Beng Hooi Ong

Keyword(s):

Case Report ◽

Cerebral Infarction ◽

Cerebral Artery ◽

Transient Ischaemic Attack ◽

Posterior Cerebral Artery ◽

Underlying Mechanism ◽

Unusual Presentation ◽

Topographical Disorientation ◽

Ischaemic Attack ◽

The Right

ObjectiveHeading disorientation is a type of pure topographical disorientation. Reported cases have been very few and its underlying mechanism remains unclear. We report an unusual presentation of a 60-year-old man with recurrent transient heading disorientation heralding an acute posterior cerebral artery infarction.DesignCase report.ConclusionAcquired injury to the right retro-splenial region can result in a specific variant of topographical disorientation known as heading disorientation that may present as an atypical transient ischaemic attack-like symptom heralding acute cerebral infarction.

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An Uncommon Polyp of the Right Colon: an Unusual Presentation of Melanoma

Journal of Gastrointestinal Cancer ◽

10.1007/s12029-020-00430-y ◽

2020 ◽

Author(s):

Nicola Romano ◽

Alessia Urru ◽

Paola Romagnoli ◽

Laura Paleari ◽

Enrico Melani ◽

...

Keyword(s):

Unusual Presentation ◽

Right Colon ◽

The Right

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Primary Systemic Amyloidosis Presenting as Extensive Cutaneous Ulceration

Journal of Cutaneous Medicine and Surgery ◽

10.2310/7750.2006.00046 ◽

2006 ◽

Vol 10 (5) ◽

pp. 253-256 ◽

Cited By ~ 9

Author(s):

Mohammed Alhaddab ◽

Herbert Srolovitz ◽

Nathan Rosen

Keyword(s):

Crystal Violet ◽

Congo Red ◽

Systemic Amyloidosis ◽

Unusual Presentation ◽

Caucasian Woman ◽

Advanced Stage ◽

Amyloid Protein ◽

Cutaneous Manifestations ◽

The Right

Background: We report a case of primary systemic amyloidosis in a 78-year-old Caucasian woman presented as a nonhealing ulcer on the right thigh for 3 months. Histopathology of the skin revealed widely thickened walls of middermal and subcutaneous vessels from deposition of amorphous eosinophilic material that stained positively with Congo red and crystal violet. Objective: This case represents a very unusual presentation of primary systemic amyloidosis, one in which the cutaneous manifestations provided the first signs of a devastatingly widespread multiorgan infiltration of amyloid protein. Conclusion: This presentation of the disease may signify an advanced stage with a grave prognosis as our patient passed away 3 months after development of the cutaneous ulceration.

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Unusual presentation of testicular rhabdomyosarcoma metastases to the right ventricle papillary muscle and tricuspid valve

Radiology Case Reports ◽

10.1016/j.radcr.2020.05.075 ◽

2020 ◽

Vol 15 (9) ◽

pp. 1562-1565

Author(s):

Deniz Akay Urgun ◽

Biraj Bista ◽

Mayil Krishnam

Keyword(s):

Right Ventricle ◽

Tricuspid Valve ◽

Papillary Muscle ◽

Unusual Presentation ◽

The Right

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Perinatal intracardiac teratoma: unusual presentation and review of the literature

Cardiology in the Young ◽

10.1017/s1047951118002354 ◽

2019 ◽

Vol 29 (3) ◽

pp. 439-441

Author(s):

Anne Moreau de Bellaing ◽

Lucile Houyel ◽

Damien Bonnet

Keyword(s):

Ventricular Arrhythmia ◽

Right Ventricle ◽

Surgical Resection ◽

Cystic Mass ◽

Unusual Presentation ◽

Review Of The Literature ◽

The Common ◽

The Right ◽

Almost All ◽

Extracorporeal Support

AbstractIntracardiac teratomas are rare primary tumours. We report the case of an infant prenatally diagnosed with an isolated multi-cystic mass developed in the right ventricle causing neonatal refractory ventricular arrhythmia. Despite rescue extracorporeal support and partial surgical resection, he died as almost all the previous reported perinatal intracardiac teratomas whatever the prenatal tolerance and the size of the tumour. The common poor outcome of fetal intracardiac teratomas should be known when counselling parents during pregnancy.

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Nigerian Female with Skin Lesions in the Leg and Face: Herpetic Sycosis Folliculitis

Case Reports in Infectious Diseases ◽

10.1155/2016/7948497 ◽

2016 ◽

Vol 2016 ◽

pp. 1-4

Author(s):

Dominique Dilorenzo ◽

Naganna Channaveeraiah ◽

Patricia Gilford ◽

Bruce Deschere

Keyword(s):

Normal Skin ◽

The United States ◽

Skin Lesions ◽

Unusual Presentation ◽

Diagnostic Dilemma ◽

Lower Lip ◽

Hiv Test ◽

Mucus Membrane ◽

The Face ◽

The Right

Nongenital HSV 1 presents outside the mucus membrane. Our patient had unusual presentation that caused diagnostic dilemma. 30-year-old native Nigerian female coming with fiancée to the United States presented to our service one day after arrival through ER with a lesion on her right ankle. She was diagnosed with cellulitis, started on antibiotics, and admitted to hospital. She had fever of 39.1°C. Head and neck exam showed multiple sized lesions over tongue and palate and inner aspect of lower lip. Abdomen and genital exam was normal. Skin exam showed lesions over the face and lesions over the lateral aspect of the right leg. There was ulcerated lesion over the right lateral malleolus with surrounding erythema and edema. Her tests showed elevated ESR of 98; HIV test was negative; CT scan of the ankle showed no abscess or osteomyelitis. TB quantiferon was indeterminate; AFB stain and culture were negative; HSV IgM was elevated at 1 : 16; RPR was negative; ANA was negative; malaria screen was negative, and blood cultures were negative for bacteria, fungus, and virus. Debrided wound had no growth of bacteria or fungus or virus. This case illustrates the unusual presentation of the HSV1 outside the mucus membrane and how it can be confused with other conditions that required extensive tests. Therapeutic trail with antiviral medications resolved lesions over the leg and face.

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Leakage Via Aberrant Bile Duct Due to Cholangiocarcinoma

HPB Surgery ◽

10.1155/1998/61506 ◽

1998 ◽

Vol 11 (2) ◽

pp. 125-128 ◽

Cited By ~ 3

Author(s):

R. Stanton ◽

P. I. Craig ◽

J. O. Jorgensen ◽

D. L. Morris

Keyword(s):

Bile Duct ◽

Hepatic Duct ◽

Open Cholecystectomy ◽

Bile Leak ◽

Biliary Tree ◽

Unusual Presentation ◽

Subsequent Investigation ◽

The Right ◽

Aberrant Bile Duct

The case of a male who had an open cholecystectomy complicated by presistent bile leak from an aberrant bile duct is presented. The persistence and volume of bile leak resulted in subsequent investigation of the biliary tree which demonstrated a cholangiocarcinoma of the right hepatic duct. This case is presented as an unusual presentation of cholangiocarcinoma and to highlight the value of modern techniques in imaging the biliary tree.

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