Extracranial glomus faciale tumour

AbstractObjectives:To describe a unique presentation of a predominantly extracranial glomus faciale tumour. To discuss the role of imaging in the differential diagnosis and evaluation of a hypervascular parotid mass. To review the previous literature concerning the glomus faciale tumour.Case report:A 54-year-old woman presented with a six-month history of facial weakness, pain and a parotid mass. Ultrasound revealed a hypervascular parotid mass and pre-operative core biopsy suggested a paraganglioma. Computed tomography defined its deep extent and demonstrated involvement of the petrous temporal bone along the descending portion of the facial nerve canal with a pattern of permeative lucency. A tumour was surgically removed which arose from the facial nerve from the second genu to the proximal divisions within the parotid gland and histology confirmed a paraganglioma.Conclusions:A facial nerve glomus faciale tumour should be considered in the differential diagnosis of a hypervascular parotid mass and may present in a predominantly extracranial location. Computed tomography will prove helpful in such a case in order to limit the differential diagnosis and to define the extent of skull base involvement.

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Hydatid cyst of the pancreas

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh0412435c ◽

2004 ◽

Vol 132 (11-12) ◽

pp. 435-437

Author(s):

Radoje Colovic ◽

Nikica Grubor ◽

Vladimir Radak ◽

Natasa Colovic ◽

Mirjana Stojkovic

Keyword(s):

Computed Tomography ◽

Differential Diagnosis ◽

Case Report ◽

Hydatid Cyst ◽

Pancreatic Duct ◽

Epigastric Pain ◽

The Body ◽

Cystic Lesions ◽

History Of ◽

Endemic Areas

Hydatid cyst of the pancreas is rare. During the last 30 years, less than 40 cases have been reported in journals on Medline. This is a case report of a 35-year old woman with 2-year history of epigastric pain in whom an ultrasound and computed tomography showed the cyst of the body and tail of the pancreas 6x7 cm in diameters, which was supposed to be hydatid one. During surgery, an isolated hydatid cyst of the pancreas was found without communication with the pancreatic duct. The content of the cyst was removed, and pericyst was partially excised and drained. The recovery was uneventful and the patient has remained symptom free so far. Although rare, hydatid cyst should be considered in the differential diagnosis of the cystic lesions of the pancreas, particularly in patients coming from endemic areas and without history of pancreatitis.

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Neurenteric cyst of the temporal bone: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x211067913 ◽

2021 ◽

Vol 9 ◽

pp. 2050313X2110679

Author(s):

Timothy Fan ◽

Ezer Benaim ◽

Jorge Lee Diaz ◽

Charles MacDonald

Keyword(s):

Hearing Loss ◽

Case Report ◽

Facial Nerve ◽

Temporal Bone ◽

Complete Resolution ◽

Goblet Cells ◽

Neurenteric Cyst ◽

Rare Entity ◽

Facial Weakness ◽

History Of

Neurenteric cysts are rare, developmental malformations mainly found in the spinal canal. The authors report on a 29-year-old woman who presented with congenital left-sided hearing loss and a 9 days history of left ear pain and facial weakness (House–Brackmann IV). Radiological examination revealed a complex 7 mm cystic structure involving the petrous and mastoid portions of the left temporal bone. Intraoperatively, a red-brown multicystic mass was discovered and excised completely. Histologic findings showed simple columnar epithelium with goblet cells and bilayers of submucosal musculature, resembling normal intestinal linings. Post resection, the patient regained nearly full facial nerve capabilities (House–Brackmann II) with complete resolution of pain, but no changes to her hearing. The objectives of this case report are to describe the clinical, radiologic, intraoperative, and pathologic characteristics of an extradural temporal neurenteric cyst with sensorineural deficits to contribute to the growing knowledge regarding this rare entity.

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A141 SPONTANEOUS ESOPHAGEAL PERFORATION: AN UNREPORTED COMPLICATION OF LYMPHOCYTIC ESOPHAGITIS

Journal of the Canadian Association of Gastroenterology ◽

10.1093/jcag/gwab002.139 ◽

2021 ◽

Vol 4 (Supplement_1) ◽

pp. 128-129

Author(s):

A LAGROTTERIA ◽

A W Collins ◽

A Someili ◽

N Narula

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Case Report ◽

Proton Pump Inhibitor ◽

Proton Pump ◽

Esophageal Perforation ◽

Distal Esophagus ◽

Chest Discomfort ◽

History Of ◽

Lymphocytic Esophagitis

Abstract Background Lymphocytic esophagitis is a new and rare clinicopathological entity. It is a histological pattern characterized by lymphocytic infiltrate without granulocytes. Its etiology and clinical significance remains unclear. The clinical manifestations are typically mild, with reflux and dysphagia the most commonly reported symptoms. Aims We describe a case report of spontaneous esophageal perforation associated with lymphocytic esophagitis. Methods Case report Results A previously well 31-year-old male presented to the emergency department with acute food impaction. His antecedent symptoms were acute chest discomfort and continuous odynophagia following his most recent meal, with persistent globus sensation. The patient had no reported history of allergies, atopy, rhinitis, or asthma. A previous history of non-progressive dysphagia was noted after resuscitation. Emergent endoscopy revealed no food bolus, but a deep 6 cm mucosal tear in the upper-mid esophagus extending 24 to 30 cm from the incisors. Chest computed tomography observed small volume pneumoperitoneum consistent with esophageal perforation. The patient’s recovery was uneventful; he was managed conservatively with broad-spectrum antibiotics, proton pump inhibitor therapy, and a soft-textured diet. Endoscopy was repeated 48 hours later and revealed considerable healing with only a residual 3-4cm linear laceration. Histology of biopsies taken from the mid and distal esophagus demonstrated marked infiltration of intraepithelial lymphocytes. There were no eosinophils or neutrophils identified, consistent with a diagnosis of lymphocytic esophagitis. Autoimmune indices including anti-nuclear antibodies and immunoglobulins were normal, ruling out a contributory autoimmune or connective tissue process. The patient was maintained on a proton pump inhibitor (pantoprazole 40 mg once daily) following discharge. Nearly six months following his presentation, the patient had a recurrence of symptoms prompting representation to the emergency department. He described acute onset chest discomfort while eating turkey. Computed tomography of the chest redemonstrated circumferential intramural gas in the distal esophagus and proximal stomach. Conclusions Esophageal perforation is a potentially life-threatening manifestation of what had been considered and described as a relatively benign condition. From isolated dysphagia to transmural perforation, this case significantly expands our current understanding of the clinical spectrum of lymphocytic esophagitis. Funding Agencies None

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Ovarian Torsion after Hysterectomy: Case Report and Concise Review of the Reported Cases

Case Reports in Obstetrics and Gynecology ◽

10.1155/2018/6267207 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3

Author(s):

Demetrio Larraín ◽

Andrés Casanova ◽

Iván Rojas

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Literature Review ◽

Rare Event ◽

Laparoscopic Hysterectomy ◽

Acute Onset ◽

Ovarian Torsion ◽

Adnexal Torsion ◽

Concise Review ◽

History Of

Ovarian torsion after hysterectomy is a rare event. The diagnosis of ovarian torsion is challenging because symptoms are nonspecific. We present a case of ovarian torsion 2 years after laparoscopic hysterectomy (LH). Furthermore, we performed a literature review about ovarian torsion after hysterectomy. This case shows that, in cases of acute onset pelvic pain in patients with history of hysterectomy, the adnexal torsion must be kept in mind in the differential diagnosis, especially in those women who had undergone LH.

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Irresectable tumours of the temporal bone

The Journal of Laryngology & Otology ◽

10.1017/s0022215100101951 ◽

1987 ◽

Vol 101 (5) ◽

pp. 432-442 ◽

Cited By ~ 1

Author(s):

R. E. Quiney ◽

L. M. Flood

Keyword(s):

Temporal Bone ◽

Case Reports ◽

Sporadic Case ◽

Petrous Apex ◽

Surgical Approaches ◽

Total Removal ◽

Inaccessible Area ◽

History Of ◽

Petrous Temporal Bone

AbstractSporadic case reports and the few published series of expanding lesions of the deep petrous temporal bone propose a variety of surgical approaches to ensure excision. All such surgery represents a compromise between exposure adequate for total removal and avoidance of further neurological deficit. Unfortunately pathology in the petrous apex evolves relatively silently and diagnosis is delayed. In many cases total excision is impossible. We present a series of patients presenting with advanced tumours of the deep petrous temporal bone in order to illustrate the spectrum of disease encountered, the limited role of surgery and the natural history of irresectable pathology in this remote and inaccessible area.

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The role of lumbar puncture in the diagnosis of subarachnoid hemorrhage when computed tomography is unavailable

CJEM ◽

10.1017/s1481803500006205 ◽

2002 ◽

Vol 4 (02) ◽

pp. 102-105 ◽

Cited By ~ 2

Author(s):

David Mann

Keyword(s):

Computed Tomography ◽

Differential Diagnosis ◽

Subarachnoid Hemorrhage ◽

Ct Scan ◽

Lumbar Puncture ◽

Uncommon Condition ◽

Noncontrast Computed Tomography ◽

Acute Headache ◽

Interpretation Of Results

ABSTRACTSubarachnoid hemorrhage (SAH) is an important but uncommon condition in the differential diagnosis of acute headache. Most authorities recommend that patients with suspected SAH undergo noncontrast computed tomography (CT) as a first diagnostic intervention. If the results of the CT scan are negative, a lumbar puncture should be performed. Many nonurban Canadian hospitals do not have CT scanners and must either transfer patients or consider performing lumbar puncture prior to CT. In selected patients, performing lumbar puncture first may be an option, but timing of the procedure and the interpretation of results is important.

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The clicking chest: what exactly did Hamman hear? A case report of a left-sided pneumothorax

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytaa331 ◽

2020 ◽

Author(s):

Nadeem Jimidar ◽

Patrick Lauwers ◽

Emmanuela Govaerts ◽

Marc Claeys

Keyword(s):

Computed Tomography ◽

Differential Diagnosis ◽

Case Report ◽

Case Reports ◽

Gunshot Wounds ◽

Computed Tomography Scan ◽

Imaging Studies ◽

Left Chest ◽

Case Summary ◽

Tomography Scan

Abstract Background Hamman’s sign is a rare phenomenon. Louis Hamman described this pathognomonic clicking chest noise in association with pneumomediastinum in 1937. This typical noise can also be present in left-sided pneumothorax. Clinical cases already mention this pericardial knock in 1918 in gunshot wounds of the left chest and in 1928 in cases of spontaneous left-sided pneumothorax. However, the sound itself has only rarely been recorded. Case summary We describe a case of a young man with no significant medical history who was referred to the hospital with chest pain and audible clicks, documented with his smartphone. Imaging studies including chest radiograph and computed tomography scan revealed a left-sided pneumothorax. The patient underwent semi-urgent insertion of a thorax drain. His clinical outcome was excellent. Discussion In recent years only a few case reports describe Hamman’s sign, as it is rare and happens only transiently. This case report includes the audible clicks recorded by the patient with his smartphone. We stress the importance of thoracic clicking sounds as key symptom in the differential diagnosis of left-sided pneumothorax, pneumomediastinum, and valvular pathology such as mitral valve prolapse.

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Sialolipoma of the Lower Lip: Case Report and Literature Review

The Open Dentistry Journal ◽

10.2174/1874210601206010208 ◽

2012 ◽

Vol 6 (1) ◽

pp. 208-211 ◽

Cited By ~ 3

Author(s):

Nada O Binmadi ◽

Risa Chaisuparat ◽

Bernard A Levy ◽

Nikolaos G Nikitakis

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Literature Review ◽

Parotid Gland ◽

Maxillofacial Region ◽

Lower Lip ◽

Histological Features ◽

Common Location ◽

Oral And Maxillofacial Region

Sialolipoma is a relatively rare and fairly recently described as a variant of lipoma with salivary elements. Any site within the oral and maxillofacial region may be involved with the parotid gland being the most common location. Herein, we present a case of silaolipoma in lower lip. The clinical and histological features and differential diagnosis are discussed.

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Necrotizing sarcoid granulomatosis: A case report

Chest Disease Reports ◽

10.4081/cdr.2019.8032 ◽

2019 ◽

Vol 7 (1) ◽

Author(s):

Sofia O. Correia ◽

Daniel Pereira ◽

José Miguel Maia ◽

Ana Sofia Cipriano ◽

Maria Manuela França ◽

...

Keyword(s):

Computed Tomography ◽

Differential Diagnosis ◽

Case Report ◽

Computed Tomography Scan ◽

Persistent Cough ◽

Tomography Scan

We report a case of a 22-year-old man with persistent cough and sarcoidosis-like changes in computed tomography scan. An extensive differential diagnosis is discussed and its evolution and treatment is presented.

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