A rare case - a diagnostic challenge

2007 ◽  
Vol 85 ◽  
pp. 0-0
Author(s):  
JU PRAUSE
Keyword(s):  
Rare Case ◽  
Diagnostic Challenge

A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

2020 ◽  
pp. 1-3
Author(s):  
Jinping Xu ◽  
Jinping Xu ◽  
Ruth Wei ◽  
Salieha Zaheer
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Femoral Hernia ◽  
Rare Case ◽  
Hernia Recurrence ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
History Of

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

scholarly journals Urachal yolk sac tumor penetrating the bladder as a diagnostic challenge: a case report and review of the literature

2022 ◽  
Vol 17 (1) ◽  
Author(s):  
Vladimír Šámal ◽  
Tomáš Jirásek ◽  
Vít Paldus ◽  
Igor Richter ◽  
Ondřej Hes
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Yolk Sac ◽  
Cell Tumor ◽  
Yolk Sac Tumor ◽  
Review Of The Literature ◽  
Diagnostic Challenge ◽  
Macroscopic Hematuria ◽  
Rare Case Report

Abstract Background Yolk sac tumor (YST) is a germ cell tumor. It is primarily located in the gonads but can also occur extragonadally (extragonadal yolk sac tumor - EGYST), most commonly in the pelvis, retroperitoneum or mediastinum. Only a few YSTs of the urachus have been described. Case report We present a rare case report of a 37-year-old male with episodes of macroscopic hematuria. The histological specimen obtained by transurethral resection showed a solid, and in some parts papillary infiltrative, high-grade tumor with numerous areas of marked nuclear atypia and clear invasion between the detrusor bundles. Glandular pattern has been observed in only minority of the tumor. Immunohistochemistry showed significant positivity for GPC3, SALL4 and cytokeratins AE1/AE3, while KRT7 and GATA3 were negative. We concluded that the biopsy findings were consistent with urothelial carcinoma with infrequent YST differentiation. In definitive surgical specimens we found a malignant epithelial, glandular and cystically arranged tumor of germinal appearance arising from urachus. The surrounding urothelium was free of invasive or in situ tumor changes. We reclassified the tumor as a urachal YST. Conclusion EGYST was suspected because glandular and hepatoid structures were found, but the presence of these structures should be verified by immunohistochemistry.

scholarly journals Unusual presentation of hepatocellular carcinoma: Case report and review of literature

2021 ◽  
pp. 20210033
Author(s):  
Poonamjeet Loyal ◽  
Samuel Gitau ◽  
Soraiya Manji ◽  
Sitna Mwanzi ◽  
John Weru
Keyword(s):  
Hepatocellular Carcinoma ◽  
Chronic Hepatitis ◽  
Case Report ◽  
Rare Case ◽  
Anterior Abdominal Wall ◽  
Atypical Presentation ◽  
Primary Cancer ◽  
Review Of Literature ◽  
Diagnostic Challenge ◽  
Positive Chronic Hepatitis

Hepatocellular carcinoma (HCC) is the most common primary cancer of the liver and a major cause of mortality globally. Atypical presentation of HCC can present a diagnostic challenge. We, therefore, present a rare case of hepatocellular carcinoma fungating through the anterior abdominal wall with concomitant lung and brain metastases in a young patient with non-cirrhotic liver but positive chronic hepatitis B serology.

scholarly journals Chryseobacterium spp-associated bacteraemia in a haemodialysis patient: a diagnostic challenge

2019 ◽  
Vol 12 (11) ◽  
pp. e232000
Author(s):  
Muhammad Junaid Ahsan ◽  
Soban Ahmad ◽  
Azka Latif ◽  
Joseph Thilumala Reddy
Keyword(s):  
End Stage Renal Disease ◽  
Rare Case ◽  
Haemodialysis Patient ◽  
Water Systems ◽  
Hospital Environment ◽  
Human Pathogen ◽  
Diagnostic Challenge ◽  
Negative Bacillus ◽  
Stage Renal Disease ◽  
End Stage

Chryseobacterium species are Gram-negative bacillus widely distributed in nature. It is a rare human pathogen that has been isolated from water systems and humid surfaces of the hospital environment. We report a rare case of Chryseobacterium bacteremia in an end-stage renal disease nursing home resident, that was diagnosed using multiplex PCR and was successfully treated with intravenous piperacillin–tazobactam combination.

scholarly journals Sarcomatoid carcinoma of adrenal gland: a rare case report

2019 ◽  
Vol 10 (1) ◽  
pp. 73-75
Author(s):  
Israt Rezwana ◽  
Sourav Sarkar ◽  
Rushda Sharmin Binte Rouf ◽  
Sultana Marufa Shefin ◽  
SM Ashrafuzzaman
Keyword(s):  
Adrenal Gland ◽  
Rare Case ◽  
Adrenal Glands ◽  
Malignant Tumors ◽  
Sarcomatoid Carcinoma ◽  
Endocrine Dysfunction ◽  
Diagnostic Challenge ◽  
Atypical Symptoms ◽  
Rare Case Report ◽  
New Onset

Adrenal sarcomatoid carcinoma (ASC) are very rare and aggressive malignant tumors of adrenal glands containing both epithelial (carcinomatous) and mesenchymal (sarcomatous) components. ASC presents a diagnostic challenge due to its atypical symptoms and histological patterns which influence treatment.At the time of diagnosis, a large percentage of patients are already at the metastatic stage and succumb within a few months. Here, we report a case of functional sarcomatoid carcinoma in right adrenal gland in a 37-year-old female, who presented with new onset hypertension. The patient underwent right sided adrenalectomy and she was alive at the time of writing the current report.To the best of our knowledge, ASC reported in literature to date showed only few patient presented with endocrine hypersecretion and only one patient presented with both hypertension and endocrine dysfunction. So, our case is the rarest among the rare. Birdem Med J 2020; 10(1): 73-75

scholarly journals Massive intussusception caused by a solitary Peutz–Jeghers type hamartomatous polyp

2018 ◽  
Vol 100 (4) ◽  
pp. e91-e93 ◽  
Author(s):  
V Kalliakmanis ◽  
I Perysinakis ◽  
K Koutsouvas ◽  
P Karras ◽  
E Margaris ◽  
...  
Keyword(s):  
Intestinal Obstruction ◽  
Preoperative Diagnosis ◽  
Rare Case ◽  
Hamartomatous Polyp ◽  
Genetic Investigation ◽  
Diagnostic Challenge ◽  
Postoperative Course ◽  
Presenting Symptoms ◽  
Intestinal Polyp ◽  
Peutz Jeghers Syndrome

Intussusception is a rare cause of intestinal obstruction in adults and represents a diagnostic challenge for the surgeon. In the majority of cases, presenting symptoms are not specific, making preoperative diagnosis difficult. Several medical conditions may cause intestinal intussusception. We present the case of a 16-year-old female patient with intussusception due to a hamartomatous Peutz–Jeghers type polyp. This is an extremely rare case in which the first manifestation of the intestinal polyp was jejunojejunal intussusception very close to the duodenojejunal junction, with a necrotic intussusceptum about 50 cm long. The patient was treated successfully with enterectomy and end-to-end anastomosis. Postoperative course was uneventful and the patient is currently under gastroenterological and genetic investigation to exclude the diagnosis of Peutz–Jeghers syndrome.

scholarly journals Lengthy Diagnostic Challenge in a Rare Case of Pulmonary Veno-Occlusive Disease: Case Report and Review of the Literature

2011 ◽  
Vol 50 (12) ◽  
pp. 1323-1327 ◽  
Author(s):  
Xiao-qun Ye ◽  
Chun-song Yan ◽  
Xin-yi Zhang ◽  
Yin Cai ◽  
Feng Guo ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Occlusive Disease ◽  
Review Of The Literature ◽  
Diagnostic Challenge ◽  
Disease Case

Rectal cancer mimic: a rare case of syphilitic proctitis

2020 ◽  
Vol 13 (12) ◽  
pp. e235522
Author(s):  
Rajashri Veeresh Patil ◽  
Iain Stephenson ◽  
Cathy J Richards ◽  
Yvette Griffin
Keyword(s):  
Rectal Cancer ◽  
Sexually Transmitted Infection ◽  
Rare Case ◽  
Surgical Intervention ◽  
Secondary Syphilis ◽  
Sexual History ◽  
Diagnostic Challenge ◽  
Rare Presentation ◽  
Transmitted Infection ◽  
Sexually Transmitted

Syphilitic proctitis is a rare presentation of sexually transmitted infection that poses a diagnostic challenge as it mimics rectal cancer clinically, radiologically and endoscopically. We report a case of a 66-year-old male patient with a background of HIV infection presenting with obstructive bowel symptoms and initial diagnosis of rectal cancer on CT. Sigmoidoscopy and histopathology were non-diagnostic. A diagnosis of secondary syphilis was suspected after obtaining sexual history and diagnostic serology, avoiding planned surgical intervention.

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