Micturition syncope: a rare presentation of bladder paraganglioma

2020 ◽  
Vol 13 (9) ◽  
pp. e235353
Author(s):  
Neethu Sunil V ◽  
Kevin John ◽  
Sultan Nawahirsha ◽  
Ramya Iyyadurai
Keyword(s):  
Urinary Bladder ◽  
Sigmoid Colon ◽  
Rare Presentation ◽  
Hypertensive Patients ◽  
The Past

A 68-year-old woman presented with episodes of headache, palpitations, sweating and poorly controlled hypertension for the past 6 years. These symptoms were, at times, associated with micturition, and there were few episodes of micturition syncope as well. She had elevated 24-hour urinary normetanephrine and was found to have a paraganglioma arising from the urinary bladder infiltrating the sigmoid colon. She underwent laparotomy with excision of the bladder paraganglioma, following which her symptoms subsided. Paragangliomas are extra-adrenal catecholamine-producing tumours. Bladder paragangliomas need to be considered when evaluating hypertensive patients with headache, palpitations or syncope related to micturition.

scholarly journals Pseudo-pseudo Meigs’ syndrome: a rare presentation of systemic lupus erythematosus

Reumatismo ◽  
2019 ◽  
Vol 71 (2) ◽  
pp. 108-112 ◽  
Author(s):  
G. Tansir ◽  
P. Kumar ◽  
A. Pius ◽  
S.K. Sunny ◽  
M. Soneja
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Pleural Effusion ◽  
Autoimmune Disease ◽  
Lupus Erythematosus ◽  
Abdominal Distension ◽  
Ca 125 ◽  
Systemic Lupus ◽  
Rare Presentation ◽  
The Past ◽  
History Of

Systemic lupus erythematosus (SLE) is a chronic inflammatory multisystem autoimmune disease. Ascites when associated with pleural effusion and raised CA-125 levels in SLE patient, is known as pseudo-pseudo Meigs’ syndrome (PPMS). This is the case of a 22-year-old lady who presented with complaints of abdominal distension for one month and had a history of spontaneous abortion in the past. Abdominal imaging did not reveal any tumor and after extensive workup a diagnosis of PPMS was made. She was successfully treated with steroids, hydroxychloroquine and cyclophosphamide.

Diverticulitis of the Sigmoid Colon With Fistula to Cervical Stump and Urinary Bladder

1977 ◽  
Vol 70 (8) ◽  
pp. 1021-1022
Author(s):  
MAURICE RICH ◽  
VICTOR D. DEMBROW ◽  
ISAAC EGOZI
Keyword(s):  
Urinary Bladder ◽  
Sigmoid Colon ◽  
Cervical Stump

scholarly journals Metastasis of renal cell carcinoma to urinary bladder: A rare case report with review of literature

2017 ◽  
Vol 9 (04) ◽  
pp. 322-324
Author(s):  
Saha Arpita ◽  
Jain Manoj ◽  
Saha Kaushik ◽  
Srivastava Anish
Keyword(s):  
Renal Cell Carcinoma ◽  
Urinary Bladder ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Review Of Literature ◽  
Indian Literature ◽  
The Past ◽  
Rare Case Report ◽  
Bladder Metastasis

AbstractMetachronous metastatic renal cell carcinoma (RCC) to bladder is rare incidence. We report a case of RCC with metachronous metastasis to the urinary bladder occurring 2 years postradical nephrectomy. In a follow‑up for the past 1 year, the patient is doing well. To the best of our knowledge, this case is the second case of bladder metastasis from RCC in the Indian literature. We reviewed literature and discuss the histopathological features of bladder metastasis of RCC.

scholarly journals Benign Subcutaneous Nodules and Hypereosinophilic Syndrome: A Rare Presentation of an Uncommon Entity

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Rimesh Pal ◽  
Uday Yanamandra ◽  
Prasanna Kumar ◽  
Nirmalya Banerjee
Keyword(s):  
Eosinophil Count ◽  
Index Case ◽  
Hypereosinophilic Syndrome ◽  
Low Grade ◽  
Rare Presentation ◽  
Angiolymphoid Hyperplasia ◽  
The Past ◽  
Absolute Eosinophil Count ◽  
Oral Corticosteroids ◽  
History Of

A 40-year-old gentleman presented with a history of multiple swellings involving his face, scalp, left axilla, back, and right thigh for the past 8 years. For the last 6 months, he developed intermittent low-grade fever, anorexia, weight loss, and gradually worsening breathlessness. On evaluation, the patient was found to have abnormally elevated absolute eosinophil count. Workup for the etiology of eosinophilia was unrewarding. All investigations related to an underlying myeloproliferative disorder were negative. Hence, a clinical possibility of angiolymphoid hyperplasia with eosinophilia (ALHE) was kept which was confirmed on histopathology. In the absence of other causes of hypereosinophilia, a clinical diagnosis of “associated hypereosinophilic syndrome” secondary to ALHE was made. He was managed with oral corticosteroids. The absolute eosinophil count reduced markedly, while the swellings showed a more gradual response, shrinking in size by about 50% following two months of therapy. The index case thus highlights a rather unusual presentation of ALHE.

scholarly journals Bilateral Breast Lumps as a Presentation of Disseminated Squamous Cell Carcinoma of Lung

2014 ◽  
Vol 7 ◽  
pp. CCRep.S13832
Author(s):  
Pramila Dharmshaktu ◽  
Ankur Jain ◽  
Naresh Gupta ◽  
Abhilasha Garg ◽  
Seema Kaushal
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Lower Lobe ◽  
Malignant Cells ◽  
Rare Presentation ◽  
Ct Guided ◽  
The Past ◽  
Breast Lumps ◽  
The Right

We present the case of a 65-year-old female who presented to our hospital with nodular swelling in her breast that first appeared in the right upper quadrant 10 months earlier, followed by involvement of the left upper quadrant along with nodular swelling in the right inguinal region for the past six months. She was also complaining of breathlessness on exertion and right-sided pleuritic chest pain for the past one year. Her chest X-ray showed well defined consolidation in the right lower lobe of the lung with pleural effusion. Further pleural tap showed malignant cells with squamous differentiation. Fine needle aspiration cytology (FNAC) from breast lumps was suggestive of malignant cells with morphology of cells likely to be squamous. CT-guided biopsy of the lung mass showed moderately differentiated squamous cell carcinoma of the lung. She succumbed to her illness following severe respiratory distress. Breast lump secondary to lung malignancy is very rare. Squamous cell carcinoma presenting as breast metastasis is a very rare presentation and reported in few cases. No previous case reporting bilateral breast lumps as a presentation of squamous cell carcinoma of the lung could be found in the literature.

Direct Invasion of Urinary Bladder from Sigmoid Colon Cancer

1992 ◽  
Vol 16 (5) ◽  
pp. 709-712 ◽  
Author(s):  
Seung H. Kim ◽  
Dong G. Na ◽  
Byung I. Choi ◽  
Joon K. Han ◽  
Man C. Han
Keyword(s):  
Colon Cancer ◽  
Urinary Bladder ◽  
Sigmoid Colon ◽  
Sigmoid Colon Cancer ◽  
Direct Invasion

The Frequency of Using Herbal Medicines Among Patients With Hypertension in Kerman, Iran, 2012-2013

2015 ◽  
Vol 20 (3) ◽  
pp. 199-202 ◽  
Author(s):  
Haleh Tajadini ◽  
Kouros Divsalar ◽  
Mitra Mehrabani ◽  
Ali Akbar Haghdoost ◽  
Zahra Esmaili ◽  
...  
Keyword(s):  
Medicinal Plants ◽  
Herbal Medicines ◽  
Cross Sectional Study ◽  
Self Administration ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
The Past ◽  
Significant Difference ◽  
High Prevalence ◽  
Medical Plants

Introduction. The use of medicinal plants has dramatically increased in recent years. Given the increasing rate of hypertension and medical plants usage by these patients and considering drug interactions due to concomitant use with drugs, the present study aims to evaluate the rate of medicinal plants usage in hypertensive patients. Methods. This is a cross-sectional study (descriptive–analytical) in which 650 hypertensive patients referring to the subspecialty clinic of Kerman were questioned about medicinal plants usage by a medicinal plants questionnaire. Among these patients, there were 612 who consented to participate. After the variables were described, the data were finally analyzed using Stata 12. Results. The average age of those using these drugs in the past year was 58.8 ± 10 years. Of the total number of participants using medicinal plants, there were 58 males (23.5%) and 122 females (33.4%). There were 129 participants (72.5%) using medicinal plants through self-administration, 17 participants (9.5%) on experienced users’ advice, 16 participants (9%) as administered by herbalists, and 11 participants (6%) as administered by doctors. However, the most important resources for using a drug that prevents hypertension were family and friends (74 participants; 41.5%) and doctors (13 participants; 7.3%). According to the results, there was no significant difference between the level of education and medicinal plants usage ( P = .95); however, there was a significant difference between gender and medicinal plants usage ( P = .009). Discussion. According to the results indicating the relatively high prevalence of medicinal plants usage and their arbitrary use by hypertensive patients without consulting a specialist, it seems necessary to plan for more effective and secure public education and train people to provide herbal drug services for various diseases with hypertension being the most common one.

Cementoblastoma Solely Involving Maxillary Primary Teeth- A Rare Presentation

2016 ◽  
Vol 40 (2) ◽  
pp. 147-151 ◽  
Author(s):  
Aadithya B Urs ◽  
Hanspal Singh ◽  
Garima Rawat ◽  
Sujata Mohanty ◽  
Sujoy Ghosh
Keyword(s):  
Rare Case ◽  
Primary Teeth ◽  
Benign Neoplasm ◽  
Final Diagnosis ◽  
Primary Tooth ◽  
Histopathological Diagnosis ◽  
Rare Presentation ◽  
The Past ◽  
Polarized Microscopy ◽  
Radiographic Presentation

Cementoblastoma is a rare benign neoplasm of odontogenic ectomesenchyme origin, involving the roots of any tooth, which occurs predominantly in second and third decade of life. Very few cases of cementoblastoma associated with a primary tooth or having a maxillary presentation have been reported in the past. Here, a rare case of a ten year old boy who presented to the department with a swelling in maxillary posterior region since one month is being discussed. The radiographic presentation was mimicking an odontoma. The final diagnosis was cementoblastoma. We have advocated the use of polarized microscopy to support the histopathological diagnosis with respect to its cemental origin. Cementoblastoma should be considered in the differential diagnosis of radio-opaque lesions in the transitional dentition.

scholarly journals Would wider screening for primary aldosteronism give any health benefits?

2004 ◽  
pp. 305-308 ◽  
Author(s):  
PF Plouin ◽  
X Jeunemaitre
Keyword(s):  
Primary Aldosteronism ◽  
Clinical Syndrome ◽  
Hypertensive Patients ◽  
The Past ◽  
Apparent Prevalence ◽  
In Series ◽  
Aldosterone Producing Adenoma ◽  
Aldosterone To Renin Ratio ◽  
Referral Bias ◽  
Adrenocortical Tumour

Fifty years ago, Jerome Conn described 'a new clinical syndrome which is designated temporarily as primary aldosteronism' in a young patient with hypertension, severe hypokalaemia and a benign adrenocortical tumour, for whom an adrenalectomy cured both the hypertension and hypokalaemia. His report identified the condition known as aldosterone-producing adenoma, a form of curable hypertension. According to Conn, the prevalence of primary aldosteronism in the hypertensive population referred to his department was 20%, but this estimate was subject to referral bias. Primary aldosteronism has long been considered rare, with an estimated prevalence of 0.5-2% among unselected hypertensive patients. During the past 10 years, however, the apparent prevalence of the condition increased dramatically, up to 30% in some series. Overall, the prevalence of primary aldosteronism in series dealing with at least 100 screened hypertensive patients averaged 6%, with one patient in two harbouring an aldosterone-producing adenoma. This increase in prevalence reflects the fact that hypokalaemic and normokalaemic patients are now screened for primary aldosteronism, with the aldosterone to renin ratio used as a screening tool. The current 'epidemic' of primary aldosteronism raises several questions and concerns.

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