Intravenous lobular capillary haemangioma presenting as neck discomfort associated with neck anteflexion

Lobular capillary haemangioma, also known as pyogenic granuloma, is a benign vascular tumour that usually originates in the skin and mucosal membrane. It sometimes derives from the lumen of a vein and the clinical presentations are various and non-specific. A 72-year-old woman complained of a sensation of pressure in her left neck for 1 month when cooking. Her left cephalic vein was enlarged with no signs of oedema, and cervical ultrasound revealed a space-occupying lesion in the left subclavian vein. Contrast-enhanced CT and MRI revealed an intravascular tumour. This tumour was removed with operation, and histopathological examination revealed intravascular capillary haemangioma. Intravascular lobular capillary haemangioma is a rare condition that occurs in the veins of the neck and upper extremities. Intravascular tumours could cause a unique symptom, such as neck discomfort associated with neck anteflexion.

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Mixed neuroendocrine-non-neuroendocrine neoplasms (MiNEN) of pancreas: a rare entity—worth to note

BMJ Case Reports ◽

10.1136/bcr-2020-234855 ◽

2020 ◽

Vol 13 (4) ◽

pp. e234855 ◽

Cited By ~ 1

Author(s):

Bharti Varshney ◽

Jyotsna Naresh Bharti ◽

Vaibhav Kumar Varshney ◽

Taruna Yadav

Keyword(s):

Histopathological Examination ◽

Neuroendocrine Tumour ◽

Pancreatic Head ◽

Ductal Adenocarcinoma ◽

Neuroendocrine Neoplasms ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct ◽

Rare Malignancy

Mixed adenocarcinoma with neuroendocrine tumour of pancreas has been reported infrequently and consists of both epithelial and neuroendocrine component. We encountered an 81-year-old male patient who presented with clinical features of painful progressive jaundice for 1 month. Contrast-enhanced CT abdomen reported a mass in the pancreatic head with dilated common bile duct and pancreatic duct. He underwent pancreatoduodenectomy and histopathological examination revealed two different tumours: ductal adenocarcinoma admixed with neuroendocrine tumour of pancreas. He received adjuvant chemotherapy, and at the end of 1-year follow-up, he has no recurrence. Here, we reported this rare malignancy of pancreas for which pancreatoduodenectomy was done and diagnosed on histopathology with immunohistochemistry.

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Idiopathic Spontaneous Rupture of Renal Pelvis in a Single Functioning Kidney

Case Reports in Nephrology and Dialysis ◽

10.1159/000512588 ◽

2021 ◽

pp. 221-226

Author(s):

Maciej Tylski ◽

Katarzyna Muras-Szwedziak ◽

Michał Nowicki

Keyword(s):

Abdominal Pain ◽

Renal Pelvis ◽

Spontaneous Rupture ◽

Urinary Tract Obstruction ◽

Rare Condition ◽

Inflammatory Infiltration ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct ◽

Functioning Kidney

Spontaneous rupture of renal pelvis (SRRP) is a rare condition resulting in an extravasation of urine into retroperitoneal space. Due to the uncharacteristic symptoms, often mimicking renal colic, its diagnosis may be complicated. Herein, we report a case of a 73-year-old male with a solitary functioning kidney who presented with malaise and right-sided abdominal pain, rapidly followed by anuria. Laboratory tests showed the signs of AKI. Contrast-enhanced CT performed soon after the admission showed nonspecific abnormalities in the right middle abdomen suspected to be either inflammatory infiltration or surgical scarring. Symptomatic treatment was started, and an acute hemodialysis treatment was commenced. After a temporal improvement, the patient’s general condition worsened significantly, with exacerbated pain and massive increase in plasma creatinine. A second contrast-enhanced CT was performed with an addition of urography phase, revealing the extravasation of the contrast media in the location suggesting the rupture of the renal pelvis. The patient was treated successfully by the placement of a double-J ureteral stent into the ureter. Usually, a clear etiology of SRRP can be determined, that is, urinary tract obstruction, but in this case, we could not find a definite cause. It is important to remember that in the presence of a nonspecific abdominal pain and laboratory signs of AKI, a rare cause like SRRP should be taken into consideration. Performing a contrast CT scan with urography phase can save time in establishing a diagnosis and enable immediate urological intervention.

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Benign Cystic Mesothelioma in a Girl

APSP Journal of Case Reports ◽

10.21699/ajcr.v8i5.617 ◽

2017 ◽

Vol 8 (5) ◽

pp. 31

Author(s):

Aditya Pratap Singh ◽

Arun Kumar Gupta ◽

Dinesh Kumar Barolia ◽

Vinay Mathur

Keyword(s):

Abdominal Pain ◽

Cystic Lesion ◽

Acute Abdominal Pain ◽

Histopathological Examination ◽

Cystic Mass ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct ◽

Cystic Mesothelioma ◽

Uncommon Tumor

Benign cystic mesothelioma (BCM) is an uncommon tumor. A 9-year-old girl presented with acute abdominal pain and vomiting for the last 24 hours. Ultrasound abdomen and contrast enhanced CT scan were suggestive of cystic lesion. At laparotomy, a cystic mass arising from the peritoneum was found, which was excised completely. On histopathological examination it was diagnosed as benign mesothelioma.

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All that glitters is not gold: a case report of a diffuse peritoneal aspergillosis

Medical Ultrasonography ◽

10.11152/mu-2431 ◽

2020 ◽

Author(s):

Cristian Tefas ◽

Bobe Petrushev ◽

Cristina Pojoga ◽

Radu Badea

Keyword(s):

Histopathological Examination ◽

Abdominal Ultrasound ◽

Gray Scale ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct ◽

History Of ◽

Venous Phase ◽

Contrast Enhanced Ultrasonography ◽

Peripheral Arterial

Invasive aspergillosis is a rare disease, more frequently encountered in immunocompromised patients. We report a case of diffuse peritoneal aspergillosis. A 56-year old female with a history of recent renal transplantation was admitted with a suspicion of peritoneal carcinomatosis following a native computed tomography scan. Gray scale abdominal ultrasound showed multiple peritoneal masses. Upon performing contrast-enhanced ultrasound these masses demonstrated peripheral arterial enhancement and slow wash-out during the venous phase. The final histopathological examination confirmed a diagnosis of peritoneal aspergillosis. Gray scale ultrasonography in combination with contrast-enhanced ultrasonography is useful in the evaluation of intraabdominal masses. The procedures are of great value especially in patients with a high risk of contrastinduced nephropathy where contrast-enhanced CT or MRI are contraindicated.

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