Rare presentation of rectal duplication cyst as perineal hernia in an adult

2021 ◽  
Vol 14 (4) ◽  
pp. e239879
Author(s):  
Rahul Bhat ◽  
Rajat Ravindrakumar Choudhari ◽  
Shivananda Prabhu ◽  
Poornachandra Thejeswi
Keyword(s):  
Histopathological Examination ◽  
Surgical Excision ◽  
Duplication Cyst ◽  
Perineal Hernia ◽  
Sacrococcygeal Teratoma ◽  
Rare Presentation ◽  
Natal Cleft ◽  
Surgical Exploration ◽  
Sacral Region ◽  
Rectal Duplication

Rectal duplication cysts are rare congenital anomalies of the gastrointestinal tract. They can present with pain, gastrointestinal bleeding, infection or compressive symptoms on the rectum and urinary bladder. A 79-year-old man presented with a 8×5 cm swelling in the sacral region above the natal cleft with a positive cough impulse. During surgical exploration, there were two cysts with the posterior one presenting as the hernia. The cyst was excised and histopathological examination confirmed a diagnosis of rectal duplication cyst. Rectal duplications can lie anterior or more commonly posterior to the rectum. Differential diagnoses include dermoid cyst, diverticular cyst, sacrococcygeal teratoma or meningocele and endoscopic ultrasound is imaging of choice for diagnosis. Surgical excision is the treatment of choice. This is a rare presentation of a rectal duplication cyst as a perineal hernia with only a handful of cases in literature.

scholarly journals A Rare Presentation of Inflammatory Myofibroblastic Tumor in the Nasolabial Fold

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Hind K. Alshammari ◽  
Haya F. Alzamami ◽  
Mona Ashoor ◽  
Wasan F. Almarzouq ◽  
Haitham Kussaibi
Keyword(s):  
Inflammatory Myofibroblastic Tumor ◽  
Soft Tissues ◽  
Histopathological Examination ◽  
Benign Lesion ◽  
Neck Region ◽  
Surgical Excision ◽  
Nasolabial Fold ◽  
Rare Presentation ◽  
The Central Nervous System ◽  
Sublabial Approach

Inflammatory myofibroblastic tumor (IMT) is a benign lesion that occurs most frequently in the soft tissues and viscera. In the head and neck region, the tumor has been reported to occur in the orbit, tongue, nasopharynx, larynx, and paranasal sinuses and the central nervous system. Despite being a benign lesion, it exhibits infiltrative and destructive behaviours, making histopathological examination necessary to confirm the diagnosis. We report the case of a 38-year-old female presented with a right nasolabial fold mass, which was confirmed histologically to be an IMT. Surgical excision of the mass was achieved through a sublabial approach with an uneventful postoperative period. To the best of our knowledge, this is the first reported case of an IMT in the nasolabial fold.

Rectal duplication cyst with a large perineal hernia presenting as recurrent perineal abscesses

Surgery ◽  
1998 ◽  
Vol 124 (5) ◽  
pp. 926-928 ◽  
Author(s):  
J.Chris Connaughton ◽  
Lawrence Poletti ◽  
Timothy Broderick ◽  
Harvey J. Sugerman
Keyword(s):  
Duplication Cyst ◽  
Perineal Hernia ◽  
Rectal Duplication

scholarly journals Omental Lymphangioma in Adults—Rare Presentation Report of a Case

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
T. Narayana Rao ◽  
T. Parvathi ◽  
A. Suvarchala
Keyword(s):  
Case Report ◽  
Histopathological Examination ◽  
Benign Lesion ◽  
Surgical Excision ◽  
Histological Findings ◽  
Rare Presentation ◽  
Complete Excision ◽  
Complete Surgical Excision ◽  
Biopsy Report

Lymphangioma is an uncommon benign lesion that usually occurs during childhood. Its occurrence in adults is rare. Its presentation in the abdomen is even rare. This case report describes a case of omental lymphangioma presented as retroperitoneal lump. Subsequent imaging, operative, and histological findings revealed omental lymphangioma. Laparotomy done under general anesthesia, a 10 × 12 cm cystic swelling arising from omentum, identified complete excision of the cyst done and send the specimen for histopathological examination. Biopsy report came as omental lymphangioma. Complete surgical excision is the treatment of choice. Prognosis is excellent and recurrence rate is very low if resection is complete. During two years of followup no recurrence was detected. Omental lymphangioma is very rare presentation among abdominal lymphangiomas specifically in adults. Complete excision is the treatment of choice. Long-term followup is required to detect recurrence.

scholarly journals Rectal duplication cyst causing acute urinary retention with bladder outlet obstruction: an unusual presentation

2019 ◽  
Vol 12 (3) ◽  
pp. e226338
Author(s):  
Ashish Sharma ◽  
Samarth Agarwal ◽  
Manoj Kumar ◽  
Satyanarayan Sankhwar
Keyword(s):  
Urinary Retention ◽  
Bladder Outlet Obstruction ◽  
Acute Urinary Retention ◽  
Outlet Obstruction ◽  
Surgical Excision ◽  
Duplication Cyst ◽  
Extrinsic Compression ◽  
Bleeding Per Rectum ◽  
Rectal Duplication ◽  
Laparoscopic Assisted

Anterior rectal duplication cyst is rare entity with <50 reported cases to date. It has myriad presentations like bleeding per rectum, constipation, rectal prolapsed and intestinal obstruction due to extrinsic compression of rectum. However, the association of enlarged duplication cyst compressing the bladder neck or ureter, and leading to bladder outlet obstruction or hydroureteronephrosis is extremely rare with only a handful of reported cases. We report a rare case of large anterior rectal duplication cyst in a young girl leading to acute urinary retention with bladder outlet obstruction which was eventually managed by laparoscopic-assisted transabdominal surgical excision of the cyst. The authors believe that such an association has not been previously reported in this age group.

scholarly journals A rare presentation of Sacrococcygeal Teratoma as recurrent natal cleft abscess in childhood

2021 ◽  
Vol 64 ◽  
pp. 101727
Author(s):  
Daniel Pasquale Cinelli ◽  
Ionica Stoica ◽  
Fadi Atwan ◽  
Sri Paran
Keyword(s):  
Sacrococcygeal Teratoma ◽  
Rare Presentation ◽  
Natal Cleft

Giant Keratoacanthoma of Pinna: A Rare Presentation

2017 ◽  
Vol 8 (1) ◽  
pp. 31-33
Author(s):  
Ashok Garg ◽  
Sandhya Chauhan ◽  
Geeta R Tegta ◽  
Pooja Chauhan
Keyword(s):  
Histopathological Examination ◽  
Surgical Excision ◽  
Spontaneous Resolution ◽  
Rare Presentation ◽  
Large Size ◽  
Molecular Studies ◽  
Cutaneous Tumor ◽  
Well Differentiated ◽  
Head Neck ◽  
Growing Mass

ABSTRACT Aim The present case describes a rare and large size of giant keratoacanthoma (KA) of pinna. Background Keratoacanthoma is a fast growing benign cutaneous tumor resembling closely to well-differentiated squamous cell carcinoma (SCC) on clinical and histopathological examination (HPE). Case report A 70-year-old male presented with a rapidly growing mass on the left ear for 9 months. Tumor was excised and sent for HPE, which revealed well-differentiated SCC with focal features of a KA. Clinical significance Differentiation of KA from SCC has been a major challenge for dermatosurgeons, especially at setups with unavailability of molecular studies. So, if the tumor is giant, nonregressing in size especially on sun-exposed sites in an elderly patient, always think of SCC and treat it by surgical excision rather than watching for a spontaneous resolution. How to cite this article Chauhan S, Thakur K, Garg A, Tegta GR, Chauhan P. Giant Keratoacanthoma of Pinna: A Rare Presentation. Int J Head Neck Surg 2017;8(1):31-33.

Treatment Methods Conditioned by the Gravity of Drug-Induced Gingival Hyperplasias

2017 ◽  
Vol 68 (11) ◽  
pp. 2618-2622
Author(s):  
Alina Mihaela Calin ◽  
Mihaela Debita ◽  
Raluca Dragomir ◽  
Ovidiu Mihail Stefanescu ◽  
Cristian Budacu ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Histopathological Examination ◽  
Transplant Rejection ◽  
Surgical Excision ◽  
Channel Blockers ◽  
Gingival Hyperplasia ◽  
Drug Induced ◽  
Treatment Methods ◽  
Systemic Medication ◽  
Bacterial Plaque

The first drug discovered to be involved in the development of gingival hyperplasia is phenytoin, which is indicated in the treatment of epileptic patients. The other drugs are calcium channel blockers with vasodilating effect. The most important one is Nifedipine, while Ciclosporin A, which is used as an immunosuppressant in the prevention of transplant rejection, causes gingival hyperplasia as a secondary effect. Gingival hyperplasia can reach an impressive volume, completely covering the dental crown and affecting the masticatory and physiognomic functions. The elucidation of the mechanism, by which drug-induced gingival hyperplasia occurs, favoring factors and the choice of conservative or surgical treatment methods, emphasizing the prophylactic treatment. The study batch was subject to intraoral and extraoral clinical examinations and the data were included in the dental treatment sheet of each patient, 11 patients aged over 60 years, who came to the Clinic ... in the period 2014-2016. The diagnosis was based on the anamnesis, the clinical aspect of the lesions and the histopathological examination. After the surgical excision of the hyperplasia affected area, recurrence was prevented by dispensarizing the patients and controlling the bacterial plaque through rigorous oral hygiene. Treatment depends on the severity of the lesions, as well as on the physionomic and masticatory functions. Conservative etiological therapy is attempted, by removing the bacterial plaque and local irritant factors, by reducing the dose of drugs, or by changing the systemic medication.

scholarly journals Multiple Koenen Tumors, a Rare Entity: Combination Treatment with 1% Topical Sirolimus Electrofulguration and Excision

2020 ◽  
Vol 7 (1) ◽  
pp. 66-70
Author(s):  
Vishalakshi Viswanath ◽  
Jay D. Gupte ◽  
Niharika Prabhu ◽  
Nilima L. Gour
Keyword(s):  
Tuberous Sclerosis ◽  
Combination Treatment ◽  
Tumor Regression ◽  
Surgical Excision ◽  
Tumor Formation ◽  
Rare Entity ◽  
Rare Presentation ◽  
Cutaneous Manifestations ◽  
Elderly Female

<b><i>Introduction:</i></b> Koenen tumors are benign, cutaneous manifestations of tuberous sclerosis. These are disfiguring, painful, and challenging to treat as they frequently recur. We report a case of long-standing, multiple Koenen tumors affecting all twenty nails in an elderly female who was successfully treated with a combination of topical sirolimus 1%, surgical excision, and electrofulguration. <b><i>Case Report:</i></b> A 57-year-old lady presented with multiple, asymptomatic periungual, and subungual tumors affecting all twenty nails since 27 years. Cutaneous examination revealed confetti macules, ash-leaf macule, and shagreen patch over trunk. Nail biopsy was compatible with Koenen’s tumor. Computerized tomography of brain showed diffuse patchy sclerosis. The tumors were treated with topical sirolimus 1% ointment for 10 months with excellent regression. Electro­fulguration for both great toenails and surgical excision of right thumbnail periungual fibroma was done. 1% sirolimus was advised after the surgical treatment. There were no adverse effects or recurrence of tumors over a 2-year follow-up. <b><i>Discussion:</i></b> Topical sirolimus 1% was effective in tumor regression and preventing new tumor formation. Larger tumors that interfered in daily chores were treated with excision and electrofulguration. Thus, a combination treatment for this rare presentation of tuberous sclerosis provided optimum results.

scholarly journals Ameloblastic Fibrosarcoma of the Mandible: A Case Report and Brief Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Abelardo Loya-Solis ◽  
Karla Judith González-Colunga ◽  
Cynthia M. Pérez-Rodríguez ◽  
Natalie Sofía Ramírez-Ochoa ◽  
Luis Ceceñas-Falcón ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Surgical Excision ◽  
Second Molar ◽  
Odontogenic Epithelium ◽  
Left Mandible ◽  
Long Term Follow Up ◽  
History Of ◽  
Ameloblastic Fibrosarcoma ◽  
Mitotic Figures ◽  
One Year

Ameloblastic fibrosarcoma is an uncommon odontogenic tumor composed of a benign epithelial component and a malignant ectomesenchymal component most frequently seen in the third and fourth decades of life. It mainly presents as a painful maxillary or mandibular swelling. Radiographs show a radiolucent mass with ill-defined borders. Radical surgical excision and long-term follow-up are the suggested treatment. We report the case of a 22-year-old female with a 2-month history of an asymptomatic swelling in her left mandible. Examination revealed an exophytic growth measuring3×3 cm extending from the mandibular left first premolar to the second molar. The patient underwent a left hemimandibular resection. Histopathological examination revealed a biphasic tumor composed of inconspicuous islands of benign odontogenic epithelium and an abundant malignant mesenchymal component with marked cellularity, nuclear pleomorphism, hyperchromatism, and moderate mitotic figures with clear margins; one year after the surgical procedure, the patient is clinically and radiologically disease-free.

scholarly journals A Case of Incidental Schwannoma Mimicking Necrotic Metastatic Lymph Node from Bladder Cancer

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 728
Author(s):  
Jeong-Hyouk Choi ◽  
Koo-Han Yoo ◽  
Dong-Gi Lee ◽  
Gyeong-Eun Min ◽  
Gou-Young Kim ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Metastatic Lymph Node ◽  
Imaging Study ◽  
Surgical Excision ◽  
The Body ◽  
Pathological Examination ◽  
Cystic Tumor ◽  
Complete Surgical Excision ◽  
Ultrasound Computed Tomography ◽  
Retroperitoneal Schwannoma

Background and Objectives: Retroperitoneal schwannoma is a very rare case of schwannoma which commonly occurs in the other part of the body. However, it is difficult to distinguish schwannoma from other tumors before pathological examination because they do not show specific characteristics on imaging study such as ultrasound, computed tomography (CT), and magnetic resonance image (MRI). Case summary: A 60-year-old male showed a retroperitoneal cystic tumor which is found incidentally during evaluation of coexisted bladder tumor. Neurogenic tumor was suspicious for the retroperitoneal tumor through pre-operative imaging study. Finally, a schwannoma was diagnosed by immunohistochemical examination after complete surgical excision laparoscopically. Conclusion: As imaging technology is developed, there may be more chances to differentiate schwannoma from other neoplasm. However, still surgical resection and histopathological examination is feasible for diagnosis of schwannoma.

Sign in / Sign up

Export Citation Format

Share Document