scholarly journals Sporadic Intra-Abdominal Desmoid: A Rare Presentation as a Hepatic Mass

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Shahana Gupta ◽  
Udipta Ray ◽  
Souvik Chatterjee ◽  
Sanjeev Kumar ◽  
Ayusman Satapathy ◽  
...  
Keyword(s):  
Young Female ◽  
Unusual Presentation ◽  
Desmoid Tumour ◽  
History Of Surgery ◽  
Rare Presentation ◽  
Hepatic Mass ◽  
Intraoperative Evaluation ◽  
History Of ◽  
Fibroblastic Cells

We report an unusual presentation of a sporadic intra-abdominal desmoid tumour, possibly arising from the diaphragm, masquerading as a hepatic mass in a young female without any history of surgery or trauma. Histopathology ruled out a hepatic origin of the tumour as was inferred from pre- and intraoperative evaluation. Immunohistochemistry showed positivity of lesional fibroblastic cells forβ-catenin and negativity for CD34, CD117, EMA, SMA, desmin, vimentin, cytokeratin, and ALK1 thereby confirming the diagnosis of a desmoid tumour. There exist only a few reports in the literature on desmoids related to the diaphragm, but only one on a diaphragmatic desmoid that is possibly primary.

scholarly journals Spontaneous Gastric Necrosis: A Rare Presentation of Invasive Mucormycosis in an Immunocompetent Adult

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Tariq Hameed ◽  
Sudhir Kumar Jain ◽  
Faiz Manzar Ansari ◽  
Adiba Nizam ◽  
Amrita Dua
Keyword(s):  
Surgical Excision ◽  
Young Female ◽  
Immunocompetent Adult ◽  
Rare Presentation ◽  
Ulcer Disease ◽  
Pain Abdomen ◽  
Life Threatening ◽  
History Of ◽  
Intravenous Amphotericin ◽  
Immunocompetent Adults

Spontaneous gastric perforations are usually seen in patients with untreated peptic ulcer disease. Mucormycosis, an uncommon, opportunistic, life-threatening fungal infection, rarely causes gastric perforation in immunocompetent adults. Here, we present a case of young female who was admitted to hospital for acute pain abdomen and distension with 5 days history of fever. She was operated and was found to have multiple perforations in the stomach with transmural necrosis. Despite adequate surgical excision and intravenous amphotericin B, patient succumbed to sequelae of infection.

scholarly journals Rapunzel Syndrome: A Rare Presentation with Giant Gastric Ulcer

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Antonios Athanasiou ◽  
Adamantios Michalinos ◽  
Demetrios Moris ◽  
Eleftherios Spartalis ◽  
Nikolaos Dimitrokallis ◽  
...  
Keyword(s):  
Weight Loss ◽  
Gastric Ulcer ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Young Female ◽  
Rare Form ◽  
Rare Presentation ◽  
Rapunzel Syndrome ◽  
History Of ◽  
Small Intestines

The Rapunzel syndrome refers to an uncommon and rare form of trichobezoar that extends past the stomach into the small intestines. The Rapunzel syndrome is usually found in young female patients with a history of psychiatric disorders, mainly trichotillomania and trichophagia. We describe a case of Rapunzel syndrome in a 15-year-old girl who presented with abdominal pain, vomiting, and weight loss. We performed a surgical laparotomy and successfully removed a huge trichobezoar extending into the small intestine.

scholarly journals A rare presentation of disseminated invasive aspergillosis

2017 ◽  
Vol 5 (10) ◽  
pp. 4645
Author(s):  
Rituparna Banerjee ◽  
Smita Patil ◽  
Manish Pendse ◽  
Anannya Mukherji ◽  
Prashant Kashyap
Keyword(s):  
Invasive Aspergillosis ◽  
Female Patient ◽  
Young Female ◽  
Prior History ◽  
Rare Presentation ◽  
Systemic Steroids ◽  
Course Of Illness ◽  
History Of ◽  
High Index Of Suspicion ◽  
Variable Presentation

Here’s presenting a case of disseminated invasive aspergillosis in a young female patient with pulmonary and CNS complications and the difficulty one faces while diagnosing such a case due to variable presentation of symptoms with no prior history of any underlying immunodeficiency. It also focuses on how diagnosing such a case can be further delayed due to clinical and radiological miss-match. Thus, it is important to have a high index of suspicion in such patients as prolonged antibiotics and systemic steroids worsens the course of illness. 

scholarly journals Occult Neoplasm (Mucoepidermoid Carcinoma) in a Parotid Cyst

2012 ◽  
Vol 3 (1) ◽  
pp. 53-55 ◽  
Author(s):  
Prabodh Karnik ◽  
Anuja Santosh Kulkarni
Keyword(s):  
Parotid Gland ◽  
Head And Neck ◽  
Female Patient ◽  
Mucoepidermoid Carcinoma ◽  
Young Female ◽  
Clinical Entity ◽  
Unusual Presentation ◽  
Low Grade ◽  
Rare Presentation

ABSTRACT A parotid cyst is a well-documented clinical entity. Here we report a case of low-grade mucoepidermoid carcinoma as an occult neoplasm; a rare presentation of a parotid cyst in a 35-year-old female patient who presented with well-defined small cystic swelling of right parotid gland; cytologically consistent with a simple parotid gland cyst. The purpose of this article is to create awareness about existence of an occult neoplasm (low-grade mucoepidermoid carcinoma in this case) in a small simple parotid cyst in a young female an unusual presentation and management of parotid cyst. How to cite this article Kulkarni AS, Karnik P. Occult Neoplasm (mucoepidermoid carcinoma) in a Parotid Cyst. Int J Head and Neck Surg 2012;3(1):53-55.

scholarly journals Percutaneous Transhepatic Holmium Laser Lithotripsy for Giant Biliary Stones

2021 ◽  
Vol 11 ◽  
pp. 55
Author(s):  
Nguyen Thai Binh ◽  
Le Viet Dung ◽  
Thieu-Thi Tra My ◽  
Nguyen Minh Duc
Keyword(s):  
Case Report ◽  
Choledochal Cyst ◽  
Young Female ◽  
Laser Lithotripsy ◽  
Holmium Laser ◽  
History Of Surgery ◽  
Biliary Stones ◽  
Holmium Laser Lithotripsy ◽  
History Of ◽  
Residual Stones

This case report describes a young female patient with a history of surgery to treat choledochal cyst since childhood who was admitted to our hospital with cholangitis. An imaging examination revealed giant stones that almost completely filled the intrahepatic biliary tract. The patient underwent percutaneous transhepatic lithotripsy using a holmium laser. After the lithotripsy, cholangiography showed no residual stones. The patient displayed clinical improvement and was discharged after 14 days in the hospital. This case serves as a reminder of gallstone complications that can occur subsequent to choledochal cyst surgery with biliary-enteric anastomosis and emphasizes many outstanding advantages of percutaneous transhepatic lithotripsy compared with classical surgery.

Pneumomediastinum: A Rare Presentation of Inflicted Injuries in Infants

2020 ◽  
Author(s):  
Adam Lee ◽  
Adam Bajinting ◽  
Abby Lunneen ◽  
Colleen M. Fitzpatrick ◽  
Gustavo A. Villalona
Keyword(s):  
Literature Review ◽  
Retrospective Review ◽  
Review Of The Literature ◽  
Rare Presentation ◽  
Spontaneous Pneumomediastinum ◽  
Nonaccidental Trauma ◽  
Comprehensive Literature Review ◽  
Healthy Infants ◽  
History Of

AbstractReports of incidental pneumomediastinum in infants secondary to inflicted trauma are limited. A retrospective review of infants with pneumomediastinum and history of inflicted trauma was performed. A comprehensive literature review was performed. Three infants presented with pneumomediastinum associated with inflicted trauma. Mean age was 4.6 weeks. All patients underwent diagnostic studies, as well as a standardized evaluation for nonaccidental trauma. All patients with pneumomediastinum were resolved at follow-up. Review of the literature identified other cases with similar presentations with related oropharyngeal injuries. Spontaneous pneumomediastinum in previously healthy infants may be associated with inflicted injuries. Clinicians should be aware of the possibility of an oropharyngeal perforation related to this presentation.

Refractory Ascites as the Only Presenting Symptom of Chronic Calcified Constrictive Pericarditis: A Diagnostic Challenge

2014 ◽  
Vol 17 (1) ◽  
pp. 42
Author(s):  
Shi-Min Yuan
Keyword(s):  
Computed Tomography ◽  
Liver Cirrhosis ◽  
Female Patient ◽  
Constrictive Pericarditis ◽  
Delayed Diagnosis ◽  
Young Female ◽  
Refractory Ascites ◽  
Diagnostic Challenge ◽  
Massive Ascites ◽  
History Of

Extracardiac manifestations of constrictive pericarditis, such as massive ascites and liver cirrhosis, often cover the true situation and lead to a delayed diagnosis. A young female patient was referred to this hospital due to a 4-year history of refractory ascites as the only presenting symptom. A diagnosis of chronic calcified constrictive pericarditis was eventually established based on echocardiography, ultrasonography, and computed tomography. Cardiac catheterization was not performed. Pericardiectomy led to relief of her ascites. Refractory ascites warrants thorough investigation for constrictive pericarditis.

Safety of a Clozapine Trial Following Quetiapine-Induced Leukopenia: A Case Report

2019 ◽  
Vol 14 (1) ◽  
pp. 80-83 ◽  
Author(s):  
Asma H. Almaghrebi
Keyword(s):  
Treatment Options ◽  
Young Female ◽  
Similar Reaction ◽  
Careful Monitoring ◽  
Treatment Resistant ◽  
Blood Cell Count ◽  
Antipsychotic Medications ◽  
Case Presentation ◽  
Clozapine Treatment ◽  
History Of

Background: The clozapine-derivative quetiapine has been shown in some cases to cause leukopenia and neutropenia. Case Presentation: We reported on a case of a young female diagnosed with treatment-resistant schizophrenia. After failed trials of three antipsychotic medications and despite a history of quetiapineinduced leukopenia, clozapine treatment was introduced due to the severity of the patient’s symptoms, the limited effective treatment options, and a lack of guidelines on this issue. Result: Over a ten-week period of clozapine treatment at 700 mg per day, the patient developed agranulocytosis. Her white blood cell count sharply dropped to 1.6 &#215; 10<sup>9</sup> L, and her neutrophils decreased to 0.1 &#215; 10<sup>9</sup> L. There had been no similar reaction to her previous medications (carbamazepine, risperidone, and haloperidol). Conclusion: The safety of clozapine in a patient who has previously experienced leukopenia and neutropenia with quetiapine requires further investigation. Increased attention should be paid to such cases. Careful monitoring and slow titration are advisable.

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