scholarly journals Gossypiboma Posing as a Diagnostic Dilemma: A Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
K. N. Srivastava ◽  
Amit Agarwal
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Iliac Fossa ◽  
Exploratory Laparotomy ◽  
Mesenteric Cyst ◽  
Review Of The Literature ◽  
Diagnostic Dilemma ◽  
Surgical Sponge ◽  
History Of ◽  
The Right

The term gossypiboma is used to describe a retained surgical sponge after operation. It is a rare but serious complication which is seldom reported because of the medicolegal implications. Gossypiboma usually has varied and vague presentation and is also difficult to detect on radiological investigations. It can even remain silent and present years after the operation. We report a case of a 38-year-old lady who presented with vague pain and chronic lump in the right iliac fossa region. She had a history of cesarean section 4 years ago. Radiological investigations were inconclusive in detecting the retained sponge. A working diagnosis of mesenteric cyst was made and an exploratory laparotomy was done where she was found to have a large gossypiboma densely adhered to the small bowel and surrounding structures. Though rare, gossypiboma should be kept in mind as a differential diagnosis in postoperative cases presenting as vague pain or chronic lump even years after the operation.

scholarly journals Resection of a colonic mass following trauma: a diagnostic dilemma

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Paul Burchard ◽  
Alan A Thomay
Keyword(s):  
Ct Scan ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Symptomatic Improvement ◽  
Diagnostic Dilemma ◽  
Vehicle Accident ◽  
Abdomen Ct ◽  
History Of ◽  
Mitotic Figures ◽  
The Right

Abstract A 53-year-old Caucasian male presented with a 2-week history of abdominal distension, pain, nausea and lethargy. His symptoms began 1 day after an all-terrain vehicle accident during which he suffered blunt-force trauma to his mid-right abdomen. CT scan demonstrated abnormal thickening of the ascending colon and terminal ilium with surrounding inflammation within the retroperitoneum and colonic mesentery. Given his likely mechanism and symptomatic improvement, he was initially managed conservatively. However, he was readmitted with recurrence of symptoms, and a repeat CT scan demonstrated no interval improvement. An exploratory laparotomy was performed and a firm, fixed mass of the right-colon and colonic mesentery was found. Final histopathology of the mass revealed a diffuse lymphoid infiltrate with numerous mitotic figures and apoptotic cells. Immunohistochemical staining was positive for CD45, CD20, CD10, and BCL-6 and negative for CD3, TdT, and BCL-2, indicating a diagnosis of Burkitt lymphoma.

Sublingual dermoid cysts: case report and review of the literature

2015 ◽  
Vol 129 (10) ◽  
pp. 1036-1039 ◽  
Author(s):  
E Kyriakidou ◽  
T Howe ◽  
B Veale ◽  
S Atkins
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Techniques ◽  
Surgical Excision ◽  
Cystic Lesions ◽  
Review Of The Literature ◽  
Mylohyoid Muscle ◽  
Floor Of The Mouth ◽  
Intraoral Approach ◽  
History Of

AbstractBackground:Dermoid cysts in the floor of the mouth are relatively uncommon developmental lesions. They are thought to arise in the midline and along the lines of embryonic fusion of the facial processes containing ectodermal tissue.Case report:A 17-year-old female presented with a 3-month history of a growing, progressive swelling in the mouth floor. Clinical examination revealed a rather large symmetrical, soft swelling in the mouth floor, displacing the tongue superiorly. The fast growing nature and size of the lesion raised suspicion of potential compromise to the airway. Surgical excision was therefore performed.Conclusion:Differential diagnosis of cystic lesions in the floor of the mouth is of paramount importance, as the recommended surgical techniques vary depending on the anatomical position of the lesions. The intraoral approach is preferred for those lesions that do not extend beyond the mylohyoid muscle boundaries; this leads to a satisfactory cosmetic and functional outcome.

scholarly journals A féregnyúlvány diverticulosisa, diverticulitise. Esetismertetés és irodalmi áttekintés

2018 ◽  
Vol 159 (19) ◽  
pp. 768-772
Author(s):  
Tamás Vass ◽  
Attila Zaránd ◽  
Dániel Horányi ◽  
László Harsányi
Keyword(s):  
Acute Appendicitis ◽  
Preoperative Diagnosis ◽  
Histopathological Examination ◽  
Iliac Fossa ◽  
Abdominal Ultrasound ◽  
Vermiform Appendix ◽  
Review Of The Literature ◽  
Rebound Tenderness ◽  
History Of ◽  
The Right

Abstract: Diverticulitis of the vermiform appendix is a rare disease with clinical features often similar to conventional acute appendicitis. The importance of appendiceal diverticulosis is the fact that it can lead to an early and a higher incidence of perforation and therefore a higher mortality rate, in contrast to acute appendicitis alone. In this study we present the clinicopathology, diagnosis and therapy of the disease with a review of the literature. A 65-year-old woman presented to the emergency department with a 48-hour history of intermittent pain in the right iliac fossa. Abdominal ultrasound raised the possibility of acute appendicitis but because of the relative asymptomatic state of the patient, the lack of fever and rebound tenderness we started observation. After 2 days with episodic abdominal pain, the patient was taken to the operating theatre for laparoscopic exploration. Intraoperatively, multiple diverticula were noted on the appendix and appendectomy was performed. Histopathological examination revealed diverticulosis and inflammation of the appendiceal wall. Due to the possible complications, the difficult preoperative diagnosis and its frequent association with appendiceal neoplasm, appendiceal diverticulosis requires special attention. For asymptomatic cases, incidentally diagnosed intraoperatively or discovered by radiology prophylactic appendectomy is recommended. Orv Hetil. 2018; 159(19): 768–772.

scholarly journals A Rare Case of Pseudotumoral Ureteric Tuberculosis Causing Forniceal Rupture

2021 ◽  
Vol 15 (7) ◽  
pp. 1449-1449
Author(s):  
M. Hajri ◽  
W. Ferjaoui ◽  
S. Baccouche ◽  
L. Gharbi ◽  
H. Mestiri ◽  
...  
Keyword(s):  
Iliac Fossa ◽  
Exploratory Laparotomy ◽  
Retroperitoneal Mass ◽  
Reactive Protein ◽  
Inflammatory Phase ◽  
History Of ◽  
Abdominal Examination ◽  
The Right ◽  
Protein Cell ◽  
Segmental Ureterectomy

A 55-year-old woman, with no medical history, presented with acute right flank pain. She had no history of other urinary complaints. On physical examination, the patient was tachycardic (pulse rate: 100bpm) and tachypneic (respiratory rate: 24 breaths/min), blood pressure was11/6 and temperature was 37.4°. The abdominal examination showed severe tenderness in the right flank and the right iliac fossa. All blood reports were normal, including C-reactive protein, cell blood count and serum creatinine. Computed Tomography of the abdomen revealed a right hydronephrosis with delayed phase contrast leak and a retroperitoneal mass of 48x36mm of unknown nature, enhanced after contrast injection, which seemed to compress the right ureter causing the forniceal rupture. A double J ureteral stent was insterted into the right renal cavities with favorable evolution and immediate resolution of pain. Surgical management of the mass was scheduled one month later after the inflammatory phase and resorption of the urinoma. The patient underwent an exploratory laparotomy. Intraoperatively, a tissular retroperitoneal mass of 4 cm was discovered which invadedthe right proximal ureter as well asthe duodenum and the ileocecal pedicle (Figure 1). Resection of the tumor was performed as well as a segmental ureterectomy, right colectomy, and resection of a small portion of the duodenum. Both ureteric and colic anastomosis were then performed along with duodenal suture. The post operative course was uneventful.

Gossypiboma - A Diagnostic Dilemma

2021 ◽  
Vol 11 (5) ◽  
pp. 329-332
Author(s):  
Faaizah Shaikh ◽  
Sujoy Mani ◽  
Abhay Gursale
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Exploratory Laparotomy ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Surgical Sponge ◽  
Retained Foreign Body ◽  
History Of ◽  
Gastric Mass ◽  
Vague Abdominal Pain

A surgical sponge is the most common type of retained foreign body (RFB) also known as a gossypiboma (gossypium = cotton, boma = concealment). It is mostly asymptomatic but can lead to a host of symptoms in the patient ranging from pain in the abdomen to anorexia and weight loss. It poses a diagnostic challenge not just for the surgeon but also the radiologist as it can mimic an intraabdominal mass. Here we present a case of a 58 yrs old male who presented with dysphagia and abdominal pain on and off who was radiologically diagnosed as a case of gastric mass and subsequently underwent exploratory laparotomy where it was proven to be a gossypiboma. The case attempts to highlight the importance of keeping gossypiboma as a differential diagnosis for patients with vague abdominal pain and history of a surgery in the past. Key words: gossypiboma, sponge, abdominal pain, computed tomography, foreign body.

scholarly journals Metastasis of Malignant Melanoma to Urinary Bladder: A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Rashna Meunier ◽  
Gyan Pareek ◽  
Ali Amin
Keyword(s):  
Differential Diagnosis ◽  
Malignant Melanoma ◽  
Urinary Bladder ◽  
Clinical History ◽  
Metastatic Malignant Melanoma ◽  
Review Of The Literature ◽  
Bladder Mucosa ◽  
Immunohistochemical Examination ◽  
History Of ◽  
The Right

Aims. Metastatic malignant melanoma of the urinary bladder is a rare clinical entity, with only twenty-three published cases to date. We present a case of this rare entity, a thorough review of the literature, and differential diagnosis of melanoma in the bladder.Methods and Results. A 55-year-old woman with a history of malignant melanoma of the right thigh, excised eight years ago, presented with back pain, fatigue, and hematuria. She underwent computed tomography (CT) scan and was found to have metastases within the liver, spleen, lungs, and urinary bladder. She underwent cystoscopy and transurethral resection of three polypoid lesions. Histologic and immunohistochemical examination revealed metastatic malignant melanoma involving bladder mucosa.Conclusions. This case illustrates the importance of including malignant melanoma in the differential diagnosis of high grade neoplasms of bladder, especially in cases where the relevant clinical history is not available.

scholarly journals Osteoid Osteoma of the Great Toe Mimicking Osteomyelitis: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Ismail Turkmen ◽  
Bugra Alpan ◽  
Salih Soylemez ◽  
Feyza Unlu Ozkan ◽  
Koray Unay ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Osteoid Osteoma ◽  
Severe Pain ◽  
Young Male ◽  
Benign Tumors ◽  
Long Bones ◽  
Review Of The Literature ◽  
Great Toe ◽  
Diagnostic Dilemma

Osteoid osteomas are well-known benign tumors, seen generally in long bones. When seen in phalanxes or toes, they can cause a diagnostic dilemma. A young male presented to us with complaints of enlargement of the great toe and severe pain. He had had an ingrown toe-nail operation before, and this situation caused a diagnostic dilemma. In this case report, we emphasize that osteoid osteomas can cause diagnostic dilemmas and it should be kept in mind as a differential diagnosis.

Vulvar Sarcoidosis: Case Report and Review of the Literature

2013 ◽  
Vol 17 (4) ◽  
pp. 287-290 ◽  
Author(s):  
Caridad Vera ◽  
Deana Funaro ◽  
Danielle Bouffard
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Foreign Body Reaction ◽  
Unknown Etiology ◽  
Review Of The Literature ◽  
Perianal Region ◽  
Multiple Organs ◽  
Granulomatous Lesions ◽  
History Of ◽  
Hilar Adenopathy

Background: Sarcoidosis is a multisystemic disorder of unknown etiology that can affect multiple organs, including the lungs, skin, and eyes. Vulvar sarcoidosis has anecdotally been reported. Objective: The aim of this article is to describe a case of vulvar sarcoidosis and review the few cases that have been reported. Methods: We report the case of a 39-year-old woman who presented to the dermatologist with a 2-year history of vulvar pruritus. Results: Examination revealed infiltrated plaques on the vulva and perianal region. The biopsy demonstrated well-defined, nonnecrotizing granulomas in the dermis. Further investigation revealed hilar adenopathy consistent with sarcoidosis. The patient responded well to topical corticosteroids. Conclusion: In the presence of granulomatous lesions of the genital region, infectious causes, foreign body reaction, Crohn disease, and sarcoidosis should be part of the differential diagnosis.

scholarly journals Concomitant Anterior Shoulder Dislocation and Ipsilateral Humeral Pallet Fracture in the Athlete: Case Report and Review of the Literature

2020 ◽  
Vol 3 (2) ◽  
pp. 74-78
Author(s):  
Naoufal Elghoul ◽  
Ismail Elantri ◽  
Amine Elghazoui ◽  
Mohammed Benchakroun ◽  
Abdeloihab Jaafar
Keyword(s):  
Case Report ◽  
Shoulder Dislocation ◽  
Humeral Fracture ◽  
Anterior Shoulder Dislocation ◽  
Review Of The Literature ◽  
Best Management ◽  
Good Outcome ◽  
History Of ◽  
Surgery First ◽  
The Right

To the best of our knowledge, the case presented here is among the rare cases of simultaneous shoulder dislocation and ipsilateral pallet humeral fracture, and we discuss its mechanism and best management. We report a case of a 26-year-old male patient with a history of dislocation of the right shoulder 2 months prior to trauma, managed conservatively with a good outcome. The patient fell from a height of 2 m, which caused concomitant shoulder dislocation and ipsilateral humeral fracture, prompting him to undergo surgery. First, the shoulder dislocation was reduced, and second, a V-shaped olecranon osteotomy was performed. The fracture was then fixed using two compressing plates followed by adequate rehabilitation, which led to a good outcome. This rare combination, if it occurs, requires urgent management to save the functional prognosis of the limb.

scholarly journals Cherubism - Clinical case report and narrative review

2021 ◽  
Vol 10 (2) ◽  
pp. 22510212085
Author(s):  
Leonardo Alan Delanora ◽  
Ana Maira Pereira Baggio ◽  
Nathália Januario de Araujo ◽  
Idelmo Rangel Garcia-Junior ◽  
Sabrina Ferreira
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Family History ◽  
Bone Disease ◽  
Clinical Characteristics ◽  
Clinical Case ◽  
Giant Cells ◽  
Brown Tumor ◽  
Review Of The Literature ◽  
History Of

Cherubism is described as a rare and benign hereditary bone disease, characterized by a bilateral volumetric increase in the maxillary bones, with a greater predilection for males in childhood. Clinically, it presents as a volumetric enlargement of the mandible and, maxilla, which is generally painless, firm on palpation and varies in relation to size and extension. Its differential diagnosis is the Brown Tumor of Hyperparathyroidism and the Central Lesion of Giant Cells. The diagnosis is based on the assessment of clinical characteristics together with complementary exams. The objective of this study was to carry out a brief review of the literature and report a clinical case of this pathology in a 9-year-old child with a family history of cherubism, assessed through imaging, histopathological and karyotype exams, which continues to be assisted by the oral and maxilofacial surgery team of the Faculdade de Odontologia de Araçatuba - FOA Unesp since the treatment of the cherubism still does not have a definitive protocol.

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