scholarly journals Unexpected Anal Squamous Cells Carcinoma after Open Hemorrhoidectomy

2015 ◽  
Vol 2015 ◽  
pp. 1-2
Author(s):  
Navarra Luca ◽  
Abruzzese Valentina ◽  
Sista Federico ◽  
Pietroletti Renato
Keyword(s):  
Case Report ◽  
Present Case Report ◽  
Squamous Cells ◽  
Open Hemorrhoidectomy ◽  
Histopathologic Evaluation ◽  
History Of ◽  
Prolapsing Hemorrhoids ◽  
Histopathologic Analysis ◽  
Gross Examination

We report a case of unexpected anal squamous cells carcinoma found in hemorrhoidectomy specimen. The patient had a 3-year history of prolapsing hemorrhoids. A prolapsing hemorrhoid was present at eleven o’clock in lithotomy. Milligan-Morgan was performed and gross examination of the specimen was unremarkable. Histopathologic evaluation showed noninvasive squamous cells carcinoma. The present case report evidences the opportunity of routine histopathologic analysis of hemorrhoidal specimens particularly in case of long-standing prolapse. Questions arise in the option of those techniques where no specimens are collected or tissue is excised far from deceased area.

scholarly journals Spontaneous Parasitic Leiomyoma: A Rare Clinical Experience

2013 ◽  
Vol 5 (2) ◽  
pp. 85-86 ◽  
Author(s):  
Debasmita Mandal ◽  
Chaitalli Dattaray ◽  
Sanchita Roy
Keyword(s):  
Case Report ◽  
Clinical Experience ◽  
South Asian ◽  
Clinical Parameters ◽  
Present Case Report ◽  
Laparoscopic Procedures ◽  
Large Size ◽  
Uterine Tumors ◽  
History Of ◽  
Reproductive Aged Women

ABSTRACT Although leiomyoma is one of the commonest uterine tumors prevalent among reproductive aged women, certain types like parasitic fibroid are rare and among these the primary variety rarer. The present case report is of a primary parasitic fibroid of large size neither connected with uterus and adnexae nor having any history of previous laparoscopic procedures. Aim of our reporting is to acknowledge the rarity, clinical parameters and management. How to cite this article Mandal D, Dattaray C, Roy S. Spontaneous Parasitic Leiomyoma: A Rare Clinical Experience. J South Asian Feder Obst Gynae 2013;5(2):85-86.

Perioperative dilemma: Challenges of the management of a patient on mega doses of morphine and methadone

2014 ◽  
Vol 10 (1) ◽  
pp. 69 ◽  
Author(s):  
Alan David Kaye, MD, PhD, DABA, DABPM, DABIPP ◽  
Aymen A. Alian, MD ◽  
Nalini Vadivelu, MD ◽  
Keun Sam Chung, MD
Keyword(s):  
Back Pain ◽  
Case Report ◽  
High Dose ◽  
Successful Management ◽  
Present Case Report ◽  
Opioid Induced Hyperalgesia ◽  
History Of ◽  
High Doses

High doses of opioids are often needed in the management of cancer-related pain. A discussion of a patient’s perioperative opioid management and mechanisms contributing to opioid-induced hyperalgesia (OIH) are presented. In the present case report, a patient on high doses of opioids, including morphine and methadone, with severe worsening back pain and a history of increasing opioid requirements for the last 2 months due to metastatic leiomyosarcoma to the femur, spine, and neck is described. Use of high dose opioids is associated with numerous challenges, including tolerance. The successful management of this patient was multimodal and included the use of potent analgesics, N-methyl-D-aspartatereceptor antagonists, and the α-2 agonist clonidine.

scholarly journals Diagnostic Dilemma of Sarcoidosis: A Case Report Masquerading as Tuberculosis

2017 ◽  
Vol 28 (1) ◽  
pp. 50-52
Author(s):  
Shaymal Sarkar ◽  
Md Daharul Islam ◽  
Marwa Kashem Muna ◽  
SM Tajdit Rahman ◽  
Md Azizul Hoque ◽  
...  
Keyword(s):  
Case Report ◽  
Joint Pain ◽  
Unknown Etiology ◽  
Activated Macrophages ◽  
Multisystem Disorder ◽  
Diagnostic Dilemma ◽  
Present Case Report ◽  
History Of ◽  
Anti Tubercular Therapy ◽  
Normal Architecture

Sarcoidosis is a chronic multisystem disorder of unknown etiology characterized by formation of granulomata within affected organs and consequent distortion of their normal architecture. Typically, these are non-caseating epithelioid granulomata involving organized collections of activated macrophages and T lymphocytes. In countries where tuberculosis is endemic, sarcoidosis is often misdiagnosed and mistreated as tuberculosis. We present case report of a 47-year-old female who presented with 2 years history of recurrent, multiple nodules with occasional joint pain & fever and had received anti-tubercular therapy without any improvement. A diagnosis of sarcoidosis is made finally and she was managed accordingly.Bangladesh J Medicine Jan 2017; 28(1) : 50-52

scholarly journals Tuberculoid Granuloma in the Brainstem: Case Report

2016 ◽  
Vol 38 (01) ◽  
pp. 064-067
Author(s):  
Tobias Ludwig ◽  
Luiz Rogerio ◽  
Marcelo Reis ◽  
Leandro de Almeida ◽  
Gabriel Frizzon ◽  
...  
Keyword(s):  
Case Report ◽  
Resonance Imaging ◽  
Total Resection ◽  
Present Case Report ◽  
Immunosuppressed Patients ◽  
The Central Nervous System ◽  
Cerebral Parenchyma ◽  
Magnetic Resonance Imaging Mri ◽  
Histopathologic Analysis ◽  
The Brain

AbstractMeningitis or meningoencephalitis are the most common presentations of Koch bacilli infection on the central nervous system (CNS), especially in immunosuppressed patients, in whom the bacilli normally reaches the meninges and the cerebral parenchyma.. A least common pathological presentation is the tumoral growth pattern disease known as tuberculoma. This pathological entity is more common in the cerebral hemispheres and is rarely located in the brainstem. The present case report describes a case of a 55-year-old patient under regular antiretroviral therapy who was hospitalized with signs of brainstem and cerebellar disturbances. Computed tomography (CT) and magnetic resonance imaging (MRI) of the brain showed an exophytic lesion in the dorsal region of the pons. The patient underwent total resection of the lesion and the histopathologic analysis was consistent with a tuberculoma.

Intraneural Nodular Fasciitis of the Dorsal Scapular Nerve: Case Report and Review of the Literature

2021 ◽  
Author(s):  
Ivan Domazet ◽  
Niko Njiric ◽  
Antonia Jakovcevic ◽  
Andrija Bitunjac ◽  
Krešimir Domazet ◽  
...  
Keyword(s):  
Case Report ◽  
Subcutaneous Tissue ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Left Shoulder ◽  
Nodular Fasciitis ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Histopathologic Analysis ◽  
Rare Diagnosis

Abstract Background Nodular fasciitis is a benign neoplasm occurring predominantly in the subcutaneous tissue. There have been nine intraneural occurrences described in the literature. Case report A 37-year-old woman presented with numbness and tenderness in her left shoulder and scapula and a slightly dropped left shoulder, without history of trauma. A magnetic resonance imaging (MRI) of the cervical spine showed a well-circumscribed oval mass deep to the levator scapula muscle. Due to persisting symptoms and an unknown nature of the process, surgical excision was performed, and histopathologic analysis confirmed diagnosis of a benign fibroblastic/myofibroblastic neoplasm, nodular fasciitis. The postoperative course was uneventful and the patient was without symptoms at 4 months of follow-up. Methods We reviewed the available literature (PubMed, Google Scholar), with nine published cases of intraneural nodular fasciitis. The reported clinical, radiologic, and histopathologic parameters were evaluated and compared. Discussion Most of the cases reported in the literature were symptomatic, with tenderness and palpability being the main symptoms. Six of the reported cases occurred in the forearm, whereas three were in the leg. To the best of our knowledge, ours is the first reported case of nodular fasciitis occurring in the trunk. Ours is the only case to display desmin positivity, which supports the reactive hypothesis of nodular fasciitis. Conclusion Intraneural nodular fasciitis is an extremely rare diagnosis. Due to its benign natural course, a multidisciplinary approach with this extremely rare diagnosis in mind is needed to avoid overtreatment.

scholarly journals Recurrent Gallstone Ileus in an Elderly Patient With Significant Co-Morbidity

2012 ◽  
Vol 12 (1) ◽  
pp. 78-80
Author(s):  
Andrejs Vanags ◽  
Mara Sneidere ◽  
Ilze Strumfa ◽  
Zane Simtniece ◽  
Maris Pavars ◽  
...  
Keyword(s):  
Elderly Patient ◽  
Case Report ◽  
Gallstone Ileus ◽  
Differential Diagnostics ◽  
Joint Prosthesis ◽  
Present Case Report ◽  
Co Morbidity ◽  
History Of ◽  
Mechanical Bowel Obstruction ◽  
Previously Treated

SummaryGallstone ileus accounts for 1-4% of mechanical bowel obstruction. As the patients are elderly, significant co-morbidity is frequent, therefore early diagnosis and timely surgical treatment is mandatory to prevent patient’s death. The aim of the present case report is to heighten the awareness of surgeons to the occurrence and differential diagnostics of gallstone ileus. Here we describe recurrent intestinal obstruction in an elderly lady with previously treated peritonitis as well as history of hip joint prosthesis and mitral valve replacement.

scholarly journals Umbilical Hernia in Cross Holstein Friesian Calf and its Surgical Management: A Case Report

2020 ◽  
Vol 5 (2) ◽  
pp. 39-42
Author(s):  
Haben Fesseha ◽  
Keyword(s):  
Case Report ◽  
Umbilical Hernia ◽  
Polyglycolic Acid ◽  
Successful Management ◽  
Mattress Suture ◽  
Present Case Report ◽  
Holstein Friesian ◽  
Mekelle University ◽  
Post Operation ◽  
History Of

A three-months-old Holstein Friesian crossbred calf weighing 56 kg was presented to Veterinary Teaching Hospital, Mekelle University, Ethiopia with a history of swelling at the umbilical region from birth since last few months. Clinical examination revealed umbilical hernia with a hernial ring of 3 fingers breadth. The case was handled surgically by means of herniorrhaphy using overlapping mattress suture techniques and synthetic absorbable polyglycolic acid. The calf has unevenly recovered on the 20th-day post-operation. The present case report discusses the successful management of umbilical hernia in the calf.

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

An unusual presentation of epigastric pain due to thrombophlebitis of a recanalised umbilical vein – case report

2019 ◽  
Vol 98 (8) ◽  
pp. 326-327 ◽  
Keyword(s):  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Portal Hypertension ◽  
Liver Disease ◽  
Epigastric Pain ◽  
Umbilical Vein ◽  
History Of ◽  
Clinically Significant ◽  
Inflammatory Changes

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.

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