scholarly journals Benign Metastasizing Leiomyoma of the Uterus with Pulmonary and Bone Metastases

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Parikshit Padhi ◽  
Margarita Topalovski
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rare Condition ◽  
Middle Aged ◽  
Benign Metastasizing Leiomyoma ◽  
Spindle Cell Neoplasm ◽  
Aged Woman ◽  
History Of ◽  
Metastasizing Leiomyoma ◽  
Leiomyoma Of The Uterus

Benign metastasizing leiomyoma (BML) is a rare spindle cell neoplasm seen in middle-aged women who have a history of leiomyoma of the uterus. The most common sites of metastases are the lungs; however, other sites of spread have been documented. These tumors by definition have no malignant features on histology and tend to be estrogen and progesterone positive. We present a middle-aged woman who was incidentally found to have multiple pulmonary nodules and a mass on her sternum after she was involved in a motor vehicle accident. She had a history of uterine leiomyoma and had undergone a hysterectomy ten years prior to the accident. Biopsies were performed of the lung nodules and sternum mass and compared to her hysterectomy specimen, and they were identical, and hence, she was diagnosed with BML. Due to the growing tumor of her sternum, she was started on tamoxifen with stability of her tumors. These tumors, since they are benign, tend to have an indolent course. However, in the instances that treatment is warranted, options include surgery or antiestrogen therapy. We will be discussing the pathogenesis, histological findings, and treatment options of this rare condition. Our case is unique because BML in general do not tend to spread to multiple organs and tend to be limited to one site of disease.

scholarly journals Benign Metastasizing Leiomyoma of the Uterus: Rare Manifestation of a Frequent Pathology

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Maria Inês Raposo ◽  
Catarina Meireles ◽  
Mariana Cardoso ◽  
Mariana Ormonde ◽  
Cristina Ramalho ◽  
...  
Keyword(s):  
Uterine Leiomyoma ◽  
Rare Condition ◽  
Gynecological Surgery ◽  
Benign Metastasizing Leiomyoma ◽  
Radiological Features ◽  
Genetic Patterns ◽  
Rare Manifestation ◽  
Metastasizing Leiomyoma ◽  
Work Up ◽  
Leiomyoma Of The Uterus

Benign Metastasizing Leiomyoma (BML) is a rare condition with few cases reported in the literature. It is usually incidentally diagnosed several years after a primary gynecological surgery for uterine leiomyoma. Differential diagnosis of BML is complex requiring an extensive work-up and exclusion of malignancy. Here, we report two cases of BML based on similarity of histopathological, immunohistochemical, and genetic patterns between lung nodules and uterine leiomyoma previously resected, evidencing the variability of clinical and radiological features of BML. We highlight the importance of 19q and 22q deletions as highly suggestive of BML. These findings are particularly relevant when there is no uterine sample for review.

scholarly journals Incidental Benign Metastasizing Leiomyoma in a Patient with Bone Sarcoma: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Zanndor Jacob del Real-Romo ◽  
Carlos Montero-Cantú ◽  
Oscar Villegas-Cabello ◽  
José Antonio Díaz-Elizondo ◽  
Danae Reyes-Salas ◽  
...  
Keyword(s):  
Ct Scan ◽  
Pulmonary Nodules ◽  
Rare Condition ◽  
Bone Sarcoma ◽  
Conservative Surgery ◽  
Left Knee ◽  
Pathology Report ◽  
Benign Metastasizing Leiomyoma ◽  
History Of ◽  
Metastasizing Leiomyoma

Background. The benign metastasizing leiomyoma is an exceptionally rare entity; it presents with ectopic leiomyoma nodules with a benign pattern. Symptoms vary according to the anatomic location. The diagnosis is histopathological, usually in patients with history of hysterectomy.Case Presentation. A 36-year-old female with 2-month history of left knee pain was diagnosed with bone fibrosarcoma. A CT scan showed pulmonary nodules. The patient started neoadjuvant chemotherapy. Conservative surgery of pelvic limb was achieved. A new CT scan reported pulmonary nodules that remained in relation to the previous CT. A nodule resection by thoracotomy and TOB (transoperative biopsy) was performed. The final pathology report described benign proliferative lesions consistent with benign metastatic leiomyoma.Conclusions. Benign metastatic leiomyoma is a rare condition presenting with uterine and extrauterine nodules most commonly in the lung. The diagnosis is histopathological. The surgical procedure must be reserved for selected patients.

scholarly journals OV17 LAPAROSCOPIC REPAIR OF A DIAPHRAGMATIC EVENTRATION

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Carmen Maillo ◽  
Raquel Camacho Abreu ◽  
Genoveva Piçarra ◽  
Maria de Jesús Oliveira ◽  
Nuno Figueiredo
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rare Condition ◽  
Functional Results ◽  
Normal Activity ◽  
Left Lobe ◽  
Diaphragmatic Eventration ◽  
Left Diaphragm ◽  
History Of ◽  
Accident Surgery

Abstract Aim Diaphragmatic eventration (DE) is a rare condition affecting 0,05% of general population. DE is the abnormal elevation of a portion of a entire hemidiaphragm due to a lack of muscle or nerve function. It can be congenital or acquired. The most common cause of DE is cardiac surgery. It can be asymptomatic or present mild symptoms as dispnea, palpitations, pneumonia. Material and Methods 61 years old male with medical history of arterial hypertension, DMII, Hyperlipidemia. He had a motor vehicle accident with 6 to 9 left ribs fractures. One month later complained of dyspnea with shortness of air to normal activity. Rx: elevation of left diaphragm. CT scan: elevation of left diaphragm without rupture, passive atelectasis of inferior left lobe of the lung. He initiated respiratory physiotherapy without improvement of the symptoms. 4 months after the accident, we had a stroke with right hemiparesis. This situation produced worsening of the dyspnea. Physiotherapy was reinforced with recuperation of the hemiparesis, but poor improvement of the dyspnea. 10 months after the accident, surgery was indicated for plication of the diaphragm to improve the respiratory function. Results The video shows the radiological exams and the surgery performed. Laparoscopic diaphragmatic plication with a reinforcement with a coated mesh (Uncoated monofilament polypropylene mesh on the anterior side with an absorbable hydrogel barrier). He was discharge 2 days after surgery. The patient improved significantly in his respiratory symptoms an imaging exams. Conclusions Posttraumatic DE must be treated surgically with low morbidity and good functional results.

scholarly journals A Rare Case of Spontaneous Bilateral Subcapsular Renal Hematoma

2020 ◽  
Vol 8 ◽  
pp. 232470962091809
Author(s):  
Tushar Bajaj ◽  
Ngon Trang ◽  
Faisal Nasrawi ◽  
Sabitha Eppanapally
Keyword(s):  
Diabetic Ketoacidosis ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Disease Stage ◽  
Close Monitoring ◽  
Invasive Approach ◽  
Subcapsular Hematoma ◽  
Vehicle Accident ◽  
History Of

Spontaneous bilateral renal subcapsular hematoma is a rare condition. On literature review, only 2 case reports have elucidated possible etiologies for such a presentation; however, no definite conclusions have been made. We present a rare case of a 52-year-old female with diabetes mellitus type 2, chronic kidney disease stage 4, hypertension, hyperlipidemia, prior traumatic brain injury via motor vehicle accident, who presented to our hospital with diabetic ketoacidosis and clinical signs of pyelonephritis; subsequently, imaging demonstrated spontaneous bilateral renal subcapsular hematoma. Risk factors for the rare presentation in this patient included pyelonephritis, history of bilateral ureteral stent placement, and a remote history of a mild unilateral renal laceration secondary to a motor vehicle accident. Typically, patients with this condition achieve spontaneous resolution with conservative management. Our patient initially presented with diabetic ketoacidosis and pyelonephritis but gradually developed retroperitoneal bleeding and hemorrhagic shock. Our patient’s critical condition required close monitoring in an intensive care unit and a more invasive approach including unilateral left renal artery embolization followed by a unilateral left nephrectomy. The patient ultimately recovered and continued to be followed outpatient without any serious long-term complications.

scholarly journals Traumatic gastric rupture following blunt abdominal trauma: a case report about an atypical modality of presentation

2017 ◽  
Vol 13 (1) ◽  
Author(s):  
Dario Giambelluca ◽  
Dario Picone ◽  
Natalino Carmelo Pennisi ◽  
Bruno Luciani ◽  
Giuseppe Lo Re ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rare Presentation ◽  
Operative Morbidity ◽  
Mortality And Morbidity ◽  
Vehicle Accident ◽  
Gastric Rupture ◽  
History Of

Gastric rupture following blunt abdominal trauma is a rare presentation with a reported incidence of 0.02-1.7% in current literature. Traumatic gastric rupture is usually associated with other visceral injuries, such as splenic lesions and fractures. Prompt diagnosis and early intervention reduce mortality and morbidity. History of a recent meal has been implicated in traumatic gastric rupture. 2 We report a case of blunt abdominal trauma with an isolated gastric rupture after a motor vehicle accident, managed successfully without any post-operative morbidity and mortality.

scholarly journals Primary Hepatic Leiomyoma in a Healthy Middle-Aged Woman: Literature Review and Case Report

2021 ◽  
Vol 8 ◽  
Author(s):  
Mihajlo Djokic ◽  
Benjamin Hadzialjevic ◽  
Bostjan Luzar ◽  
Blaz Trotovsek
Keyword(s):  
Surgical Resection ◽  
Preoperative Diagnosis ◽  
Liver Tumors ◽  
Good Condition ◽  
Middle Aged ◽  
Aged Woman ◽  
Immunosuppressed Patients ◽  
Middle Aged Woman ◽  
History Of ◽  
Trucut Biopsy

Introduction: Primary hepatic leiomyoma (PHL) is a rare benign hepatic tumor with unclear pathogenesis. It more commonly occurs in immunosuppressed patients, while only 24 cases have been described among immunocompetent individuals. To date, only one successful preoperative diagnosis of PHL has been achieved.Case Presentation: Here we report a case of PHL in a middle-aged woman with no history of immunosuppression. Preoperative diagnosis of PHL was established using ultrasound-guided fine needle trucut biopsy (FNTB). Nevertheless, due to the growing nature of tumor and patient's symptoms, we proceeded with surgical resection, which confirmed the diagnosis of PHL. At 6-month follow up, the patient is in good condition with no evidence of tumor recurrence.Conclusions: PHL is an uncommon tumor that should be considered in the differential diagnosis of rare liver tumors. Image guided FNTB appears to be effective in achieving preoperative diagnosis of PHL. Surgical resection, however, remains both diagnostic and curative in the management of PHL.

scholarly journals RESTORASI PASAK FIBER DAN PORCELAIN FUSED TO METAL PADA FRAKTUR GIGI INSISIF RAHANG ATAS PASCA PERAWATAN ENDODONTIK

2019 ◽  
Vol 1 (1) ◽  
pp. 71-77
Author(s):  
Deli Mona ◽  
Endang Sukartini
Keyword(s):  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Resin Composite ◽  
Endodontic Treatment ◽  
Fiber Post ◽  
Vehicle Accident ◽  
Resin Core ◽  
Long Time ◽  
History Of ◽  
Glass Fiber Post

Teeth with is treated with endodontic treatment has own problems, tends to be weaker because of dentin removal and reduced moisture content, so, requires post and crown restoration treatment. The principle of making restoration should be to restore function, esthetic, and to distribute chewing load, so, both teeth and its crown can be used in a long time in oral cavity. This case report described about 23-year-old female patient with a history of truma motor vehicle accident. Tooth 11,12,21 was fractured 2/3 crown with pulp exposed. The diagnosis which estabilished for this case is irreversible pulpitis and the treatment planning are one visit root canal treatment, post and fiber insertion and porcelain fused to metal restoration. On the first visit, acces preparation with crown down technique was done and rootcanals filled with gutta percha and sealer AH 26 with lateral condensation technique. Fiber post was insertion in next visit and cementation with dual-cured resin. Core was made in resin composite and porcelain fused to metal was inserted after control of patient condition in 1 week. One of those methods that used in this case is prefabricated glass fiber post, because of its biocompatibility, more aesthetic, has a modulus of elasticity which is resemble with dentine. Pressure that its transmitted by post to dentin is low, so, this is minimize a root fractured. The result of this treatment and the restoration was good, there were no patient complaints, and normal gingival seemed around the teeth. Restoration post endodontic treatment can be done with several techniques, one is post and porcelain fused to metal to produce a good restoration.

Benign Metastasizing Leiomyoma of the Uterus

1999 ◽  
Vol 123 (10) ◽  
pp. 960-962 ◽  
Author(s):  
Jose M. Esteban ◽  
Warren M. Allen ◽  
Raymond H. Schaerf
Keyword(s):  
Low Grade ◽  
Benign Metastasizing Leiomyoma ◽  
Nuclear Pleomorphism ◽  
Benign Leiomyoma ◽  
Histopathologic Evaluation ◽  
Primary Neoplasm ◽  
Metastasizing Leiomyoma ◽  
Immunohistochemical Studies ◽  
Leiomyoma Of The Uterus ◽  
Rule Out

Abstract Benign uterine leiomyoma metastasizing to the lung is a recognized entity that has been reported infrequently in the medical literature. There is persisting controversy regarding the pathogenesis and biology of these lesions. We report a well-studied and well-characterized case of benign leiomyoma metastasizing to the lung. The patient was a 72-year-old woman with an enlarged uterus that contained several leiomyomas with usual histology. Areas of fibrosis, hyalinization, edema, and focal infarction together with small foci with mildly increased cellularity and minimal nuclear pleomorphism were seen. Careful and repeated mitotic counts ranged from 0 to 2 mitoses per 10 high-power fields. In summary, based on histopathologic criteria, the neoplasm was determined to be a focally cellular benign leiomyoma. Four years later, the patient underwent surgical resection of a single nodule in the lung, which had been detected on routine radiographs. Histopathologic evaluation showed a low-grade leiomyosarcoma with moderate nuclear pleomorphism, necrosis, and brisk mitotic activity. Immunohistochemical studies performed on both neoplasms showed them to be of mesenchymal derivation with smooth muscle differentiation. Both neoplasms expressed estrogen receptors with moderate to strong intensity. The patient received no further treatment and, to date, shows no evidence of recurrent disease. The diagnosis of benign metastasizing leiomyoma can only be made with certainty after careful and extensive sampling of the primary tumor to exclude small foci of sarcoma and of the pulmonary tumor to rule out a primary neoplasm. Although it is biologically peculiar, benign metastasizing leiomyoma should continue to be recognized as a distinct entity because current morphologic criteria do not allow primary myometrial tumors to be reclassified as leiomyomas of uncertain malignant potential even if they have metastasized to the lung.

scholarly journals Repair of Unstable Posterior Sternoclavicular Dislocation Using Nonabsorbable Tape Suture and Tension Band Technique: A Case Report with Good Results

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ekrem Aydın ◽  
Turan Cihan Dülgeroğlu ◽  
Ali Ateş ◽  
Hasan Metineren
Keyword(s):  
Closed Reduction ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rare Condition ◽  
Sternoclavicular Joint ◽  
Tension Band ◽  
Imaging Studies ◽  
Vehicle Accident ◽  
Sternoclavicular Dislocation ◽  
Tension Band Technique

Posterior sternoclavicular joint dislocation (PSCJD) is quite a rare condition. Nearly half of the closed reduction attempts fail due to various reasons. In this paper, we present a 25-year-old male patient who was admitted to the emergency department in our hospital after having a motor-vehicle accident. It was decided to do PSCJD after physical and imaging studies. Following necessary preparations, closed reduction was attempted with abduction-traction maneuver under general anesthesia; however, adequate stabilization could not be achieved and redislocation was detected during control. Therefore, joint was stabilized with tension band technique using 6 mm polyamide nonabsorbable type suture during open reduction. Painless and complete range of motion in shoulder was achieved at the postoperative 10th week.

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