scholarly journals Acral Amelanotic Melanoma Mimicking a Non-Healing Arterial Ulcer

2019 ◽  
Vol 11 (1) ◽  
pp. 77-81 ◽  
Author(s):  
Phillip Cantwell ◽  
Helena Van Dam

Acral melanomas contribute to approximately 2–3% of melanomas but are commonly misdiagnosed due to their rarity, subtlety at onset and tendency to display amelanotic features. This case report describes a 70-year-old male with an amelanotic melanoma misdiagnosed as a non-healing arterial ulcer. Histopathology demonstrated a Breslow 2.3 mm, Clark level IV acral lentiginous melanoma, which was definitively managed with surgical intervention. This case report highlights the importance of considering melanoma in the differential diagnosis of non-healing ulcers.

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Sean Donovan ◽  
Joseph Cernigliaro ◽  
Nancy Dawson

Pneumatosis intestinalis (PI), defined as gas within the bowel wall, is an uncommon radiographic sign which can represent a wide spectrum of diseases and a variety of underlying diagnoses. Because its etiology can vary greatly, management of PI ranges from surgical intervention to outpatient observation (see, Greenstein et al. (2007), Morris et al. (2008), and Peter et al. (2003)). Since PI is infrequently encountered, clinicians may be unfamiliar with its diagnosis and management; this unfamiliarity, combined with the potential necessity for urgent intervention, may place the clinician confronted with PI in a precarious medical scenario. We present a case of pneumatosis intestinalis in a patient who posed a particularly challenging diagnostic dilemma for the primary team. Furthermore, we explore the differential diagnosis prior to revealing the intervention offered to our patient; our concise yet inclusive differential and thought process for rapid evaluation may be of benefit to clinicians presented with similar clinical scenarios.


Author(s):  
Abdulmalek Alsharidah ◽  
Yahya Mahli ◽  
Nayef Alshabyli ◽  
Mohammed Alsuhaibani

Basidiobolomycosis is an uncommon emerging fungal infection caused by Basidiobolus ranarum. It frequently causes cutaneous infection, but it rarely infects visceral tissues in humans. Here, a 39-year-old previously healthy woman presented with severe left-sided abdominal pain and weight loss. She had visited several hospitals and had provisionally been diagnosed as having either a retroperitoneal malignancy or retroperitoneal fibrosis before being referred to our hospital. Abdominal computerized tomography and biopsy of the retroperitoneal mass revealed retroperitoneal basidiobolomycosis infection. She was started on antifungal treatment. This led to significant improvement, without surgical intervention. Gastrointestinal basidiobolomycosis can present in many forms, commonly involving the colon and liver with multifocal inflammatory masses. Nonetheless, retroperitoneal basidiobolomycosis presentation is extremely rare and should be considered in the differential diagnosis of a retroperitoneal mass with eosinophilia.


2009 ◽  
Vol 20 (4) ◽  
pp. e181-e184 ◽  
Author(s):  
Miten Vasa ◽  
Christine Ohikhuare ◽  
Leslea Brickner

As immigration to the United States from countries endemic for tuberculosis (TB) increases, the incidence of pulmonary and extrapulmonary TB disease may increase. Primary tuberculous sternal osteomyelitis is one form of extrapulmonary TB that is exceedingly rare throughout the world, and falls under the differential diagnosis for chest wall masses. Management involves standard antituberculous therapy with antibiotics similar to treating other forms of extrapulmonary TB, as well as consideration of surgical intervention depending on the extent of osteomyelitis. A typical case of primary sternal TB osteomyelitis is reported, and the epidemiology, differential diagnosis, clinical manifestations and management are reviewed.


Author(s):  
A.I. Yaremenko ◽  
M.O. Ilukhina ◽  
I.N. Kalakutsky ◽  
A.Y. Razumova

The article reports on the clinical case of a patient with a diagnosis of "Stafne cyst", who was treated in the oncology department No. 8 of the Pavlov PSPbSMU. The features of differential diagnosis and diagnostic measures necessary to clarify the diagnosis are given. The situations when it is possible to avoid additional traumatic tests, as well as indications for the choice of surgical intervention or the possibility of refusing it, are analyzed. The presented data can be useful when creating algorithms for the diagnosis and treatment of a Staph cyst and making recommendations on the timing of treatment.


1991 ◽  
Vol 81 (1) ◽  
pp. 22-27 ◽  
Author(s):  
TA Graefen ◽  
J Stern ◽  
M Joyce ◽  
A Sion

A review of gout is presented, followed by a discussion of the current medical literature on diagnosis, differential diagnosis, staging, and treatment. Chronic tophaceous gout is not as prevalent as it once was because of early diagnosis and treatment, but it is still encountered in the podiatric practice. A severe case of chronic tophaceous gout is presented. The patient was successfully treated by surgical intervention. Although surgery may be avoided in most cases, it is indicated when intractable pain, loss of motion, and massive joint destruction are present.


PEDIATRICS ◽  
1973 ◽  
Vol 51 (3) ◽  
pp. 574-577
Author(s):  
Eng Chuan Saw ◽  
Neil R. Arbegast ◽  
Thomas P. Comer

A case of pyloric atresia is reported. This brings the total to 30 such cases in the literature and makes this patient the 22nd survivor in the series. Pyloric atresia must be considered in the differential diagnosis of any high intestinal obstruction in the newborn with bile-free emesis. Early diagnosis and surgical intervention give the patient the best chance of survival.


2020 ◽  
Vol 14 (1) ◽  
pp. 206-211
Author(s):  
Carolina Solis Rojas ◽  
Ramon Vidrio Duarte ◽  
Diego Martín García Vivanco ◽  
Eduardo E. Montalvo-Javé

Cecal volvulus is a rare cause of intestinal obstruction, with multifactorial etiologies. This is a case report describing a 52-year-old female with a cecal volvulus diagnosis made during the laparotomy procedure, which was treated with a right hemicolectomy with a side-to-side ileotransverse anastomosis. The aim of this report is to emphasize the importance of a diagnosis and appropriate treatment in this rare pathology in abdominal procedures. In this particular case, the patient benefited from an early surgical intervention without further complications, as well as an adequate postoperative evolution; it is important to acknowledge and consider this pathology during differential diagnosis, and not delay the treatment in patients with cecal volvulus. A critical review of the literature is included and discussed.


Author(s):  
A.I. Yaremenko ◽  
M.O. Ilukhina ◽  
I.N. Kalakutsky ◽  
A.Y. Razumova

The article reports on the clinical case of a patient with a diagnosis of "Stafne cyst", who was treated in the oncology department No. 8 of the Pavlov PSPbSMU. The features of differential diagnosis and diagnostic measures necessary to clarify the diagnosis are given. The situations when it is possible to avoid additional traumatic tests, as well as indications for the choice of surgical intervention or the possibility of refusing it, are analyzed. The presented data can be useful when creating algorithms for the diagnosis and treatment of a Staph cyst and making recommendations on the timing of treatment.


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