scholarly journals Bilateral Paragangliomas in the Setting of Autonomic Dysfunction: A Case Report

2021 ◽  
pp. 790-794
Author(s):  
Jerry Shen ◽  
Angela Ryck ◽  
Iris Chan ◽  
Kaitlin S. McFadden ◽  
Anna D. Hohler
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Neck Pain ◽  
Female Patient ◽  
Arm Movement ◽  
Carotid Bifurcation ◽  
Large Mass ◽  
Unknown Etiology ◽  
Patient Reported ◽  
The Right

In 2018, a 59-year-old female patient presented with hoarseness in her voice, headache, intermittent pain in her right side, difficulty of right arm movement, left side neck pain, difficulty controlling hypertension of unknown etiology, and a large mass on the upper left side of her neck with a smaller mass on the right side. MRI of the neck revealed masses at each carotid bifurcation. These were determined to be bilateral paragangliomas. Paragangliomas are rare tumors, and bilateral ones tremendously so. The patient underwent radiation over 2 years, resulting in the successful shrinking and stabilization of both masses. Since completing radiation, the patient reported improvement in her memory, and her blood pressure has stabilized with medication.

scholarly journals Intrascrotal lipoblastoma in adulthood

2019 ◽  
Vol 12 (12) ◽  
pp. e231320
Author(s):  
Mário José Pereira-Lourenço ◽  
Duarte Vieira-Brito ◽  
João Pedro Peralta ◽  
Noémia Castelo-Branco
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
S100 Protein ◽  
Surgical Excision ◽  
Large Mass ◽  
Histological Diagnosis ◽  
Physical Exam ◽  
Nodular Lesion ◽  
Inferior Portion ◽  
The Right

This case report describes the case of a 37-year-old man that noticed an intrascrotal right mass with 1 month of evolution. During physical exam presented with a large mass at the inferior portion of the right testicle, clearly separated from the testicle, with a tender consistency and mobile. An ultrasound was performed that showed a solid and subcutaneous nodular lesion, extra testicular, heterogeneous, measuring 7.2 cm. Pelvic magnetic resonance imageMRI showed a lesion compatible with a lipoma. The patient was subjected to surgical excision of the lesion by scrotal access, having histology revealed a lipoblastoma (LB) of the scrotum. Histological diagnosis was obtained by microscopic characteristics (well-circumscribed fatty neoplasm) and immunohistochemistry (stains for CD34, S100 protein and PLAG1 were positive; stains for MDM2 and CDK4 were negative). LB is extremely rare after adolescence in any location, being this first described case of intrascrotal LB described in adulthood.

scholarly journals Overcoming barriers to implementing patient-reported outcomes in an electronic health record: a case report

2015 ◽  
Vol 23 (1) ◽  
pp. 74-79 ◽  
Author(s):  
Christopher A Harle ◽  
Alyson Listhaus ◽  
Constanza M Covarrubias ◽  
Siegfried OF Schmidt ◽  
Sean Mackey ◽  
...  
Keyword(s):  
Case Report ◽  
Electronic Health Record ◽  
Patient Reported Outcomes ◽  
System Development ◽  
Lessons Learned ◽  
Health Record ◽  
Patient Reported ◽  
Electronic Health ◽  
Clinical Tools ◽  
The Right

Abstract In this case report, the authors describe the implementation of a system for collecting patient-reported outcomes and integrating results in an electronic health record. The objective was to identify lessons learned in overcoming barriers to collecting and integrating patient-reported outcomes in an electronic health record. The authors analyzed qualitative data in 42 documents collected from system development meetings, written feedback from users, and clinical observations with practice staff, providers, and patients. Guided by the Unified Theory on the Adoption and Use of Information Technology, 5 emergent themes were identified. Two barriers emerged: (i) uncertain clinical benefit and (ii) time, work flow, and effort constraints. Three facilitators emerged: (iii) process automation, (iv) usable system interfaces, and (v) collecting patient-reported outcomes for the right patient at the right time. For electronic health record-integrated patient-reported outcomes to succeed as useful clinical tools, system designers must ensure the clinical relevance of the information being collected while minimizing provider, staff, and patient burden.

scholarly journals Interventional Treatment of Lymphatic Leakage Post Appendectomy: Case Report

2019 ◽  
Vol 7 (9) ◽  
pp. 1512-1515
Author(s):  
Nguyen Ngoc Cuong ◽  
Nguyen Thai Binh ◽  
Phan Nhan Hien ◽  
Nguyen Hoang ◽  
Le Tuan Linh ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Clinical Case ◽  
Iliac Fossa ◽  
Chylous Ascites ◽  
Percutaneous Intervention ◽  
Interventional Treatment ◽  
Lymphatic Complications ◽  
The Right ◽  
Intranodal Lymphangiography

BACKGROUND: Postoperative lymphatic complications are not common, and lymphatic leakage complication post appendectomy (LLCPC) is even rarer. However, the number of this operation is high so LLCPC can occur. CASE REPORT: Here, we report a female patient post appendectomy with severe chylous ascites. This patient underwent six operations. A leakage point at the right iliac-fossa, which was embolized successfully after two sessions, was spotted during intranodal lymphangiography. After 6 months, the ascites were significantly reduced while some lymphatic aneurysms still existed in the lumbar-retroperitoneal region. CONCLUSIONS: Basing the knowledge of this clinical case and literature, we have concluded that lymphatic leakage can be diagnosed and embolized by percutaneous intervention.

scholarly journals A CASE REPORT OF FEMUR OSTEOCHONDROMA IN 22 YEARS OLD FEMALE PATIENT

2020 ◽  
Vol 8 (10) ◽  
pp. 1263-1267
Author(s):  
Abdulrahman M. Bin Mohi ◽  
◽  
Ahmed A. Alzahrani ◽  
Bashar R. Reda
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Proximal Femur ◽  
Conflict Of Interest ◽  
Distal Femur ◽  
Tumor Resection ◽  
Surgical Excision ◽  
Low Grade ◽  
The Right ◽  
Hands And Feet

Chondromais considered a nonmalignant tumor that composed of mature hyaline cartilage and commonly occur in hands and feet. Overall incidents show that females are predominant comparing to males with evenly distributed range of ages. Multiple chondromas have to be differentiated from osteochondroma and chondrosarcoma. This paper reports three different types of lesions in one patient.Osteochondroma or exostosis is the most common benign tumor of the skeleton. It is a developmental osseous anomaly, which arises from exophytic outgrowth on bone surfaces characteristically. Osteochondroma account for about 12% of bone tumors. Here, we have described a 22 years old female patient with left knee joint pain and swelling of the left distal femur with limited movements. The incisional biopsy of the left distal femur identified low-grade chondrosarcoma and chondroma after histopathology. This underwent one-stage surgical excision of the tumor with a posterior approach and tumor resection from the femur. After surgery, an unusual pain appears in the right hip joint during the post-operative period.Machine resonance imaging (MRI), and X-ray of pelvis help to diagnose thewell-differentiated chondrosarcoma and chondroma. This was a case of osteochondroma in the right proximal femur, chondroma like lesion in the left proximal femur and chondrosarcoma in the left distal femur. Ethical consideration: Written informed consent was obtained from the patient for publication of this case report and accompanying images. Conflict of interest: There is no conflict of interest.

scholarly journals Dilated Cardiomyopathy Compatible With Sarcoidosis Presenting with Syncope Due to Torsades de Pointes: a Case Report

2021 ◽  
Vol 34 (1) ◽  
pp. 32-37
Author(s):  
Carollina Fernandes Tinoco ◽  
Nathalia Rodrigues Perrenoud Branca ◽  
Gabriela Domingues Carvalho ◽  
Lívia Silva de Paula Faria ◽  
Erivelton Alessandro do Nascimento
Keyword(s):  
Case Report ◽  
Natural History ◽  
Dilated Cardiomyopathy ◽  
Female Patient ◽  
Diagnostic Tests ◽  
Clinical Presentation ◽  
Cardiac Sarcoidosis ◽  
Torsades De Pointes ◽  
Unknown Etiology ◽  
Granulomatous Disease

Sarcoidosis is a multisystemic noncaseating granulomatous disease of unknown etiology. Cardiac sarcoidosis clinical presentation is diverse, and syncope is one of the possible primary events. Due to its variable natural history and initial presentation associated with lacking sensitive and specific diagnostic tests, it still represents a challenging diagnosis. This article presents the case of a 51-year-old female patient with intermittent syncope events associated with torsades de pointes and dilated cardiomyopathy compatible with sarcoidosis.

scholarly journals Fibroadenoma in axillary supernumerary breast: case report

2005 ◽  
Vol 123 (5) ◽  
pp. 253-255 ◽  
Author(s):  
Délio Marques Conde ◽  
Renato Zocchio Torresan ◽  
Eiji Kashimoto ◽  
Luiz Eduardo Campos de Carvalho ◽  
Cássio Cardoso Filho
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Outpatient Clinic ◽  
Breast Tissue ◽  
Histopathological Examination ◽  
Local Pain ◽  
Gynecology And Obstetrics ◽  
Patient Reported ◽  
Design Case ◽  
The Right

CONTEXT: Supernumerary breast tissue may be affected by the same diseases and alterations that compromise topical breast tissue. Nevertheless, reports of fibroadenoma in supernumerary breast tissue in the axillae are rare. OBJECTIVE: To describe a case of fibroadenoma in an axillary supernumerary breast. DESIGN: Case report. CASE REPORT: A 39-year-old woman was referred to the gynecology and obstetrics outpatient clinic at Hospital Estadual Sumaré, complaining of bilateral axillary masses. The patient reported cosmetic problems and local pain and discomfort. On physical examination, alterations compatible with bilateral axillary accessory breasts, without palpable nodules, were observed. Supplementary examinations (mammography and ultrasonography) revealed a 1.1 cm mass in the right axillary breast. The patient underwent resection of the supernumerary breasts and histopathological examination revealed fibroadenoma of the right axillary breast tissue.

scholarly journals An unusual case of tuberous sclerosis incidentally discovered in adulthood: case report and review of the literature

2018 ◽  
Vol 7 (12) ◽  
pp. 205846011880632
Author(s):  
Dolores Ferrara ◽  
Gianfranco Vallone ◽  
Enrico Tedeschi ◽  
Andrea Ponsiglione ◽  
Arnaldo Stanzione ◽  
...  
Keyword(s):  
Mental Retardation ◽  
Case Report ◽  
Tuberous Sclerosis ◽  
Female Patient ◽  
Unusual Case ◽  
Renal Tumor ◽  
Review Of The Literature ◽  
Multiple Lesions ◽  
Clinical Triad ◽  
The Right

Tuberous sclerosis (TS) is a relatively rare multi-organ disorder generally diagnosed in infancy and described as a clinical triad of sebaceous adenoma, mental retardation, and seizures. Angiomyolipoma (AML) is the most common benign renal tumor usually found incidentally as a solitary small echogenic lesion on grayscale ultrasound. Less commonly, it is part of the TS complex and is seen as multiple lesions in both kidneys. We describe an unusual case of TS incidentally diagnosed in a 37-year-old female patient with several and bilateral renal AMLs and a single cortical–subcortical tuber in the right parieto-occipital cerebral lobe.

LIPOBLASTOMA OF THE HAND TREATED WITH EXCISION AND LIGAMENT RECONSTRUCTION: A CASE REPORT

Hand Surgery ◽  
2008 ◽  
Vol 13 (02) ◽  
pp. 103-106 ◽  
Author(s):  
Emmanuel P. Estrella ◽  
Ellen Y. Lee
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Ligament Reconstruction ◽  
Soft Tissue Mass ◽  
Large Mass ◽  
Tendon Graft ◽  
Benign Tumour ◽  
Tissue Mass ◽  
Rare Benign Tumour ◽  
The Right

Lipoblastoma of the hand is a rare benign tumour of infancy. Although benign, the tumour can present as a large mass. We present a case of a two-year-old female with a large, slowly growing soft tissue mass between the second and third metacarpal of the right hand. After excision of the mass, the deep transverse metacarpal ligament (DTML) was reconstructed using a free tendon graft from the extensor indicis propius (EIP).

Metastatic lung cancer in patient with non-malignant neck pain: A case report

2017 ◽  
Vol 16 (1) ◽  
pp. 178
Author(s):  
W.Z. Pawlak ◽  
L. Svensson ◽  
P.F. Jensen
Keyword(s):  
Lung Cancer ◽  
Case Report ◽  
Side Effects ◽  
Neck Pain ◽  
Lung Tumor ◽  
Behavioral Therapy ◽  
Multidisciplinary Treatment ◽  
Cerebral Metastases ◽  
Experienced Fatigue ◽  
The Right

AbstractBackgroundSymptoms from disseminated cancer can develop very slowly. This could be very difficult to distinguish those symptoms from chronic disabilities and nuisances in patients with chronic non-malignant pain.ObjectiveIn this report, the case of a woman with both nonmalignant pain and cancer is presented.Case reportA 54 years old woman was referred by a general practitioner to Multidisciplinary Pain Center. The diagnosis was chronic non-malignant neck pain on the basis of degenerative columnar disease. The patient was also suffering from osteoporosis. During the first visit in the Center, the patient complained of shooting pains in the neck and had tingling sensations in the fingers – most of his right hand. Moreover, the patient experienced shooting pains in the hips, lower back and spine. The multidisciplinary treatment with medication, physical therapy, TENS and cognitive behavioral therapy was offered. Paracetamol together with gabapentin was used. The patient experienced relief of pain. The doses of gabapentin was escalated up to 2400 mg daily without significant side effects. Afterwards, the dose was gradually increased to 3600 mg daily and the patient experienced fatigue, mild headache and dizziness. These symptoms were initially interpreted as side effects of gabapentin. However, the tingling sensations in the fingers were almost disappeared. The doses of gabapentin was reduced, but without relief of symptoms. Within 2 weeks, the patient developed partial paresis of the right upper limb and aphasia. The patient was urgently referred to the neurologic inpatient clinic. CT- and MR-scans showed multiple cerebral metastases. Under the diagnostic workup the lung tumor was found. The biopsy showed pulmonary adenocarcinoma.ConclusionsThe symptoms of lung cancer with cerebral metastases can mimic side effects of gabapentin.

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