Giant Epithelial Splenic Cyst: An Unusual Cause of Abdominal Pain in a Healthy Adolescent Male

2019 ◽  
Vol 85 (6) ◽  
pp. 306-308
Author(s):  
Skiey Hardin ◽  
Kristen T. Carter ◽  
Jaspreet Kaur Oberoi ◽  
Kelly Brister ◽  
Taylor Shaw ◽  
...  
2019 ◽  
Vol 3 (4) ◽  
pp. 275-278
Author(s):  
Jonathan Bellew ◽  
Chad Taylor ◽  
Jaldeep Daulat ◽  
Vernon Mackey

Pyogenic granulomas are vascular hyperplasias presenting as red papules, polyps, or nodules on the gingiva, fingers, lips, face and tongue of children and young adults.  Most commonly they are associated with trauma, but systemic retinoids have rarely been implicated as a causative factor in their appearance.  We present a case of spontaneous eruption of multiple pyogenic granulomas of the bilateral periungal fingers in an otherwise healthy adolescent male undergoing isotretinoin therapy for severe nodulocystic acne. These pyogenic granulomas did not resolve spontaneously with discontinuation of isotretinoin, or first line therapeutic modalities. Their resolution did occur with administration of intralesional steroids and ablation with silver nitrate.


2021 ◽  
Vol 77 (2) ◽  
pp. e77-e78
Author(s):  
Teng-Yao Yang ◽  
Kuo-Chih Chen ◽  
Chee-Fah Chong

2002 ◽  
Vol 30 (1) ◽  
pp. 73-75 ◽  
Author(s):  
Roberta Colton ◽  
Avraham Zeharia ◽  
Boaz Karmazyn ◽  
N.O.R.A Buller ◽  
Yael Levy ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Awrad Nasralla ◽  
Mufeed Alwabari ◽  
Osama Alsaif ◽  
Samir S. Amr

Plexiform fibromyxoma of the stomach, also known as plexiform angiomyxoid myofibroblastic tumor, is a rare benign gastric mesenchymal tumor, first described in 2007, which usually arises in the gastric antrum and affects adults. Few cases have been reported in children and adolescents. It can present with different clinical manifestations including abdominal pain, dyspepsia, hematemesis, and vomiting. Preoperatively, this tumor is usually diagnosed as gastrointestinal stromal tumor (GIST), and the correct diagnosis is made only after histopathological examination following surgical resection. Most cases were reported from East Asia (China, Japan, and Korea), North America, and Europe. We report herein a unique case of plexiform fibromyxoma, the first to be reported from the Middle East, arising in the cardia of the stomach in a 16-year-old adolescent male, with a brief review of the literature.


2017 ◽  
Vol 49 (1-2) ◽  
pp. 34-36
Author(s):  
Md Rafiqul Islam ◽  
Md Gulzar Rahman ◽  
Mst Dilruba Parvin

Splenic cyst is an uncommon problem in surgical practice. It is usually diagnosed in scanning procedure. In some cases it produces symptoms like abdominal mass, abdominal pain, distention, constipation either due to haemorrhage, rupture or big size. In our case, patient presents with abdominal pain, distention, vomiting, constipation and respiratory embarrassment. Routine investigation was done and diagnosis was confirmed after laparotomy, Splenectomy was done. Post operative recovery was good.Bang Med J (Khulna) 2016; 49 : 34-36


2021 ◽  
Vol 9 ◽  
Author(s):  
Jessica H. Cheng ◽  
Ritu Cheema ◽  
Peter R. Williamson ◽  
Victoria R. Dimitriades

The immunological response of patients with cryptococcal meningitis (CM), particularly those not known to be immunocompromised, has generated an increased interest recently. Although CM is an infection with significant rates of morbidity and mortality, its sequelae may also include a post-infectious inflammatory response syndrome (PIIRS) in patients who have already achieved microbiological control. PIIRS can cause substantial immune-mediated damage to the central nervous system resulting in long-term neurological disability or even death. Steroids have been used successfully in the management of PIIRS in adults. In this report, we present the case of a previously healthy adolescent male with Cryptococcus gattii meningitis who experienced neurological deterioration due to PIIRS after the initiation of antifungal therapy. Immunological workup did not demonstrate any frank underlying immunodeficiencies, and genetic primary immunodeficiency screening was unremarkable. He was treated with steroids and recovered clinically; however, intermittent inflammatory episodes needed to be managed through several flares of symptoms. In the setting of the current literature, we discuss the management and monitoring of PIIRS in a pediatric patient, along with considerations of targeted future therapies.


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110529
Author(s):  
Vedika Rajasekaran ◽  
Victoria Rahaman ◽  
Xing Hou ◽  
Russell W. Steele

Herpes Simplex Virus (HSV) esophagitis is a relatively rare form of infectious esophagitis. Typically, patients with viral esophagitis are immunocompromised. HSV esophagitis in an immunocompetent patient is uncommonly reported. The objective of this case report is to discuss symptoms, investigations, imaging, and treatment of HSV esophagitis in a healthy adolescent male. A previously healthy 17-year-old male presented to the ED of our facility with a 5-day history of fever, odynophagia, lethargy, and 2 episodes of emesis that failed to resolve with antibiotic treatment. Investigations revealed a low platelet count, mild hyponatremia, hypochloremia, and an elevated AST and ALT. A respiratory infection panel as well as CMV IgG, HIV, Rickettsia, and EBV tests were negative. HSV-1 PCR was positive and upper endoscopy revealed a friable mucosa, erythema, and exudates in the lower esophagus and erythematous duodenopathy. The patient received a diagnosis of HSV esophagitis and was treated with a 14-day course of IV to PO acyclovir. There was a rapid improvement of his symptoms with antiviral therapy.


2021 ◽  
Vol 14 (2) ◽  
pp. e238532
Author(s):  
Carol Stephanie C Tan-Lim ◽  
Juan Miguel L Murillo ◽  
Marysia Stella T Recto ◽  
Mary Anne R Castor

Eosinophilic gastroenteritis is a rare inflammatory disorder of the gastrointestinal tract. Although commonly associated with allergic diseases, it is also rarely associated with autoimmune disorders. This case report describes a 17-year-old Filipino male with eosinophilic gastroenteritis, manifesting as abdominal pain, vomiting and diarrhoea. He had no allergic diseases, but he was previously diagnosed with chronic bullous disease. His symptoms improved with the initiation of corticosteroids. To date, this is the first case report of a patient with eosinophilic gastroenteritis and chronic bullous disease.


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