Spontaneous urinary bladder perforation: An unusual presentation of well-differentiated papillary peritoneum mesothelioma

2021 ◽  
pp. 039156032110011
Author(s):  
Armando Serao ◽  
Francesca Ambrosini ◽  
Barbara Cavallone ◽  
Tiziana Borra ◽  
Andrea Di Stasio
Keyword(s):  
Histopathological Examination ◽  
Lateral Wall ◽  
Exploratory Laparotomy ◽  
Bladder Rupture ◽  
Free Fluid ◽  
Case Presentation ◽  
Left Lateral Wall ◽  
Intraperitoneal Bladder Rupture ◽  
History Of ◽  
Well Differentiated

Introduction: Well-differentiated papillary mesothelioma (WDPM) is a very rare neoplasm. Most of WDPM are asymptomatic and are often incidentally detected during surgery. This report describes a case of WDPM of the peritoneum unexpectedly diagnosed in a male with a spontaneous intraperitoneal bladder rupture. Case presentation: A 65-year-old male presented to our Emergency Department in November 2019 with a two-day history of anuria, abdominal pain, distention, and sepsis. The CT scan reported a large amount of extra and intraperitoneal free fluid. The CT cystogram showed bladder perforations on the dome and on the left lateral wall which was repaired through exploratory laparotomy. Intraoperatively, we encountered extensive suppurative peritonitis with large fibrino-purulent exudation. The purulent perivesical peritoneum was dissected and sent for histopathological examination which unexpectedly resulted in WDPM of the peritoneum. Conclusion: Although we can’t affirm with certainty, this case would seem to suggest that WDPM had played a role in patient’s clinical presentation. However, further research is necessary to draw stronger conclusion.

Urinary bladder rupture due to hemangioma in a dog – case report

2018 ◽  
Vol XXIII (132) ◽  
pp. 56-64
Author(s):  
Sayonara da Luz Ferro ◽  
Ewerton Cardoso ◽  
Fernanda Jönck ◽  
Marta Cristina Thomas Heckler ◽  
Bruna Warmlin ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Clinical Signs ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Bladder Rupture ◽  
Free Fluid ◽  
Histopathological Analysis ◽  
Small Areas ◽  
Safety Margins ◽  
Metastatic Neoplasm

Hemangioma is a benign, noninvasive and non-metastatic neoplasm originating from endothelial cells of the blood vessels. The involvement of the urinary vesicle with neoplasias occurs in less than 0.5% of dogs. The main clinical signs are hematuria, dysuria, pollakiuria, incontinence and urinary obstruction. The diagnosis is based on imaging tests and is confirmed by histopathological examination. The treatment of choice is surgical resection with safety margins. This paper reports the case of a twelve-year-old Poodle with a history of abdominal pain, which was attended at the Florianópolis Veterinary Hospital. Abdominal ultrasound showed the presence of free fluid. During exploratory laparotomy, the urinary vesicle was observed to be ruptured, presenting a thickened wall and small areas of necrosis. A sample was sent for histopathological analysis and the diagnosis was of benign vascular neoplasia compatible with hemangioma.

Intraperitoneal Urinary Bladder Rupture as a Cause of Pneumoperitoneum

2021 ◽  
pp. 000313482110257
Author(s):  
Dar Parvez M ◽  
Kour Supreet ◽  
Sharma Ajay ◽  
Kumar Subodh
Keyword(s):  
Urinary Bladder ◽  
Primary Repair ◽  
Exploratory Laparotomy ◽  
Pelvic Trauma ◽  
Bladder Rupture ◽  
Abdominal Pressure ◽  
Trauma Patients ◽  
Hollow Viscus ◽  
Sudden Rise ◽  
Intraperitoneal Bladder Rupture

The most common cause of pneumoperitoneum in trauma patients is hollow viscus injury; however, in patients with pneumoperitoneum on imaging and normal hollow viscus during the laparotomy, other rare causes of pneumoperitoneum like intraperitoneal urinary bladder rupture should be ruled out. Urinary bladder can rupture either extraperitoneally or intraperitoneally or both. Rupture of the urinary bladder is commonly seen in patients with abdominal trauma; however, pneumoperitoneum is usually not seen in patients with traumatic bladder rupture. Intraperitoneal bladder rupture is usually due to the sudden rise in intra-abdominal pressure following abdominal or pelvic trauma. However, it is a rare cause of pneumoperitoneum and is managed by surgical repair. We present a case of blunt trauma abdomen with pneumoperitoneum due to isolated intraperitoneal bladder rupture who was managed by exploratory laparotomy and primary repair of the urinary bladder.

scholarly journals Anaesthetic Management of Pheochromocytoma with Atrial Fibrillation - A Case Report

2020 ◽  
Vol 7 (48) ◽  
pp. 2885-2887
Author(s):  
Anjali Chandrasekharan ◽  
Thasreefa Vettuvanthodi ◽  
Priya Jayasree ◽  
Suvarna Kaniyil ◽  
Nanda Lakshmi Anitha
Keyword(s):  
Atrial Fibrillation ◽  
Bladder Carcinoma ◽  
Lateral Wall ◽  
Anaesthetic Management ◽  
Ventricular Rate ◽  
Vanillylmandelic Acid ◽  
Normal Limits ◽  
Left Lateral Wall ◽  
History Of ◽  
Enhanced Computed Tomography

An elderly female aged 65 years weighing 69 Kgs presented to the Pre-Anaesthetic Clinic (PAC) for transurethral resection of bladder carcinoma. As part of the evaluation of bladder carcinoma, Contrast Enhanced Computed Tomography (CECT) abdomen done showed a left adrenal lesion. She was a known case of hypertension since the last 10 years and was on telmisartan tablets 40 mg once daily (OD) since then. She had a history of palpitations 3 years back, which when evaluated was diagnosed as atrial fibrillation. She was started on metoprolol tablets 25 mg OD and warfarin 2 mg OD. In view of her history and positive findings on CECT abdomen, it was decided in the PAC to screen her for pheochromocytoma. There was no definite history of classic triad of headache, palpitation and sweating. No history of headache, weight loss, fatigue, syncopal attacks, hypo / hyperthyroidism were reported. Physical examination showed Heart Rate (HR) of 96 beats per minute (bpm), irregular in rhythm, Respiratory Rate (RR) of 16 breaths per minute and Blood Pressures (BP) of 146 / 98 mmHg and 140 / 90 mmHg in the supine and sitting positions respectively. Biochemical test results showed 24-hour urine metanephrine 0.452 mg / l which is 1.45 mg / 24 hrs. (normally < 1 mg / 24 hrs.) and urine vanillylmandelic acid 8.1 mg / gm creatinine (2 – 7 mg / gm). Electrocardiography (ECG) showed right bundle branch block and AF (Atrial Fibrillation) with controlled ventricular rate. Echocardiography showed mild aortic stenosis, aortic regurgitation and ejection fraction of 68 % with no evidence of clots / thrombus. In terms of clinical imaging, the CECT showed a well-defined lesion in the left adrenal measuring 19 x 12 mm with a relative washout of 21 % and a faint subtle hyperdense lesion in the base of left lateral wall of the urinary bladder measuring approximately 20 x 19 mm. Other blood investigations like Hb, haematocrit, urea, creatinine and blood sugars were within normal limits.

scholarly journals Primary leiomyoma of the ureter: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Shingo Morinaga ◽  
Shigeyuki Aoki ◽  
Motoi Tobiume ◽  
Genya Nishikawa ◽  
Hiroyuki Muramatsu ◽  
...  
Keyword(s):  
Malignant Tumors ◽  
Histopathological Examination ◽  
Urine Cytology ◽  
Benign Tumors ◽  
Case Presentation ◽  
Old Japanese ◽  
Retrograde Pyelogram ◽  
History Of ◽  
The Right ◽  
Enhanced Computed Tomography

Abstract Background Only 14 cases of leiomyoma with ureteral origin have been reported previously. Such primary leiomyomas often present as hydronephrosis, making the diagnosis difficult. Radical nephroureterectomy is often performed because of the possible diagnosis of a malignant tumor. We report the 15th case of primary leiomyoma with a ureteral origin. Case presentation A 51-year-old Japanese man presented with a chief complaint of asymptomatic gross hematuria with a history of hypertension. Enhanced computed tomography showed a tumor at the upper part of the right ureter that appeared to be the cause of hydronephrosis and contracted kidney; no retroperitoneal lymphadenopathy and distal metastasis were observed. A well-defined 20-mm (diameter) defect was identified at the upper of the right ureter on retrograde pyelogram with no bladder cancer on cystoscopy. Urine cytology and right divided renal urine cytology findings were negative. Laparoscopic nephroureterectomy was performed, and the extracted tumor measured 20 × 13 mm. Histopathological examination revealed primary leiomyoma with no recurrence 16 months after the operation. Conclusions Preoperative examination with the latest available ureteroscopic technology can help preserve renal function in the case of benign tumors by enabling preoperative ureteroscopic biopsy or intraoperative rapid resection. Moreover, nephroureterectomy is recommended in the case of preoperative suspicion of ureteral malignant tumors.

scholarly journals Well differentiated papillary mesothelioma of abdomen- a rare case with diagnostic dilemma

2018 ◽  
Vol 10 (02) ◽  
pp. 248-250 ◽  
Author(s):  
Aniruddha Saha ◽  
Palash Kumar Mandal ◽  
Anupam Manna ◽  
Kalyan Khan ◽  
Subrata Pal
Keyword(s):  
Young Women ◽  
Histopathological Examination ◽  
Asbestos Exposure ◽  
Papillary Adenocarcinoma ◽  
Computed Tomography Scan ◽  
Diagnostic Dilemma ◽  
Pain Abdomen ◽  
History Of ◽  
Well Differentiated ◽  
Tomography Scan

AbstractWell-differentiated papillary mesothelioma is a rare tumor occurring predominantly in the peritoneum of young women, a few with history of asbestos exposure. A 28-year-old woman presented with ascites and pain abdomen. Ultrasonography and computed tomography scan of the abdomen revealed a mass in the retroperitoneum measuring 15 cm × 12 cm. Histopathological examination along with immunohistochemistry (IHC) confirmed it to be a papillary mesothelioma in the peritoneum. It is difficult to differentiate from more common malignant mesothelioma and papillary adenocarcinoma, which also have poorer prognosis. The difficulty can be resolved by clinico-radiological correlation along with histopathological examination and IHC.

scholarly journals Extra-synovial Pigmented Villonodular Synovitis of the knee joint, Case Repor

2021 ◽  
pp. 192
Author(s):  
Keyword(s):  
Histopathological Examination ◽  
Giant Cells ◽  
Pigmented Villonodular Synovitis ◽  
Villonodular Synovitis ◽  
Biopsy Result ◽  
Posterior Aspect ◽  
Case Presentation ◽  
History Of ◽  
Full Flexion ◽  
Pigmented Villonodular

Background: PVNS is a rare, benign & aggressive disorder arising from either synovial joints or tendon sheaths; it may erode articular structures and bones. We present a case with unique features of PVNS being extra-synovial and by this report we open a gate for more researches in this field. Case Presentation: This case report concerns a 35-year-old female with a history of right knee pain for 6-month duration proceeded by gradual swelling over posterior aspect of the knee, she denies any history of trauma, clinical examination was unremarkable but apart from tenderness over the infrapatellar region with full flexion. MRI shows a heterogenous signal extra-articular and extra-synovial lesion in posterior aspect of the knee suggesting Pigmented Villonodular Synovitis, FNA revealed a hemosiderin-laden macrophages and multinucleated giant cells, Tru-cut biopsy result was suggesting PVNS as synovial cells were seen admixed with hemosiderin-laden macrophages with fibroblastic elements. Through posterior approach; the lesion was surgically excised and histopathological examination confirmed the diagnosis, the lesion was recurrent after 1-year and MRI revealed the same features, the lesion was excised by arthroscopic intervention. Conclusion: We concluded that PVNS cannot be excluded when extra-synovial lesion is assessed, and further researches on this topic will expand our understanding of the etiological and pathological aspects of this tumor.

scholarly journals Case Report on Sertoli Cell Tumor of Ovary

2017 ◽  
Vol 31 (1) ◽  
pp. 54-56
Author(s):  
Kohinoor Begum ◽  
Kamil Ara Khanom ◽  
Joysree Saha
Keyword(s):  
Sertoli Cell ◽  
Leydig Cells ◽  
Histopathological Examination ◽  
Cell Tumor ◽  
Solid Mass ◽  
Sertoli Cell Tumor ◽  
Hormonal Function ◽  
History Of ◽  
Well Differentiated ◽  
Sertoli Cell Tumors

A 33 years old lady presented with history of irregular menstrual cycle followed by menorrhagia. USG revealed left ovarian solid mass but all tumor markers were within normal range. A solid mass on left sided ovary was found on laparotomy. Histopathological examination of the mass showed well differentiated sertoli cell tumor. Tumors of the stroma (Leydig cells) and/or sex cords (Sertoli cells) represent approximately 8% of ovarian tumors and develop from the connective tissue (respectively, interstitial and nurse cells) of the ovary. Because these cells participate in ovarian hormonal function, most of the sex-cord or stromal tumors are able to secrete hormones (estrogens, androgens, corticoids), which explains the hormonal dysfunctions associated with these tumors. Their prognosis are difficult to establish; some of the tumors are almost always benign (Sertoli cell tumors, Leydig cell tumors), whereas others are malignant but with more-or-less delayed local-regional or metastatic relapses.Bangladesh J Obstet Gynaecol, 2016; Vol. 31(1) : 54-56

Surgical management of perineal laceration in a cow affected with cervico vaginal prolapse

2017 ◽  
Author(s):  
U. Lakshmikantan ◽  
M. Murugan ◽  
A. Ganesan ◽  
T. Sathiamoorthy
Keyword(s):  
Suture Material ◽  
Lateral Wall ◽  
Vaginal Prolapse ◽  
Absorbable Suture ◽  
Perineal Laceration ◽  
Perineal Repair ◽  
Second Stage ◽  
Interrupted Suture ◽  
Left Lateral Wall ◽  
History Of

A five year old cow was brought with the history of delivering the calf without untying Buhner’s suture which was applied to retain the recurrent cervico vaginal prolapse, resulting in rare occurrence of extensive laceration of perineum accompanied with cervico vaginal prolapse. Examination of perineum revealed two tears on the left lateral wall of the vagina. Absorbable suture material, poly glycolic acid (PGA) was used to appose the vaginal tears. Vulval labium was applied with simple interrupted suture using silk. Perineal repair was helpful in reconstructing the vagina and vulva. In conclusion, proper surgical apposition would restore the normal conformation of reproductive passage in cows affected with perineal laceration and Buhner’s suture should essentially be removed to avoid extensive damage to the perineum at the time of second stage parturition.

scholarly journals Nontraumatic Myositis Ossificans of Hip: A Case Presentation

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Yunus Oc ◽  
Muhammed Sefa Ozcan ◽  
Hasan Basri Sezer ◽  
Bekir Eray Kilinc ◽  
Osman Tugrul Eren
Keyword(s):  
Myositis Ossificans ◽  
External Rotation ◽  
Rare Condition ◽  
Surgical Excision ◽  
Case Presentation ◽  
History Of ◽  
History Of Pain ◽  
Well Differentiated ◽  
Restriction Of Range ◽  
Mature Bone

In most of the cases trauma is the leading etiology and the nontraumatic myositis ossificans (MO) is a very rare condition. We present an MO case without any trauma occurring. A 36-year-old female patient with a history of pain and restriction of range of motion of the left hip was admitted. Hip motions were restricted with 10–60° of flexion, 10° of internal rotation, 20° of external rotation, 10° of abduction, and 10° of adduction. There was no history of trauma and familial involvement. The biopsy of the lesion revealed mature bone tissue confirming our diagnosis of MO. The mass was removed surgically and postoperatively the patient was treated with a single dose radiotherapy with 800 gyc. MO is a benign and well differentiated bone formation or in other words heterotopic ossification of the muscle tissue. It has a prevalence of less than 1/1 million. Trauma is the most frequent etiological factor seen in almost 60–75% of the cases. Nontraumatic MO is very rare in the literature. Our patient had no history of trauma or familial involvement. Combination of the surgical excision with radiotherapy in the treatment of the MO of the hip may give satisfactory results.

scholarly journals Phytobezoar causing intestinal obstruction in a neonate: A case report

2020 ◽  
Vol 10 ◽  
pp. 3
Author(s):  
Ravi Patcharu ◽  
Karunesh Chand ◽  
Badal Parikh
Keyword(s):  
Intestinal Obstruction ◽  
Clinical Skill ◽  
Exploratory Laparotomy ◽  
History Taking ◽  
Case Presentation ◽  
Detailed History ◽  
Radiological Features ◽  
Common Etiology ◽  
History Of ◽  
Vegetative Matter

Background: Phytobezoars are concretions of non-digestible vegetative matter in the gastroin­testinal tract and are a rare cause of intestinal obstruction in children. Case presentation: We report a case of intestinal obstruction in a 2-day-old neonate with no specific radiological features pointing to any common etiology. On exploratory laparotomy, a swollen raisin was found impacted in the ileum causing intestinal obstruction. The history taken in retrospect revealed that the elder sibling had witnessed her father perform a traditional ritual of putting a drop of honey into the mouth of the newborn and she imitated the same with a raisin, which led to the obstruction. Conclusion: A careful detailed history of local traditional rituals is at times, the most important pointer towards the etiology of a clinical condition. The basic clinical skill of history taking is still very important, despite the availability of advanced radiological investigations.

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