Submucosal Colonic Lipoblastoma Presenting With Colo-colonic Intussusception in an Infant

2017 ◽  
Vol 21 (4) ◽  
pp. 401-405 ◽  
Author(s):  
Marie-Anne Brundler ◽  
Kyle C Kurek ◽  
Kamlesh Patel ◽  
Ingo Jester
Keyword(s):  
Transverse Colon ◽  
Soft Tissues ◽  
Submucosal Tumor ◽  
Pathological Examination ◽  
Lead Point ◽  
Unique Case ◽  
Mature Adipose Tissue ◽  
Mesenchymal Tissue ◽  
Spindle Cells ◽  
History Of

Lipoblastoma is a benign adipose tumor typically presenting in infancy in superficial soft tissues of extremities. Intestinal complications secondary to intraabdominal or retroperitoneal involvement are exceedingly rare. We describe a unique case of a primary intestinal lipoblastoma arising from the submucosa of the transverse colon in an otherwise healthy 18-month-old boy. He presented with a history of reducible rectal prolapse, rectal bleeding, and episodic abdominal pain and was initially treated for constipation. Imaging identified a short colo-colonic intussusception, confirmed at laparotomy, and a fatty mass thought to arise from the mesentery. Pathological examination of the resected transverse colon revealed a submucosal tumor composed of a mixture of mature adipose tissue, foci of myxoid mesenchymal tissue with desmin positive, HMGA2 negative spindle cells, and scattered lipoblasts, characteristic of lipoblastoma. Lipoblastoma should be considered as a potential albeit rare cause of intussusception in young children, where a pathologic lead point is infrequently identified.

scholarly journals A unique case of congenital transmesocolic hernia with malrotation in a 25-year-old female: a case report

2019 ◽  
Vol 2019 (10) ◽  
Author(s):  
Aghyad Kudra Danial ◽  
Muhamad Zakaria Brimo Alsaman ◽  
Rama Zazo ◽  
Muhammad Mazketly ◽  
Mohammad Nour Kitaz ◽  
...  
Keyword(s):  
Transverse Colon ◽  
Medical Literature ◽  
Clinical Manifestations ◽  
Previous Surgery ◽  
Unique Case ◽  
Rare Type ◽  
Unusual Phenomenon ◽  
History Of ◽  
Hernia Orifice ◽  
Ladd’S Procedure

Abstract Congenital transmesocolic hernia of the transverse colon is a very rare type of internal hernia. In addition, intestinal malrotation is very rare in adults. Most of these patients do not have clear clinical manifestations. Incidence of congenital transmesocolic hernia of the transverse colon along with malrotation is an unusual phenomenon in medical literature and clinical practice. Here, we report a unique case of a 25-year-old woman diagnosed with transmesocolic hernia of the transverse colon and malrotation of the small intestine, without any history of trauma or previous surgery. The patient underwent surgery, where the hernia orifice was closed and Ladd’s procedure was performed.

Non-osseous soft tissue metastasis in the foot from renal cell carcinoma

2020 ◽  
Vol 13 (10) ◽  
pp. e236051
Author(s):  
Nusrat Jahan ◽  
Shabnam Rehman
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Soft Tissues ◽  
Imaging Techniques ◽  
Musculoskeletal Symptoms ◽  
Systematic Evaluation ◽  
Pathological Examination ◽  
Cell Renal Cell Carcinoma ◽  
History Of

Metastatic tumours of the distal extremities, also known as acrometastases, are rare. The majority of the acrometastases involve bones—involvement of the soft tissues of the feet and hands is extremely rare. We report a case of clear cell renal cell carcinoma metastasised to the soft tissues of the foot. The patient presented with pain and swelling in his right foot. Diagnosis of acrometastases frequently gets delayed due to the rarity of this condition and resultant low clinical suspicion. Possibility of metastatic disease should be entertained as an important differential diagnosis when patients with a history of cancer present with musculoskeletal symptoms. A systematic evaluation incorporating thorough clinical assessment, advanced imaging techniques like MRI and pathological examination is critical to establish the diagnosis.

scholarly journals Pathological study of a rare case of lipoblastomatosis with review of literature

2013 ◽  
Vol 3 (5) ◽  
pp. 416-418
Author(s):  
N Arathi
Keyword(s):  
Early Childhood ◽  
Adipose Tissue ◽  
Soft Tissues ◽  
Review Of Literature ◽  
Pathological Study ◽  
Mature Adipose Tissue ◽  
Spindle Cells ◽  
Rare Benign Tumour ◽  
The Right ◽  
Growing Mass

Lipoblastomatosis refers to a rare benign tumour of fetal adipose tissue, commonly encountered in early childhood. It presents as a painless, slowly growing mass, usually in superfi cial soft tissues. Microscopy reveals a lobulated architecture with variable admixture of lipoblasts and mature adipocytes, along with myxoid areas showing spindle shaped cells. The behavior is benign, though recurrences can occur. We present a case of lipoblastomatosis of the right chest wall in a 20 year-old male patient, present since early childhood. The tumour measured 21x13x4 cm; the cut section was grey white to tan. Microscopy revealed mature adipose tissue in most of the areas and an occasional lipoblast. Myxoid areas with spindle cells were seen. Adjacent muscle showed infi ltration by the tumor. This case is presented for its rarity and for having had an opportunity to study the morphology of lipoblastomatosis several years after its onset in early childhood. Journal of Pathology of Nepal (2013) Vol. 3, No.1, Issue 5, 416-418 DOI: http://dx.doi.org/10.3126/jpn.v3i5.7872

scholarly journals A Rare Case of Prostate Carcinoma Metastasis in the Orbital Apex

2020 ◽  
pp. 014556132097378
Author(s):  
Kento Wada ◽  
Takeshi Tsuda ◽  
Yukiko Hanada ◽  
Yohei Maeda ◽  
Kiyoshi Mori ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Vision Loss ◽  
Neck Region ◽  
Sinus Surgery ◽  
Pathological Examination ◽  
Orbital Apex ◽  
Orbital Mass ◽  
Head And Neck Region ◽  
History Of ◽  
Head Computed Tomography

Prostate cancer (PC) is prone to bone metastases, but very rarely it can spread to soft tissues. In the head and neck region, PC can metastasize to the orbital soft tissue, causing various symptoms such as vision loss. In this report, we describe the case of a 79-year-old man with PC metastasis in the orbital apex. He presented to an ophthalmologist at our hospital with progressively worsening vision in his left eye over 3 to 4 months. He complained of a drooping eyelid in the same eye; thus, intracranial disease was suspected. Closer inspection with head computed tomography revealed a space-occupying lesion from the orbit to the posterior ethmoid sinus, and he was referred to our department. He had a history of PC, and we performed endoscopic sinus surgery for the diagnosis of malignancy, including metastasis of PC. As a result, the mass was diagnosed as PC metastasis by pathological examination. The patient began androgen blockade therapy and 3 months postoperatively, magnetic resonance imaging revealed that the extraconal orbital mass had decreased significantly. It is important to determine the metastases of PC in the paranasal region when the patient has a preexisting medical history.

Dystrophic Calcification and Infraclavicular Brachial Plexopathy: Case Report

Neurosurgery ◽  
2006 ◽  
Vol 58 (6) ◽  
pp. E1216-E1216 ◽  
Author(s):  
Suresh N. Magge ◽  
H Isaac Chen ◽  
Eric L. Zager
Keyword(s):  
Brachial Artery ◽  
Free Tissue Transfer ◽  
Pathological Examination ◽  
Radiographic Evaluation ◽  
Brachial Plexopathy ◽  
Dystrophic Calcification ◽  
Unique Case ◽  
Left Chest ◽  
History Of ◽  
Radioactive Seed

Abstract OBJECTIVE: Dystrophic calcification refers to heterotopic formation of calcium in soft tissue. There have been few reports that describe dystrophic calcification causing brachial plexopathies. We describe a unique case of dystrophic calcification that caused entrapment of the posterior cord of the brachial plexus, something not previously described in the literature. CLINICAL PRESENTATION: We report the case of a 43-year-old woman with a medical history of congenital lymphangiomas of the left chest wall and axilla, for which she had undergone multiple surgeries and radioactive seed implantation. She presented 41 years later with progressive left arm paresthesias, pain, and weakness. Neurological findings were confined to the distribution of the posterior cord of the plexus. Radiographic evaluation demonstrated a 3 × 3 × 4-cm calcified mass in the axilla and proximal arm. INTERVENTION: A careful neurolysis and mass resection was performed. At exploration, the posterior cord, proximal radial nerve, and brachial artery were found to be densely adherent to a calcified mass. Reconstruction of the brachial artery and free tissue transfer were required for healing of the severely scarred wound. Pathological examination revealed dense, calcified connective tissue consistent with dystrophic calcification. She made an excellent recovery. CONCLUSION: We describe a rare case of dystrophic calcification of the proximal arm causing symptomatic brachial plexopathy, with onset many years after surgery and radiation. Diagnostic evaluation and surgical management are discussed.

scholarly journals Endoscopic full-thickness resection of gastric ectopic splenic nodules

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linfu Zheng ◽  
Dazhou Li ◽  
Wen Wang
Keyword(s):  
Submucosal Tumor ◽  
Past History ◽  
Gastric Wall ◽  
Pathological Examination ◽  
Case Presentation ◽  
Submucosal Tumors ◽  
Computed Tomographic ◽  
Ectopic Spleen ◽  
History Of ◽  
Endoscopic Full Thickness Resection

Abstract Background Ectopic spleen is extremely rare. Most cases are congenital, acquired ectopic spleen may be a consequence of surgery or trauma to the spleen. The ectopic spleen in the gastric wall we reported is even rarer. Case presentation We report a 41-year-old female patient, with a past history of splenectomy, who presented with heartburn. Gastroscopy revealed a swelling in the fundus in the stomach. Ultrasonography and computed tomographic examination suggested the possibility of gastrointestinal stromal tumor. We performed endoscopic resection of the mass. Pathological examination of the resected mass showed ectopic spleen. Conclusion When a patient with a history of splenectomy presents with a gastric submucosal tumor, ectopic spleen should also be considered in the differential diagnoses. And minimally invasive endoscopic treatment can achieve the purpose of diagnosis and treatment for unobvious submucosal tumors.

Desmoplastic Fibroma of the Cranium: Case Report and Review of the Literature

Neurosurgery ◽  
2003 ◽  
Vol 52 (4) ◽  
pp. 950-954 ◽  
Author(s):  
Doron Rabin ◽  
Lee Cyn Ang ◽  
Joseph Megyesi ◽  
Donald H. Lee ◽  
Neil Duggal
Keyword(s):  
Soft Tissues ◽  
Clinical Presentation ◽  
Pathological Examination ◽  
Long Bones ◽  
Benign Bone Tumor ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Desmoplastic Fibroma ◽  
Large Tumor ◽  
History Of

Abstract OBJECTIVE AND IMPORTANCE Desmoplastic fibroma is a benign bone tumor that can be locally aggressive. It usually occurs in the long bones and mandible. We report on a patient with a desmoplastic fibroma arising in the temporal bone and review previously published cases of desmoplastic fibroma originating within the cranium. CLINICAL PRESENTATION A 43-year-old woman presented with a 12-year history of progressively worsening head asymmetry. Magnetic resonance imaging and computed tomography demonstrated a mass originating from the bone and involving the adjacent soft tissues. INTERVENTION A temporal parietal craniectomy was performed with excision of a large tumor involving the bone. An acrylic cranioplasty was used to replace the bone. Pathological examination of the lesion identified desmoplastic fibroma of the cranium. After surgery, the patient's cranial asymmetry was corrected. CONCLUSION Desmoplastic fibroma of the cranium is rare. Surgical resection is the treatment of choice.

scholarly journals Spindle Cell Lipoma Occurring in the Buccal Mucosa: An Unusual Location of This Benign Lipomatous Neoplasm

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Noala Vicensoto Moreira Milhan ◽  
Ana Sueli Rodrigues Cavalcante ◽  
Yonara Maria Freire Soares Marques ◽  
Yasmin Rodarte Carvalho ◽  
Ana Lia Anbinder
Keyword(s):  
Buccal Mucosa ◽  
Smooth Surface ◽  
Spindle Cell ◽  
Histopathological Examination ◽  
Immunohistochemical Analysis ◽  
Final Diagnosis ◽  
Spindle Cell Lipoma ◽  
Mature Adipose Tissue ◽  
Spindle Cells ◽  
History Of

Spindle cell lipoma is a benign lipomatous neoplasm, which rarely occurs in the oral cavity. The aims of this paper are to report a case of spindle cell lipoma located in buccal mucosa and discuss the main clinical, histological, and immunohistochemical findings of this entity. Thus, we report a 4-year history of an asymptomatic smooth surface nodule in an elderly Caucasian man with clinical hypothesis of fibroma. The histopathological examination showed spindle cells, mature adipose tissue, and many mast cells in a stroma of connective tissue presenting ropey collagen fibers bundles. After immunohistochemical analysis, the final diagnosis was spindle cell lipoma.

scholarly journals Arytenoid chondritis in two calves

2020 ◽  
Vol 50 (6) ◽  
Author(s):  
Mariana Oliveira Bonow ◽  
Maira dos Santos Carneiro Lacerda ◽  
Márcio Botelho de Castro ◽  
Pedro Miguel Ocampos Pedroso ◽  
José Renato Junqueira Borges ◽  
...  
Keyword(s):  
Soft Tissues ◽  
Clinical Laboratory ◽  
Treatment Success ◽  
Definitive Diagnosis ◽  
Accurate Diagnosis ◽  
Diagnostic Methods ◽  
Pathological Examination ◽  
Pathological Findings ◽  
History Of ◽  
Common Infections

ABSTRACT: Although, calf diphtheria and necrotic laryngitis are common infections in the oral cavity’s soft tissues, arytenoid chondritis is addressed as a serious but rarely diagnosed complication in cattle. This paper aimed to describe clinical, laboratory, imaging, and pathological findings in two calves with arytenoid chondritis. A 2-month-old Jersey calf and a 3-month-old Girolando calf presented 40-days history of respiratory distress. In the former, oral endoscopy revealed enlarged and immobile arytenoids with major involvement of the left arytenoid, causing severe distortion and partial obstruction of the rima glottidis. In the latter, latero-lateral radiography of the head revealed radiolucent areas and thickening at the level of the larynx to the dorsal trachea. Pathological examination of one calf showed neutrophilic multifocal inflammatory infiltrate and areas of necrosis in the cricoarytenoid cartilage, surrounded by abscessation. Definitive diagnosis of arytenoid chondritis in these two calves was established on the basis of clinical, laboratory, imaging (endoscopy and radiography), and pathological findings. Daily and careful observation of the herds and the use of ancillary diagnostic methods allowed the early diagnosis of the disease, and accurate diagnosis can improve prognosis and increase treatment success rate.

The Diagnostic Value of Pericardial Fluid and Pericardial Biopsy: Single Center Experiences

2016 ◽  
Vol 19 (1) ◽  
pp. 023 ◽  
Author(s):  
Mehmet Yildirim ◽  
Recep Ustaalioglu ◽  
Murat Erkan ◽  
Bala Basak Oven Ustaalioglu ◽  
Hatice Demirbag ◽  
...  
Keyword(s):  
Pericardial Effusion ◽  
Thoracoscopic Surgery ◽  
Pericardial Tamponade ◽  
Pericardial Fluid ◽  
Pathological Examination ◽  
Common Disease ◽  
Pericardial Window ◽  
Surgical Interventions ◽  
History Of ◽  
Recurrent Pericardial Effusion

<strong>Background:</strong> Patients with recurrent pericardial effusion and pericardial tamponade are usually treated in thoracic surgery clinics by VATS (video-assisted thoracoscopic surgery) or open pericardial window operation. The diagnostic importance of pathological evaluation of the pericardial fluid and tissue in the same patients has been reported in few studies. We reviewed pathological examination of the pericardial tissue and fluid specimens and the effect on the clinical treatment in our clinic, and compared the results with the literature. <br /><strong>Methods:</strong> We retrospectively analyzed 174 patients who underwent pericardial window operation due to pericardial tamponade or recurrent pericardial effusion. For all patients both the results of the pericardial fluid and pericardial biopsy specimen were evaluated. Clinicopathological factors were analyzed by using descriptive analysis. <br /><strong>Results:</strong> Median age was 61 (range, 20-94 years). The most common benign diagnosis was chronic inflammation (94 patients) by pericardial biopsy. History of malignancy was present in 28 patients (16.1%) and the most common disease was lung cancer (14 patients). A total of 24 patients (13.8%) could be diagnosed as having malignancy by pericardial fluid or pericardial biopsy examination. The malignancy was recognized for 12 patients who had a history of cancer; 9 of 12 with pericardial biopsy, 7 diagnosed by pericardial fluid. Twelve of 156 patients were recognized as having underlying malignancy by pericardial biopsy (n = 9) or fluid examination (n = 10), without known malignancy previously. <br /><strong>Conclusion:</strong> Recurrent pericardial effusion/pericardial tamponade are entities frequently diagnosed, and surgical interventions may be needed either for diagnosis and/or treatment, but specific etiology can rarely be obtained in spite of pathological examination of either pericardial tissue or fluid. For increasing the probability of a specific diagnosis both the pericardial fluid and the pericardial tissues have to be sent for pathologic examination.

Sign in / Sign up

Export Citation Format

Share Document