Abdominal Elephantiasis: A Case Report

2004 ◽  
Vol 8 (4) ◽  
pp. 229-232 ◽  
Author(s):  
Dominique Hanna ◽  
Richard Cloutier ◽  
Roch Lapointe ◽  
Antoine Desgagné
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
French Literature ◽  
Abdominal Mass ◽  
External Genitalia ◽  
Lymph Drainage ◽  
History Of ◽  
Subcutaneous Tissues ◽  
Abdominal Lipectomy ◽  
End Stage

Background: Elephantiasis is a well-known condition in dermatology usually affecting the legs and external genitalia. It is characterized by chronic inflammation and obstruction of the lymphatic channels and by hypertrophy of the skin and subcutaneous tissues. The etiology is either idiopathic or caused by a variety of conditions such as chronic filarial disease, leprosy, leishmaniasis, and chronic recurrent cellulites. ObjectiveElephantiasis of the abdominal wall is very rare. A complete review of the English and French literature showed only two cases reported in 1966 and 1973, respectively. We report a third case of abdominal elephantiasis and we briefly review this entity. Methods: We present the case of a 51-year-old woman who had progressively developed an enormous pediculated abdominal mass hanging down her knees. The skin was thickened, hyperpigmented, and fissured. She had a history of multiple abdominal cellulites. ResultsShe underwent an abdominal lipectomy. Histopathology of the specimen confirmed the diagnosis of abdominal elephantiasis. Conclusion: Abdominal elephantiasis is a rare disease that represents end-stage failure of lymph drainage. Lipectomy should be considered in the management of this condition.

scholarly journals Giant retroperitoneal lipoma: a case report

2003 ◽  
Vol 40 (4) ◽  
pp. 251-255 ◽  
Author(s):  
Carlos Augusto Real Martinez ◽  
Rogério Tadeu Palma ◽  
Jaques Waisberg
Keyword(s):  
Case Report ◽  
Histological Study ◽  
Abdominal Mass ◽  
Benign Neoplasm ◽  
Large Mass ◽  
White Female ◽  
Ascending Colon ◽  
Abdominal Ultrasonography ◽  
History Of ◽  
History Of Pain

BACKGROUND: Retroperitoneal lipoma is an extremely rare neoplasm. AIMS: The authors report a case of giant retroperitoneal lipoma in a 32-year-old white female, with a history of pain and an abdominal mass over a 2-year period. Total abdominal ultrasonography and barium enema showed a large mass located in the retroperitoneal space behind the ascending colon. Laparotomy showed a large encapsulated tumor measuring 20 x 13 x 10 cm and weighing 3.400 g. The histological study revealed a benign neoplasm of fatty cells. CONCLUSION: The patient remains well 17 years after surgery, without recurrentce of the disease.

scholarly journals Resection and Abdominal Wall Reconstruction of a Desmoid Tumor with Endometrioma Features

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Jaqueline Majors ◽  
Nathaniel F. Stoikes ◽  
Reza Nejati ◽  
Jeremiah L. Deneve
Keyword(s):  
Abdominal Wall ◽  
Soft Tissue Tumor ◽  
Abdominal Mass ◽  
Abdominal Cavity ◽  
Abdominal Wall Reconstruction ◽  
Pathologic Finding ◽  
Desmoid Tumors ◽  
History Of ◽  
Well Differentiated ◽  
Palpable Abdominal Mass

Desmoid tumors are rare, musculoaponeurotic mesenchymal origin tumors arising from the proliferation of well-differentiated fibroblasts. Desmoid tumors may arise from any location with the abdominal cavity, abdominal wall and extremity locations being most frequent. We present the case of a 35-year-old female with a history of endometriosis who presented palpable abdominal mass and cyclic abdominal pain. Resection was performed for a presumed desmoid soft tissue tumor. Final pathology demonstrated desmoid histology admixed with abdominal wall endometriosis (endometrioma). This unique pathologic finding has only been rarely reported and is discussed with a brief review of the literature.

Metastatic Liposarcoma of the Brain with Response to Chemotherapy: Case Report

Neurosurgery ◽  
1988 ◽  
Vol 23 (6) ◽  
pp. 777-780 ◽  
Author(s):  
Harold Haft ◽  
George C. Wang
Keyword(s):  
Case Report ◽  
Brain Metastasis ◽  
Brain Metastases ◽  
Abdominal Mass ◽  
Response To Chemotherapy ◽  
History Of ◽  
In The Beginning ◽  
The Brain

Abstract Metastatic liposarcomas to the brain are rare. The authors describe a patient with a 20-year history of liposarcoma originating in the thigh and metastatic to the brain 18 years later. The brain metastasis was removed by surgery. Nine months later, the patient developed metastases to the retroperitoneum and liver. At that same time, she had recurrent brain metastasis. She was then treated with chemotherapy. The abdominal mass shrank considerably in the beginning, and the recurrent brain metastases totally disappeared. The patient eventually succumbed to widespread liposarcoma. Autopsy revealed extensive liposarcoma involving the retroperitoneum, liver, and lung, but no trace of tumor was found in the brain.

scholarly journals Necrotizing Fasciilitis of the Anterior Abdominal Wall Following Myomectomy in an Obese Diabetic Patient: A Case Report

2018 ◽  
Vol 5 (3) ◽  
pp. 3704-3706
Author(s):  
Iornum H. Shambe ◽  
Ismaila O. Bashiru ◽  
Kenneth N. Ozoilo
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Mortality Rates ◽  
High Morbidity ◽  
Aggressive Treatment ◽  
Subcutaneous Tissues ◽  
Wall Following ◽  
Obese Diabetic Patient

Necrotizing fasciitis is a progressive infection of fascia that is associated with necrosis of subcutaneous tissues. It has high morbidity and mortality rates because the diagnosis is often not made early enough to institute the aggressive treatment that is necessary to prevent death. We herein report a case of necrotizing fasciitis of the anterior abdominal wall following a myomectomy in an obese diabetic female that was diagnosed early enough to allow for a favorable outcome following aggressive antibiotic therapy and surgical debridement.

scholarly journals Spontaneous subcutaneous emphysema in a male toddler in a health facility in Nasarawa state: A case report

2021 ◽  
Vol 2 ◽  
pp. 53-55
Author(s):  
Surajudeen Oyeleke Bello ◽  
Sandra Umejiaku ◽  
Taofik Oluwaseun Ogunkunle ◽  
Oyetundun Fausat Afolabi ◽  
Ahmed Ashuku Yakubu
Keyword(s):  
Case Report ◽  
Supportive Care ◽  
Subcutaneous Emphysema ◽  
Complete Resolution ◽  
Rare Complication ◽  
Childhood Pneumonia ◽  
Peripheral Hospital ◽  
The Face ◽  
History Of ◽  
Subcutaneous Tissues

Background: Spontaneous subcutaneous emphysema (SSE) is a clinical condition in which air escapes into the subcutaneous tissues. It is a rare complication of childhood pneumonia and often occurs with pneumothorax and/or pneumomediastinum. Although the sight of a child with SSE could be frightening, it is mostly benign requiring in most cases supportive care. We report a case of SSE complicating pneumonia in an 18-month-old toddler that was managed conservatively. Case Report: An 18-months-old toddler was admitted with a 5-day history of progressive swelling of the face, scalp, upper limbs, and trunk. He was referred from a peripheral hospital where he was admitted for 5 days with pneumonia and had received antibiotics, intravenous fluid, and oxygen therapy. Clinical evaluation revealed extensive subcutaneous emphysema and right-sided pneumothorax. Antibiotics were optimized and the patient was provided supportive care and monitored for 7 days with complete resolution of the emphysema. Conclusion: SSE could complicate childhood pneumonia but it has a benign course. Effective treatment of underlying pneumonia alongside supportive care will achieve complete resolution.

Chronic primary splenic torsion with peritoneal adhesions in a dog: case report and literature review

2000 ◽  
Vol 36 (5) ◽  
pp. 390-394 ◽  
Author(s):  
NA Weber
Keyword(s):  
Case Report ◽  
Complete Resolution ◽  
Abdominal Mass ◽  
Clinical Signs ◽  
Exploratory Laparotomy ◽  
Splenic Torsion ◽  
Peritoneal Adhesions ◽  
Chronic Form ◽  
History Of ◽  
Diaphragmatic Hernia Repair

Primary splenic torsion in dogs is uncommon and can occur in acute or chronic form. The chronic form is difficult to diagnose because the clinical signs are vague and sometimes intermittent. A dog with a history of diaphragmatic hernia repair two years previously presented with chronic, vague clinical signs and an abdominal mass. The mass was revealed to be spleen on ultrasonography. On exploratory laparotomy, the dog was found to have a splenic torsion of approximately 180 degrees with mature, fibrous adhesions retaining the spleen in a torsed position. A splenectomy was performed, and the dog recovered uneventfully with complete resolution of prior clinical signs. Prognosis for dogs with splenic torsion is good, although complications are relatively common.

scholarly journals Isosexual precocious puberty with primary hypothyroidism: an interesting case report

2017 ◽  
Vol 6 (9) ◽  
pp. 4140
Author(s):  
Kaliki Hymavathi ◽  
Surekha Tadisetti ◽  
Divya Pusarla ◽  
Malini Devi Gottipati
Keyword(s):  
Case Report ◽  
Precocious Puberty ◽  
Abdominal Mass ◽  
Bone Age ◽  
Interesting Case ◽  
Primary Hypothyroidism ◽  
Uterine Bleeding ◽  
Breast Development ◽  
Girl Child ◽  
History Of

Isosexual precocious puberty in a girl child is defined as thelarche before 6 years in African–Americans and 7 years in Caucasians and menarche before the age of 9 years. In 1960, Van Wyk and Grumbach first described a syndrome characterised by breast development, uterine bleeding and multicystic ovaries in the presence of long standing primary hypothyroidism. We describe an interesting case of 8 year old girl presented with the complaint of abdominal mass with history of premature menarche and breast development. She is found to have gross hypothyroidism, hyperprolactinemia, prepubertal LH levels, multicystic ovaries and delayed bone age. Thyroid replacement amazingly settled her problems bringing her to normalcy. 

scholarly journals Cеsarean section scar endometrosis

2018 ◽  
Vol 71 (suppl. 1) ◽  
pp. 83-86
Author(s):  
Goran Malenkovic ◽  
Sanja Tomic ◽  
Bratislav Stoiljkovic
Keyword(s):  
Cesarean Section ◽  
Abdominal Wall ◽  
Metastatic Cancer ◽  
Surgical Techniques ◽  
Uterine Cavity ◽  
Endometrial Tissue ◽  
Abdominal Wall Endometriosis ◽  
Primary Surgery ◽  
History Of ◽  
Subcutaneous Tissues

Endometriosis is defined as a functional endometrial tissue outside the uterine cavity. The ectopic endometrial tissue has been identified after gynecologic laparoscopy or laparotomy procedures in the skin, subcutaneous tissues, abdominal and pelvic wall musculature, and it represents amayor cause of acute or chronic recurrent abdominal or pelvic pain resembling the menstrual cycle. The frequency of abdominal wall endometriosis is approximately 1% of all women who had a cesarean delivery. A 39-year-old patient with a history of one prior Cesarean section, presented with continuous cyclical focal pain at the left part of cesarean scar site for the past 16 months, 23 months after Cesarean section. The patient underwent a mini laparotomy, when endometrioma was completely removed surgically. The PH diagnosis of endometriosis was based on the presence of all elements of the endometrial mucosa (glands, stroma and signs of fresh and old hemorrhage) in an inadequate place (anterior abdominal wall). Endometriosis is difficult to diagnose and it is often mistaken for other conditions such as a suture granuloma, incisional hernia, primary or metastatic cancer. Endometriosis can be prevented only with good surgical techniques and clinical practice as well as the proper care during primary surgery.

scholarly journals Abdominoplasty: An Easy Approach to Giant Abdominal Lipomas

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Bayan Alsharif ◽  
Hatan Mortada ◽  
Aeshah Mandili ◽  
Fahad Aljindan
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Case History ◽  
Daily Living ◽  
Abdominal Mass ◽  
Abdominal Skin

Introduction. Giant lipomas, which are greater than 10 cm, are rare, cosmetically unacceptable, and deteriorate the quality of daily living. Removal of giant abdominal lipomas either by liposuction, excision, or both, can lead to the formation of a loose, pendulous drooping abdomen, and abdominal wall laxity, which is aesthetically displeasing. The objective of this case report is to highlight an easy approach to treat giant abdominal lipoma through therapeutic abdominoplasty. Case History. In this case, a 29-year-old man with a known case of hypothyroidism and HCV was in remission but had a huge abdominal mass on his lower left side; it progressed for 7 years and increased in size and caused discomfort. His BMI was 29.53 and the mass measured about 15×13 cm. All other investigations were normal and showed no malignancies. He underwent excision of the giant abdominal lipoma using a standard abdominoplasty approach. Conclusion. In conclusion, in selected patients, giant abdominal lipomas can be successfully excised along with the redundant abdominal skin.

scholarly journals Giant primary retroperitoneal myxoid leiomyoma: A case report

2013 ◽  
Vol 70 (5) ◽  
pp. 522-525 ◽  
Author(s):  
Milan Radojkovic ◽  
Miroslav Stojanovic ◽  
Jasmina Gligorijevic ◽  
Goran Stanojevic ◽  
Predrag Kovacevic ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Case Report ◽  
Histopathological Examination ◽  
Abdominal Mass ◽  
Abdominal Cavity ◽  
S100 Protein ◽  
Negative Results ◽  
Smooth Muscle Tumors ◽  
History Of ◽  
One Year

Introduction. Leiomyomas are benign smooth muscle tumors that usually arise from the uterus. Case report. We present a patient with a 6-month history of vague abdominal discomfort, occasional nausea, vomiting and urinary incontinence. On examination, there was an extremely large firm unpainfull palpable abdominal mass. Laboratory investigation revealed mild leukocytosis and blood creatinine elevation. Abdominopelvic ultrasonography and computed tomography revealed a massive well bordered, encapsulated intraabdominal tumor, extending from the pelvis to epigastrium and almost completely fulfilling the pelvic and abdominal cavity. At laparotomy, tumor arising from the retroperitoneum was excised in toto. Histopathological examination disclosed that the tumor was composed mainly of smooth muscle cells and very rare fibrous connective tissue elements with myxomatous alteration and with no mitotic activity. The negative results of numerous additional parameters analyzed (pancytokeratin, epithelial membrane antigen, S100 protein, CD68, CD34, desmin, aktin) ruled out different origin of a tumor. One year after resection the patient had no complaints and no radiological evidence of tumor recurrence. Conclusion. Considering current limitations in radiological diagnosis, in toto resection of these tumors is necessary to rule out malignancy.

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