Cecal epidermoid cyst: a neonatal case with clinicopathological consideration

Abstract Background Only 10 cases of cecal epidermoid cyst (CEC) have been reported in the literature. Furthermore, its pathogenesis remains unclear. We report a rare case of congenital CEC in neonate, and discuss its clinicopathological findings. Case presentation A cystic lesion was incidentally identified in the retroperitoneal area of the abdominal right lower quadrant during a routine prenatal ultrasonography (US), prompting an ileocolectomy 3 days after birth. This congenital cyst was composed of mucosal lining cells and submucosal connective tissues, and the inner lining mucosa was composed of stratified squamous epithelium and focally mucin-producing ciliated epithelium. Based on the macroscopic and microscopic findings, the cystic lesion was diagnosed as a congenital cecal epidermoid cyst. Conclusions The management of a fetal abdominal mass should be tailored individually, considering that epidermoid cysts can occur in the cecum during the perinatal period. We report the clinicopathological findings in this case, including its possible pathogenesis.

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Epidermoid Cyst of Tongue: A Case Presentation

Otorhinolaryngology Clinics - An International Journal ◽

10.5005/jp-journals-10003-1176 ◽

2014 ◽

Vol 6 (3) ◽

pp. 134-136

Author(s):

Nilamadhab Prusty

Keyword(s):

Connective Tissue ◽

General Anesthesia ◽

Dermoid Cyst ◽

Epidermoid Cyst ◽

Squamous Epithelium ◽

Outpatient Department ◽

Case Presentation ◽

Histopathological Findings ◽

Stratified Squamous Epithelium ◽

Cyst Cavity

ABSTRACT Epidermoid cyst occurring within the tongue is rare. A 5-year- old male child was brought to outpatient department (OPD) with a tongue mass which was gradually increasing in size. There was associated difficulty in speech and mastication as the swelling increased in size. Intraoral examination revealed moderately tender, fluctuant and enlarged tongue. A diagnosis of dermoid cyst was made and the patient was booked for surgery. Excision of the cyst was done under general anesthesia. Postoperative histopathology was done. The histopathological findings confirm the diagnosis of an epidermoid cyst, characterized by the presence of: (i) a cyst cavity lined by stratified squamous epithelium with keratinization on the surface; and (ii) connective tissue with a mild inflammation. The proposed treatment was considered successful as the case was solved and there was no recurrence. How to cite this article Naik C, Prusty N. Epidermoid Cyst of Tongue: A Case Presentation. Int J Otorhinolaryngol Clin 2014;6(3):134-136.

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Solitary fibrous tumor of the greater omentum: case report and review of literature

Surgical Case Reports ◽

10.1186/s40792-021-01176-w ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Karim M. Eltawil ◽

Carly Whalen ◽

Bryce Knapp

Keyword(s):

Solitary Fibrous Tumor ◽

Management Strategy ◽

Abdominal Mass ◽

Lower Abdominal Pain ◽

Greater Omentum ◽

Team Approach ◽

Review Of Literature ◽

Case Presentation ◽

Multidisciplinary Team Approach ◽

Fibrous Tumor

Abstract Background Solitary fibrous tumor (SFT) is a rare neoplasm of mesenchymal origin occurring most often in the visceral pleura, however, it has been described in almost every anatomic location of the human body. While most SFTs have a benign behavior, they can potentially be locally aggressive and demonstrate a malignant behavior. Case presentation A 63 year-old male patient presented with lower abdominal pain and nausea and was noted on CT to have a large, heterogeneous lower abdominal mass with no evidence of metastatic disease. A surgical resection was performed and the mass appeared to be connected to the greater omentum with a vascular pedicle. It was not invading any intra-abdominal or pelvic organs. Pathology revealed an SFT of omental origin. The mitotic count was less than 4 per 10 high-power fields and all pathologic characteristics did not meet the criteria for a malignant SFT. Conclusions We report an extremely rare case of SFT originating from the greater omentum. A multidisciplinary team approach was followed to plan the patient’s management strategy.

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Management of uterine cystic adenomyosis by laparoscopic surgery: case report

BMC Women s Health ◽

10.1186/s12905-021-01341-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Cheng-Zhi Zhao ◽

Bin Wang ◽

Chun-yan Zhong ◽

Shen-tao Lu ◽

Li Lei

Keyword(s):

Laparoscopic Surgery ◽

Rare Case ◽

Cystic Lesion ◽

Ultrasound Examination ◽

Ca 125 ◽

Cystic Lesions ◽

Good Recovery ◽

Case Presentation ◽

Solid Lesions ◽

Uterine Body

Abstract Background Endometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions. The former is common, while the latter is rare, especially for cystic adenomyosis larger than 5 cm. Case presentation A 30-year-old woman was admitted for severe and worsening dysmenorrhea. Ultrasound examination revealed a rare well-circumscribed cystic lesion about 5.5 × 4 × 5.0 cm. CA-125 level was slightly elevated. She accepted laparoscopic surgery and the adenomyotic tissues were excised. The histopathology of the specimen demonstrated the endometrial glands in the walls of cysts and an area of extensive hemorrhage can be seen in the inner wall of cyst. The patient made a good recovery after surgery and her symptoms complete resoluted. Conclusions This is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery.

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A Rare Abdominal Mass, A Case Presentation

Medical Journal of Shree Birendra Hospital ◽

10.3126/mjsbh.v8i0.21054 ◽

2006 ◽

Vol 8 ◽

pp. 73-77

Author(s):

R Shah ◽

S Rawal ◽

B K Hamal ◽

N K Giri ◽

D Lama

Keyword(s):

Abdominal Mass ◽

Case Presentation

A Rare Abdominal Mass, A Case Presentation

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Ectopic decidua of the appendix: a case report

Surgical Case Reports ◽

10.1186/s40792-021-01204-9 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Manabu Kaneko ◽

Hiroaki Nozawa ◽

Hirofumi Rokutan ◽

Koji Murono ◽

Tetsuo Ushiku ◽

...

Keyword(s):

Differential Diagnosis ◽

Acute Appendicitis ◽

Rare Entity ◽

Lower Quadrant ◽

Case Presentation ◽

Decidual Tissue ◽

Abdominal Symptoms ◽

History Of ◽

Myxoid Degeneration ◽

Right Lower Quadrant

Abstract Background Ectopic decidua is the presence of decidual tissue outside the uterus. Ectopic decidua of the appendix is a rare entity that can present with abdominal symptoms mimicking appendicitis. We report a case of a 39-year-old female patient at 27 weeks gestational age with a 2-day history of right lower quadrant abdominal pain. Case presentation The patient was referred to our hospital with suspicion of either acute appendicitis or threatened rupture of the uterus, the latter of which was considered unlikely following close examination. Therefore, she underwent emergency appendectomy via laparotomy. Microscopic examination revealed decidual tissue with myxoid degeneration in the subserosal layer of the tip side of the appendix, without endometriosis, which was compatible with ectopic decidua (deciduosis). Conclusions Because it is extremely difficult to distinguish ectopic decidua of the appendix from acute appendicitis, even with various imaging modalities, we should be aware that ectopic decidua of the appendix is a differential diagnosis for acute appendicitis in pregnant women.

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Extensive Epidermoid Cyst and Breathing Difficulty

Case Reports in Dentistry ◽

10.1155/2015/826389 ◽

2015 ◽

Vol 2015 ◽

pp. 1-4

Author(s):

Ciro Dantas Soares ◽

Alberto Costa Gurgel ◽

Francisco de Assis de Souza Júnior ◽

Samila Neres de Oliveira ◽

Maria Goretti Freire de Carvalho ◽

...

Keyword(s):

Differential Diagnosis ◽

Oral Cavity ◽

Epidermoid Cyst ◽

Surgical Planning ◽

Squamous Epithelium ◽

Functional Limitations ◽

Lingual Thyroid ◽

Cystic Lesions ◽

Breathing Difficulty ◽

Stratified Squamous Epithelium

Epidermoid cysts are common cystic lesions in the skin, ovaries, and testicles, but their occurrence in the oral cavity is uncommon. They consist of cysts delimited by a fibrous capsule without cutaneous annexes and are lined by stratified squamous epithelium. The differential diagnosis includes ranula, dermoid cysts, and lingual thyroid. Despite their benign presentation, these cysts can cause functional limitations, requiring special clinical attention for extensive lesions located in regions that preserve vital structures. This paper aims to report a case of epidermoid cyst in patient with swallowing and breathing difficulty, highlighting the clinical and surgical planning.

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Atypical Presentation of Intestinal Intussusception Caused by Insidious Inflammatory Myofibroblastic Tumor of the Bowel Wall

International Surgery ◽

10.9738/intsurg-d-16-00235.1 ◽

2017 ◽

Vol 102 (7-8) ◽

pp. 345-350

Author(s):

Shuo Dong ◽

Xiaoying Xie ◽

Linsheng Zhao ◽

Guanghua Pei

Keyword(s):

Physical Examination ◽

Inflammatory Myofibroblastic Tumor ◽

Bowel Wall ◽

Early Recognition ◽

Rare Complication ◽

Abdominal Mass ◽

Case Presentation ◽

Intestinal Intussusception ◽

Chinese Girl ◽

Operative Findings

Introduction: Inflammatory myofibroblastic tumor (IMT) is a rare but real tumor, which is histologically characterized by myofibroblastic spindle cells proliferation with inflammatory infiltrate. The lung is the most common affected organ, and extrapulmonary IMTs are less common. However, IMT seldom presents in the gastrointestinal tract, and intussusception is a rare complication of this tumor. Case presentation: We documented this rare case of a 12-year-old Chinese girl presenting with abdominal pain. The clinical and radiologic impression was bowel intussusception and bowel obstruction. No sign of abdominal mass was found before surgery, neither physical examination nor radiologic images. Operative findings revealed intestinal intussusception secondary to a little mass. Histopathlogic evaluation of this mass revealed IMT. Conclusion: In conclusion, IMT may present with bowel intussusception. However, at the intestinal location, the tumor may be found as an abdominal mass or may be insidious; hence, detailed history, physical examination, and imaging studies are necessary for early recognition and diagnosis.

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Epidermoid Cyst Arising in the Submandibular Region

Case Reports in Medicine ◽

10.1155/2013/419289 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3

Author(s):

Masanori Kudoh ◽

Hiroyuki Harada ◽

Ken Omura ◽

Yoshimasa Ishii

Keyword(s):

Epidermoid Cyst ◽

Squamous Epithelium ◽

Chief Complaint ◽

Surrounding Tissue ◽

Soft Mass ◽

Submandibular Region ◽

Surgical Specimen ◽

Floor Of The Mouth ◽

Stratified Squamous Epithelium ◽

The Right

Dermoid and epidermoid cysts in the oral cavity frequently develop in the midline or sublingual region of the floor of the mouth. Here, we report a rare case of an epidermoid cyst in the submandibular region. The patient was a 69-year-old man with a chief complaint of a mass in the right submandibular region. A mobile, elastic, relatively soft mass without tenderness was palpable in this region. The skin covering the mass was normal. MRI showed a cystic lesion measuring 3.5 × 3.0 cm under the platysma in the right submandibular region. Cystectomy was performed under general anesthesia. There was no adhesion to surrounding tissue and the right submandibular gland was preserved. The surgical specimen was cystic and contained soybean cord-like materials. Histopathologically, the cyst wall was lined by stratified squamous epithelium with no skin appendage, suggesting an epidermoid cyst. The postoperative course was uneventful and without recurrence after 28 months.

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Disseminated Intravascular Coagulopathy Caused by Uterine Leiomyoma with Sarcoma-Like Findings on Magnetic Resonance Imaging

Case Reports in Obstetrics and Gynecology ◽

10.1155/2014/978743 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4

Author(s):

Akiyo Taneichi ◽

Hiroyuki Fujiwara ◽

Yukako Mizoguchi ◽

Shizuo Machida ◽

Hiroaki Nonaka ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Present Report ◽

Abdominal Mass ◽

Fresh Frozen Plasma ◽

Resonance Imaging ◽

Disseminated Intravascular Coagulopathy ◽

Normal Value ◽

Clinicopathological Findings ◽

Intravascular Coagulopathy

A leiomyoma rarely causes disseminated intravascular coagulopathy (DIC). In the present report, we describe a case of DIC caused by leiomyoma. A 36-year-old nulliparous woman presented with hypermenorrhea and a lower abdominal mass. On magnetic resonance imaging, we detected a 14 cm uterine tumor, which was suspected to be a sarcoma. Blood tests at the preoperative examination indicated platelet count of 9.6 × 104/μL, fibrin degradation product level of 107.1 μg/mL (normal value, 0–5.0 μg/mL), and fibrinogen level of 54 mg/dL (normal value, 129–271 mg/dL). Based on these findings, we diagnosed the patient with DIC. The patient was treated with nafamostat mesilate and fresh frozen plasma, but the DIC did not show any improvement. Subsequently, a hysterectomy was performed, after which the DIC improved. Clinicopathological findings indicated the presence of a leiomyoma with multiple vessels containing thromboemboli, and suggested that the DIC was caused by the leiomyoma. Therefore, it is essential to consider that that a benign leiomyoma may be a cause of DIC.

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Giant Appendicolithiasis Presenting with Chronic Abdominal Pain and Mass: A Case Report

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v29i3.16 ◽

1970 ◽

Vol 29 (3) ◽

Author(s):

Engida Abebe ◽

Kirubel Abebe

Keyword(s):

Patient Outcomes ◽

District Hospital ◽

Abdominal Mass ◽

Rare Condition ◽

Chronic Abdominal Pain ◽

Abdominal Ct ◽

Lower Quadrant ◽

High Index Of Suspicion ◽

Right Lower Quadrant ◽

Cecal Cancer

BACKGROUND: Appendicitis is the most common cause of acute abdomen. The diagnosis of appendicitis can be easy when it presents with the classical symptoms or is very challenging when present with atypical presentation. Around 20-30% of patients operated on for appendicitis have appendicolithiasis. Appendicolithiasis are usually small in size, and are called giant when more than 2cm in size.CASE DETAIL: A 36 years old man was referred from a district hospital with a diagnosis of cecal cancer. His complaints were right lower quadrant (RLQ) abdominal mass of 03 months and pain of 18 months duration. Colonoscopy was normal but abdominal CT showed a RLQ mass with a dense radio-opaque shadow at its center.CONCLUSIONS: Giant appendicolith is a rare condition. A high index of suspicion and careful review of imaging findings is the key in early diagnosis and improved patient outcomes.

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