scholarly journals Incidental para-ureteral aggressive angiomyxoma: a rare case report and literature review

BMC Urology ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ming Liu ◽  
Ting-Shuai Zhai ◽  
Xiao-Feng Zhao ◽  
Li-Jin Feng ◽  
Xin-Sheng Lyu ◽  
...  
Keyword(s):  
Literature Review ◽  
Rare Case ◽  
Reproductive Age ◽  
Aggressive Angiomyxoma ◽  
Case Presentation ◽  
Left Ureter ◽  
First Case ◽  
Rare Case Report

Abstract Background Aggressive angiomyxoma (AA) is a rare tumor that typically occurs in the pelvis and perineum, most commonly in women of reproductive age. However, no para-ureteral AA has been reported according to the literature. Case presentation We herein describe the first case of para-ureteral AA. A 62-year-old male presented to our institute in March 2017 with a para-ureteral mass that was 15 mm in diameter incidentally. No symptom was observed and laboratory analysis was unremarkable. Magnetic resonance and computed tomography imaging showed a non-enhancing mass abutting the left ureter without causing obstruction. Laparoscopic resection of the mass was performed without injury to the ureter. Pathologic and immunohistochemical results were consistent with AA. Till now, no recurrence was noticed. Conclusions We reported a rare case of para-ureteral AA, along with a literature review. Early diagnosis, proper surgical plan and long-term close follow-up is recommended for its high risk of recurrence and malignant potential.

scholarly journals Lumbar vertebral osteoradionecrosis: a rare case report with 10-year follow-up and brief literature review

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Cong Jin ◽  
Minghua Xie ◽  
Wengqing Liang ◽  
Yu Qian
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Rare Case ◽  
Oxygen Therapy ◽  
Rare Complication ◽  
Case Presentation ◽  
Rare Case Report ◽  
New Treatment ◽  
Slow Onset

Abstract Background Osteoradionecrosis (ORN) is a complication that occurs after radiotherapy for head or neck malignancies. ORN of the spine is rare, with only few cases affecting the cervical spine reported to date. To our knowledge, no case of lumbar ORN has been reported. We report a rare case of ORN in the lumbar spine that occurred 2 years after radiotherapy and perform a literature review. Case presentation We present a case of lumbar ORN that occurred 2 years after radiotherapy for gallbladder carcinoma. The patient was successfully treated conservatively and followed up for > 10 years. Conclusions ORN of the spine is a rare complication of radiotherapy. Spinal ORN is clinically described as a chronic disease with a slow onset. The most common presenting symptom of spinal ORN is pain. However, as ORN progresses, spinal kyphosis and instability can lead to neurological compression and thus to induced myelopathy or radiculopathy. Treatment of spinal ORN is comprehensive, including orthosis, medication, hyperbaric oxygen therapy, surgery, and new treatment combinations of pentoxifylline and tocopherol. The surgical rate for spinal ORN is relatively high.

scholarly journals Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report

2016 ◽  
Vol 6 (1) ◽  
pp. 45-51
Author(s):  
Deepa Das Achath ◽  
Abhishek Sanjay Ghule ◽  
Preeti Kanchan-Talreja ◽  
Sunanda Bhatnagar
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Histological Analysis ◽  
High Recurrence Rate ◽  
Ossifying Fibroma ◽  
Appropriate Treatment ◽  
Juvenile Ossifying Fibroma ◽  
Rare Case Report

ABSTRACT Fibroosseous lesions of the jaws, including juvenile ossifying fibroma (JOF), pose diagnostic and therapeutic difficulties due to their clinical, radiological, and histological variability. There are two histological varieties of it, one as psammomatoid type and second as trebacular type; here, we present a trebacular type, which is a rare variety. After the clinical examination, radiological and histological analysis, it was diagnosed as juvenile trebacular ossifying fibroma. Although JOF is an uncommon clinical entity, its aggressive local behavior and high recurrence rate means that it is important to make an early diagnosis, apply the appropriate treatment, and, especially, follow-up the patient over the long term. How to cite this article Ghule AS, Achath DD, Kanchan- Talreja P, Bhatnagar S. Juvenile Aggressive Trabecular Ossifying Fibroma of Mandible: A Rare Case Report. J Contemp Dent 2016;6(1):45-51.

scholarly journals Aggressive angiomyxoma in pregnancy: a case report and literature review

2020 ◽  
Vol 48 (7) ◽  
pp. 030006052093641
Author(s):  
Haihua Xu ◽  
Pengming Sun ◽  
Rongli Xu ◽  
Lihua Wang ◽  
Yuequan Shi
Keyword(s):  
Literature Review ◽  
Child Outcomes ◽  
Gonadotropin Releasing Hormone ◽  
Aggressive Angiomyxoma ◽  
Delivery Method ◽  
Gonadotropin Releasing Hormone Agonist ◽  
Long Term Follow Up ◽  
In Pregnancy

Aggressive angiomyxoma is an interstitial tumour that is often misdiagnosed and is likely to recur. There have been few reported cases of angiomyxoma in pregnant women. We report a case of a woman who was previously diagnosed with a tumour in her vulva that increased in size during both of her pregnancies and spontaneously decreased postpartum. Local excision was performed and a gonadotropin-releasing hormone agonist was administered. According to a literature review, aggressive angiomyxoma is associated with good maternal and child outcomes. Caesarean section is not the delivery method of choice, but it is indicated if the tumour is preventing vaginal birth. Treatment for angiomyxoma is mainly postpartum local resection supplemented by hormone therapy. This tumour frequently recurs and patients should undergo long-term follow-up.

scholarly journals Spontaneous biloma due to an intrahepatic cholangiocarcinoma: An extremely rare case report with long term survival and literature review

2017 ◽  
Vol 14 ◽  
pp. 36-39 ◽  
Author(s):  
Georgios K. Georgiou ◽  
Athina Tsili ◽  
Anna Batistatou ◽  
Alexandra Papoudou-Bai ◽  
Georgios Papadopoulos ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Intrahepatic Cholangiocarcinoma ◽  
Rare Case ◽  
Term Survival ◽  
Long Term Survival ◽  
Rare Case Report

scholarly journals Coronary Artery Fistulas: Symptoms may not Correlate to Size. An Emblematic Case and Literature Review.

2015 ◽  
Vol 4 ◽  
pp. 79 ◽  
Author(s):  
Dario Buccheri ◽  
Calogera Pisano ◽  
Davide Piraino ◽  
Bernardo Cortese ◽  
Paola Rosa Chirco ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Literature Review ◽  
Coronary Arteries ◽  
Rare Case ◽  
Surgical Ligation ◽  
Long Term Follow Up ◽  
Coronary Artery Fistulas ◽  
Coronary Steal

<p>Coronary artery fistulas are rare anatomic abnormalities of the coronary arteries present in 0.002% of the general population and represent 14% of all anomalies of coronary arteries. Their clinical relevance focuses mainly on the mechanism of "coronary steal phenomenon”, causing myocardial functional ischemia even in the absence of stenosis, hence common symptoms are angina or dyspnea. Small size fistulas are mostly asymptomatic and have excellent prognosis if managed medically with regular follow-up consisting also in echocardiography every 2-5 years. Big-sized and symptomatic fistulas, on the contrary, should undergo invasive closure, either with a transcatheter approach or with surgical ligation, whose results are equivalent at long-term follow-up. However, in some cases, symptoms may not correspond with size. Larger fistulas may be asymptomatic and very small fistulas may cause symptoms like angina in our patient. Here, we are presenting an emblematic and very rare case with a complete literature review. Particularly, very didactic angiography images and then during surgery are shown. </p>

scholarly journals Laparoscopic Surgery Management of Hydronephrosis Secondary to Left Paraduodenal Hernia in Cryptorchid: Case Report and a Literature Review

2020 ◽  
Author(s):  
Xin Wang ◽  
Yong Guan ◽  
Yong Wu ◽  
QingYa Meng
Keyword(s):  
Laparoscopic Surgery ◽  
Paraduodenal Hernia ◽  
Medical Work ◽  
Secondary Surgery ◽  
Case Presentation ◽  
Left Ureter ◽  
Long Term Follow Up ◽  
Surgery Management

Abstract Background: Left paraduodenal hernia (PDH) is a mesenterico-parietal hernia with retroperitoneal retrocolic herniation of the small bowel into a sac formed by a peritoneal fold located near the fourth portion of the duodenum. It’s a rare cause of hydronephrosis by compressed the upper left ureter. Traditionally, PDH are treated by laparotomy.Case presentation: An 8-year-old boy’s primary purpose was the treatment of cryptorchidism. But hydronephrosis was detected and it was induced by left paraduodenal hernia. Diagnostic laparoscopic exploration confirmed the diagnosis left paraduodenal hernia secondary hydronephrosis. Cryptorchidism was the primary purpose of treatment. The patient was treated with laparoscopic surgery, fixed left paraduodenal hernia, released the ureteropelvic junction obstruction (UPJO) and treated hydronephrosis.Conclusion: Secondary surgery for treating cryptorchidism would be performed and the long-term follow up was necessary.This case suggests us a rare cause of hydronephrosis in children. Every why has a wherefore. We must pay much attention to any unusual details in our medical work even though these details aren’t related to our primary objects.

Fatal Case of Vulvar Pyoderma Gangrenosum with Pulmonary Involvement: Case Presentation and Literature Review

2014 ◽  
Vol 18 (6) ◽  
pp. 424-429 ◽  
Author(s):  
Joshua M. Mercer ◽  
Paul Kuzel ◽  
Muhammad N. Mahmood ◽  
Alain Brassard
Keyword(s):  
Literature Review ◽  
Pyoderma Gangrenosum ◽  
Rare Case ◽  
Fatal Case ◽  
Pulmonary Involvement ◽  
Review Of The Literature ◽  
Treatment Resistant ◽  
Case Presentation ◽  
First Case ◽  
Systemic Therapies

Introduction: We report a case of a 61-year-old woman with locally destructive vulvar pyoderma gangrenosum (PG) with pulmonary involvement who was refractory to numerous systemic therapies and developed complications resulting in her demise. Objective: To report a rare case of treatment-resistant vulvar PG with pulmonary involvement that proved to be fatal. Methods: PubMed was used to search for other reports that discuss PG, or more specifically perigenital PG, with pulmonary involvement. Results and Conclusion: A thorough review of the literature revealed 33 cases of PG with pulmonary involvement, with only 4 involving the perigenital region. We report the second case of a female with vulvar PG and pulmonary involvement. In contrast to the first case described, our patient did not respond to systemic therapy, and, ultimately, her disease was fatal. It is hoped that with continued documentation of this rare and potentially lethal presentation of PG, physicians will determine more effective treatments.

scholarly journals Two giant connected retroperitoneal schwannomas: A rare case report

2020 ◽  
Author(s):  
Tao Yang ◽  
Lanqing Cao ◽  
Wei Li ◽  
Kai Zhang ◽  
Yuecheng Zhu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Rare Case ◽  
Low Density ◽  
Soft Tissue Density ◽  
Case Presentation ◽  
Benign Schwannoma ◽  
Rare Case Report ◽  
Retroperitoneal Schwannoma ◽  
Specific Symptoms

Abstract Background：There are few reports of large retroperitoneal schwannomas and few guidelines for the diagnosis and surgical treatment.Case presentation：A 40-year-old female came to our department due to abdominal pain for 1 day and there are no other specific symptoms. There were no abnormalities in the patient's tumor markers. Plain computer tomography (CT) scan of the whole abdomen revealed two mass soft tissue density shadows behind the peritoneum, with uneven internal density, cystic low-density shadows and patchy calcification shadows. The larger mass was about 12.0 cm × 12.3 cm in size. Then tumors were completely excised by a reasonable surgical approach while the surrounding organs closely related to the tumor were preserved. Postoperative pathology confirmed that the tumor was benign schwannoma. In the 18-month follow-up, the patient had no recurrences and was asymptomatic.Conclusion：We summarize the diagnosis and treatment of a rare giant retroperitoneal schwannoma. Laparotomy for the management of retroperitoneal giant schwannomas may be a safe and effective method.

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