scholarly journals Pilonidal sinus of the cheek: an extremely rare clinical entity—case report and brief review of the literature

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
B. N. Adhikari ◽  
S. Khatiwada ◽  
A. Bhattarai
Keyword(s):  
Pilonidal Sinus ◽  
Histopathological Examination ◽  
Suture Line ◽  
Interesting Case ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Complete Excision ◽  
Case Presentation ◽  
Sacrococcygeal Region ◽  
Rule Out

Abstract Background Pilonidal sinus is commonly seen at the sacrococcygeal region and few other sites, usually located at the midline, at areas where hairs collect or near protuberances or some adjacent rubbing surfaces. Its presence elsewhere is uncommon. We share an interesting case of a recurrent discharging sinus from the cheek bulge of a male which turned out to be a pilonidal sinus containing tuft of hairs on exploration and wide excision. Case presentation A 37 years old hirsute male presents to us with a non-healing discharging sinus at the bulge of the cheek. Exploration after a course of antibiotics showed 2 subcutaneous cavities with tuft of hairs. The area was excised along with a margin, thorough irrigation and curettage was done and the wound was closed primarily; a Z-plasty was incorporated in the central part to break the resultant suture line. Histopathological examination was done to confirm the diagnosis and rule out an off-midline dermoid cyst or an underlying/coexisting malignancy. Post-operative course was uneventful. The patient has been recurrence free for 1.5 years and is satisfied with the nature of the scar. Conclusions Pilonidal sinus of the cheek bulge is an extremely rare entity. Complete excision and clinical suspicion are important for cure of this nagging ailment, especially at unexpected areas.

scholarly journals Subcutaneous Zygomycosis Due to Basidiobolus ranarum: A Case Report from Maharastra, India

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Mani Anand ◽  
Sanjay D. Deshmukh ◽  
Dilip P. Pande ◽  
Suresh Naik ◽  
Dhyaneshwari P. Ghadage
Keyword(s):  
Case Report ◽  
Soft Tissue Tumor ◽  
Histopathological Examination ◽  
Inflammatory Lesion ◽  
Complete Recovery ◽  
Rare Entity ◽  
Complete Excision ◽  
Fungal Hyphae ◽  
Microbiological Examination ◽  
Asian Child

Entomophthoromycosis is a rare entity. We hereby report a case of entomophthoromycosis in a three-year-old Asian child who presented with a painless, nontender, rapidly increasing large swelling on the thigh of six months duration, which was initially misdiagnosed as a soft tissue tumor and resected. The cause of misleading diagnosis was rapid growth of the lesion in a short duration of time, indicating the possibility of a tumor. Histopathological examination revealed an inflammatory lesion with aseptate fungal hyphae and the characteristic Splendore-Hoeppli phenomenon. Microbiological examination identified the fungus as Basidiobolus ranarum. Complete excision of the lesion followed by antifungal therapy was associated with complete recovery. Entomophthoromycosis should be considered early when children from endemic areas present with unusual, rapid-growing lesions of the subcutaneous region. In order to emphasize tumor-like presentation of zygomycosis, we are presenting this case.

scholarly journals Intermammary pilonidal sinus: rare location of a common condition

2020 ◽  
Vol 8 (1) ◽  
pp. 385
Author(s):  
Gayatri A. Deshpande ◽  
Raj N. Gajbhiye ◽  
Bhupesh Tirpude ◽  
Hemant Bhanarkar ◽  
Vikrant Akulwar ◽  
...  
Keyword(s):  
Pilonidal Sinus ◽  
Primary Closure ◽  
Histopathological Examination ◽  
Skin Surface ◽  
Sinus Tract ◽  
Complete Excision ◽  
Rare Location ◽  
Keloid Formation ◽  
One Year

Pilonidal sinus in the intermammary region is a rare location of an inflammatory condition commonly occurring in the natal cleft. It is typically characterised by a pus and hair containing cavity in the skin lined by granulation tissue connecting the skin surface. A 22 year-old female presented with chronically discharging sinuses in the intermammary region with recurrent abscess formation for one year duration. Although a rare location, clinical diagnosis of pilonidal sinus was made. Complete excision of sinus tract with abscess cavity with primary closure was performed under general anaesthesia. Histopathological examination confirmed pilonidal sinus. On follow up, the scar was healthy with no keloid formation. Pilonidal sinus may rarely occur in intermammary region. Complete excision and primary closure is the mainstay treatment.

Laryngolith

2009 ◽  
Vol 123 (2) ◽  
Author(s):  
A H Hegab
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Interesting Case ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Computed Tomography Scan ◽  
Unique Case ◽  
The Past ◽  
Tomography Scan ◽  
Biochemical Examination

AbstractObjective:To report an extremely rare and interesting case of a woman who developed a laryngeal stone.Case report:A 44-year-old woman was referred to our ENT clinic complaining of dyspnoea and stridor. She had been treated for chest problems for approximately 30 years. On examination, she had a large, spiky, subglottic lesion compromising the airway. A laryngeal computed tomography scan and histopathological and biochemical examination showed the lesion to be a calcium phosphate stone. Review of the literature from the past 50 years, using several search engines, revealed no similar cases.Conclusion:To the author's knowledge, this is a unique case of a stone that developed in the subglottis. This rare entity was the cause of long-standing chest problems unresponsive to medical treatment. The patient recovered completely from all her symptoms after removal of the laryngolith.

scholarly journals Congenital orbital teratoma: A case report

2020 ◽  
Vol 9 ◽  
pp. 9
Author(s):  
Ahmed Raza ◽  
Asma Mushtaq ◽  
Seema Qayyum ◽  
Fiza Azhar ◽  
Ahmad Imran ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Cystic Teratoma ◽  
Surgical Excision ◽  
Unusual Site ◽  
Case Presentation ◽  
Neonatal Life ◽  
Complete Surgical Excision ◽  
Sacrococcygeal Region ◽  
The Right ◽  
Unilateral Proptosis

Background: Teratoma originates from all three germinal layers and commonly found at the sacrococcygeal region. The orbit is an unusual site of occurrence, but they grow rapidly and cause massive proptosis. Case Presentation: A 9-day-old female neonate presented with marked unilateral proptosis of the right eye. Imaging workup gave a suspicion of a complex mass with internal hemorrhage or a teratoma. Modified exenteration was performed. Histopathological examination revealed mature cystic teratoma. Conclusion: Orbital teratoma presents with marked disfiguring proptosis in neonatal life. Prompt complete surgical excision is curative in the case of mature lesions.

scholarly journals AN UNUSUAL PRESENTATION OF PILONIDAL SINUS – A DIAGNOSTIC CHALLENGE!

2020 ◽  
pp. 1-2
Author(s):  
Rakesh B. S ◽  
Kavya Sivapuram ◽  
Akash Grampurohit ◽  
Sriram Madhan
Keyword(s):  
Pilonidal Sinus ◽  
Primary Closure ◽  
Unusual Case ◽  
Histopathological Examination ◽  
Total Excision ◽  
Cell Reaction ◽  
Common Site ◽  
Diagnostic Challenge ◽  
Submandibular Region ◽  
Sacrococcygeal Region

Introduction: Pilonidal sinus (PNS) is any subcutaneous sinus containing hair. 97.8% of PNS are in sacrococcygeal region making it the most common site of PNS. Extrasacrococcygeal PNS accounts for approximately 2.2% of PNS. Few cases of PNS of atypical sites have been reported. The purpose of this paper is to report an unusual case of pilonidal sinus over the submandibular region. Case report: A 36 year old male patient presented with a painless swelling over left side of neck since 2 weeks which on examination had no tenderness and no local raise of temperature. Ultrasonography of neck was suggestive of abscess. Excision of the swelling was done and histopathological examination showed chronic inflammation with foreign body gaint cell reaction suggesting diagnosis of Pilonidal sinus. Conclusion: Pilonidal sinus over submandibular region is unusual and a diagnostic challenge. Total excision and primary closure was done in this case.

scholarly journals A Unique Case of the Transformation of a Hepatic Leiomyoma into Leiomyosarcoma with Pancreatic Metastases: Review of the Literature with Case Presentation

Reports ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 2
Author(s):  
Anna Colagrande ◽  
Gerardo Cazzato ◽  
Salvatore Fedele ◽  
Valeria Andriola ◽  
Giuseppe Ingravallo ◽  
...  
Keyword(s):  
Single Case ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Unique Case ◽  
Case Presentation ◽  
Histopathological Features ◽  
Pancreatic Metastases

Primary hepatic leiomyoma (PHL) is a rare entity, with very few cases reported in the literature. Even more rarely, until now practically undescribed, is the transformation of a hepatic leiomyoma into leiomyosarcoma with pancreatic metastases. Here, we report a single case of the progression of PHL in primary hepatic leiomyosarcoma, with clinical–surgical and histopathological features, and we conducted a review of the literature of related cases that can be found.

Ectopic adrenal tissue associated with borderline mucinous cystadenoma of ovary: a case report with review of the literature

2017 ◽  
Vol 32 (3) ◽  
Author(s):  
Kah Teik Chew ◽  
Muhammad Azrai Abu ◽  
Yulianty Arifuddin ◽  
Nor Azlin Mohamed Ismail ◽  
Noor Ain Mohd Nasir ◽  
...  
Keyword(s):  
Case Report ◽  
Ovarian Cyst ◽  
Potential Risk ◽  
Incidental Finding ◽  
Mucinous Cystadenoma ◽  
Interesting Case ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Adrenal Tissue ◽  
Ectopic Adrenal Tissue

AbstractEctopic adrenal tissue in the ovary is a rare entity. We reported a case of ectopic adrenal tissue in borderline mucinous cystadenoma of the left ovary. A 22 year-old student presented with progressive abdomen distension associated with discomfort for 3 months. Imaging investigation was suggestive of mucinous left ovarian cyst. Left salpingo-oophorectomy was performed and the histopathology revealed borderline mucinous cystadenoma with an incidental finding of ectopic adrenal tissue. This is an interesting case because of its rarity and potential risk of neoplasm changes.

scholarly journals Pectoralis Minor Syndrome: Case Presentation and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Mohammed Abdallah ◽  
Mohammad Rachad Wehbe ◽  
Elias Elias ◽  
Muhammad Aghiad Kutoubi ◽  
Roger Sfeir
Keyword(s):  
Young Female ◽  
Clinical Findings ◽  
Axillary Vein ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Case Presentation ◽  
Pectoralis Minor ◽  
Appropriate Treatment ◽  
Pectoralis Minor Muscle ◽  
Minor Muscle

We present a case of a healthy young female with axillary vein compression caused by the pectoralis minor muscle. Diagnosis was made by clinical findings and dynamic venography. After pectoralis minor tenotomy, the patient had total resolution of her symptoms. Compression of the axillary vein by the pectoralis minor is a rare entity that needs a careful exam and imaging to reach its diagnosis and establish the appropriate treatment.

scholarly journals A Giant Pre-Peritoneal Lipoma: A Report of an Uncommon Presentation of a Rare Entity and a Review of the Literature

2021 ◽  
pp. 1-5
Author(s):  
Ulasi Ikechukwu Bartholomew ◽  
Ulasi Ikechukwu Bartholomew ◽  
Afuwape OO ◽  
Ajani MA ◽  
Onyema AE ◽  
...  
Keyword(s):  
Soft Tissue Tumor ◽  
Iliac Fossa ◽  
Benign Tumors ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Abdominal Ultrasonography ◽  
Case Presentation ◽  
Uncommon Presentation ◽  
Peritoneal Space ◽  
The Right

Background: A lipoma is one of the commonest benign tumors in surgical practice. Lipomas are usually found on the trunk and limbs but less commonly within the abdomen, where they occur frequently in the mesentery as well as the subserosa and submucous layer of the gastrointestinal tract. Pre-peritoneal lipomas are rare. Case Presentation: A 44-year-old woman presented with a painless and progressive right-sided abdominal swelling of 5 months duration. Examination revealed a 16cm x 14cm slightly mobile and non-tender firm-to-hard hour-glass-shaped mass extending from the right hypochondrial to right iliac and the suprapubic regions. Abdominal ultrasonography showed a 5cm x 6cm bowel thickening in the right iliac fossa suggestive of an ileocecal mass while a computerized tomography showed a 20.8cm x 6.3cm x 20.1cm hypodense mass within the peritoneal cavity, extending from the epigastric region to the pelvis, anterior to the bowel loops and more to the right. At laparotomy, a huge, well encapsulated yellowish mass in the pre-peritoneal space, weighing 1,520g was excised. Histology confirmed a lipoma. Conclusion: A preperitoneal lipoma is an uncommon soft tissue tumor and the giant ones are extremely rare. Although a rare cause of a painless abdominal swelling, pre-peritoneal lipoma should be considered as a differential diagnosis in patients presenting with an unremarkable feature suggestive of an intra-abdominal pathology.

scholarly journals Jejunojejunal Intussusception as the Initial Presentation of Non-Hodgkin’s B-Cell Lymphoma in an Adult Patient: A Case Report and Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
V. Stohlner ◽  
N. A. Chatzizacharias ◽  
M. Parthasarathy ◽  
T. Groot-Wassink
Keyword(s):  
B Cell ◽  
Adult Patient ◽  
Cell Lymphoma ◽  
Histopathological Examination ◽  
B Cell Lymphoma ◽  
Initial Presentation ◽  
Review Of The Literature ◽  
Cell Type ◽  
Case Presentation ◽  
Underlying Pathology

Introduction. Intussusception is a rare cause of bowel obstruction in adults and is usually associated with an underlying pathology, benign, or malignant. This is a report of a case of jejunojejunal intussusception secondary to non-Hodgkin’s B-cell lymphoma in an adult patient.Case Presentation. A 74-year-old male with no previous significant medical history presented with symptoms of acute intestinal obstruction. A CT scan of the abdomen and pelvis revealed 2 areas of jejunojejunal intussusception, which were surgically managed successfully. Histopathological examination of the specimen revealed the presence of high grade diffuse large B-cell-type non-Hodgkin’s lymphoma, and the patient was referred to the oncology team for further management.Discussion. B-cell lymphoma is a rare but well-documented cause of intussusception in adults, with most cases being at the ileocolic region. We present a rare case of jejunojejunal intussusception as the initial presentation of non-Hodgkin’s B-cell lymphoma in an adult patient.

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