scholarly journals A unique case of a double intra-conal cavernous hemangioma

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Simone Ulivieri ◽  
Davide Luglietto ◽  
Matteo Ulivieri ◽  
Antonio Giorgio
Keyword(s):  
Vascular Malformations ◽  
Adult Population ◽  
Lateral Approach ◽  
Unique Case ◽  
Total Resection ◽  
Case Presentation ◽  
Postoperative Course ◽  
First Case ◽  
Cavernous Hemangiomas ◽  
Extended Lateral Approach

Abstract Background Cavernous hemangiomas are benign vascular malformations, probably representing the most common intraorbital and intraconal tumors in the adult population. Case presentation We report the case of a 49-year-old female with two intra-conal lesions. We performed a total resection using Ulivieri's extended lateral approach. The postoperative course was uneventful and the patient was discharged three days after surgery. Conclusions To the best of our knowledge, we report here the first case in the literature of a double intra-conal lesion.

scholarly journals Retrocondylar Far-Lateral Approach for Resection of a Craniocervical Junction Hemangioblastoma

2019 ◽  
Vol 80 (S 04) ◽  
pp. S349-S351
Author(s):  
Alexander X. Tai ◽  
Kathleen Knudson ◽  
Walter C. Jean
Keyword(s):  
Cystic Lesion ◽  
Craniocervical Junction ◽  
Lateral Approach ◽  
Total Resection ◽  
Operative Strategy ◽  
Postoperative Course ◽  
Suboccipital Craniectomy ◽  
Far Lateral Approach ◽  
Far Lateral ◽  
Neurologically Intact

AbstractWe present a case in which a retrocondylar far-lateral approach was utilized to resect a hemangioblastoma at the craniocervical junction. The patient was a 33-year-old man presenting with 2 months of symptoms referable to compression at the craniocervical junction (i.e., dizziness and gait instability). Though neurologically intact on exam, his imaging demonstrated a highly vascular cystic lesion dorsolateral to the medulla on the left consistent with a hemangioblastoma. Virtual reality software was critical to visualize the patient's lesion in relationship to the vertebral artery and draining vein (Fig. 1). A far-lateral retrocondylar suboccipital craniectomy with a C1 hemilamiectomy permitted resection of this lesion. The operative strategy was to address the lesion similar to an arteriovenous malformation by detaching the lesion from its arterial feeders first, and then addressing the lesion's draining vein (Fig. 2). Postoperative imaging demonstrated a gross-total resection and the patient had an uncomplicated postoperative course. This case demonstrates not only the lateral reach of a retrocondylar far-lateral approach; but also, clearly demonstrates an effective dissection strategy when approaching a hemangioblastoma.The link to the video can be found at: https://youtu.be/M0szMOdhjfE.

scholarly journals The challenging diagnosis and treatment of duodenal diverticulum perforation: a report of two cases

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Moysis Moysidis ◽  
Daniel Paramythiotis ◽  
Anestis Karakatsanis ◽  
Evropi Amanatidou ◽  
Elisavet Psoma ◽  
...  
Keyword(s):  
Incidental Findings ◽  
Duodenal Diverticulum ◽  
Common Site ◽  
Case Presentation ◽  
Postoperative Course ◽  
First Case ◽  
Intravenous Antibiotics ◽  
Therapeutic Decisions ◽  
Duodenal Diverticula ◽  
Bowel Rest

Abstract Background The duodenum is a common site for diverticulum formation. Most of the duodenal diverticula are asymptomatic, incidental findings. Perforation is a rare but potentially lethal complication of duodenal diverticular disease. Surgery remains the mainstay of treatment for perforated duodenal diverticula. In recent years, a few cases were successfully managed either conservatively or with endoscopy. Case presentation We present two cases of female patients treated in our department for duodenal diverticulum perforation. The first case was treated surgically with a diverticulectomy. The second case was managed conservatively with bowel rest and intravenous antibiotics. Both patients had an uncomplicated postoperative course and were discharged home. Conclusions Both surgical and conservative treatments are viable options for a perforated duodenal diverticulum in selected patients. Patients with a contained duodenal diverticular perforation can be managed conservatively at the outset. Possibly, the introduction of a classification system for duodenal diverticulum perforation may help clinicians in making essential therapeutic decisions.

scholarly journals Q Fever Presented as a Large Retroperitoneal Pseudotumoral Mass

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Behdokht Nowroozizadeh ◽  
Negar Haghighi Mehmandari ◽  
Nicolas Gallegos ◽  
Mari Perez-Rosendahl ◽  
Di Lu
Keyword(s):  
Coxiella Burnetii ◽  
Bypass Surgery ◽  
Q Fever ◽  
Acute Infection ◽  
Clinical Suspicion ◽  
Retroperitoneal Mass ◽  
Case Presentation ◽  
Postoperative Course ◽  
First Case ◽  
Histopathologic Findings

Background. Q fever is an infection caused by Coxiella burnetii, an intracellular organism. Acute infection is most often a benign and asymptomatic process; however, some individuals may go on to develop subacute and persistent localized symptomatic Q fever. As such, the clinical and histopathologic findings of Q fever are widely variable and may be missed if clinical suspicion is not high. Case Presentation. Herein we report the first case of C. burnetii infection presenting as an isolated retroperitoneal mass. A 61-year-old male underwent axillary-bifemoral bypass surgery. His postoperative course was complicated by the discovery of a large retroperitoneal mass. Conclusion. Clinical and histopathologic findings of Coxiella burnetii infection are variable and can be deceiving. These are often nonspecific, especially in its persistent localized infectious stages.

scholarly journals Thoracoscopic Resection of Bilateral Multiple Superior Mediastinal Neurofibromas

2020 ◽  
Author(s):  
Yoko Azuma ◽  
Naobumi Tochigi ◽  
Atsushi Sano ◽  
Takashi Sakai ◽  
Satoshi Koezuka ◽  
...  
Keyword(s):  
Thoracoscopic Surgery ◽  
Thoracoscopic Resection ◽  
Case Presentation ◽  
Postoperative Course ◽  
Superior Mediastinum ◽  
Chest Cavity ◽  
Video Assisted ◽  
First Case ◽  
Video Assisted Thoracoscopic Surgery ◽  
Multiple Nodules

Abstract Background: The indications for surgical resection concerning multiple bilateral neurofibromas in the superior mediastinum remain controversial, because vascular injury or development of postoperative Horne syndrome are concerned.Case presentation: A 60-year-old woman presented with multiple nodules in her right neck and bilateral chest cavity tops which indicated neurofibromatosis. The thoracic masses grew slowly over 9 years, and she then underwent a 2-stage resection starting with the left to right side. Bilateral tumors were completely removed via video-assisted thoracic surgery. The patient’s postoperative course was uneventful, without postoperative Horner syndrome. Conclusions: To the best of our knowledge, this is the first case of multiple bilateral superior mediastinal neurofibromas resected from the pulmonary apices via thoracoscopy. We selected a minimally invasive pure video-assisted thoracoscopic surgery approach and enucleated some tumors to avoid nerve injury. This approach may be safe and useful for multiple neurofibromas in patients with neurofibromatosis.

scholarly journals Microsurgical Gross Total Resection of Foramen Magnum Meningioma via Far Lateral Approach

2019 ◽  
Vol 80 (S 04) ◽  
pp. S360-S362
Author(s):  
Sima Sayyahmelli ◽  
Mustafa K. Başkaya
Keyword(s):  
Skull Base ◽  
Foramen Magnum ◽  
Lateral Approach ◽  
World Health ◽  
Gross Total Resection ◽  
Fine Motor ◽  
Total Resection ◽  
Postoperative Course ◽  
Far Lateral Approach ◽  
Far Lateral

Foramen magnum meningiomas are one of the most challenging tumors for skull base neurosurgeons due to their proximity to critical neurovascular structures. The far-lateral approach demonstrated here facilitates access to lesions involving the anterior portion of the foramen magnum.In this video, we present a 62-year-old woman with hand numbness and weakness. The patient had significant difficulty in fine motor movements of both hands. In the neurological examination, she had a significant right-hand intrinsic muscle weakness and mild quadriparesis.Magnetic resonance imaging (MRI) showed a dural-based homogeneously enhancing extra-axial mass in the anterior foramen magnum with a significant mass effect on the brain stem and the upper cervical cord. The decision was made to proceed with a far lateral transcondylar skull base approach including partial C1 laminectomy.The surgery and postoperative course were uneventful. The postoperative MRI showed gross total resection of the mass. The histopathology indicated a WHO (World health Organization) grade-I meningioma. The patient's postoperative course was uneventful. She improved to normal neurological function within several weeks and continues to do well without recurrence at 20 months' follow-up.In this video, we demonstrated important steps for the microsurgical resection of these challenging lesions.The link to the video can be found at: https://youtu.be/_nuX2Y7YU9w.

scholarly journals A unique case of multiple calvarial hemangiomas with one large symplastic hemangioma

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Najwa Abdalkabeer A. Bantan ◽  
Ahmed H. Abouissa ◽  
Muhammad Saeed ◽  
Mustafa Hassan Alwalily ◽  
Kamal Bakour Balkhoyour ◽  
...  
Keyword(s):  
Preoperative Embolization ◽  
Unique Case ◽  
First Case ◽  
Lytic Lesions ◽  
Level Of Consciousness ◽  
Cavernous Hemangiomas ◽  
History Of ◽  
Surgical Field ◽  
The Right ◽  
Epileptic Fits

Abstract Background Symplastic hemangioma is a benign superficial abnormal buildup of blood vessels, with morphological features which can mimic a pseudo malignancy. A few cases have been reported in the literature. We report here, a unique case of calvarial symplastic hemangioma, which is the first case in the calvarial region. Case presentation A 29-year-old male patient, with a left occipital calvarial mass since childhood, that gradually increased in size with age, was associated with recurrent epileptic fits controlled by Levetiracetam (Keppra), with no history of trauma. He presented to the emergency room with a recent headache, vomiting, frequent epileptic fits and a decrease in the level of consciousness 1 day prior to admission. A CT scan showed three diploic, expansile, variable sized lytic lesions with a sunburst appearance; two that were biparietal, and one that was left occipital, which were all suggestive of calvarial hemangiomas. However, the large intracranial soft tissue content, within the hemorrhage of the occipital lesion was concerning. The patient had refused surgery over the years; however, after the last severe presentation, he finally agreed to treatment. The two adjacent, left parietal and occipital lesions were treated satisfactorily using preoperative embolization, surgical resection, and cranioplasty. Histopathology revealed cavernous hemangiomas, in addition to symplastic hemangioma (pseudo malignancy features) on top at the occipital lesion. The right parietal lesion was not within the surgical field; therefore, it was left untouched for follow-up. Conclusions Histopathology and radiology examinations confirmed the diagnosis as symplastic hemangioma, on top of a pre-existing cavernous hemangioma. To the best of our knowledge, this is the first case of a calvarial symplastic hemangioma, which we report here.

scholarly journals A unique uterine cervical “teratocarcinosarcoma”: a case report

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Kozue Ito ◽  
Mitsutake Yano ◽  
Aiko Ogasawara ◽  
Maiko Miwa ◽  
Eito Kozawa ◽  
...  
Keyword(s):  
Case Report ◽  
Hyaline Cartilage ◽  
Hpv Infection ◽  
Polypoid Mass ◽  
Unique Case ◽  
Case Presentation ◽  
First Case ◽  
Isochromosome 12P ◽  
Neuroepithelial Cells ◽  
Aggressive Tumor

Abstract Background Teratocarcinosarcoma (TCS) is a rare aggressive tumor of the nasal cavity and paranasal sinuses and has both epithelial and two or more mesenchymal components. In other organs, 5 cases of ovarian tumors closely resembling TCS have been reported; however, there has been no published case of cervical TCS. Herein, we describe a unique case of cervical tumor that had carcinosarcomatous and teratomatous features, resembling a sinonasal TCS. Case presentation A 45-year-old woman presented to our hospital for evaluation of a cervical lesion. The gynecologist found a large polypoid mass, whose biopsy showed glandular components of probable germ cell origin based on the immunohistochemical features. The patient underwent total hysterectomy with bilateral salpingo-oophorectomy. The cervical polypoid mass was found to consist of both epithelial and mesenchymal tissues, including immature glandular structure resembling fetal enteric tubules, neuroepithelial cells, hyaline cartilage, and rhabdomyosarcoma cells. This tumor was diagnosed as TCS of the uterine cervix. Following the surgery, the patient received radiotherapy and has been free of disease for 13 months. Conclusion This is the first case report of cervical TCS. The tumor is thought to be histogenetically less associated with HPV infection, and its teratomatous components with an absence of cytogenetic abnormalities (including isochromosome 12p (i(12p)) suggest a analogous histogenesis compared to pure mature or immature teratoma.

scholarly journals Imaging findings and 4 years follow-up of adrenal cavernous hemangioma: a case report

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Valentina Testini ◽  
Laura Eusebi ◽  
Willy Giannubilo ◽  
Vincenzo Ferrara ◽  
Francesco Bartelli ◽  
...  
Keyword(s):  
Cavernous Hemangioma ◽  
Mass Effect ◽  
Histopathological Diagnosis ◽  
Case Presentation ◽  
First Case ◽  
Appropriate Treatment ◽  
Cavernous Hemangiomas ◽  
Adrenal Masses ◽  
Rule Out

Abstract Background Adrenal hemangioma is a rare and non-functional benign tumor. Since the first case in 1955, approximately 90 cases have been reported in literature frequently presenting as a large and incidentally discovered retroperitoneal mass or as a result of hemorrhage caused by spontaneous rupture. Case presentation A 69-year-old man was admitted to our hospital for right hypocondrium pain and anemia. A computed tomography (CT) scan was performed and a large right adrenal mass measured 18 cm was found. The patient underwent laparoscopic right adrenalectomy. Histopathological diagnosis revealed a cavernous adrenal hemangioma. Conclusion Cavernous hemangiomas are uncommon tumors. We reported a case of adrenal cavernous hemangioma incidentally discovered by ultrasound and CT. In the case of finding adrenal masses, cavernous hemangiomas, although rare, should be considered a possible diagnosis. The appropriate treatment is surgical resection to rule out any potential for malignancy, to relieve symptoms secondary to the mass effect, and to prevent complications such as retroperitoneal bleeding.

scholarly journals Myasthenia gravis after glioblastoma resection: paraneoplastic syndrome or coincidence? A unique case report and review of the literature

2021 ◽  
Author(s):  
R. J. Slegers ◽  
T. A. M. Bouwens van der Vlis ◽  
L. Ackermans ◽  
A. Hoeben ◽  
A. A. Postma ◽  
...  
Keyword(s):  
Case Report ◽  
Brain Tumors ◽  
Myasthenia Gravis ◽  
Paraneoplastic Syndrome ◽  
Neuromuscular Disorders ◽  
Postoperative Phase ◽  
Review Of The Literature ◽  
Unique Case ◽  
Total Resection ◽  
First Case

Abstract  Paraneoplastic neurological syndromes (PNS) can manifest with every type of malignancy. A well-known syndrome is myasthenia gravis (MG) in combination with thymomas. No association between primary brain tumors and neuromuscular disorders has been described. Here, we present a case of a 65-year-old patient who developed MG, following an uncomplicated, gross-total resection of a glioblastoma. To our knowledge, this is the first case describing the onset of MG during the early postoperative phase after glioblastoma resection. Current criteria of PNS are insufficient when the neurological syndrome is diagnosed at the time of a malignancy or shortly thereafter and should be revisited.

scholarly journals Thoracoscopic resection of bilateral multiple superior mediastinal neurofibromas

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yoko Azuma ◽  
Naobumi Tochigi ◽  
Atsushi Sano ◽  
Takashi Sakai ◽  
Akira Iyoda
Keyword(s):  
Thoracoscopic Surgery ◽  
Thoracoscopic Resection ◽  
Case Presentation ◽  
Postoperative Course ◽  
Superior Mediastinum ◽  
Chest Cavity ◽  
Video Assisted ◽  
First Case ◽  
Video Assisted Thoracoscopic Surgery ◽  
Multiple Nodules

Abstract Background The indications for surgical resection concerning multiple bilateral neurofibromas in the superior mediastinum remain controversial, because vascular injury or development of postoperative Horne syndrome are concerned. Case presentation A 60-year-old woman presented with multiple nodules in her right neck and bilateral chest cavity tops which indicated neurofibromatosis. The thoracic masses grew slowly over 9 years, and she then underwent a 2-stage resection starting with the left to right side. Bilateral tumors were completely removed via video-assisted thoracic surgery. The patient’s postoperative course was uneventful, without postoperative Horner syndrome. Conclusions To the best of our knowledge, this is the first case of multiple bilateral superior mediastinal neurofibromas resected from the pulmonary apices via thoracoscopy. We selected a minimally invasive pure video-assisted thoracoscopic surgery approach and enucleated some tumors to avoid nerve injury. This approach may be safe and useful for multiple neurofibromas in patients with neurofibromatosis.

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