scholarly journals Unusual cause of urinary retention in a child: inflammatory pseudotumor of the urinary bladder

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Aakanksha Agarwal ◽  
Poonam Sherwani ◽  
Saurya ◽  
Niladri Sekhar Bhunia ◽  
Dipesh Kumar Dhoot
Keyword(s):  
Urinary Bladder ◽  
Inflammatory Pseudotumor ◽  
Female Child ◽  
Imaging Features ◽  
Diagnostic Challenge ◽  
Case Presentation ◽  
Pediatric Age Group ◽  
Magnetic Resonance Imaging Mri ◽  
Patient Stress ◽  
Bladder Mass

Abstract Background Urinary bladder masses are uncommon in the pediatric age group and pose a diagnostic challenge, often necessitating histopathological differentiation and confirmation. An unusual mimic of neoplastic bladder mass is inflammatory pseudotumor, and timely identification and diagnosis of which prevents undue patient stress and radical treatment. Case presentation We present a case of a 7-year-old female child who presented with hematuria, and a urinary bladder mass was detected on ultrasound which was further characterized by magnetic resonance imaging (MRI) and diagnosed as an inflammatory pseudotumor (IPT) on histopathology. Conclusions This case report describes the imaging features of IPT along with a list of differential diagnoses emphasizing the need for radiologists to be aware of this surprising and rare entity.

scholarly journals A Case Report of Primary Brain Hydatid Cyst in a Child

2020 ◽  
Vol 6 (1) ◽  
pp. 41-48
Author(s):  
Deepak Garg ◽  
◽  
Gaurav Jain ◽  
Virendra Sinha ◽  
◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Female Child ◽  
The Body ◽  
Body Parts ◽  
Resonance Imaging ◽  
Limb Weakness ◽  
Case Presentation ◽  
Clinical Presentations ◽  
Magnetic Resonance Imaging Mri ◽  
The Brain

Background and Importance: Hydatid cyst is endemic in India, with different clinical presentations according to the site of involvement in the body. However, its occurrence in the brain without the involvement of other body parts is rare. Case Presentation: An eight-year-old female child presented with right-sided limb weakness and slurring of speech. The diagnosis of primary brain hydatid cyst was made with Magnetic Resonance Imaging (MRI) of the brain. The cyst was removed completely, resulting in improved post-operative slurring of speech and limb weakness. Conclusion: In countries where hydatid disease is endemic, brain hydatidosis should on top of the differential diagnoses for intracerebral cystic lesions and managed as per hydatid protocol until proved otherwise. This approach is critical to prevent rupture and dissemination.

scholarly journals Computed tomography appearances of focal and diffuse hepatic disease in children

2001 ◽  
Vol 5 (1) ◽  
pp. 23-28
Author(s):  
E. Kader ◽  
S. Andronikou ◽  
C. Welman
Keyword(s):  
Computed Tomography ◽  
Fatty Infiltration ◽  
Imaging Features ◽  
Malignant Tumours ◽  
Focal Lesions ◽  
Diagnostic Challenge ◽  
Chiari Syndrome ◽  
Anatomic Variants ◽  
Magnetic Resonance Imaging Mri ◽  
Benign Tumours

Paediatric hepatic masses present a diagnostic challenge to physician and surgeon alike. Dynamic new scanning techniques such as spiral computed tomography (CT) and current real time ultrasound have revolutionised scanning of liver masses, while magnetic resonance imaging (MRI) has added a fresh new spin on this topic. Focal processes include congenital lesions such as choledochal and simple cysts, infective conditions like abscesses and hydatid cysts, and neoplasms. The commonest neoplasms include benign tumours such as haemangioma and haemangioendothelioma, and malignant tumours such as metastases, hepatoblastoma (HB) and hepatocellular carcinoma (HCC). Important diffuse processes include biliary atresia, fatty infiltration, cirrhosis, iron deposition and Budd Chiari syndrome. Cognisance should also be taken of focal lesions such as focal fatty change, infarcts, anatomic variants and extrahepatic masses, which may mimic hepatic masses. This article aims to demonstrate the key CT imaging features that help in identifying these conditions.

scholarly journals Tuberculous scleritis in a young Asian Indian girl—a case presentation and literature review

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Lagan Paul ◽  
Manisha Agarwal ◽  
Shalini Singh ◽  
Prashant Katre ◽  
Aman Sumeet Arora
Keyword(s):  
Female Child ◽  
Age Group ◽  
Pediatric Age ◽  
Posterior Scleritis ◽  
Rare Presentation ◽  
Case Presentation ◽  
Pediatric Age Group ◽  
Common Causes ◽  
Anterior Scleritis ◽  
Infectious Scleritis

AbstractScleritis is the severe painful inflammation of the sclera, which can be infectious or non-infectious. Tuberculosis (TB) is one of the common causes of infectious scleritis. TB, though endemic in countries like India, is rare in pediatric age group. We report a case of a 9-year-old female child who presented with bilateral non-necrotizing anterior scleritis with unilateral posterior scleritis secondary to TB. To our knowledge, this is a rare presentation in pediatric age group, and she is the youngest of few cases of tuberculous posterior scleritis reported in literature.

scholarly journals Sarcomatoid Carcinoma of the Urinary Bladder: A Case Report

2020 ◽  
pp. 1-4
Author(s):  
Di Wu ◽  
Di Wu ◽  
Haofan Jin ◽  
Qiliang Yin ◽  
Shijie Lan ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Bladder Tumour ◽  
Sarcomatoid Carcinoma ◽  
Posterior Wall ◽  
Multiple Organ ◽  
Case Presentation ◽  
Pathological Analysis ◽  
Mesenchymal Differentiation ◽  
The Right ◽  
Bladder Mass

Introduction: Sarcomatoid carcinoma describes a biphasic malignancy with features of epithelial and mesenchymal differentiation. It rarely occurs at the urinary bladder but is usually aggressive and associated with poor prognosis. Case Presentation: We here report a case of sarcomatoid carcinoma of the urinary bladder of a 48 years old man with intermittent painless haematuria over an 18-month period. Imaging examination showed intraluminal protrusion of a tumour on the right posterior wall of the bladder. Diagnosis: The patient was initially diagnosed as a right bladder mass. Interventions: The patient underwent two rounds of transurethral resection of bladder tumour (TURBT) and pathological analysis suggested the tumours were invasive urothelial carcinomas. Radical cystectomy was later performed, and pathological analysis suggested a stage T4 sarcomatoid carcinoma. The patient received 5 cycles of gemcitabine and cisplatin. Outcome: The patient died of multiple organ dysfunction syndrome 8.5 months after the diagnosis of sarcomatoid carcinoma. Conclusion: Sarcomatoid carcinoma of the urinary bladder is a highly malignant disease, and the histopathological characteristics are distinct. The diagnosis, surgical management, and chemotherapy of this patient are discussed together with previous cases reported in the literature

scholarly journals Vesical Teratoma: A Rare Case Presentation

2017 ◽  
Vol 16 (1) ◽  
pp. 52-53
Author(s):  
Narayan Thapa ◽  
Bikash Bikram Thapa ◽  
Bharat Bahadur Bhandari ◽  
Bhairab Kumar Hamal
Keyword(s):  
Urinary Bladder ◽  
Dermoid Cyst ◽  
Endoscopic Resection ◽  
Rare Case ◽  
Diagnostic Dilemma ◽  
Rare Tumour ◽  
Complete Excision ◽  
Case Presentation ◽  
Tumour Diagnosis ◽  
Bladder Mass

Dermoid cysts are extremely rare in the urinary bladder and pose a diagnostic dilemma to both the Urologist and the Histopathologist. Only a few cases were found documented and published in literature. We present a case of dermoid cyst in the urinary bladder presenting as a bladder mass which is very rare tumour. Diagnosis of this case was made cystoscopically and confirmed by histopathologically. Complete excision of mass was possible by endoscopic resection.

scholarly journals Hepatic Inflammatory Pseudotumor—A Diagnostic Challenge: A Case Report and Review of Literature

2019 ◽  
Vol 02 (01) ◽  
pp. 045-048
Author(s):  
Ekta Maheshwari ◽  
Roopa Ram ◽  
Tarun Pandey ◽  
Gitanjali Bajaj ◽  
Kedar Jambhekar
Keyword(s):  
Inflammatory Pseudotumor ◽  
Unknown Origin ◽  
Inflammatory Cells ◽  
Review Of Literature ◽  
Resonance Imaging ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Rare Lesion ◽  
Magnetic Resonance Imaging Mri ◽  
Hepatic Inflammatory Pseudotumor

AbstractInflammatory pseudotumor (IPT) is a rare lesion of unknown origin, characterized by proliferation of fibrous connective tissue and invasion of inflammatory cells. Although benign, it has the propensity to mimic malignant masses given its nonspecific symptoms and imaging manifestations. We present a case of hepatic IPT with variable interpretation on different imaging modalities, called as abscess on computed tomography (CT) and neoplasm on ultrasound and magnetic resonance imaging (MRI), thus posing a diagnostic dilemma. Hence it is important to recognize this as a distinct clinical entity and include it in the differential of liver masses with atypical imaging findings.

scholarly journals Laparoscopic surgical management of a mature presacral teratoma: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Liming Wang ◽  
Yasumitsu Hirano ◽  
Toshimasa Ishii ◽  
Hiroka Kondo ◽  
Kiyoka Hara ◽  
...  
Keyword(s):  
Laparoscopic Resection ◽  
Mature Teratoma ◽  
Skin Incision ◽  
Histopathological Diagnosis ◽  
Tailgut Cyst ◽  
Resonance Imaging ◽  
Presumptive Diagnosis ◽  
Case Presentation ◽  
Contrast Enhanced ◽  
Magnetic Resonance Imaging Mri

Abstract Background Mature presacral (retrorectal) teratoma is very rare. We report a case in which a mature retrorectal teratoma in an adult was successfully treated with laparoscopic surgery. Case presentation A 44-year-old woman was diagnosed with a presacral tumor during a physical examination. Endoscopic ultrasonography (EUS) revealed a multilocular cystic lesion; the lesion was on the left side of the posterior rectum and measured approximately 30 mm in diameter on both contrast-enhanced pelvic computed tomography (CT) and magnetic resonance imaging (MRI). The presumptive diagnosis was tailgut cyst. However, the histopathological diagnosis after laparoscopic resection was mature teratoma. It is still difficult to preoperatively diagnose mature retrorectal teratomas. Conclusions Laparoscopic resection of mature retrorectal teratomas is a feasible and promising method that is less invasive and can be adapted without extending the skin incision.

scholarly journals Bladder hamartoma in Peutz-Jeghers syndrome: a rare case report

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Jai Kumar ◽  
Mohammad Irfaan Albeerdy ◽  
Nadeem Ahmed Shaikh ◽  
Abdul Hafeez Qureshi
Keyword(s):  
Urinary Bladder ◽  
Filling Defect ◽  
Hamartomatous Polyps ◽  
Case Presentation ◽  
Rare Case Report ◽  
Mucocutaneous Pigmentation ◽  
Dominant Disease ◽  
Peutz Jeghers Syndrome ◽  
Comprehensive Compilation

Abstract Background Peutz-Jeghers syndrome is an autosomal dominant disease characterized by mucocutaneous pigmentation and hamartomatous polyps in the gastrointestinal tract (GIT). There have also been cases of extra GIT polyps such as the renal pelvis, urinary bladder, lungs and nares. Bladder hamartoma is an extremely rare finding, with only 12 cases described in the literature up to now. The rarity of the condition necessitates a comprehensive compilation of managements up to now so as to provide a better tool for the treatment of such conditions in the future. Case presentation A twenty-year-old male, known to have Peutz-Jeghers syndrome, presented to us complaining of obstructive urinary symptoms. A urethrogram done showed a filling defect at the base of the urinary bladder. The mass was resected transurethrally, and histopathology revealed a hamartoma of the bladder. The patient has since remained tumor-free on follow-up. Conclusions Transurethral resection of the bladder mass proved to be an effective therapy in this patient with no recurrence on the patient’s follow-up till now. There is still, however, a dearth of knowledge regarding the management of bladder hamartomas owing to the extreme rarity of the case.

scholarly journals Uncommon manifestations of a rare disease: a case of autoimmune GFAP astrocytopathy

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hong Di ◽  
Yue Yin ◽  
Ruxuan Chen ◽  
Yun Zhang ◽  
Jun Ni ◽  
...  
Keyword(s):  
Rare Disease ◽  
Hormone Secretion ◽  
White Matter Lesions ◽  
Signs And Symptoms ◽  
Careful Examination ◽  
Case Presentation ◽  
Inappropriate Antidiuretic Hormone Secretion ◽  
Contrast Enhanced ◽  
The Central Nervous System ◽  
Magnetic Resonance Imaging Mri

Abstract Background Manifestations of intractable hyponatremia and hypokalemia in autoimmune glial fibrillary acidic protein (GFAP) astrocytopathy have been rarely reported. Case presentation A 75-year-old male patient presented as the case of syndrome of inappropriate antidiuretic hormone secretion (SIADH) and intractable hypokalemia, showed fever, fatigue, and mental disorders. Signs and symptoms of meningoencephalitis, ataxia, and cognitive abnormalities. Magnetic resonance imaging (MRI) revealed multiple white matter lesions of the central nervous system. He had GFAP-IgG in the cerebrospinal fluid (CSF). After treatment with corticosteroids, his symptoms were alleviated gradually, and the level of electrolytes was normal. However, head contrast-enhanced MRI + susceptibility-weighted imaging (SWI) showed a wide afflicted region, and the serum GFAP-IgG turned positive. Considering the relapse of the disease, ha was treated with immunoglobulin and mycophenolate mofetil (MMF) to stabilize his condition. Conclusion This case showed a rare disease with uncommon manifestations, suggesting that careful examination and timely diagnosis are essential for disease management and satisfactory prognosis.

scholarly journals Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Interventional Radiology ◽  
Case Report ◽  
Magnetic Resonance ◽  
Thoracic Duct ◽  
Rare Case ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Thoracostomy Tube ◽  
Magnetic Resonance Imaging Mri

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.

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