Round ligament varicosity: a rare cause of inguinal swelling

2011 ◽  
Vol 26 (5) ◽  
pp. 213-214 ◽  
Author(s):  
R Athwal ◽  
F Hoar
Keyword(s):  
Case Series ◽  
Rare Condition ◽  
Round Ligament ◽  
Review Of The Literature ◽  
Diagnosis And Management ◽  
Inguinal Mass ◽  
Round Ligament Varicosity

We report a case series of three pregnant patients who presented with inguinal mass that were found to be round ligament varicosities. The diagnosis and management of this rare condition are discussed. A review of the literature is presented.

scholarly journals Diagnosis and Management of the Symptomatic Duodenal Diverticulum: a Case Series and a Short Review of the Literature

2008 ◽  
Vol 12 (9) ◽  
pp. 1571-1576 ◽  
Author(s):  
Beat Schnueriger ◽  
Stephan A. Vorburger ◽  
Vanessa M. Banz ◽  
Alain M. Schoepfer ◽  
Daniel Candinas
Keyword(s):  
Case Series ◽  
Short Review ◽  
Duodenal Diverticulum ◽  
Review Of The Literature ◽  
Diagnosis And Management

scholarly journals Round Ligament Varicosity Thrombosis Presenting as an Irreducible Inguinal Mass in a Postpartum Woman

2019 ◽  
Vol 9 ◽  
pp. 28
Author(s):  
Carol Ng ◽  
Gloria Ting Wong
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Rare Case ◽  
Round Ligament ◽  
Postpartum Woman ◽  
Postpartum Women ◽  
Radiological Features ◽  
Inguinal Mass ◽  
Inguinal Hernias ◽  
Round Ligament Varicosity

Round ligament varicosities occur almost exclusively in pregnant and postpartum women and present similarly to inguinal hernias clinically, thus posing diagnostic challenges to clinicians. The distinction of the two conditions is important as round ligament varicosities do not require surgery while inguinal hernias do. Rarely, round ligament varicosites may be complicated by thrombosis or hemorrhage. In this case report, we present a rare case of round ligament varicosity (RLV) which has been complicated by thrombosis. The radiological features on ultrasound and contrast computed tomography of a thrombosed RLV are presented.

scholarly journals CO2 Laser Division of Neo-Vallecula Improves Dysphagia in the Postlaryngectomy Patient: A Case Series and Review of the Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Mohamad Z. Saltagi ◽  
Chelsey A. Wallace ◽  
Avinash V. Mantravadi ◽  
Michael W. Sim
Keyword(s):  
Co2 Laser ◽  
Free Flap ◽  
Total Laryngectomy ◽  
Harmonic Scalpel ◽  
Case Series ◽  
Review Of The Literature ◽  
Closure Technique ◽  
Endoscopic Procedures ◽  
Diagnosis And Management ◽  
Pharyngeal Reconstruction

Objectives. To review the literature on neo-vallecula diagnosis and management and to report our findings regarding 3 patients who developed neo-vallecula in the context of free-flap pharyngeal reconstruction following total laryngectomy. Methods. This case series reports three patients who developed a neo-vallecula following a laryngectomy and free-flap pharyngeal reconstruction. All three patients were treated with a CO2 laser endoscopic procedure. Results. Neo-vallecula formation is thought to be related to tension on the neopharyngeal closure or closure technique following total laryngectomy. Diagnosis may be obtained with swallow studies, videofluoroscopy, or endoscopy. Treatment has included external excision and endoscopic procedures such as stapling, harmonic scalpel excision, and laser removal. We utilized an endoscopic approach entailing the use of a CO2 laser to divide the neo-vallecula, and all our patients reported improvement in their dysphagia. Conclusions. Treatment of an anterior neo-vallecula endoscopically using a CO2 laser is an effective way to treat dysphagia in patients following total laryngectomy with free-flap pharyngeal reconstruction.

scholarly journals Round Ligament Leiomyoma Presenting as an Incarcerated Inguinal Hernia: Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Marc Najjar ◽  
Marc Mandel
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Inguinal Hernia ◽  
Round Ligament ◽  
Review Of The Literature ◽  
Incarcerated Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Inguinal Mass ◽  
Gynecologic Tumors

Leiomyomas are common benign gynecologic tumors occurring in up to 30% of women. Round ligament leiomyomas however are very rare and, if symptomatic, can present as an inguinal hernia. We report the case of a 47-year-old woman who presented with an irreducible inguinal mass consistent with an incarcerated hernia. Intraoperatively, the mass was found to be a round ligament leiomyoma, a diagnosis that was confirmed by histopathology following excision of the mass. Although rare, round ligament leiomyomas should be part of the differential diagnosis of an inguinal hernia in females.

scholarly journals Diagnosis and management of pituitary abscess: a case series and review of the literature

2013 ◽  
Author(s):  
Murat Altas ◽  
Alpay Serefhan ◽  
Gokalp Silav ◽  
Ajlan Cerci ◽  
Kerim Kenan Coskun ◽  
...  
Keyword(s):  
Case Series ◽  
Review Of The Literature ◽  
Pituitary Abscess ◽  
Diagnosis And Management

scholarly journals Septic arthritis of the acromioclavicular joint: a case series and review of the literature

2018 ◽  
Vol 12 (4) ◽  
pp. 272-283
Author(s):  
Raymond G Steinmetz ◽  
Jeremiah J Maupin ◽  
Joel N Smith ◽  
Christopher B White
Keyword(s):  
Antibiotic Therapy ◽  
Septic Arthritis ◽  
Acromioclavicular Joint ◽  
English Literature ◽  
Effective Means ◽  
Case Series ◽  
Rare Condition ◽  
Surgical Debridement ◽  
Review Of The Literature ◽  
High Index Of Suspicion

Objective To report a case series of three patients with septic arthritis of the acromioclavicular joint and a review of the literature for this condition. Additionally, we developed an algorithm for diagnosing and treating septic arthritis of the acromioclavicular joint. Methods A retrospective review of patients treated at our institution for septic arthritis of the acromioclavicular joint during the collection period was performed and three cases were identified. A review of the English literature on this rare condition was also performed with only 28 cases being identified. Results A series of three consecutive patients were treated for septic acromioclavicular arthritis with resolution of the infection. Two patients underwent open surgical debridement and one underwent aspiration. All patients were treated with a minimum of six weeks of tailored intravenous antibiotic therapy. Conclusion Septic arthritis of the acromioclavicular joint can be difficult to diagnose and requires a high index of suspicion. Surgical debridement, open or arthroscopic, with tailored antibiotic therapy is an effective means for the management of septic arthritis of the acromioclavicular joint. In patients who are unable to have surgical debridement, aspiration and tailored antibiotics have been shown to be effective.

scholarly journals Management of nonunion of humeral medial condyle fracture: A case series and review of the literature

2020 ◽  
Vol 28 (2) ◽  
pp. 230949902092175
Author(s):  
Huang-Chia Su ◽  
Shih-Hsiang Chou ◽  
Hsin-Yi Ho ◽  
Cheng-Chang Lu ◽  
Yin-Chun Tien ◽  
...  
Keyword(s):  
Case Series ◽  
Rare Condition ◽  
Late Presentation ◽  
Review Of The Literature ◽  
Medial Condyle ◽  
Medial Condyle Fracture ◽  
Cosmetic Outcomes ◽  
Condyle Fracture ◽  
Supracondylar Osteotomy ◽  
Safe Treatment Option

Pediatric humeral medial condyle fracture (HMCF) is a rare condition and is difficult to detect, especially in young children. The management of late presentation of HMCF is challenging and lacks consensus. Herein, we reported four cases of HMCF nonunion received open reduction and internal fixation (ORIF) or supracondyle osteotomy from our institution. In addition, 12 cases of ORIF and 4 cases of osteotomy reported in the previous studies were also reviewed. The HMCF nonunion can heal after ORIF, but the indication and the optimal techniques need to be clarified. Supracondylar osteotomy alone is an effective and safe treatment option to improve the functional and cosmetic outcomes of HMCF nonunion.

scholarly journals Orthopedic Considerations with Eosinophilic Fasciitis: A Case Report and Literature Review

2012 ◽  
Vol 2012 ◽  
pp. 1-5
Author(s):  
Jason Samona
Keyword(s):  
Case Reports ◽  
Case Series ◽  
Rare Condition ◽  
Signs And Symptoms ◽  
Medical Community ◽  
Eosinophilic Fasciitis ◽  
Review Of The Literature ◽  
Mixed Cell ◽  
Left Hand ◽  
Hand Symptoms

Eosinophilic fasciitis (EF) or Shulman's disease is a very rare condition first described in 1974 by Dr. Shulman in patients with diffuse fasciitis and eosinophilia. Fewer than 300 cases have been reported worldwide in the past 35 years. The current understanding of the disease in the medical community relies only on a few large case series and multiple case reports. The proposed etiology, pathological mechanisms, and consensus for therapy are obscure or lacking. The presentation of the disease is variable, but certain signs and symptoms have been associated with EF. The extreme rarity of the disease, the large constellation of signs and symptoms, as well as the lack of knowledge about eosinophilic fasciitis and make this disease difficult to recognize and treat. Through the review of the literature, there is only one other case by Yamanishi where recurrent asthma has been seen to be associated with eosinophilic fasciitis. To the knowledge of the authors of this paper this patient represents the second recorded incident. The case described by the authors of this paper demonstrated an initial biopsy of mixed cell fasciitis including eosinophils, compared to the eosinophil-rich sample taken at a later date. This could be a unique aspect to the pathology of the disease not previously discovered. Similar scenarios were not noted in a review of the literature. A change in the pathological findings as shown in this case from non-eosinophil-rich sample to one rich in eosinophils is unique in a patient actively suffering from EF. The authors of this paper propose that an allergic reaction (at the patient's puncture site) occurred, which initially caused the left hand symptoms that led to the patient’s first presentation to the hospital. This is a unique causative agent, not found in the review of the literature. Through a review of the literature and the presentation of this patient, the authors propose an underlying dysregulation of the immune system, leading to the initiation or synergistic perpetuation of EF. This is a unique outlook on the disease pathology, not explained much in the medical literature.

Immunosuppression as efficient therapy for Eosinophilic cholangitis: A case series and review of the literature

2018 ◽  
Vol 56 (01) ◽  
pp. E2-E89
Author(s):  
D Reher ◽  
C Schramm ◽  
F Brinkert ◽  
A Lohse ◽  
C Weiler-Normann
Keyword(s):  
Case Series ◽  
Review Of The Literature ◽  
Eosinophilic Cholangitis
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