Lymphoepithelial cyst of the pancreas. A case report

2007 ◽  
Vol 52 (3) ◽  
pp. 53-53
Author(s):  
L Fraser ◽  
OO Komolafe ◽  
JR Anderson
Keyword(s):  
Case Report ◽  
Cystic Lesion ◽  
Cystic Lesions ◽  
Lymphoepithelial Cyst ◽  
Invasive Procedures ◽  
Diagnostic Challenge ◽  
Distal Pancreas ◽  
Ct And Mri ◽  
Diagnostic Investigations ◽  
The Ideal

We present the case of a 63 year-old male who presented with a cystic lesion of the distal pancreas. Excision and histology showed this to be a lymphoepithelial cyst. Cystic lesions of the pancreas represent a diagnostic challenge, especially when pseudocyst secondary to pancreatitis is excluded. These lesions can be broadly classified into benign, pre-malignant and malignant. Widely used imaging modalities such as CT and MRI are not able to categorically differentiate between these. More invasive procedures such as endoscopic US and FNA again do not give a cast-iron diagnosis. Our patient had a symptomatic cystic lesion in his pancreas which was excised after cross-specialty discussion. We advocate that this is the ideal way to treat patients with cystic lesions of the pancreas, with each case considered on its own merits as all current diagnostic investigations have their limitations.

scholarly journals A Case Report of An Iris Epithelial Cyst Masquerading As Iris Cysticercosis

2020 ◽  
Vol 12 (1) ◽  
pp. 114-118
Author(s):  
Abhishek Hoshing ◽  
Rita Dhamankar ◽  
Shabnam Tanwar ◽  
Deepak Bhat
Keyword(s):  
Case Report ◽  
Cystic Lesion ◽  
Histopathological Examination ◽  
Ultrasound Biomicroscopy ◽  
Cystic Lesions ◽  
Epithelial Cyst ◽  
Pigment Epithelial ◽  
The Right

Introduction: Iris cysts can be primary or secondary. It is common to mistake a parasitic cyst for a benign pigment epithelial cyst. However, we report a case where a benign cyst was mistaken for a parasitic cyst. Case: A 50-year-old gentleman was seen in our OPD with gradual, progressive, painless diminution of vision in the right eye over past 5 Months. He was found to have a cystic lesion in the iris encroaching upon the pupil. Observations: Ultrasound biomicroscopy showed features characteristic of cysticercosis. In-toto excision of the cyst was done and was sent for histopathological examination. Histopathology failed to reveal features consistent with cysticercosis and instead showed characteristics of epithelial cyst of the iris. Conclusion: Histopathological examination should be done for all cystic lesions of the iris to confirm diagnosis.

Ultrasound Diagnosis of Infantile Axillary Cystic Hygroma

2020 ◽  
pp. 23-27
Author(s):  
OJS Admin
Keyword(s):  
Cystic Lesion ◽  
Neck Region ◽  
Cystic Hygroma ◽  
Cystic Lymphangioma ◽  
Radiology Department ◽  
International Studies ◽  
Cystic Lesions ◽  
Axillary Region ◽  
Ct And Mri

Cystic hygroma or cystic lymphangioma is a rare d e v e l o p m e n t a l c o n g e n i t a l l y m p h a t i c malformation. It is most commonly related to thorax and neck region but it can also involve axilla, mediastinum, limbs and face. It is characterized by multiloculated cystic lesion of variable sizes. Ultrasound is very important in the diagnosis of prenatal cystic hygroma but it is also important in the characterization and differential diagnosis of cystic hygroma postnatally. In radiology department CT and MRI is done for the differentiation of cystic hygroma from other cystic lesions but due to the hazardous effects of these modalities it is important to give preference to ultr a s ound i n t h e di a g n o s i s o f c y s ti c lymphangioma. Some international studies are available on the cystic hygroma of the axillary region in infants but no local studies are published on the role of ultrasound in the diagnosis of cystic  hygroma in infants.

scholarly journals Anizocoria – a diagnostic challenge. Case report

2019 ◽  
Author(s):  
Marta Sophie S Stęga ◽  
Wojciech Choiński ◽  
Michał Puliński
Keyword(s):  
Case Report ◽  
Family Doctor ◽  
Unknown Origin ◽  
Final Diagnosis ◽  
Cystic Lesions ◽  
Diagnostic Challenge ◽  
Neoplastic Tissue ◽  
Diagnostic Difficulties ◽  
Mri Scans ◽  
The Brain

ntroduction Anisocoria is a condition characterized by unequal pupils. There are two described types: physiologic and pathologic. Pathologic anisocoria is caused by interruption in reflex arc. Reason of anisocoria can be difficult to define due to variety of possible diseases that may be causing it. Aim Case presentation of anisocoria caused by congenital cystic lesions of the brain. Case Study 12-year-old girl after head trauma was admitted to the Emergency Department due to anisocoria noticed by family doctor. Patient had headache, sleepiness, dizziness and lacrimation. After looking at patients’ childhood photo it was stated, that anisocoria was present before the injury. In physical examination decreased mobility of left eyeball, left-sided ptosis and left-sided decreased reaction to the light (both, direct and consensual) were noted. Head CT scan was performed, which revealed bilateral cystic lesions in basal ganglia, thalamus and in mesencephalon. The biggest lesions were located in left thalamus – 29x15mm. Biopsy of the biggest cyst was performed. No neoplastic tissue was found. Final diagnosis was stated: diencephalic and mesencephalic polycyclic lesions of unknown origin. Surgical approach was departed and conservative treatment was applied (regular head MRI scans) Results and discussion Described case report was an example of diagnostic difficulties which can be caused by anisocoria. In this case pathologic anisocoria was caused by congenital cystic lesions of the brain that were detected in the age of 12. Conclusions Anisocoria can be a sign of many different pathologies, but also can be physiologic. If pathologic anisocoria is suspected, imaging diagnostics should always be performed.

scholarly journals Abdominal Wall Hydatid Cyst: Case Report and Review of Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
V. Abhishek ◽  
Vijayraj S. Patil ◽  
Ullikashi Mohan ◽  
B. S. Shivswamy
Keyword(s):  
Case Report ◽  
Hydatid Cyst ◽  
Abdominal Wall ◽  
Cystic Lesion ◽  
Cystic Lesions ◽  
Review Of Literature ◽  
Surgical Exploration ◽  
One Year

A 60-year-old woman presented with a swelling in right paraumbilical region of one-year duration. Examination revealed a painless cystic swelling 15 × 10 cm with cough impulse. Ultrasound and CECT abdomen showed a subcutaneous cystic swelling with intramuscular extension. No other intraabdominal cystic lesions were found. Surgical exploration showed a cystic lesion adherent to peritoneum without any intraperitoneal extension. Cyst was carefully excised without any spillage. Gross specimen on opening showed multiple daughter cysts consistent with hydatid cyst, confirming the diagnosis of solitary abdominal wall hydatid cyst.

scholarly journals NON-SURGICAL MANAGEMENT OF A LARGE CYSTIC LESION WITH SURGICAL DECOMPRESSION: A CASE REPORT WITH 14 MONTHS FOLLOW UP

2021 ◽  
Vol 9 (02) ◽  
pp. 265-272
Author(s):  
Shwetank Shrivastava ◽  
◽  
Ashish K. Jain ◽  
Rahul D. Rao ◽  
Meenakshi Verma ◽  
...  
Keyword(s):  
Case Report ◽  
Root Canal ◽  
Cystic Lesion ◽  
Case Reports ◽  
Root Canal Treatment ◽  
Cystic Lesions ◽  
Saline Irrigation ◽  
Periapical Lesions ◽  
Apical Surgery

The main aim of this case report was to report the clinical efficacy of decompression for treating large periapical lesions. Tooth with large periapical cystic lesions were treated with decompression after root canal treatment. A conventional decompression technique such as aspiration/irrigation technique was used in this case. An 18-G needle with a syringe was used to aspirate the cystic lesion. Two needles were then inserted into the lesion copious saline irrigation was delivered from 1 needle and until clear saline was expressed from the other. Complete enucleation and root-end surgery was not done in the case. Healed lesions or lesions in healing were observed after 14 months. On the basis of the presented case and published case reports regarding large periapical cystic lesions, conservative decompression may be used for certain cases before or in lieu of apical surgery. Decompression enables healing of large, persistent periapical lesions after root canal treatment.

scholarly journals Lactoferrin amyloid presenting as a mural nodule in a pancreatic cystic lesion prompting pancreatoduodenectomy: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Katherine A. Baugh ◽  
Svetang Desai ◽  
George Van Buren 2nd ◽  
William E. Fisher ◽  
Carlos A. Farinas ◽  
...  
Keyword(s):  
Case Report ◽  
Cystic Lesion ◽  
Amyloid Deposition ◽  
Mural Nodule ◽  
Histological Evaluation ◽  
Cystic Lesions ◽  
First Case ◽  
Rare Occasion ◽  
Mucinous Cyst ◽  
Mural Nodules

Abstract Background Amyloid deposition in pancreas is rare. Lactoferrin amyloid deposition has not been reported in pancreas, till date. Presence of enhancing mural nodule in a cyst on imaging is a worrisome feature for malignancy, and warrants surgical resection in a surgically fit candidate, as per Fukuoka guidelines for management of cystic lesions in pancreas. Case report We report a case of localized amyloidosis presenting as a mural nodule in a 1.6 cm cyst located in the head of pancreas, which led to pancreatoduodenectomy in a 69 year old woman. Histological evaluation revealed a simple mucinous cyst with localized lactoferrin amyloid deposition corresponding to the mural nodule identified on imaging. Conclusions We report the first case of localized lactoferrin amyloid deposition in pancreas that presented as a mural nodule in a cystic lesion and prompted pancreatoduodenectomy. This unique case illustrates that on rare occasion mural nodule in a cyst can be benign. It adds amyloid deposition to the differential diagnosis of mural nodules in pancreatic cystic lesions seen on imaging.

scholarly journals Clival simple bone cyst: Rare pathological entity (case report)

2020 ◽  
Vol 11 ◽  
pp. 427
Author(s):  
Jumana Abdulmohsen Fatani ◽  
Alaa Arab ◽  
Hisham Alkhalidi ◽  
Abdulrazag Ajlan
Keyword(s):  
Case Report ◽  
Arachnoid Cyst ◽  
Cystic Lesion ◽  
Bone Cyst ◽  
Cystic Lesions ◽  
Bone Cysts ◽  
Case Description ◽  
Simple Bone Cyst ◽  
Large Size ◽  
Neoplastic Process

Background: Clival cystic lesions are not frequently seen in neurosurgery. Cystic lesion in the clivus can be part of a neoplastic process such as chordoma, chondrosarcoma, plasmacytoma, or metastasis. Rare types of pure cystic clival lesions include simple bone cysts and arachnoid cysts, which are asymptomatic most of the time and do not cause symptoms until they reach a large size. Case Description: This is a case report of a healthy 53-year-old male patient with a clival cystic lesion. The patient underwent surgical drainage and wall resection of the clival lesion with no postoperative complications. Intraoperative finding raised the possibility of the diagnosis of an arachnoid cyst. However, the pathology findings indicated a simple bone cyst. Conclusion: Simple bone cyst and arachnoid cyst in the clivus are rare, they should be considered in the diagnosis of clival cystic lesions.

scholarly journals A Challenging Case of a Physeal Bar Endoscopic-Assisted Resection in a Short Stature Child: Case Report and Literature Review

2021 ◽  
pp. 115-120
Author(s):  
Melanie Ribau ◽  
Mário Baptista ◽  
Nuno Oliveira ◽  
Bruno Direito Santos ◽  
Pedro Varanda ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Short Stature ◽  
Clinical Presentation ◽  
Normal Growth ◽  
Limb Length Discrepancy ◽  
Complete Excision ◽  
Physeal Bar ◽  
Surgical Options ◽  
The Ideal

Partial physeal bars may develop after injury to the growth plate in children, eventually leading to disturbance of normal growth. Clinical presentation, age of the patient, and the anticipated growth will dictate the best treatment strategy. The ideal treatment for a partial physeal bar is complete excision to allow growth resumption by the remaining healthy physis. There are countless surgical options, some technically challenging, that must be weighted according to each case’s particularities. We reviewed the current literature on physeal bars while reporting the challenging case of a short stature child submitted to a femoral physeal bar endoscopic-assisted resection with successful growth resumption. This case dares surgeons to consider all options when treating limb length discrepancy, such as the endoscopic-assisted resection which might offer successful results.

Sign in / Sign up

Export Citation Format

Share Document