scholarly journals Bacteria-ball in the urinary tract: a rare entity

2020 ◽  
Vol 6 (3) ◽  
pp. 20200039
Author(s):  
Lim Tze Ying Benjamin ◽  
Wai Loon Yam ◽  
Angeline Choo Choo Poh ◽  
Victor Ng ◽  
Sey Kiat Lim ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Ct Scan ◽  
Bladder Stone ◽  
Rare Entity ◽  
Indwelling Catheter ◽  
Diabetic Cystopathy ◽  
First Case ◽  
Gross Haematuria ◽  
Bacterial Mass

A bacterial mass in the urinary tract is a very rare entity. We report the first case of a bacterial ball within the urinary tract of a patient with diabetic cystopathy on long term urinary indwelling catheter. She presented with fever and gross haematuria. CT scan of abdomen and pelvis revealed a gas containing hyperdense mass within the bladder suspicious of bladder stone. The lesion was resected, and histopathology revealed a matrix of acellular materials with bacteria colony.

scholarly journals Dysphagia Caused by Spindle Cell Lipoma of Hypopharynx: Presentation of Clinical Case and Literature Review

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Alberto Peña-Valenzuela ◽  
Nathalia García León
Keyword(s):  
Spindle Cell ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Spindle Cell Lipoma ◽  
First Case ◽  
Magnetic Resonance Imaging Mri ◽  
Long Term Behavior ◽  
Mri Evaluation ◽  
Progressive Dysphagia

Spindle cell lipoma of the hypopharynx is an extremely rare entity. Here, we present the first case of this lesion originated in the cricopharyngeal region, with symptoms of chronic progressive dysphagia, which can be confused with other pathologies; endoscopic and magnetic resonance imaging (MRI) evaluation are the methods of choice for its diagnostic approach. The best therapeutic approach is endoscopic resection with rapid recovery and few complications. Long-term followup is recommended, either endoscopic or imaging, given that it can be confused with an undiagnosed liposarcoma; additionally, its long-term behavior is unknown.

scholarly journals Metachronous Primary Adenocarcinoma of Distal and Proximal Ureter within Two Years

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Dominik Abt ◽  
Gautier Müllhaupt ◽  
Livio Mordasini ◽  
Pierre André Diener ◽  
Hans-Peter Schmid
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Obstruction ◽  
Upper Urinary Tract ◽  
Primary Adenocarcinoma ◽  
R0 Resection ◽  
Rare Entity ◽  
Distal Ureter ◽  
First Case ◽  
Proximal Ureter ◽  
Low Incidence

Primary adenocarcinoma of the upper urinary tract, particularly of the ureter, is an extremely rare entity. We are reporting on the first case of metachronous appearance in one patient. The 71-year-old man underwent partial ureterectomy (R0 resection) for primary adenocarcinoma of the left distal ureter. 3 years later, nephroureterectomy had to be performed because of metachronous primary adenocarcinoma of the left proximal ureter. Extensive examinations revealed no evidence for further malignancies at both times. Primary adenocarcinoma of the upper urinary tract is rare but should be kept in mind, especially in patients with chronic inflammation and urinary tract obstruction. Due to the low incidence, there is a lack of data regarding its pathogenesis, diagnosis, and optimal treatment.

Systemic and Topical Antimicrobial Agents in the Prevention of Catheter-Associated Bacteriuria and its Consequences

1986 ◽  
Vol 7 (S2) ◽  
pp. 100-103 ◽  
Author(s):  
Rosemary A. Simpson
Keyword(s):  
Urinary Tract ◽  
Antimicrobial Agents ◽  
Spinal Injuries ◽  
Indwelling Catheter ◽  
Urological Surgery ◽  
Catheter Urine ◽  
Infected Urine ◽  
Topical Antimicrobial ◽  
Methods Of Control

Infection of the urinary tract is acknowledged to be the most common hospital infection, associated closely with the presence of an indwelling catheter. Patients are catheterized for a variety of reasons and for different periods of time, ranging from postoperative catheterization of a few days following urological surgery to the long-term catheterization over many months or years of patients who are unfit for operation, with spinal injuries or neuropathic bladders. The extent of the problem includes patients returning home infected, requiring catheterization before readmission to the hospital or needing nursing at home with a long-term catheter. The risks of infection and its complications as well as methods of control may differ between each group.It is of fundamental importance to distinguish between patients who came to surgery with an existing infection and those with sterile preoperative urine. Other factors include recent previous catheterization and, importantly, the length of time the catheter is inserted. For the patient with sterile preoperative urine, postoperative bacteriuria seldom causes severe symptoms and can be treated with antibiotics or left to clear spontaneously after removal of the catheter. A minority of patients suffer consequences of their infection especially when bacteriuria starts before the catheter is removed postoperatively. Catheter removal often causes transient bacteremia, also induced by instrumentation or operation on infected urine, which may lead to serious complications, particularly of septicemia. In our experience in Bristol, about 1 in 4 patients admitted for urological surgery already has infected urine as defined by the presence of ≥105 bacteria/ml midstream urine or ≥=104 bacteria/ml catheter urine. Of those admitted with infected urine, 3 in 4 have a catheter already inserted compared with only 1 catheterized patient in 4 admitted to operation with sterile urine.

scholarly journals Cecal dermoid masquerading dermoid cyst of ovary: a case report and review of the literature

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tushar Subhadarshan Mishra ◽  
Saubhagya Kumar Jena ◽  
Supriya Kumari ◽  
Suvendu Purkait ◽  
Pavithra Ayyanar ◽  
...  
Keyword(s):  
Ct Scan ◽  
Dermoid Cyst ◽  
Cystic Teratoma ◽  
Mature Cystic Teratoma ◽  
Reproductive Age ◽  
Rare Entity ◽  
First Case ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
The Right

Abstract Background The ovary is the most common site of occurrence of mature cystic teratomas (dermoid cysts). These are the most common ovarian germ cell tumor in the reproductive age group, accounting for 10–20% of all ovarian neoplasms, with a 1–2% risk of malignancy. A cecal dermoid cyst is a rare entity with only ten cases having been reported so far, eight of which could be retrieved as the rest were reported in different languages. None of these cases were managed laparoscopically. Here we present the first case of cecal dermoid managed laparoscopically. Case presentation A 35-year-old nulliparous Indian Hindu woman presented with complaints of on and off abdominal pain for 10 months. The abdominal examination revealed a well-defined mass of about 10 × 5 cm size, palpable in the right iliac fossa. On sonography, it was suggestive of a right-sided ovarian dermoid cyst. The lesion measured 10 × 7 × 5 cm on a contrast-enhanced computed tomogram (CT) scan. It was well defined and hypodense and located in the right lower abdomen. The ovarian tumor markers were normal. On laparoscopy, the uterus, bilateral tubes, and ovaries were found to be healthy. The cyst was seen arising from the right medial wall of the cecum at the ileocecal junction, which was excised laparoscopically. Histopathological study revealed it to be a mature cystic teratoma. Conclusion Ovarian mature cystic teratoma commonly has an indolent course and can present with palpable abdominal mass, pain, or vomiting due to complications like torsion, hemorrhage, or infection. Alternatively, these cysts can be asymptomatic and incidentally detected. Clinicians should be aware of the variety of presentations of dermoid cysts of the bowel as well as mesentery. The exact location of the teratoma eluded us till the laparoscopy despite adequate imaging including a contrast-enhanced CT scan having been performed preoperatively. We are reporting this as it is a rare entity, and this knowledge will help gynecologists and surgeons make an appropriate surgical decision.

scholarly journals A rare entity in adults: Bilateral Hutch diverticulum with calculi

2015 ◽  
Vol 9 (5-6) ◽  
pp. 343 ◽  
Author(s):  
Onur Telli ◽  
Adil Gucal Guclu ◽  
Perviz Haciyev ◽  
Berk Burgu ◽  
Cagatay Gogus
Keyword(s):  
Urinary Tract Infection ◽  
Case Report ◽  
Urinary Tract ◽  
Stone Formation ◽  
Ureteral Orifice ◽  
Rare Entity ◽  
Bladder Diverticulum ◽  
Intravenous Pyelography ◽  
First Case ◽  
Endoscopic Laser

Congenital bladder diverticulum (CBD) is a very uncommon entity in adults. CBD could be unilateral or bilateral and is caused by a congenital weakness in the bladder musculature. CBD is differentiated from the paraureteral or Hutch type of diverticula. A 42-year-old male presented with bilateral Hutch diverticulum and multiple diverticulum calculus on intravenous pyelography. Cystoscopy revealed bladder diverticulum just medial to the left ureteral orifice with multiple calculi; the patient successfully underwent endoscopic laser cystolithotripsy with resolution of his urinary tract infection. To the best of our knowledge, this is the first case report presenting stone formation of CBD in an adult.

scholarly journals Postauricular Leiomyosarcoma: A Case Report and Literature Review

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Dillip Samal ◽  
Rajeev Kumar ◽  
Saumyaranjan Mallick ◽  
Alok Thakar
Keyword(s):  
Case Report ◽  
Neck Region ◽  
Young Adolescent ◽  
Rare Entity ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Head And Neck Region ◽  
First Case ◽  
Disease Free

Leiomyosarcoma arising in the head and neck region is a rare entity. Auricular involvement by the disease is further rarer with few cases reported in the literature. Usually auricular leiomyosarcoma is a disease of middle-old age. We report a case of leiomyosarcoma of the postauricular region in a young adolescent female. Surgery along with adjuvant radiotherapy was used for complete cure. Patient is disease-free for the last eight years and is on regular yearly followup. The aim of reporting this case is to add to the scarce existing literature regarding auricular leiomyosarcoma and its long-term outcome. Also, this is the first case report in young adolescent and second only of the post auricular region.

scholarly journals A “Crazy Paving” Pattern on CT Scan in a Patient Treated with Pembrolizumab

2019 ◽  
Vol 14 (3) ◽  
pp. 242-245
Author(s):  
Maurizio Marvisi ◽  
Sara Ramponi ◽  
Laura Balzarini ◽  
Chiara Mancini
Keyword(s):  
Ct Scan ◽  
Morbidity And Mortality ◽  
Great Promise ◽  
Significant Morbidity ◽  
Exertional Dyspnea ◽  
Standard Management ◽  
First Case ◽  
History Of ◽  
Contrast Ct

Background: Programmed cell death protein 1 (PD-1) and its ligand, PD-L1, have shown great promise in clinical practice and have been incorporated into standard management of NSCLC. Pneumonitis is a serious autoimmune toxicity associated with the use of anti-PD-1/PD-L1 antibodies, resulting in significant morbidity and mortality. Methods: We described the case of a 73-year-old woman with no history of smoking developing exertional dyspnea four months after taking Pembrolizumab. Results: High resolution contrast CT scan (HRCT) presented a unilateral “crazy paving” pattern, and bronchoalveolar lavage (BAL) an important lymphocytosis (20% of total cell count). The patient reached clinical stability after the administration of systemic steroids (2mg\Kg\die) and was discharged with long term oxygen therap Discussion: Pulmonary toxicity is frequent when using PD-1 inhibitors, resulting in significant morbidity and mortality, often leading to the discontinuation of therapy. Clinical presentation is usually protean and HRCT pattern is nonspecific. This is the first case presenting a “crazy paving” pattern associated with BAL lymphocytosis. Conclusion: Oncologists, pulmonologists, radiologists and general practitioners have to consider PD-1 and PD-L1 inhibitor pneumonitis as a potentially disabling and fatal event.

A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

2016 ◽  
Vol 19 (1) ◽  
pp. 028
Author(s):  
Shengjun Wu ◽  
Peng Teng ◽  
Yiming Ni ◽  
Renyuan Li
Keyword(s):  
Computed Tomography ◽  
Heart Transplantation ◽  
Coronary Sinus ◽  
Unusual Case ◽  
Superior Vena ◽  
Vena Cava ◽  
Final Diagnosis ◽  
Rare Entity ◽  
First Case ◽  
Enhanced Computed Tomography

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

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