scholarly journals Hemangioma of First Extensor Compartment of the Wrist– A Rare Case Report

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Rajni Ranjan ◽  
Rakesh Kumar ◽  
Madhan Jeyaraman ◽  
Sandip Biswas ◽  
Akhilesh Kumar ◽  
...  
Keyword(s):  
Case Report ◽  
Articular Surface ◽  
Functional Results ◽  
Vascular Tumor ◽  
Low Flow ◽  
Definitive Treatment ◽  
Excision Biopsy ◽  
Musculotendinous Junction ◽  
Intramuscular Hemangioma ◽  
The Right

Introduction: Although upper extremity intramuscular hemangioma is a rare clinical entity, it poses considerable morbidity in the functional needs of an individual. The diagnosis of intramuscular hemangioma poses a diagnostic glitch. The combined radiological and histopathological assessment provides a complete understanding and diagnosis for the same. Every tumor follows an individualized protocol for its management. Case Report: A 15-year-old female presented with swelling over dorsal aspect of distal 1/3rd right forearm, which was 3 cm away from the articular surface of the right wrist from the past 5 years. There was no history of trauma or infection over the right wrist. Finkelstein’s test was negative, which rule out de Quervain’s tenosynovitis. The movements of the right wrist were unrestricted without any distal neurovascular deficit. MRI of her right wrist and hand suggested the presence of low flow vascular malformation within the musculotendinous junction of APL and EPB muscles. The patient underwent excision biopsy of the hemangiomatous lesion in toto without any neurological complications. No recurrence was noted in the follow-up period for 6 months. Conclusion: Being a benign vascular tumor, MRI provides the gateway to diagnose intramuscular hemangioma for early intervention to provide better functional results. The choice of definitive treatment for APL and EPB hemangioma was excision biopsy in toto which provided better functional results in our patient. Keywords: Hemangioma, intramuscular, abductor pollicis longus, extensor pollicis brevis, MRI, excision biopsy.

scholarly journals Definite management of bilateral lower leg nonunion fractures by Ilizarov apparatus in polytraumatized patient: Case report

2015 ◽  
Vol 68 (3-4) ◽  
pp. 137-142
Author(s):  
Ivica Lalic ◽  
Mirko Obradovic ◽  
Mirka Lukic-Sarkanovic ◽  
Vladimir Djan
Keyword(s):  
Case Report ◽  
Joint Stiffness ◽  
Functional Results ◽  
Shaft Fracture ◽  
Lower Leg ◽  
Negative Effects ◽  
Lower Leg Fracture ◽  
Ilizarov Apparatus ◽  
Fracture Nonunions ◽  
The Right

Introduction. Nonunion of long bones may often be associated with significant function loss of affected extremity, joint stiffness, and even extremity amputation or systemic manifestations in the case of infection. The aim of this case report is to highlight the possibilities of Ilizarov apparatus in the treatment of fracture nonunions of both lower legs treated by different operative methods and to show that it is not necessary to remove osteosynthetic material (intramedullary nail) in every case when nonunion occurs to achieve its recovery. Case Report. A 62 year-old man was injured in a traffic accident as a pedestrian in April 2012, when he experienced polytrauma, including shaft fracture of the right femur, and segmental open fractures of the right (Gustillo-Anderson grade I) and left (Gustillo-Anderson grade II) lower leg. The fractures of right femur and right tibia were stabilized initially with intramedullary nails, while the left lower leg fracture was treated by unilateral external fixator. After 5 months, there were no clinical and radiographic signs of union on lower legs, therefore the patient underwent re-surgery. Ilizarov apparatus was applied on both lower legs. The patient was early verticalized and both apparatus were removed after 4 months. According to the modified protocol of the Association for the Study and Application of Methods of Ilizarov, the lower leg bony results were good and excellent, and the functional results were excellent on both sides. Conclusion. Nonunion fracture of the right lower leg initially treated by the method of intramedullary osteosynthesis and afterwards by placing Ilizarov apparatus shows that in some cases it is not indicated to remove fixative material in order to achieve full recovery of fracture, thus eliminating the danger of all negative effects resulting from the classical extensive surgical treatment.

scholarly journals Clear Cell Acanthoma of the Mammary Region: A Case Report

2021 ◽  
Vol 15 (1) ◽  
pp. 31-33
Author(s):  
Piyu Parth Naik
Keyword(s):  
Case Report ◽  
Blood Vessels ◽  
Clinical Features ◽  
Clear Cell ◽  
Skin Tumor ◽  
Excision Biopsy ◽  
Solitary Lesion ◽  
Therapeutic Measure ◽  
Pink Color ◽  
The Right

Clear cell acanthoma, also known as Degos acanthoma, is a rare benign epithelial skin tumor. Generally, it appears as a solitary lesion on the lower legs, but in this case, it appeared on the right mammary area near the areola, which is an exceedingly rare and exciting finding. This lesion's clinical features revealed elevated dome-shaped plaque with surface lobulations and shiny pink color with a size of 9 mm. Dermoscopy was characteristic with blood vessels lined up in a strings pattern. Excision biopsy was done as a therapeutic measure. Histopathology showed a collection of glycogen-containing cells in the epidermis consistent with the diagnosis of clear cell acanthoma. Classical dermoscopy features and diagnostic histology were exemplary for a case report.

Epithelioid Sarcoma-like Hemangioendothelioma a Case Report

2005 ◽  
Vol 91 (5) ◽  
pp. 436-439 ◽  
Author(s):  
Cigdem Tokyol ◽  
Nüket Uzüm ◽  
Ilhami Kuru ◽  
Omer Uluoglu
Keyword(s):  
Case Report ◽  
Relevant Literature ◽  
Epithelioid Sarcoma ◽  
Vascular Tumor ◽  
Low Grade ◽  
Rare Entity ◽  
Anterior Aspect ◽  
Cubital Fossa ◽  
Painful Mass ◽  
The Right

Seven cases of an unusual low-grade vascular tumor were reported in a recent study. Despite its similarity to epithelioid sarcoma, this tumor was termed epithelioid sarcoma-like hemangioendothelioma because of the subtle histopathological and immunohistochemical differences. Another case of this rare entity in a 70-year-old woman who suffered from a painful mass on the anterior aspect of the right cubital fossa is presented here, together with a review of the relevant literature.

scholarly journals Bilateral Osteochondritis Dissecans of the Talar Posterior Calcaneal Articular Surface in a Professional Soccer Player: A Case Report

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Yohei Yanagisawa ◽  
Tomoo Ishii ◽  
Masashi Yamazaki
Keyword(s):  
Case Report ◽  
Osteochondritis Dissecans ◽  
Soccer Player ◽  
Articular Surface ◽  
Osteochondral Lesion ◽  
Treatment Protocol ◽  
Loose Bodies ◽  
Professional Soccer ◽  
The Right ◽  
Professional Soccer Player

Introduction: Preferred sites of osteochondritis dissecans (OCD) are the distal femur and humerus, and the dome of the talus. We report a rare case of a professional soccer player with bilateral OCD of the talar posterior calcaneal articular surface. Case Report: The left talus showed a loose but not displaced fragment, and pain was relieved with 3 months of conservative treatment. The right had two loose fragments that were displaced from their beds in the talar posterior calcaneal articular surface. The loose bodies were surgically excised. The player remains symptom free 4 years after the operation and participates in professional games. Thus, although OCD of the talar posterior calcaneal articular surface remains a relatively uncommon injury, we suggest that treatment methods tailored to the OCD stage as per Berndt and Harty classification may be successful. The exact causes and establishment of a treatment protocol in these cases will depend on the investigation of future cases. Conclusion: Since this case of OCD of the talar posterior calcaneal articular surface was bilateral, we hypothesized that it may have been caused by microtrauma in the sense of repetitive, excessive compression of the subchondral bone, or by a vascular etiology. Keywords: Case report, lateral hindfoot pain, osteochondral lesion, subtalar articular facet, subtalar joint.

Nasal Septal Hemangiopericytoma-like Tumor: A Case Report with an Immunohistochemical Study

2001 ◽  
Vol 15 (4) ◽  
pp. 267-270 ◽  
Author(s):  
Rie Yasui ◽  
Toru Minatogawa ◽  
Naoyuki Kanoh ◽  
Yasuo Nakata ◽  
Akira Kubota
Keyword(s):  
Case Report ◽  
Immunohistochemical Study ◽  
Preoperative Evaluation ◽  
Vascular Tumor ◽  
Histopathological Diagnosis ◽  
Low Grade ◽  
Topoisomerase Iiα ◽  
Ki 67 ◽  
Grade Malignancy ◽  
The Right

Nasal hemangiopericytoma-like (HPCL) tumor is a rare vascular tumor and should be differentiated from typical hemangiopericytomas (HPCs). This study reports the case of an HPCL tumor in a 77-year-old man with histological and immunohistochemical features. After preoperative evaluation of the blood supply, the dark-red right intranasal tumor was resected completely via the right maxillary sinus. The final histopathological diagnosis was HPCL tumor based on several stains: vimentin (+), α-SMA (+), etc. Moreover, there were few p53 (+) cells and the Ki-67 and topoisomerase IIα labeling indices were both under 5%. These findings indicated that this tumor was a low-grade malignancy. The immunohistochemical investigations used are useful for making the diagnosis of HPCL tumor and determining the treatment, malignancy, and prognosis. (American Journal of Rhinology 15 267–270, 2001)

scholarly journals Masson’s Hemangioma of Knee: A Rare Case Report

2021 ◽  
Vol 11 (9) ◽  
Author(s):  
Rajni Ranjan ◽  
Rakesh Kumar ◽  
Madhan Jeyaraman ◽  
Ankit Batra ◽  
Akhilesh Kumar ◽  
...  
Keyword(s):  
Case Report ◽  
Vascular Lesion ◽  
Left Knee ◽  
Low Flow ◽  
Excision Biopsy ◽  
History Of ◽  
Papillary Endothelial Hyperplasia ◽  
High Index Of Suspicion ◽  
Organized Thrombus ◽  
Masson’S Hemangioma

Introduction: Intrasynovial hemangioma, a rare benign vascular lesion of joint cavities, is also called intrasynovial papillary endothelial hyperplasia or Masson’s hemangioma (MH). These lesions are characterized by abnormal proliferation of endothelial cells with mild atypia with an organized thrombus. MH follows an individualized protocol for its management. Case Report: A 22-year-old male gave a 10-year history of the diagnosed and operated (arthroscopically) case of synovial hemangioma of the left knee and presented with similar complaints. There was no history of trauma or infection over the left knee. The movements of the left knee were normal except with terminal restriction of movements. MRI of the left knee suggested intrasynovial low flow vascular malformation within the substance of the synovium. The patient underwent synovectomy of the hemangiomatous lesion in toto without any recurrence in the follow-up period for 8 months. Histopathology confirmed the diagnosis of intravascular papillary endothelial hyperplasia/MH. Conclusion: Although intrasynovial hemangioma is a very rare clinical entity, Orthopedic surgeons should have a high index of suspicion for MH, when a long-standing pain and hemarthrosis of the knee joint is being encountered in the clinical practice. Keywords: Hemangioma, Intrasynovial, MRI, Excision biopsy.

scholarly journals Surgical extraction of an unusual macrocystic lymphatic malformation in the buttock: case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Francisco Antonio Rodríguez-García ◽  
Cuauhtly Gallegos-Sierra ◽  
José Luis Villarreal-Salgado ◽  
Karla Jimenez-Pavon ◽  
Karen Morfin-Meza ◽  
...  
Keyword(s):  
Surgical Excision ◽  
Functional Results ◽  
Skin Lesions ◽  
Lymphatic Malformation ◽  
Definitive Treatment ◽  
Diagnostic Tools ◽  
Therapeutic Success ◽  
Surgical Extraction ◽  
Fascia Lata Graft ◽  
The Right

Abstract Background Macrocystic lymphatic malformation is a rare benign skin disorder, especially the anogenital area, which covers less than .5% of the reported cases. It can cause vesicular and papular lesions on the face, trunk, extremities, and, less frequently, anogenital areas. Although there are currently several therapeutic options, surgical excision is the most widely used, considering the lowest recurrence rate. Case presentation In this article, we describe the case of a 15-year-old male patient who presented with herpetiform skin lesions, corresponding to the diagnosis of macrocystic lymphatic malformation, in the lower region of the right buttock. After confirmation of the diagnosis by histopathology, surgical excision was performed with a tensor fascia lata graft, with successful aesthetic and functional results. Conclusions Considering the diagnosis of macrocystic lymphatic malformation is of utmost importance, although its presence is unusual, to differentiate it from other herpetiform lesions. Despite the existence of multiple approaches today, definitive treatment with surgical extraction is necessary, both to improve the cosmetic aspect and to prevent associated complications. It is suggested that histopathological and imaging diagnostic tools be used as a routine element, in order to increase therapeutic success, as well as decrease the risk of recurrences. Evidence-based medicine ranking Level IV

scholarly journals Inflammatory Pseudotumour of the Lung: A Case Report and Literature Review

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
R. Morar ◽  
A. Bhayat ◽  
G. Hammond ◽  
H. Bruinette ◽  
C. Feldman
Keyword(s):  
Young Adults ◽  
Case Report ◽  
Literature Review ◽  
Computerized Tomography ◽  
Excision Biopsy ◽  
Inflammatory Pseudotumour ◽  
X Ray ◽  
Chest X Ray ◽  
Children And Young Adults ◽  
The Right

We describe a patient with inflammatory pseudotumour of the lung. He was a young man who presented with haemotysis and the chest X-ray and computerized tomography were indicative of a nonbenign lesion in the right upper lobe. Excision biopsy confirmed the diagnosis of inflammatory myofibroblastic pseudotumour of the lung. This is a rare inflammatory nonneoplastic condition commonly affecting children and young adults.

scholarly journals Osteochondroma Presenting Clinically with Carpal Tunnel Syndrome in a 12-Year-old Boy

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Sachin Yashwant Kale ◽  
Aditya Rajendra Gunjotikar ◽  
Rohit Mahesh Sane ◽  
Sushmit Singh ◽  
Sanjay B Dhar ◽  
...  
Keyword(s):  
Case Report ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Middle Finger ◽  
Blood Parameters ◽  
Excision Biopsy ◽  
Shoulder Region ◽  
Tunnel Syndrome ◽  
The Right ◽  
Slow Growing

Introduction: An exostosis is a benign growth of bone, which when capped with cartilage is called osteochondroma, which can appear as solitary or multiple, mostly affecting the long bones, pelvis, and shoulder region. The prevalence of known solitary exostosis is 1–2% in the general population. They are slow growing lesions with rare malignant transformation. In patients with a solitary exostosis, the chance of developing a chondrosarcoma out of an exostosis is around 1%. Case Report: A 12-year-old boy presented to our outpatient department with complaints of pain, and swelling at the right wrist since 1 year and tingling numbness on and around palmar aspect of index and middle finger since 6 months. The swelling was of size 3 cm × 2 cm, Tinel’s sign was positive. His blood parameters were normal. X-ray showed exostoses. Magnetic resonance imaging was suggestive of osteochondroma. Nerve conduction study was normal. Excision biopsy confirmed the diagnosis and also relieved all symptoms. Conclusion: Our case report is unique in its own way as it reminds us that when presented with a case of osteochondroma of the distal radius in children, carpal tunnel syndrome can also occur. Keywords: Osteochondroma, carpal tunnel syndrome, exostosis.

scholarly journals Functional results after a Krukenberg amputation

2005 ◽  
Vol 29 (1) ◽  
pp. 87-92 ◽  
Author(s):  
J. Freire ◽  
C. Schiappacasse ◽  
A. Heredia ◽  
J. D. Martina ◽  
J. H. B. Geertzen
Keyword(s):  
Case Report ◽  
Functional Outcome ◽  
Female Patient ◽  
Functional Results ◽  
Rehabilitation Treatment ◽  
Good Functional Outcome ◽  
The Right

This case report presents a 51 year old female patient who had a train accident in 1999. She suffered bilateral trans-tibial and bilateral trans-radial amputations. In this paper, the evolution of the right transradial amputation where eventually a Krukenberg procedure was performed, is described as is its good functional outcome after rehabilitation treatment. After this first procedure the patient also asked for the Krukenberg procedure for her left arm.

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