A LINGUOVERTED IMPACTED TOOTH WITH OROCUTANEOUS FISTULA – A RARE CASE REPORT

The orocutaneous fistulous tract of odontogenic origin is often a diagnostic challenge, due to its rare manifestation and absence of dental signs and symptoms. The odontogenic cutaneous fistula is often misdiagnosed as a superficial skin lesion of non-odontogenic origin delaying the treatment. The diagnosis and treatment must be precise and swift to improve the clinical outcome and minimize the complications.This article presents a rare case of odontogenic keratocyst involving a linguoverted impacted third molar presenting as orocutaneous fistula. The patient was initially treated with empirical antibiotic therapy with no resolution of the cutaneous fistula and thickening of the skin around the sinus opening resulting in cosmetic deformity. Once the fistula was attributed to the underlying odontogenic cyst, treatment was done by cyst enucleation along with the extraction of tooth and fistula excision. The purpose of the paper is to emphasize the importance of early and accurate diagnosis and prompt management of the orocutaneous fistula due to the odontogenic origin.

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FOREIGN BODY PERFORATION OF MECKEL'S DIVERTICULUM IN A CASE OF ACUTE APPENDICITIS - TWIN PATHOLOGY : A RARE CASE REPORT

10.36106/ijsr/7606739 ◽

2021 ◽

pp. 34-35

Author(s):

Priya Natarajan ◽

Shanthini Punyamurthy ◽

Pavithra Duraisamy

Keyword(s):

Foreign Body ◽

Acute Appendicitis ◽

Rare Case ◽

Rare Complication ◽

Meckel’S Diverticulum ◽

Signs And Symptoms ◽

Meckel's Diverticulum ◽

Routine Practice ◽

Diagnostic Challenge ◽

Rare Case Report

Meckel's diverticulum is a remnant of embryologic omphalomesenteric duct. It is the most common congenital anomaly in gastrointestinal tract with the incidence of about 2% in the population. About 80% of them are asymptomatic and remaining can present with complications such as bleeding, ulcer, intestinal obstruction, intussusception, diverticulitis and perforation. Meckel's diverticular perforation by a foreign body is a rare complication. Here we report a case of Meckel's diverticular perforation by a foreign body in a case of acute appendicitis. A 50 year old male patient presented to emergency department with signs and symptoms of acute appendicitis . Abdomen opened through Mc Burney's incision, appendix found to be inammed and a sh bone perforating the Meckel's diverticulum was incidentally found, appendicectomy and Meckel's diverticulectomy was performed. Perforation of Meckel's diverticulum by a foreign body is a diagnostic challenge pre operatively. It is suggested to make it a routine practice to look for the presence of Meckel's diverticulum in all lower abdominal surgeries.

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An unusually large aggressive adenomatoid odontogenic tumor of maxilla involving the third molar: A clinical case report

European Journal of Dentistry ◽

10.4103/1305-7456.178308 ◽

2016 ◽

Vol 10 (02) ◽

pp. 277-280 ◽

Cited By ~ 2

Author(s):

Vikas Dhupar ◽

Francis Akkara ◽

Pulkit Khandelwal

Keyword(s):

Rare Case ◽

Third Molar ◽

Odontogenic Tumor ◽

Adenomatoid Odontogenic Tumor ◽

Impacted Tooth ◽

The Third ◽

Impacted Third Molar ◽

Simultaneous Reconstruction ◽

Odontogenic Lesion ◽

Temporalis Myofascial Flap

ABSTRACTAdenomatoid odontogenic tumor (AOT) is a rare tumor comprising only 3% of all odontogenic tumors. It is a benign, encapsulated, noninvasive, nonaggressive, slowly growing odontogenic lesion associated with an impacted tooth. These lesions may go unnoticed for years. The usual treatment is enucleation and curettage, and the lesion does not recur. Here, we present a rare case of an unusually large aggressive AOT of maxilla associated with impacted third molar. The authors also discuss clinical, radiographic, histopathologic, and therapeutic features of the case. Subtotal maxillectomy with simultaneous reconstruction of the surgical defect with temporalis myofascial flap was planned and carried out.

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Urachal yolk sac tumor penetrating the bladder as a diagnostic challenge: a case report and review of the literature

Diagnostic Pathology ◽

10.1186/s13000-022-01190-y ◽

2022 ◽

Vol 17 (1) ◽

Author(s):

Vladimír Šámal ◽

Tomáš Jirásek ◽

Vít Paldus ◽

Igor Richter ◽

Ondřej Hes

Keyword(s):

Case Report ◽

Rare Case ◽

Yolk Sac ◽

Cell Tumor ◽

Yolk Sac Tumor ◽

Review Of The Literature ◽

Diagnostic Challenge ◽

Macroscopic Hematuria ◽

Rare Case Report

Abstract Background Yolk sac tumor (YST) is a germ cell tumor. It is primarily located in the gonads but can also occur extragonadally (extragonadal yolk sac tumor - EGYST), most commonly in the pelvis, retroperitoneum or mediastinum. Only a few YSTs of the urachus have been described. Case report We present a rare case report of a 37-year-old male with episodes of macroscopic hematuria. The histological specimen obtained by transurethral resection showed a solid, and in some parts papillary infiltrative, high-grade tumor with numerous areas of marked nuclear atypia and clear invasion between the detrusor bundles. Glandular pattern has been observed in only minority of the tumor. Immunohistochemistry showed significant positivity for GPC3, SALL4 and cytokeratins AE1/AE3, while KRT7 and GATA3 were negative. We concluded that the biopsy findings were consistent with urothelial carcinoma with infrequent YST differentiation. In definitive surgical specimens we found a malignant epithelial, glandular and cystically arranged tumor of germinal appearance arising from urachus. The surrounding urothelium was free of invasive or in situ tumor changes. We reclassified the tumor as a urachal YST. Conclusion EGYST was suspected because glandular and hepatoid structures were found, but the presence of these structures should be verified by immunohistochemistry.

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STURGE WEBER SYNDROME- A RARE CASE REPORT ORIGINAL

10.36106/ijar/9502925 ◽

2021 ◽

pp. 4-5

Author(s):

Om Prakash Singh ◽

Vikas Kumar ◽

Pushp Kant Tiwari

Keyword(s):

Rare Case ◽

Signs And Symptoms ◽

Port Wine ◽

Occipital Area ◽

Weber Syndrome ◽

Rare Case Report ◽

The Face ◽

Sturge Weber Syndrome ◽

The Brain ◽

Embryonic Vessels

Sturge-Weber Syndrome (SWS) is one of the encephalotrigeminal angiomatosis and one of the important segmental vascular neurocutaneous disorders .The occurrence is not very uncommon and the prevalence is 1:20000 to 1:50000.(1) SWS occurs due to the presence of residual embryonic vessels . The various signs and symptoms include capillary malformation in the face a port wine birthmark and similar malformation in the brain involving leptomeniges as well as blood vessels of the eye causing glaucoma. The patient presents with seizures , hemiparesis and stroke like symptoms, headaches and developmental delay.(2) The imaging nding in SWS children is the calcication in the parietal and occipital area of the brain. The EEG ndings in SWS are the attenuation and the excess of slow activities.We are presenting here a rare case of , a fourteen year old male child who presented to our emergency department with status epilepticus. The aim of presenting this case is to share the classical presentation and the challenges involved in the management

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Sarcomatoid carcinoma of adrenal gland: a rare case report

BIRDEM Medical Journal ◽

10.3329/birdem.v10i1.44766 ◽

2019 ◽

Vol 10 (1) ◽

pp. 73-75

Author(s):

Israt Rezwana ◽

Sourav Sarkar ◽

Rushda Sharmin Binte Rouf ◽

Sultana Marufa Shefin ◽

SM Ashrafuzzaman

Keyword(s):

Adrenal Gland ◽

Rare Case ◽

Adrenal Glands ◽

Malignant Tumors ◽

Sarcomatoid Carcinoma ◽

Endocrine Dysfunction ◽

Diagnostic Challenge ◽

Atypical Symptoms ◽

Rare Case Report ◽

New Onset

Adrenal sarcomatoid carcinoma (ASC) are very rare and aggressive malignant tumors of adrenal glands containing both epithelial (carcinomatous) and mesenchymal (sarcomatous) components. ASC presents a diagnostic challenge due to its atypical symptoms and histological patterns which influence treatment.At the time of diagnosis, a large percentage of patients are already at the metastatic stage and succumb within a few months. Here, we report a case of functional sarcomatoid carcinoma in right adrenal gland in a 37-year-old female, who presented with new onset hypertension. The patient underwent right sided adrenalectomy and she was alive at the time of writing the current report.To the best of our knowledge, ASC reported in literature to date showed only few patient presented with endocrine hypersecretion and only one patient presented with both hypertension and endocrine dysfunction. So, our case is the rarest among the rare. Birdem Med J 2020; 10(1): 73-75

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