A Giant Abdominal Mass in a 23-year-old Woman

A case of prenatal ultrasound diagnosis of a rare congenital ovarian tumor is presented. By ultrasound examination at 36–37 weeks of gestation the intra-abdominal mass 66  47  74 mm occupying the entire abdominal cavity was discovered. At 38 weeks of pregnancy spontaneous delivery occurred with girl weight 2840 g. On the eighth day after birth the child has been successfully undergone surgery. Histological examination revealed congenital germ-cell tumor with structures of dysgerminoma and yolk sac tumor.

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Inferior vena cava obstruction presenting as an abdominal mass.

Radiology ◽

10.1148/radiology.149.1.6611954 ◽

1983 ◽

Vol 149 (1) ◽

pp. 73-74 ◽

Cited By ~ 4

Author(s):

D R Voegeli ◽

R P Lieberman ◽

D R Yandow

Keyword(s):

Inferior Vena Cava ◽

Inferior Vena ◽

Abdominal Mass ◽

Vena Cava ◽

Inferior Vena Cava Obstruction

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Refractory Hyperlactatemia and Hypoglycemia in an Adult with Non-Hodgkin’s Lymphoma: A Case Report and Review of the Warburg Effect

Case Reports in Oncology ◽

10.1159/000517658 ◽

2021 ◽

pp. 1159-1167

Author(s):

Zainab Al Maqrashi ◽

Mary Sedarous ◽

Avinash Pandey ◽

Catherine Ross ◽

Ahraaz Wyne

Keyword(s):

Lactic Acidosis ◽

Warburg Effect ◽

Hodgkin’S Lymphoma ◽

Abdominal Mass ◽

Hodgkin's Lymphoma ◽

Type B ◽

Elderly Male ◽

Non Hodgkin’S Lymphoma ◽

Non Hodgkin's Lymphoma ◽

The Warburg Effect

Lactate is a byproduct of anaerobic glycolysis, and hyperlactatemia is commonly seen in critically ill patients. We report a case of an elderly male presenting with undifferentiated constitutional symptoms, anemia, thrombocytopenia, severe lactic acidosis, refractory hypoglycemia, and a newly detected abdominal mass. A dedicated workup ruled out infectious etiologies and revealed metastatic non-Hodgkin’s lymphoma. This study explores etiologies of type B lactic acidosis in oncology patients, with a focus on Warburg’s effect, and its potential for prognostication.

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Large intraperitoneal lipoleiomyoma in a pre-menopausal woman: a case report

World Journal of Surgical Oncology ◽

10.1186/s12957-021-02256-9 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Sara L. Schaefer ◽

Amy L. Strong ◽

Sheena Bahroloomi ◽

Jichang Han ◽

Michella K. Whisman ◽

...

Keyword(s):

Differential Diagnosis ◽

Smooth Muscle ◽

Case Report ◽

Smooth Muscle Actin ◽

Abdominal Mass ◽

Histopathological Analysis ◽

Menopausal Woman ◽

En Bloc ◽

Cross Sectional

Abstract Background Lipoleiomyoma is a rare, benign variant of the commonplace uterine leiomyoma. Unlike leiomyoma, these tumors are composed of smooth muscle cells admixed with mature adipose tissue. While rare, they are most frequently identified in the uterus, but even more infrequently have been described in extrauterine locations. Case presentation We describe a case report of a 45-year-old woman with a history of in vitro fertilization pregnancy presenting 6 years later with abdominal distention and weight loss found to have a 30-cm intra-abdominal lipoleiomyoma. While cross-sectional imaging can narrow the differential diagnosis, histopathological analysis with stains positive for smooth muscle actin, desmin, and estrogen receptor, but negative for HMB-45 confirms the diagnosis of lipoleiomyoma. The large encapsulated tumor was resected en bloc. The patients post-operative course was uneventful and her symptoms resolved. Conclusions Lipoleiomyoma should be considered on the differential diagnosis in a woman with a large intra-abdominal mass. While considered benign, resection should be considered if the mass is symptomatic, and the diagnosis is unclear or there is a concern for malignancy.

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Fetus in fetu: two case reports from North African country

Egyptian Pediatric Association Gazette ◽

10.1186/s43054-020-00049-5 ◽

2021 ◽

Vol 69 (1) ◽

Author(s):

Moutaz Ragab ◽

Omar Nagy Abdelhakeem ◽

Omar Mansour ◽

Mai Gad ◽

Hesham Anwar Hussein

Keyword(s):

Histopathological Examination ◽

Case Reports ◽

Abdominal Mass ◽

Mature Teratoma ◽

Surgical Techniques ◽

Rare Condition ◽

Mass Effect ◽

Fetus In Fetu ◽

Vascular Connection ◽

First Case

Abstract Background Fetus in fetu is a rare congenital anomaly. The exact etiology is unclear; one of the mostly accepted theories is the occurrence of an embryological insult occurring in a diamniotic monochorionic twin leading to asymmetrical division of the blastocyst mass. Commonly, they present in the infancy with clinical picture related to their mass effect. About 80% of cases are in the abdomen retroperitoneally. Case presentation We present two cases of this rare condition. The first case was for a 10-year-old girl that presented with anemia and abdominal mass, while the second case was for a 4-month-old boy that was diagnosed antenatally by ultrasound. Both cases had vertebrae, recognizable fetal organs, and skin coverage. Both had a distinct sac. The second case had a vascular connection with the host arising from the superior mesenteric artery. Both cases were intra-abdominal and showed normal levels of alpha-fetoprotein. Histopathological examination revealed elements from the three germ layers without any evidence of immature cells ruling out teratoma as a differential diagnosis. Conclusions Owing to its rarity, fetus in fetu requires a high degree of suspicion and meticulous surgical techniques to avoid either injury of the adjacent vital structures or bleeding from the main blood supply connection to the host. It should be differentiated from mature teratoma.

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Solitary fibrous tumor of the greater omentum: case report and review of literature

Surgical Case Reports ◽

10.1186/s40792-021-01176-w ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Karim M. Eltawil ◽

Carly Whalen ◽

Bryce Knapp

Keyword(s):

Solitary Fibrous Tumor ◽

Management Strategy ◽

Abdominal Mass ◽

Lower Abdominal Pain ◽

Greater Omentum ◽

Team Approach ◽

Review Of Literature ◽

Case Presentation ◽

Multidisciplinary Team Approach ◽

Fibrous Tumor

Abstract Background Solitary fibrous tumor (SFT) is a rare neoplasm of mesenchymal origin occurring most often in the visceral pleura, however, it has been described in almost every anatomic location of the human body. While most SFTs have a benign behavior, they can potentially be locally aggressive and demonstrate a malignant behavior. Case presentation A 63 year-old male patient presented with lower abdominal pain and nausea and was noted on CT to have a large, heterogeneous lower abdominal mass with no evidence of metastatic disease. A surgical resection was performed and the mass appeared to be connected to the greater omentum with a vascular pedicle. It was not invading any intra-abdominal or pelvic organs. Pathology revealed an SFT of omental origin. The mitotic count was less than 4 per 10 high-power fields and all pathologic characteristics did not meet the criteria for a malignant SFT. Conclusions We report an extremely rare case of SFT originating from the greater omentum. A multidisciplinary team approach was followed to plan the patient’s management strategy.

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Laparoscopic Cystectomy of Huge Ovarian Cyst in Nulliparous Woman

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v13i3.23478 ◽

2018 ◽

Vol 13 (3) ◽

pp. 63-65

Author(s):

Amarnath Thakur ◽

Ganesh Dangal ◽

Aruna Karki ◽

Hema Kumari Pradhan ◽

Ranjana Shrestha ◽

...

Keyword(s):

Ovarian Cyst ◽

Abdominal Mass ◽

Mucinous Cystadenoma ◽

Nulliparous Woman ◽

Surface Epithelium ◽

Epithelioid Cells ◽

Brenner Tumor ◽

Laparoscopic Cystectomy

Mucinous cystadenoma arises from the totipotent surface epithelium of the ovary. Its association with Brenner tumor suggests its origin as mucinous metaplasia of the epithelioid cells. The chance of malignancy is 5–10 percent. Patients usually present with abruptly increasing abdominal mass. Cystectomy is the management of choice in these cases. It was managed by laparoscopy.

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Diagnostic utility of alarm features in predicting malignancy in patients with dyspeptic symptoms

Indian Journal of Gastroenterology ◽

10.1007/s12664-021-01155-x ◽

2021 ◽

Author(s):

Anurag Shetty ◽

Girisha Balaraju ◽

Shiran Shetty ◽

Cannanore Ganesh Pai

Keyword(s):

Weight Loss ◽

Epigastric Pain ◽

Characteristic Curve ◽

Abdominal Mass ◽

Screening Tools ◽

Disease Epidemiology ◽

Dyspeptic Symptoms ◽

Malignant Lesions ◽

Alarm Features ◽

Gastric Malignancy

Abstract Background Clinical features are of modest benefit in determining the etiology of dyspepsia. Dyspeptic patients with alarm features are suspected to have malignancy; but the proportions of patients and true cutoff values of various quantitative parameters in predicting malignancy are explored to a lesser extent. Methods This is a prospective observational study of consecutive patients undergoing esophagogastroduodenoscopy (EGD) for dyspeptic symptoms. Patients’ alarm features and clinical details were recorded in a predesigned questionnaire. The diagnostic accuracy of alarm features in predicting malignancy was studied. Results Nine hundred patients, 678 (75.3%) males, with a mean (standard deviation [SD]) age of 44.6 (13.54) years were enrolled. Commonest indication for EGD was epigastric pain in 614 (68.2%) patients. Dyspepsia was functional in 311 (34.6%) patients. EGD revealed benign lesions in 340 (37.8%) and malignancy in 50 (5.5%) patients. Among the malignant lesions, gastric malignancy was present in 28 (56%) and esophageal malignancy in 20 (40%) patients. Alarm features were present in 206 (22.9%), out of which malignant lesions were seen in 46 (22.3%) patients. Altogether, the alarm features had a sensitivity of 92% and specificity of 81.2% for predicting malignancy. The sensitivity and specificity for weight loss were 76% and 90.8%, while that of abdominal mass were 10% and 99.9% respectively. Based on receiver operating characteristic curve, the optimal age for screening of malignancy was 46.5 years in this population. Conclusions Patients of age group 40 to 49 years with dyspeptic alarm symptoms (predominant weight loss) need prompt endoscopy to screen for malignancy. The alarm features are inexpensive screening tools, found to be useful in India, and should be utilized in countries with similar healthcare conditions and disease epidemiology.

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