scholarly journals A here cysticus elváltozásai csecsemőkorban – négy eset ismertetése

2020 ◽  
Vol 161 (48) ◽  
pp. 2043-2048
Author(s):  
Dorottya Balogh ◽  
Ede Biró ◽  
Gábor Garai ◽  
Gabriella Mohay ◽  
Dávid Semjén ◽  
...  
Keyword(s):  
Cystic Lesion ◽  
English Literature ◽  
Relevant Literature ◽  
Case Series ◽  
Testicular Tissue ◽  
Magnetic Resonance Imaging Scan ◽  
Paediatric Surgery ◽  
Cystic Lesions ◽  
One Year ◽  
Tissue Sparing

Összefoglaló. Csecsemőkorban a here cysticus elváltozásai ritka entitásnak számítanak. Az angol nyelvű szakirodalom kevés hasonló esetről számol be, a 2000-es évek elejéig publikált esetek harmadában orchiectomia történt. A hisztológia a leggyakrabban teratomát, a legritkábban egyszerű cystát igazol. Mindkét elváltozás jóindulatú, egyéves kor alatt a leggyakoribb. Közleményünkkel arra szeretnénk felhívni a figyelmet, hogy ezen esetek kezelése során törekedni kell a here megtartására. A Pécsi Tudományegyetem Klinikai Központ Gyermekgyógyászati Klinikájának Manuális Tanszékén és a Heim Pál Országos Gyermekgyógyászati Intézet I. Gyermek Ssebészeti és Traumatológiai Osztályán 2015 és 2018 között 4 csecsemőben észleltük a here cysticus elváltozását. A betegek kórtörténeti adatainak részletes retrospektív elemzését és a szakirodalom áttekintését végeztük. Mind a 4 alkalommal a csecsemő féléves kora előtt észleltek egyoldali, panaszokat nem okozó herezacskófél-megnagyobbodást. Az ultrahangvizsgálat 3 esetben szoliter cysticus képletet talált. 1 esetben szeptált, sűrű folyadékkal telt cysticus képletet véleményezett, számottevő hereállomány nem mutatkozott. Ennél a betegnél mágnesesrezonancia-vizsgálat is készült, mely teratoma lehetőségét vetette fel. A feltárás során mindegyik csecsemőben cysticus képletet találtunk. 3 betegnél hereszövet-megtartó műtétet (enucleatiót) végeztünk. 1 esetben az érdemben megtartható hereszövet hiánya, valamint teratoma gyanúja miatt orchiectomia történt. A kórszövettan két esetben egyszerű cystát, két esetben praepubertalis teratomát igazolt, melyek jóindulatú elváltozások. A here cysticus elváltozásai csecsemőkorban döntő többségben benignusak. Az egyszerű cysta és a praepubertalis teratoma egyaránt jóindulatú elváltozás, malignus transzformációra nem hajlamosak. A képalkotó eljárások közül az ultrahangvizsgálat elegendő lehet a kezelési terv felállításához. Mindig törekedni kell a here megtartására, a lehető legtöbb hereszövet megkímélésére. Kórszövettani vizsgálat nélkül a here eltávolítása ebben az életkorban nem javasolt. Orv Hetil. 2020; 161(48): 2043–2048. Summary. Cystic lesions of the testis are rare in infancy. Few similar case-series were published in the English literature. Orchiectomy was reported in one-third of the cases until the early 2000s. Histology mostly confirms teratomas, rarely simple cysts. Both are benign and most common under the age of one year. Our aim is to draw attention to the importance of testicular sparing surgery (enucleatio), whenever possible. At the Medical Centre of the Department of Pediatrics of the Division of Paediatric Surgery, Pécs and at the Department of Pediatric Surgery and Traumatology of the Heim Pal Children’s Hospital, Budapest, four cystic testicular lesions were treated in infancy between 2015 and 2018. We performed retrospective analysis and reviewed relevant literature. Our patients were under six months and an unilateral, painless scrotal enlargement appeared. Ultrasound described cystic lesion in the testis in three cases. In one case a septated, echogenic, liquid-filled cystic lesion was detected, with no significant amount of testicular tissue. Magnetic resonance imaging scan of this patient predicted the diagnosis of teratoma. During the surgeries, cystic lesions were found in all cases. Enucleatio was performed in three patients. Orchiectomy was carried out once due to the suspicion of teratoma and the lack of salvageable testicular tissue. Histopathology confirmed simple cysts in two babies and prepubertal teratomas in the others. Testicular cystic lesions are predominantly benign in infancy. Simple cysts and prepubertal teratomas are benign, not prone to malignant transformation. Ultrasound is reliable for preoperative planning. Testicular tissue sparing surgery must be considered and without histopathology orchiectomy should not be performed. Orv Hetil. 2020; 161(48): 2043–2048.

Azithromycin-induced Aphthous Stomatitis: A Case Series

2019 ◽  
Vol 14 (3) ◽  
pp. 242-246 ◽  
Author(s):  
Ehsan T. Moghadam ◽  
Ali Tafazoli
Keyword(s):  
Adverse Effect ◽  
Medical Literature ◽  
Relevant Literature ◽  
Case Series ◽  
Database Search ◽  
Aphthous Stomatitis ◽  
Search Process ◽  
Pubmed Database ◽  
One Year

Background: Azithromycin is one of the most popular antibiotics in current clinical practice. This medication generally considered to be safe and well-tolerated in different demographic populations. Like any other drug, azithromycin use is not without risk and adverse effects. In recent years, cardiovascular accidents have been announced as its major and most important side effect. But azithromycin use can be accompanied with less recognized complications which are significantly discomforting. In this article, we presented a neglected adverse effect of azithromycin in medical literature which is aphthous stomatitis. Methods: We detected three cases with this complication in our center during a one-year period. All the accessible clinical data were recorded and PubMed database was explored to assess the relevant literature. Results: The patients had aphthous stomatitis within 24 hours of the first dose which was healed in about 2 to 3 weeks. Naranjo scoring system showed a probable stage for this adverse drug reaction. There was no such a report in our database search process. Conclusion:: It could be stated that aphthous stomatitis is an important adverse effect of azithromycin that can affect the patient’s quality of life during therapy and in the majority of cases, it can be neglected by healthcare practitioners.

scholarly journals Incidentally Detected Squamous Cell Carcinoma of Renal Pelvis in Patients with Staghorn Calculi: Case Series with Review of the Literature

ISRN Oncology ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Ayushi Jain ◽  
Deepti Mittal ◽  
Arpita Jindal ◽  
Ranjana Solanki ◽  
Suman Khatri ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Renal Pelvis ◽  
Relevant Literature ◽  
Case Series ◽  
Advanced Stages ◽  
One Year ◽  
Suspicious Nodule ◽  
Gross Examination

Squamous cell carcinoma of the renal pelvis is a rare neoplasm, often unsuspected clinically due to its rarity and ambiguous clinical and radiological features, and hence patients present at advanced stages resulting in poor prognosis. We report here four cases of incidentally diagnosed primary renal squamous cell carcinoma, treated at our hospital over a short span of one year, and review the relevant literature. Mean age of the patients (3 males, 1 female) was 60 years. All suffered from staghorn stones. Interestingly, renal carcinoma was unsuspected clinically in all patients. In one case, a computerised tomography scan showed a suspicious nodule. All underwent nephrectomy for nonfunctioning kidney. In just two cases, tumor was identified on gross examination, while the other two only showed thickened pelvis. Our series emphasises the need for pelvicalyceal biopsy during treatment for long-standing nephrolithiasis, and thorough sampling of the renal pelvis in nephrectomy specimen of such patients.

scholarly journals Mediastinum Lymph Node Hydatidosis.

2014 ◽  
pp. 28-28
Author(s):  
Yassine Ouadnouni ◽  
Marouane Lakranbi ◽  
Mohamed Smahi
Keyword(s):  
Lymph Node ◽  
Cystic Lesion ◽  
Chest Ct ◽  
Cystic Lesions ◽  
Surgical Exploration ◽  
Left Chest ◽  
History Of ◽  
One Year ◽  
Chest Ct Scan ◽  
Mediastinum Lymph Node

A 55 year old woman, presented to our hospital with a one year history of coughing and left chest pain. A chest CT-scan showed mediastinal, pleural and pulmonary cystic lesions evoking hydatidosis. Surgical exploration found a cystic lesion of the aorta-pulmonary window.

scholarly journals Cystic Lesions in Autoimmune Pancreatitis

2015 ◽  
Vol 9 (3) ◽  
pp. 366-374 ◽  
Author(s):  
Macarena Gompertz ◽  
Claudia Morales ◽  
Hernán Aldana ◽  
Jaime Castillo ◽  
Zoltán Berger
Keyword(s):  
Autoimmune Pancreatitis ◽  
Cystic Lesion ◽  
Pancreatic Head ◽  
Pancreatic Tissue ◽  
Steroid Treatment ◽  
Cystic Neoplasm ◽  
Blood Levels ◽  
Cystic Lesions ◽  
Lymphoplasmacytic Infiltration ◽  
One Year

Autoimmune pancreatitis (AIP) can be chronic or recurrent, but frequently completely reversible after steroid treatment. A cystic lesion in AIP is a rare finding, and it can mimic a pancreatic cystic neoplasm. Difficulties in an exact diagnosis interfere with treatment, and surgery cannot be avoided in some cases. We report the history of a 63-year-old male presenting with jaundice and pruritus. AIP was confirmed by imaging and elevated IgG4 blood levels, and the patient completely recovered after corticosteroid therapy. One year later, he presented with a recurrent episode of AIP with elevated IgG4 levels, accompanied by the appearance of multiple intrapancreatic cystic lesions. All but 1 of these cysts disappeared after steroid treatment, but the remaining cyst in the pancreatic head was even somewhat larger 1 year later. Pancreatoduodenectomy was finally performed. Histology showed the wall of the cystic lesion to be fibrotic; the surrounding pancreatic tissue presented fibrosis, atrophy and lymphoplasmacytic infiltration by IgG4-positive cells, without malignant elements. Our case illustrates the rare possibility that cystic lesions can be part of AIP. These pseudocysts appear in the pancreatic segments involved in the autoimmune disease and can be a consequence of the local inflammation or related to ductal strictures. Steroid treatment should be initiated, after which these cysts can completely disappear with recovery from AIP. Surgical intervention may be necessary in some exceptional cases.

Another Cystic Lesion in the Calcaneus

2013 ◽  
Vol 103 (2) ◽  
pp. 141-144 ◽  
Author(s):  
Mert Keskinbora ◽  
Özkan Köse ◽  
Yildirim Karslioglu ◽  
Bahtiyar Demiralp ◽  
Mustafa Basbozkurt
Keyword(s):  
Differential Diagnosis ◽  
Male Patient ◽  
Bone Grafting ◽  
Cystic Lesion ◽  
Fibrous Histiocytoma ◽  
Relevant Literature ◽  
Long Bones ◽  
Cystic Lesions ◽  
Benign Fibrous Histiocytoma

Benign fibrous histiocytoma is a rare benign primary skeletal tumor that occurs frequently in the long bones and the pelvis. The calcaneus is an unusual location for benign fibrous histiocytoma. We did not identify any case of benign fibrous histiocytoma involving the calcaneus in the relevant literature. We describe a 22-year-old male patient with benign fibrous histiocytoma involving the calcaneus treated with curettage and bone grafting. At the final follow-up visit, 1 year after surgery, the patient was free of pain and walking unaided. We discuss the differential diagnosis of cystic lesions of the calcaneus. (J Am Podiatr Med Assoc 103(2): 141–144, 2013)

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.

Esophageal Atresia and Associated Duodenal Atresia: A Cohort Study and Review of the Literature

2020 ◽  
Author(s):  
Maria Enrica Miscia ◽  
Giuseppe Lauriti ◽  
Dacia Di Renzo ◽  
Angela Riccio ◽  
Gabriele Lisi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Esophageal Atresia ◽  
Primary Repair ◽  
English Literature ◽  
Delayed Diagnosis ◽  
Case Series ◽  
Primary Treatment ◽  
Duodenal Atresia ◽  
Staged Approach ◽  
Missed Diagnosis

Abstract Introduction Esophageal atresia (EA) is associated with duodenal atresia (DA) in 3 to 6% of cases. The management of this association is controversial and literature is scarce on the topic. Materials and Methods We aimed to (1) review the patients with EA + DA treated at our institution and (2) systematically review the English literature, including case series of three or more patients. Results Cohort study: Five of seventy-four patients with EA had an associated DA (6.8%). Four of five cases (80%) underwent primary repair of both atresia, one of them with gastrostomy placement (25%). One of five cases (20%) had a delayed diagnosis of DA. No mortality has occurred. Systematic Review: Six of six-hundred forty-five abstract screened were included (78 patients). Twenty-four of sixty-eight (35.3%) underwent primary correction of EA + DA, and 36/68 (52.9%) underwent staged correction. Nine of thirty-six (25%) had a missed diagnosis of DA. Thirty-six of sixty-eight underwent gastrostomy placement. Complications were observed in 14/36 patients (38.9 ± 8.2%). Overall mortality reported was 41.0 ± 30.1% (32/78 patients), in particular its incidence was 41.7 ± 27.0% after a primary treatment and 37.0 ± 44.1% following a staged approach. Conclusion The management of associated EA and DA remains controversial. It seems that the staged or primary correction does not affect the mortality. Surgeons should not overlook DA when correcting an EA.

scholarly journals A review of malignant pleural mesothelioma in a large North East UK pleural centre

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Declan C. Murphy ◽  
Alexander Mount ◽  
Fiona Starkie ◽  
Leah Taylor ◽  
Avinash Aujayeb
Keyword(s):  
Malignant Pleural Mesothelioma ◽  
Survival Rates ◽  
Case Series ◽  
Pleural Mesothelioma ◽  
Retrospective Case ◽  
Pleural Thickening ◽  
North East ◽  
Total Cohort ◽  
Anti Cancer ◽  
One Year

AbstractObjectivesThe National Mesothelioma Audit 2020 showed Northumbria to have low rates of histopathological confirmation, treatment and one-year survival rates for malignant pleural mesothelioma (MPM). We hypothesized that an internal analysis over a 10-year period provides valuable insights into presentation, diagnosis, treatment and outcomes.MethodsA single-centre retrospective case series of all confirmed MPM patients between 1 January 2009 and 31 December 2019 was performed. Demographics, clinical, radiological and histopathological characteristics and outcomes were collected. Statistical analysis was performed using SPSS V26.0.ResultsA total of 247 patients had MPM. About 86% were male, mean age 75.7 years. Dyspnoea (77.4%) and chest pain (38.5%) were commonest symptoms. 64.9 and 71.4% had pleural thickening and effusion, respectively. About 86.8% had at least one attempt to obtain a tissue biopsy, but histopathological confirmation in only 108 (43.7%). About 66.3% with PS 0 and 1 (62.7% of total cohort) had at least one anti-cancer therapy. Death within 12 months was associated with disease progression within 6 months (p≤0.001). Chemotherapy (p≤0.001) and epithelioid histological subtype (p=0.01) were protective.ConclusionsThis study confirms known epidemiology of MPM, demonstrates variability in practices and highlights how some NMA recommendations are not met. This provides the incentive for a regional mesothelioma multi-disciplinary meeting.

Highly selective diversion with proactive leakage management after low anterior resection for rectal cancer

2021 ◽  
Author(s):  
K Talboom ◽  
I Vogel ◽  
R D Blok ◽  
S X Roodbeen ◽  
C Y Ponsioen ◽  
...  
Keyword(s):  
Low Anterior Resection ◽  
Case Series ◽  
Fecal Diversion ◽  
Single Center ◽  
Single Centre ◽  
Diverting Stoma ◽  
Faecal Diversion ◽  
One Year ◽  
Diversion Rate

Abstract In this single center case series with nine percent primary diversion, 86 of 94 patients alive and with complete follow-up at one year had a functioning anastomosis. Seventy-five of the initial 99 patients never had a stoma. Meaning: Highly selective fecal diversion in combination with proactive leakage management, low anastomoses can be preserved safely, and the majority of patients will be spared all disadvantages of a diverting stoma. In this single-centre case series, with a primary diversion rate of 9 per cent, 86 of 94 patients who were alive and had complete follow-up at 1 year had a functioning anastomosis. Seventy-five of the initial 99 patients never had a stoma. The results indicate that, with highly selective faecal diversion in combination with proactive leakage management, low anastomoses can be preserved safely, and the majority of patients will be spared the disadvantages of a diverting stoma.

scholarly journals Management of uterine cystic adenomyosis by laparoscopic surgery: case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cheng-Zhi Zhao ◽  
Bin Wang ◽  
Chun-yan Zhong ◽  
Shen-tao Lu ◽  
Li Lei
Keyword(s):  
Laparoscopic Surgery ◽  
Rare Case ◽  
Cystic Lesion ◽  
Ultrasound Examination ◽  
Ca 125 ◽  
Cystic Lesions ◽  
Good Recovery ◽  
Case Presentation ◽  
Solid Lesions ◽  
Uterine Body

Abstract Background Endometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions. The former is common, while the latter is rare, especially for cystic adenomyosis larger than 5 cm. Case presentation A 30-year-old woman was admitted for severe and worsening dysmenorrhea. Ultrasound examination revealed a rare well-circumscribed cystic lesion about 5.5 × 4 × 5.0 cm. CA-125 level was slightly elevated. She accepted laparoscopic surgery and the adenomyotic tissues were excised. The histopathology of the specimen demonstrated the endometrial glands in the walls of cysts and an area of extensive hemorrhage can be seen in the inner wall of cyst. The patient made a good recovery after surgery and her symptoms complete resoluted. Conclusions This is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery.

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