scholarly journals Scar endometrioma following obstetric surgical incisions: retrospective study on 33 cases and review of the literature

2009 ◽  
Vol 127 (5) ◽  
pp. 270-277 ◽  
Author(s):  
Guilherme Karam Corrêa Leite ◽  
Luis Fernando Pina de Carvalho ◽  
Henri Korkes ◽  
Thiago Falbo Guazzelli ◽  
Grecy Kenj ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Correct Diagnosis ◽  
Safety Margin ◽  
Clinical History ◽  
Tumor Location ◽  
Diagnosis And Treatment ◽  
Histopathological Analysis ◽  
Vaginal Deliveries ◽  
Uncommon Disease ◽  
Postoperative Diagnosis

CONTEXT AND OBJECTIVE: The incidence of scar endometrioma ranges from 0.03 to 3.5%. Certain factors relating to knowledge of the clinical history of the disease make correct diagnosis and treatment difficult. The aim here was to identify the clinical pattern of the disease and show surgical results. The literature on this topic was reviewed. DESIGN AND SETTING: Retrospective descriptive study at Hospital Municipal Maternidade - Escola Dr. Mário de Moraes Altenfelder Silva. METHODS: Data from the medical records of patients with preoperative diagnoses of scar endometrioma who underwent operations between 2001 and 2007 were surveyed and reviewed. The postoperative diagnosis came from histopathological analysis. The main information surveyed was age, obstetric antecedents, symptoms, tumor location, size and palpation, duration of complaint, diagnosis and treatment. All patients underwent tumor excision with a safety margin. RESULTS: There were 33 patients, of mean age 30.1 ± 5.0 years (range: 18-41 years). The total incidence was 0.11%: 0.29% in cesarean sections and 0.01% in vaginal deliveries. Twenty-nine tumors (87.9%) were located in cesarean scars, two (6.0%) in episiotomy scars and two (6.0%) in the umbilical region. The main symptom was localized cyclical pain (66.7%), of mean duration 30.5 months (± 23). Surgical treatment was successful in all cases. CONCLUSION: This is an uncommon disease. The most important diagnostic characteristic is coincidence of painful symptoms with menstruation. Patients undergoing cesarean section are at greatest risk: relative risk of 27.37 (P < 0.01). The surgical treatment of choice is excision of the endometrioma with a safety margin.

Síndrome da Anca de Ressalto

2018 ◽  
Vol 9 (1) ◽  
pp. 8
Author(s):  
Bernardo Almeida
Keyword(s):  
Surgical Treatment ◽  
Hip Joint ◽  
Scientific Literature ◽  
Therapeutic Targets ◽  
Clinical History ◽  
Disease Diagnosis ◽  
Diagnosis And Treatment ◽  
Snapping Hip ◽  
Predominant Symptom ◽  
Snapping Hip Syndrome

Snapping hip syndrome is a condition in which the predominant symptom is the snapping feelingaround the hip joint caused by a dynamic impingement between muscles or tendons and boneprominences. The etiology of the snapping hip types and consequently the therapeutic targets havebeen subjects of discussion and controversy along the years. A careful clinical history and physicalexamination is frequently enough for this disease diagnosis. Treatment is typically conservative,however when it is not successful surgical treatment is indicated, consisting on the snapping muscleor tendons lengthening. The authors review in this paper the current scientific literature about functionalanatomy, physiopathology, symptoms, diagnosis and treatment of snapping hip.

scholarly journals Primary Central Nervous System Lymphoma of the Posterior Fossa in Immunocompetent Patient: A Case Report and Review of Literature

2021 ◽  
Author(s):  
Vitória de Ataide Caliari ◽  
Herika Negri ◽  
Claudio vidal ◽  
Bruno lobo ◽  
Dhyego lacerda ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Case Report ◽  
Caudate Nucleus ◽  
Posterior Fossa ◽  
Correct Diagnosis ◽  
Central Nervous System Lymphoma ◽  
Clinical History ◽  
Cerebellar Hemisphere ◽  
Histopathological Analysis

Context: Primary central nervous system lymphomas (PCNSL) are a rare but very aggressive subtype of extranodal non-Hodgkin lymphomas. They represent only 4% of primary central nervous system lesions and are more common in patients with aggressive non-Hodgkin lymphomas, who are HIV positive. Moreover, PCNSL, usually presents as intraparenchymal supratentorial expansive lesions, while secondary CNS lymphomas tend to present as metastases in the leptomeninges. Although they are more common in immunocompromised patients, their incidence has increased with advancing age. Due to its uniqueness in findings, rarity, and severity of the case, we present an immunocompetent elderly patient with a primary lesion of the posterior fossa. Case report: A 85-year-old female was admitted to the emergency room with incoercible vomiting for 48 hours. Initial clinical examination showed dysmetry, and dysbasia. There was no clinical history compatible with immunosuppression. The initial magnetic resonance imaging revealed two non-enhancing contrast lesions in T1 and hyperintense in T2/Flair in the left caudate nucleus, and at the right cerebellar hemisphere near the fourth ventricle and a third parafalcine lesion with homogenous contrast-enhancing on T1 compatible with an incidental meningioma. PET scan, thyroid and breast ultrasonography, and abdominal MRI were done to rule out metastasis, and all results were negative. The histopathological analysis after a stereotactic biopsy performed on the caudate nucleus lesion confirmed the presence of primary central nervous system lymphoma. Conclusions: The pattern of PCNSL is changing due to aging. Knowing this is indispensable for the correct diagnosis and management.

scholarly journals Constrictive Pericarditis: A Challenging Diagnosis in Paediatrics

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Mariana Faustino ◽  
Inês Carmo Mendes ◽  
Rui Anjos
Keyword(s):  
Heart Failure ◽  
Surgical Treatment ◽  
Constrictive Pericarditis ◽  
Correct Diagnosis ◽  
Previous History ◽  
Right Heart Failure ◽  
Right Heart ◽  
Noninvasive Cardiac Imaging ◽  
Uncommon Disease ◽  
History Of

Constrictive pericarditis is an uncommon disease in children, usually difficult to diagnose. We present the case of a 14-year-old boy with a previous history of tuberculosis and right heart failure, in whom constrictive pericarditis was diagnosed. The case highlights the need to integrate all information, including clinical data, noninvasive cardiac imaging, and even invasive hemodynamic evaluation when required, in order to establish the correct diagnosis and proceed to surgical treatment.

scholarly journals A rare case of mechanical conjunctivitis

2018 ◽  
Vol 11 (3) ◽  
pp. 74-77
Author(s):  
Inna A. Riks ◽  
Sanasar S. Papayan ◽  
Pavel A. Nechiporenko
Keyword(s):  
Surgical Treatment ◽  
Rare Case ◽  
Correct Diagnosis ◽  
Diagnosis And Treatment ◽  
Inflammatory Condition ◽  
Rare Form ◽  
Rare Type ◽  
Treatment Methods ◽  
Long Period

Introduction. Mechanical conjunctivitis is a rare form of eye surface inflammatory condition. One of its types, a mucus fishing syndrome, leads to a chronic eye surface trauma. Purpose. To review the available literature data on the mechanical conjunctivitis prevalence, and to describe the diagnosis and treatment methods of its rare type, the mucus fishing syndrome. Materials and methods. The article describes the case of the mucus fishing syndrome development in a patient suffering from this type of mechanical conjunctivitis for about 3 years. Results. The correct diagnosis was not established in our patient for a long period of time that is why an improper treatment had been prescribed, which led to complications and to the need for surgical treatment. Conclusions. The prevalence of mechanical conjunctivitis is low, and in the available literature, there are only 4 publications on the topic. The mucus fishing syndrome should be treated in cooperation with a psychiatrist, since the usual use of topical reparative and lubricating therapy is not enough.

scholarly journals Congenital anomalies causing hemato/hydrocolpos: imaging findings, treatments, and outcomes

2021 ◽  
Author(s):  
Keizo Tanitame ◽  
Nobuko Tanitame ◽  
Saiko Urayama ◽  
Kazuhiro Ohtsu
Keyword(s):  
Correct Diagnosis ◽  
Late Complications ◽  
Diagnosis And Treatment ◽  
Imaging Findings ◽  
Vaginal Septum ◽  
Renal Anomaly ◽  
Imperforate Hymen ◽  
Adequate Knowledge ◽  
Transverse Vaginal Septum ◽  
Urogenital Anomalies

AbstractHemato/hydrocolpos due to congenital urogenital anomalies are rare conditions discovered in neonatal, infant, and adolescent girls. Diagnosis is often missed or delayed owing to its rare incidence and nonspecific symptoms. If early correct diagnosis and treatment cannot be performed, late complications such as tubal adhesion, pelvic endometriosis, and infertility may develop. Congenital urogenital anomalies causing hemato/hydrocolpos are mainly of four types: imperforate hymen, distal vaginal agenesis, transverse vaginal septum, and obstructed hemivagina and ipsilateral renal anomaly, and clinicians should have adequate knowledge about these anomalies. This article aimed to review the diagnosis and treatment of these urogenital anomalies by describing embryology, clinical presentation, imaging findings, surgical management, and postoperative outcomes.

scholarly journals Tuberculosis presenting as dacryoadenitis in the USA

2019 ◽  
Vol 12 (11) ◽  
pp. e231694 ◽  
Author(s):  
Harry Ross Powers ◽  
Mark Anthony Diaz ◽  
Julio C Mendez
Keyword(s):  
Correct Diagnosis ◽  
Developed Countries ◽  
Histopathological Analysis ◽  
Orbital Mass ◽  
Antituberculosis Therapy ◽  
The Usa ◽  
History Of ◽  
Patient’S History ◽  
High Degree ◽  
Filipino Woman

A 25-year-old Filipino woman living in the USA was evaluated for a 5-month history of left eye pain and a subsequent orbital mass. Histopathological analysis of the lacrimal mass showed a mixed inflammatory process with necrotising granulomas and positive cultures for Mycobacterium tuberculosis. She was treated with antituberculosis therapy, with resolution of symptoms. Tuberculosis dacryoadenitis is extremely rare in the USA and other developed countries. It requires a high degree of clinical suspicion with special attention to the patient’s history to make the correct diagnosis. It can be treated successfully with antituberculosis therapy.

Comparative analysis of diagnostic procedures for tumor detection rates in paired data

2018 ◽  
Vol 28 (5) ◽  
pp. 1477-1488
Author(s):  
Yaeji Lim ◽  
Ji Soo Choi ◽  
Kiyoun Kim ◽  
Mira Park ◽  
Seonwoo Kim
Keyword(s):  
Positive Predictive Value ◽  
Predictive Value ◽  
Correct Diagnosis ◽  
Disease Status ◽  
Diagnostic Procedures ◽  
Tumor Detection ◽  
Tumor Location ◽  
Test Statistic ◽  
Paired Data ◽  
Detection Rates

Diagnostic procedures are mostly used to detect a particular disease, and each procedure indicates the presence or absence of the disease in an individual. Sensitivity and positive predictive value, which are measures of the effectiveness of a diagnostic procedure, are simply calculated as the proportion of the individuals diagnosed with the disease by the test among the patients with the disease, and of the diseased persons among the individuals in whom the disease was detected by the test, respectively. For a diagnosis with such a binary result, sensitivity and the positive predictive value of diagnostic procedures can be compared using the chi-square statistic. However, in the treatment of cancer patients, it is important not only to diagnose the disease status of an individual patient but also to detect the correct location of the cancer. The tumor location may be incorrectly identified in some subjects diagnosed with cancer. It is therefore of interest whether a procedure that diagnoses cancer also correctly indicates the tumor location. In this paper, we re-define the sensitivity and the positive predictive value of tumor detection as the ratio of the number of cases with a correct diagnosis of the tumor location by the test to the number of cases of cancer, and as the ratio of patients with a correct diagnosis of the tumor location to the number of individuals diagnosed with cancer by the test, respectively. We refer to these parameters as ‘semi-sensitivity’ and ‘semi-positive predictive value’. To compare these ratios between diagnostic procedures, test statistics are developed from binary diagnostic results. Simulation studies conducted to evaluate the nominal level and power are presented, and two sets of example data are also analyzed using the new test statistic.

Multicentricity in Renal Cell Carcinoma: Can Primary Tumor Location Serve as a Co-Determinant of Surgical Treatment?

2002 ◽  
Vol 41 (3) ◽  
pp. 262-266 ◽  
Author(s):  
N. Melissourgos ◽  
K. Doumas ◽  
I. Messini ◽  
E. Papaliodi ◽  
N.G. Kastrinakis ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Surgical Treatment ◽  
Cell Carcinoma ◽  
Primary Tumor ◽  
Renal Cell ◽  
Tumor Location ◽  
Primary Tumor Location

Pseudoaneurysm of the Left Ventricle: Diagnosis and Treatment

1994 ◽  
Vol 2 (2) ◽  
pp. 111-113
Author(s):  
Thekkekara Alexander John ◽  
Gummiah Muniputtaha Mahesh ◽  
Rathna Nanjunda Rao ◽  
Saligram Srinivasaiah Ramesh
Keyword(s):  
Left Ventricle ◽  
Correct Diagnosis ◽  
Anterior Wall ◽  
Diagnosis And Treatment ◽  
Pseudoaneurysm Formation ◽  
Patch Closure ◽  
Immediate Surgery

A 62-year-old man suffered an anterior wall infarction and subsequent rupture of the myocardium and pseudoaneurysm formation. Correct diagnosis was made followed by immediate surgery using patch closure of the defect. The patient's recovery was uneventful.

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