Traumatic ulcerative granuloma with stromal eosinophilia, an unusual clinical manifestation in the oral mucosa. Case report.

Introduction: Traumatic ulcerative granuloma with stromal eosinophilia is an uncommon condition of the oral mucosa with a chronic course, usually affecting the tongue. Case Report: Clinically it presents as a chronic ulcer, with raised and indurated borders, rarely presented as a tumor. Histologically it shows a diffuse mixed inflammatory infiltrate, rich in eosinophils. The etiology of this lesion is still unclear; however, chronic irritation from traumatic agents is considered a major initiating factor. In some cases, the presence of CD30+ mononuclear cells within the lesions suggest the possibility of a CD30+ lymphoproliferative disorder. This article presents a case of a traumatic ulcerative granuloma with stromal eosinophilia manifested in a 56-year-old female with a solitary ulcerated tumor inside the right cheek. Conclusion: It was diagnosed based on clinical data and histopathological features. In a brief literature review, the entity has been characterized, analyzing its etiology and nature.

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TRAUMATIC ULCERATIVE GRANULOMA WITH STROMAL EOSINOPHILIA – CASE SERIES

10.36106/ijsr/1429835 ◽

2021 ◽

pp. 44-47

Author(s):

Chandrakala J ◽

Sahana Srinath ◽

Suganya G ◽

Abhisikta Chakrabarty

Keyword(s):

Conservative Treatment ◽

Oral Mucosa ◽

Buccal Mucosa ◽

Case Series ◽

Causative Factor ◽

Diagnostic Challenge ◽

Delayed Healing ◽

Chronic Irritation ◽

Chronic Course ◽

Rule Out

Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is relatively uncommon lesion presenting clinically as ulceration of the oral mucosa with a chronic course associated with delayed healing. Chronic irritation causing trauma to the oral mucosa is considered as major causative factor. The most commonly affected site of the lesion appears to be Tongue and Buccal mucosa. This lesion represents clinically as ulcer with indurated margins mimicking malignancy, causing diagnostic challenge for the dentists. Histologically characterized by breach in the epithelium exposing underlying connective tissue inltrated with dense amount of inammatory cells predominantly of eosinophils penetrating the underlying mucle. It is important to diagnose the lesion histologically to rule out malignancy and to treat appropriately. However the lesion resolves on its own or with minimal and conservative treatment. In this review we present four case series of clinically manifesting ulceroproliferative lesions on buccal mucosa and diagnosed as TUGSE,based on clinical and histopathological features.

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Fibroepithelial Hyperplasia: A Case Report

International Healthcare Research Journal ◽

10.26440/ihrj/01_06/110 ◽

2017 ◽

Vol 1 (6) ◽

pp. 16-19

Author(s):

Mayank Jain ◽

Aruna V Singh ◽

Swati Lekha ◽

Sahil Prashar

Keyword(s):

Case Report ◽

Connective Tissue ◽

Oral Mucosa ◽

Buccal Mucosa ◽

Fibrous Connective Tissue ◽

Posterior Teeth ◽

Chronic Irritation ◽

Tissue Origin ◽

Benign Hyperplasia

Reactive hyperplastic exophytic growth are seen in the oral mucosa due to chronic irritation by plaque, calculus, overhanging margins, trauma and dental appliances. Traumatic fibroma represents a focal benign hyperplasia of fibrous connective tissue origin. Here we are reporting a case of traumatic fibroma in relation to upper right posterior teeth on right buccal mucosa in a 34 year old male.

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Gallbladder volvulus and hernia through the foramen of Winslow: a case report

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa424 ◽

2020 ◽

Vol 2020 (10) ◽

Author(s):

Toan Huy Nguyen ◽

Kinh Huy Tran ◽

Xuan Anh Le ◽

Huong Van Nguyen ◽

Quyet Van Ha

Keyword(s):

Computed Tomography ◽

Case Report ◽

Clinical Signs ◽

Computed Tomography Scan ◽

Foramen Of Winslow ◽

First Case ◽

Hypochondriac Region ◽

Uncommon Condition ◽

The Right ◽

Tomography Scan

Abstract Gallbladder hernia through the foramen of Winslow is an uncommon condition and gallbladder hernia combined with volvulus is even rarer. A 70-year-old patient was hospitalized with the clinical signs of pain in the right hypochondriac region associated with fever. The computed tomography scan images showed some signs of gallbladder herniation through the foramen of Winslow. We decided to remove the gallbladder and found the gallbladder infundibulum twisted and necrotic. This was the first case of a male patient who suffered from gallbladder herniation with volvulus after three cases of female patients reported in the literature.

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Hemifacial spasm caused by posterior fossa arachnoid cyst: Case Report

10.5327/1516-3180.134 ◽

2021 ◽

Author(s):

Júlia Coutinho Cordeiro ◽

José Gilberto de Brito Henriques

Keyword(s):

Case Report ◽

Facial Nerve ◽

Arachnoid Cyst ◽

Hemifacial Spasm ◽

Pediatric Population ◽

Cyst Volume ◽

Cerebellar Artery ◽

Chronic Irritation ◽

The Right ◽

Middle Aged Adults

Context: Hemifacial spasm (HFS) is characterized by continuous or intermittent spasmodic movements at the facial nerve motor territory.1,2,3 It mainly affects middle- aged adults and usually occurs by compression of the facial nerve by anomalous vascular loops of the anteroinferior and vertebral cerebellar artery.2,3,4,5 The arachnoid cyst at the cerebellopontine angle (CPA) is an rare cause of HFS, especially in children. Case report: A six-year-old female patient started presenting at 18 months HFS on the right side. She was initially treated with anticonvulsant without improvement. The patient came to our care at the age of six presenting 2-3 HFS per day and remissions lasting 3-4 weeks. Image exams reveled a CPA arachnoid cyst compressing the VII and VIII nerves complex. Surgical drainage of the cyst was performed as the treatment of choice. In postoperative period, the patient presented remission of HFS, and cranial tomography showed a decrease in cyst volume. In three months, there was remission of the signs without use of any medications. Conclusions: There was no report of arachnoid cyst in CPA as a cause of HFS in children. HFS occurs probably by chronic irritation, since birth, because of the contact of arachnoid cyst in the emergence of the VII and VIII nerves complex in the PCA. Therefore, treatment was chosen according to the cause of HFS. Movement disorder as a clinical manifestation of the cyst is rare, especially in pediatric population, and should be considered as one of the diagnostic hypotheses.

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Persistent Hemichorea and Caudate Atrophy in Untreated Diabetic Striatopathy: A Case Report

Case Reports in Neurology ◽

10.1159/000484201 ◽

2017 ◽

Vol 9 (3) ◽

pp. 299-303 ◽

Cited By ~ 2

Author(s):

Elisabeth B. Lucassen ◽

William T. Delfyett ◽

Mark C. Stahl

Keyword(s):

Case Report ◽

Basal Ganglia ◽

Caudate Nucleus ◽

Neurological Complications ◽

Dopamine Antagonists ◽

Case Description ◽

Persistent Symptoms ◽

Hyperkinetic Movement Disorder ◽

Uncommon Condition ◽

The Right

Background: Neurological complications of diabetes and hyperglycemia are relatively common but the specific manifestations can vary widely. Diabetic striatal disease or “diabetic striatopathy” is an uncommon condition usually thought to result from hyperglycemic injury to the basal ganglia, producing a hyperkinetic movement disorder, usually choreiform in nature. Symptoms are generally reversible with treatment of the hyperglycemia. Case Description: We report the case of a 57-year-old woman presenting with a unilateral choreoathetosis of the left upper extremity, persistent for 4 years. Contemporaneous imaging demonstrated severe atrophy of the right caudate nucleus, while imaging obtained at the onset of symptoms was consistent with a right diabetic striatopathy. Symptoms improved with the use of dopamine antagonists and benzodiazepines. Conclusion: Although generally considered to be fully reversible, this case demonstrates that diabetic striatopathy can result in permanent structural lesions with persistent symptoms if left untreated.

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Contracaecum pelagicum and C. plagiaticium (Nematoda: Anisakidae) infection in Magellanic penguins (Sphenisciformes: Spheniscidae) on the coast of Rio de Janeiro State

Pesquisa Veterinária Brasileira ◽

10.1590/s0100-736x2013000100016 ◽

2013 ◽

Vol 33 (1) ◽

pp. 89-93 ◽

Cited By ~ 2

Author(s):

Sabrina D.E. Campos ◽

Bárbara Bianca N. Pereira ◽

Salvatore Siciliano ◽

Carlos Henrique C. Costa ◽

Nádia R.P. Almosny ◽

...

Keyword(s):

Gastric Mucosa ◽

Rio De Janeiro ◽

Inflammatory Infiltrate ◽

Mononuclear Cells ◽

Histopathological Findings ◽

Spheniscus Magellanicus ◽

Magellanic Penguins ◽

Mixed Inflammatory Infiltrate ◽

Gross Lesions ◽

Janeiro State

The occurrence of infections and the disease induced by Contracaecum plagiaticium and Contracaecum pelagicum in Magellanic penguins, Spheniscus magellanicus Foster. 1781 (Sphenisciformes: Spheniscidae) were reported on the coast of Rio de Janeiro. Parasites of the genus Contracaecum were present in all of the 11 studied animals. Co-infections by Csontracaecum pelagicum and C. plagiaticium were observed in three hosts (27.27%). Gross lesions included hyperemia of the esophagus and/or stomach in six animals (54.54%). One of these animals (9.09%), parasitized by C. plagiaticium, presented a hemorrhagic area in the gastric mucosa. Histopathological findings demonstrated esophagitis with helminthes segments inserted in the epithelium, showing discrete mixed inflammatory infiltrate of heterophils and mononuclear cells. These parasites may be associated with other diseases, implicating in death of the penguins.

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Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽

10.1024/0301-1526/a000101 ◽

2011 ◽

Vol 40 (3) ◽

pp. 251-255 ◽

Cited By ~ 4

Author(s):

Gruber-Szydlo ◽

Poreba ◽

Belowska-Bien ◽

Derkacz ◽

Badowski ◽

...

Keyword(s):

Case Report ◽

Magnetic Resonance Angiography ◽

Popliteal Artery ◽

Doppler Ultrasonography ◽

Histopathological Examination ◽

Previous History ◽

Plain Radiography ◽

Artery Thrombosis ◽

History Of ◽

The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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