scholarly journals Pregnancy in a uterine anomaly: a case report

2018 ◽  
Vol 7 (9) ◽  
pp. 3873
Author(s):  
Siti Nur Dina Ahmad Khairuddin ◽  
Iza Emilia Ibrahim Mohamed ◽  
Roziana Ramli
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Ectopic Pregnancy ◽  
Surgical Excision ◽  
Definitive Treatment ◽  
Intrauterine Pregnancy ◽  
Rudimentary Horn ◽  
Ultrasound Findings ◽  
Uterine Anomaly ◽  
Rare Diagnosis

Pregnancy in rudimentary horn of the uterus is a rare clinical condition and often misdiagnosed as tubal, cornual, abdominal and even intrauterine pregnancy. Surgical excision of the horn is the definitive treatment for this condition. A healthy primigravida at 11 weeks gestation with underlying corrected Tetralogy of Fallot was seen with ultrasound findings suggestive of ectopic pregnancy. She underwent laparotomy and intraoperative finding was unruptured right non-communicating rudimentary horn pregnancy which was surgically excised. This case highlights the importance of having this rare diagnosis as one of the differential diagnosis for ectopic pregnancy.

Ruptured ectopic pregnancy in non-communicating right rudimentary horn: A case report

2016 ◽  
Vol 13 (4) ◽  
pp. 249-252 ◽  
Author(s):  
Ahmed S. Elagwany ◽  
Hisham H. Elgamal ◽  
Tamer M. Abdeldayem
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Rudimentary Horn

scholarly journals Utility of a routine ultrasound for detection of ectopic pregnancies among women requesting abortion: a retrospective review

2020 ◽  
pp. bmjsrh-2020-200888
Author(s):  
Clara I Duncan ◽  
John J Reynolds-Wright ◽  
Sharon T Cameron
Keyword(s):  
Risk Factors ◽  
Ectopic Pregnancy ◽  
Clinical Care ◽  
Significant Risk ◽  
Intrauterine Pregnancy ◽  
Retrospective Case ◽  
Case Record ◽  
Ultrasound Findings ◽  
Ectopic Pregnancies ◽  
Record Review

IntroductionRoutine ultrasound may be used in abortion services to determine gestational age and confirm an intrauterine pregnancy. However, ultrasound adds complexity to care and results may be inconclusive, delaying abortion. We sought to determine the rate of ectopic pregnancy and the utility of routine ultrasound in its detection, in a community abortion service.MethodsRetrospective case record review of women requesting abortion over a 5-year period (2015–2019) with an outcome of ectopic pregnancy or pregnancy of unknown location (PUL) at a service (Edinburgh, UK) conducting routine ultrasound on all women. Records were searched for symptoms at presentation, development of symptoms during clinical care, significant risk factors and routine ultrasound findings.ResultsOnly 29/11 381 women (0.25%, 95% CI 0.18%, 0.33%) had an ectopic pregnancy or PUL (tubal=18, caesarean scar=1, heterotopic=1, PUL=9). Eleven (38%) cases had either symptoms at presentation (n=8) and/or significant risk factors for ectopic pregnancy (n=4). A further 12 women developed symptoms during their clinical care. Of the remaining six, three were PUL treated with methotrexate and three were ectopic (salpingectomy=2, methotrexate=1). In three cases, the baseline ultrasound indicated a probable early intrauterine pregnancy.ConclusionsEctopic pregnancies are uncommon among women presenting for abortion. The value of routine ultrasound in excluding ectopic pregnancy in symptom-free women without significant risk factors is questionable as it may aid detection of some cases but may provide false reassurance that a pregnancy is intrauterine.

scholarly journals Extensive parapharyngeal and skull base neuroglial ectopia; a challenge for differential diagnosis and treatment: case report

2010 ◽  
Vol 128 (5) ◽  
pp. 302-305 ◽  
Author(s):  
Giulianno Molina de Melo ◽  
Gabrielle do Nascimento Holanda Gonçalves ◽  
Ricardo Antenor de Souza e Souza ◽  
Danilo Anunciatto Sguillar
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Skull Base ◽  
Infratemporal Fossa ◽  
Newborn Infants ◽  
Surgical Excision ◽  
Neck Mass ◽  
Oral Feeding ◽  
Feeding Difficulties ◽  
Complete Surgical Excision

CONTEXT: Neuroglial ectopia has been defined as a mass composed of differentiated neuroectodermal tissue isolated from the spinal canal or cranial cavity and remains rare. This lesion has to be considered in the differential diagnosis among newborn infants with classical symptoms of respiratory distress, neck mass and feeding difficulties. We present a rare case of extensive parapharyngeal and skull base neuroglial ectopia in 6-month-old girl who presented respiratory and feeding obstruction at birth. CASE REPORT: A six-month-old girl who presented upper respiratory and feeding obstruction at birth and was using tracheostomy and gastrostomy tubes was referred to our institution. Complete surgical excision of the mass consisted of a transcervical-transparotid approach with extension to the infratemporal fossa by means of a lateral transzygomatic incision, allowing preservation of all vital neurovascular structures. The anatomopathological examination showed a solid mass with nests of neural tissue, with some neurons embedded in poorly encapsulated fibrovascular stroma, without mitotic areas, and with presence of functioning choroid plexus in the immunohistochemistry assay. Neurovascular function was preserved, thus allowing postoperative decannulation and oral feeding. Despite the large size of the mass, the child has completed one year and six months of follow-up without complications or recurrence. Neuroglial ectopia needs to be considered in diagnosing airway obstruction among newborns. Surgical treatment is the best choice and should be performed on clinically stable patients. An algorithm to guide the differential diagnosis and improve the treatment was proposed.

scholarly journals Angioleiomyoma as a rare cause of a painful subcutaneous nodule in the leg: a case report

Reumatismo ◽  
2019 ◽  
Vol 71 (2) ◽  
pp. 113-117
Author(s):  
A.A. Younis ◽  
R.A. Hamed ◽  
I.H. Abdulkareem
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Smooth Muscles ◽  
Subcutaneous Nodule ◽  
Leg Pain ◽  
Benign Tumors ◽  
Vascular Smooth Muscles ◽  
Histopathological Features ◽  
Rare Diagnosis

Angioleiomyomas are benign tumors originating in the vascular smooth muscles. The tumor typically presents as a painful, solitary, small subcutaneous nodule. Herein, we have described a case report of chronic leg pain due to angioleiomyoma. We outline the clinical, radiological and histopathological features of this rare diagnosis for a painful nodule of extremity. Although rare, angioleiomyoma should be included in the differential diagnosis of chronic leg pain.

scholarly journals Angioleiomyoma of the Larynx: A Case Report and Literature Review

2020 ◽  
Vol 99 (10) ◽  
pp. 658-663
Author(s):  
Federica Perardi ◽  
Giuseppe Abbate ◽  
Leonardo R. Iannuzzelli ◽  
Rossella Contini ◽  
Manuela De Munari ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Differential Diagnosis ◽  
Smooth Muscle ◽  
Case Report ◽  
Gold Standard ◽  
Carbon Dioxide Laser ◽  
Standard Treatment ◽  
Surgical Excision ◽  
Laser Technology ◽  
Complete Surgical Excision

Angioleiomyoma is a benign smooth muscle and vessel tumor; laryngeal localization is extremely rare with only 24 cases described in the literature; moreover, it should be considered in the differential diagnosis of laryngeal mass. Endoscopic complete surgical excision with dissection along capsule is now considered the gold-standard treatment for small and well-circumscribed laryngeal angioleiomyoma. We present a case of laryngeal angioleiomyoma successfully treated with carbon dioxide laser technology which resulted in a bleeding reduction and adequate hemostasis with less tissue damage and good functional outcome.

scholarly journals Congenital High Airway Obstruction Syndrome: Antenatal Ultrasound Findings

2017 ◽  
Vol 03 (02) ◽  
pp. 114-116
Author(s):  
Hemant Thakur ◽  
Shirish Vaidya
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Airway Obstruction ◽  
Absolute Neutrophil Count ◽  
Neutrophil Count ◽  
Pregnant Female ◽  
Thoracic Cavity ◽  
Antenatal Ultrasound ◽  
Tracheal Obstruction ◽  
Ultrasound Findings

Abstract Objective: The objective of this study was to describe the antenatal ultrasound appearances of congenital high airway obstruction syndrome (CHAOS), which typically manifests as large echogenic lungs acquiring whole of the thorax and dilatation of the trachea distal to the obstruction and causing intrinsic laryngeal/tracheal obstruction. Case report: A 30-year-old pregnant female with 24 weeks gestation come for routine absolute neutrophil count (ANC) scan. Ultrasonography (USG) was performed, and large echogenic lungs occupying whole of the thoracic cavity compressing the heart in between and causing inversion of the bilateral domes of the diaphragm were found. There was dilatation of the tracheal distal to the lesion and polyhydramnios. Conclusion: The described USG finding of CHAOS may be useful in deciding when to include this entity in the differential diagnosis of enlarged echogenic lungs.

Sublingual dermoid cysts: case report and review of the literature

2015 ◽  
Vol 129 (10) ◽  
pp. 1036-1039 ◽  
Author(s):  
E Kyriakidou ◽  
T Howe ◽  
B Veale ◽  
S Atkins
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Techniques ◽  
Surgical Excision ◽  
Cystic Lesions ◽  
Review Of The Literature ◽  
Mylohyoid Muscle ◽  
Floor Of The Mouth ◽  
Intraoral Approach ◽  
History Of

AbstractBackground:Dermoid cysts in the floor of the mouth are relatively uncommon developmental lesions. They are thought to arise in the midline and along the lines of embryonic fusion of the facial processes containing ectodermal tissue.Case report:A 17-year-old female presented with a 3-month history of a growing, progressive swelling in the mouth floor. Clinical examination revealed a rather large symmetrical, soft swelling in the mouth floor, displacing the tongue superiorly. The fast growing nature and size of the lesion raised suspicion of potential compromise to the airway. Surgical excision was therefore performed.Conclusion:Differential diagnosis of cystic lesions in the floor of the mouth is of paramount importance, as the recommended surgical techniques vary depending on the anatomical position of the lesions. The intraoral approach is preferred for those lesions that do not extend beyond the mylohyoid muscle boundaries; this leads to a satisfactory cosmetic and functional outcome.

scholarly journals Intraoral Foregut Cystic Developmental Malformations: Three cases with a brief review of literature

2019 ◽  
Vol 19 (3) ◽  
pp. 257
Author(s):  
Arti Khatri ◽  
Lavleen Singh ◽  
Neha Jain ◽  
Mamta Sengar ◽  
Abhijit Das
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Surgical Excision ◽  
Cystic Mass ◽  
New Delhi ◽  
Duct Cyst ◽  
Feeding Difficulties ◽  
Clinical Differential Diagnosis ◽  
Cystic Masses ◽  
Developmental Malformations

Foregut cystic developmental malformations (FCDM) are a type of rare cystic lesion. The occurrence of FCDM is exceedingly uncommon in the intraoral location. We report three cases of FCDM with intraoral location who presented at Chacha Nehru Bal Chikitsalaya, New Delhi, India, in 2016, 2017 and 2018 with symptoms of respiratory distress and feeding difficulties. Two patients were male and one was female with an age range of 29 days to eight years. The clinical differential diagnosis included mucocele, ranula, dermoid, lymphangioma, teratoma, thyroglossal duct cyst, etc. All patients were treated with simple surgical excision and diagnosed, based on histopathology, with FCDM. These should be considered as differential diagnosis of head and neck midline cystic mass lesions. This case report aimed to discuss differential diagnosis and appropriate terminology for these cystic masses as there is varied and ambiguous nomenclature.Keywords: Bronchogenic Cyst; Cyst; Congenital Abnormalities; Oral Cavity; Case Report; India.

scholarly journals Vulvar Hemangioma: Case Report

2018 ◽  
Vol 40 (06) ◽  
pp. 369-371
Author(s):  
Janine Silva ◽  
Emily Calife ◽  
João Cabral ◽  
Hildemárzio Andrade ◽  
Ana Gonçalves
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Female Patient ◽  
Surgical Approach ◽  
Benign Neoplasm ◽  
Surgical Excision ◽  
Genital Ulcer ◽  
Emotional Disability ◽  
The Past ◽  
History Of

AbstractHemangioma is a benign neoplasm that may affect the vulva, and it can cause functional or emotional disability. This article reports the case of a 52-year-old female patient with a history of a genital ulcer for the past 3 years and who had undergone various treatments with creams and ointments. The patient was biopsied and diagnosed with vulvar hemangioma and was subsequently submitted to surgical excision of the lesion. We emphasize the importance of following the steps of the differential diagnosis and proceeding with a surgical approach only if necessary.

scholarly journals A Ruptured Cornual Ectopic Pregnancy at 17 Weeks Gestation: A Case Report

2014 ◽  
Vol 4 (1) ◽  
pp. 50-51
Author(s):  
MI Khan ◽  
R Nyeer ◽  
R Laila ◽  
S Jahan
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Uterine Rupture ◽  
Cornual Pregnancy ◽  
Rudimentary Horn ◽  
Ectopic Gestation

Cornual pregnancy is a specific variety of ectopic gestation which occurs in the rudimentary horn of the uterus. It often rupture later than other tubal pregnancies because the myometrium is more distensible than the fallopian tube. Traditionally, the treatment is cornual resection (removal of rudimentary horn) or hysterectomy where the pedicle is short and the attachment is wide. Here, we report a case where cornual pregnancy was diagnosed at 17 weeks of gestation after uterine rupture and profound haemorrhage. The patient underwent laparotomy followed by cornual resection with salpingectomy. DOI: http://dx.doi.org/10.3329/birdem.v4i1.18558 Birdem Med J 2014; 4(1): 50-51

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