scholarly journals Spontaneous membranous dysmenorrhea: a rare clinical entity

2019 ◽  
Vol 8 (10) ◽  
pp. 4094
Author(s):  
Vijayan Sharmila ◽  
Arun Babu Thirunavukkarasu
Keyword(s):  
Hospital Admission ◽  
Hormonal Therapy ◽  
Clinical Condition ◽  
Histopathological Examination ◽  
Rare Condition ◽  
Clinical Entity ◽  
Multiparous Woman ◽  
Rare Clinical Entity ◽  
Spontaneous Expulsion ◽  
History Of

Membranous dysmenorrhea is a rare painful clinical condition associated with spontaneous expulsion of the endometrium as an entire piece, retaining the shape of the uterus. Authors report a case of membranous dysmenorrhea in a 36 year old multiparous woman, who was not on any hormonal therapy. She presented with history of menorrhagia for 20 days and severe dysmenorrhea for one day. During her second day of hospital admission, she expelled a fleshy mass resembling a decidual cast. Histopathological examination was consistent with diagnosis of membranous dysmenorrhea. The etiology of membranous dysmenorrhea is not very clear and hence reporting such rare cases may aid in understanding the etiology and pathophysiology of this rare condition.

scholarly journals Bronchoesophageal fistula secondary to esophageal diverticulum in an adult: a case report and literature review

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199223
Author(s):  
Xiaolin Zhang ◽  
Hongmei Jiao ◽  
Xinmin Liu
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Respiratory Infections ◽  
Relevant Literature ◽  
Rare Condition ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Esophageal Diverticulum ◽  
Bronchoesophageal Fistula ◽  
Fatal Complications

Esophageal diverticulum with secondary bronchoesophageal fistula is a rare clinical entity that manifests as respiratory infections, coughing during eating or drinking, hemoptysis, and sometimes fatal complications. In the present study, we describe a case of bronchoesophageal fistula emanating from esophageal diverticulum in a 45-year-old man who presented with bronchiectasis. We summarize the characteristics of this rare condition based on a review of the relevant literature.

scholarly journals Cartilaginous Choristoma of the Gingiva: A Rare Clinical Entity

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Ramalingam Suganya ◽  
Narasimhan Malathi ◽  
Subramani Vijaya Nirmala ◽  
Chinnaswami Ravindran ◽  
Harikrishnan Thamizhchelvan
Keyword(s):  
Connective Tissue ◽  
Histopathological Examination ◽  
Clinical Entity ◽  
Fibrous Connective Tissue ◽  
Rare Clinical Entity ◽  
Normal Cells ◽  
Connective Tissue Stroma

Choristomas are rare entities which are aggregates of microscopically normal cells or tissues in aberrant locations. They are a “heterotopic” rest of cells, as they appear as a tumor-like mass. Herein we report a case of cartilaginous choristoma in a 54-year-old male who presented with a swelling on right lower gingiva. The histopathological examination revealed features of a well circumscribed mass of mature cartilage in a dense fibrous connective tissue stroma.

scholarly journals Endometriosis-Associated Massive Ascites in an Asian Woman: A Case Report of a Rare Clinical Entity

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Nuntasiri Eamudomkarn ◽  
Naratassapol Likitdee ◽  
Pilaiwan Kleebkaow ◽  
Chumnan Kietpeerakool
Keyword(s):  
Broad Ligament ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Final Diagnosis ◽  
Clinical Entity ◽  
Asian Woman ◽  
Rare Clinical Entity ◽  
Childbearing Age ◽  
Massive Ascites ◽  
History Of

Massive ascites as a presentation of endometriosis is a rare clinical entity that is most commonly seen in black nulliparous females. Herein, we describe a case of a 32-year-old multiparous Thai woman who presented with a two-year history of abdominal distension. Computerized tomography of the abdominopelvic region showed an infiltrative enhancing lesion involving the cul-de-sac and perirectal region with massive loculated ascites, suggesting carcinomatosis peritonei. Abdominal paracentesis was performed to yield fluid samples for evaluation, which revealed no malignant cells, and polymerase chain reaction (PCR) was negative for tuberculosis. The patient underwent exploratory laparotomy which revealed a large amount of serosanguinous ascites, thickened matted bowel loops, and necrotic debris covering the entire surface of the peritoneum and visceral organs. The surgical procedures included drainage of 6.5 liters of ascites, lysis adhesion, biopsy of the peritoneum, and right salpingo-oophorectomy. Histologic examination revealed benign endometrial glands with stroma at the peritoneum tissue and broad ligament. Other causes of ascites were excluded. The ascites responded to drainage and hormonal suppression. A final diagnosis of endometriosis was made based on these findings. Endometriosis should therefore be considered in differential diagnosis in women of childbearing age who present with ascites.

scholarly journals A Case of Disseminated Hypopigmented Keratoses Improved with Oral Acitretin

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Ali Haydar Eskiocak ◽  
Cumhur İbrahim Bassorgun ◽  
Sarp Uzun ◽  
Soner Uzun
Keyword(s):  
Salicylic Acid ◽  
Laboratory Tests ◽  
Histopathological Examination ◽  
Clinical Entity ◽  
Radiological Examination ◽  
Normal Amount ◽  
Present Patient ◽  
Histopathological Features ◽  
History Of ◽  
Significant Regression

Disseminated hypopigmented keratosis is a distinct clinical entity and only few cases have been reported so far. Here, we present a 21-year-old man with almost 10-year history of hypopigmented, nonfollicular, keratotic lichenoid papules occurring on the extensor surfaces of the extremities, back and lumber region. Histopathological examination showed orthohyperkeratosis, irregular acanthosis, and sporadic papillomatosis with a normal amount of melanin and number of melanocytes. In addition, no marked inflammation or melanophages were seen. In order to exclude other possible causes, we performed laboratory tests and radiological examination which were all found to be normal. As the clinical and histopathological features of our patient were taken into account, it was considered to be compatible with the diagnosis of disseminated hypopigmented keratoses. So far, only topical therapies have been used with failure in the previously reported cases except one patient. Considering the extensive lesions, we treated the present patient with 5% salicylic acid in addition to oral acitretin and significant regression in all lesions was achieved, particularly on the keratosis.

scholarly journals Sinonasal Teratocarcinosarcoma: A Rare Clinical Entity

2012 ◽  
Vol 3 (1) ◽  
pp. 22-23
Author(s):  
Gopinath Maraignanam ◽  
L Somu
Keyword(s):  
Clinical Entity ◽  
Lateral Rhinotomy ◽  
Rare Clinical Entity ◽  
Rare Tumor ◽  
Left Nostril ◽  
Total Excision ◽  
Malignant Teratoma ◽  
Combined Features ◽  
History Of ◽  
Sinonasal Teratocarcinosarcoma

ABSTRACT Sinonasal teratocarcinosarcoma is a rare tumor of the paranasal sinuses, that shows combined features of both malignant teratoma and carcinosarcoma. It was earlier called teratoid carcinosarcoma or blastoma or teratocarcinoma or malignant teratoma. Its pecularity is its highly aggressive nature with a 5 years survival rate of 45% with treatment according to published statistics. Its treatment modality is a combination of surgery and radiotherapy. Here, we report one such case who presented with a history of one episode of torrential bleeding from left nostril and nasal obstruction for 3 months for which total excision of the tumor was done by endoscopic-assisted left lateral rhinotomy approach. Histopathology and Immunohistochemistry confirmed the diagnosis of sinonasal teratocarcinosarcoma and she was subsequently administered radiotherapy postoperatively. How to cite this article Mohanty S, Maraignanam G, Somu L. Sinonasal Teratocarcinosarcoma: A Rare Clinical Entity. Int J Head and Neck Surg 2012;3(1):22-23.

scholarly journals The Amyand’s Hernia: A Rare Clinical Entity Diagnosed by Computed Tomography

2013 ◽  
Vol 2013 ◽  
pp. 1-2
Author(s):  
Suat Keskin ◽  
Cihan Şimşek ◽  
Zeynep Keskin
Keyword(s):  
Computed Tomography ◽  
Inguinal Hernia ◽  
Rare Condition ◽  
Vermiform Appendix ◽  
Clinical Entity ◽  
Ct Scans ◽  
Amyand’S Hernia ◽  
First Person ◽  
Rare Clinical Entity ◽  
Abdominal Computed Tomography

Amyand’s hernia, named for the first person to describe an inguinal hernia containing the vermiform appendix, is an uncommon variant of an inguinal hernia. Amyand’s hernia is an extremely rare condition and is often misdiagnosed. Traditionally, these hernias have been diagnosed at surgery but are increasingly diagnosed by abdominal computed tomography (CT) scans. CT of the abdomen may help in guiding the diagnosis.

scholarly journals Salmonella thyroid abscess in a pre-existing multinodular goitre: rare clinical entity with review of literature

2016 ◽  
Vol 4 (1) ◽  
pp. 443 ◽  
Author(s):  
G.S. Murali ◽  
Shubhakar Bhandary
Keyword(s):  
Salmonella Typhi ◽  
Young Female ◽  
Clinical Entity ◽  
Causative Organism ◽  
Rare Clinical Entity ◽  
Upper Respiratory Tract ◽  
Thyroid Abscess ◽  
History Of ◽  
Upper Respiratory ◽  
Resistance To Infection

With its inherent resistance to infection, abscess of the thyroid has been rarely encountered clinically. The disease is usually preceded by an attack of upper respiratory tract infection. The availability of potent broad spectrum antibiotics is one important factor due to which currently thyroid abscess has become a rare clinical entity. But we report a case of thyroid abscess in an otherwise 26 yr old healthy young female with a long standing goitre. She gave no history of preceding URTI. The causative organism was identified as Salmonella typhi.

Spontaneous Cholecystocutaneous Fistula: A rare clinical Entity

2019 ◽  
Vol 92 (5) ◽  
pp. 1-5
Author(s):  
Amit Gupta ◽  
Manoj Joshua ◽  
Navin Kumar ◽  
Udit Chauhan ◽  
Sweety Gupta
Keyword(s):  
Gall Bladder ◽  
Histopathological Examination ◽  
Open Cholecystectomy ◽  
Fistulous Tract ◽  
Gall Stone ◽  
Stone Disease ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
The Right ◽  
Operative Recovery

Introduction: Spontaneous Cholecystocutaneous Fistula occurs as a result of complication from untreated gall bladder stone disease infrequently seen in surgical practice due to early diagnosis of gall stone disease with imaging and appropriate and prompt antibiotic and surgical treatment. Case report: We report our experience with a 40-year-old woman who presented with a yellowish discharge from the umbilicus. Abdominal examination revealed a sinus opening at the umbilicus with the yellowish discharge and a vague mass in the right hypochondrium. CT fistulogram showed tract extending form the umbilicus to the gall bladder. Open cholecystectomy with excision of the fistulous tract was carried out. Histopathological examination showed chronic inflammation of the gall bladder with the fistulous tract lined by inflammatory granulation tissue. Post-operative recovery was normal and uneventful. The patient was normal in follow-up. Cholecystocutaneous fistula is a rare clinical entity. The diagnosis is established with CT and MRCP. Surgery remains the mainstay of treatment.

scholarly journals Vaginal Adenosis in a 40-year-old Lady: A Case Report and Review of Literature

2013 ◽  
Vol 5 (2) ◽  
pp. 80-82
Author(s):  
Shamsun Nahar Begum Hena ◽  
Nasrin Akhter ◽  
Sakti Das ◽  
Afroza Kutubi
Keyword(s):  
Case Report ◽  
South Asian ◽  
Vaginal Discharge ◽  
Histopathological Examination ◽  
Rare Condition ◽  
Vaginal Wall ◽  
Review Of Literature ◽  
History Of ◽  
Unclear Etiology ◽  
Diffuse Lesion

ABSTRACT Vaginal adenosis, without a history of diethylstilbestrol (DES) exposure, is a rare condition with an unclear etiology. A 40- year-old female presented with complaints of persistent excessive watery vaginal discharge. On examination, there was red, patchy, diffuse lesion all over the vaginal wall and cervix. Histopathological examination of the lesion revealed vaginal adenosis. This case is presented here for its rarity. How to cite this article Hena SNB, Akhter N, Das S, Kutubi A. Vaginal Adenosis in a 40-year-old Lady: A Case Report and Review of Literature. J South Asian Feder Obst Gynae 2013;5(2):80-82.

scholarly journals Congenital Uterine Arteriovenous Malformation Presenting as Postcoital bleeding: A Rare Presentation of a Rare Clinical Condition

2017 ◽  
Vol 7 ◽  
pp. 11 ◽  
Author(s):  
Neha Agarwal ◽  
Seema Chopra ◽  
Neelam Aggarwal ◽  
Ujjwal Gorsi
Keyword(s):  
Arteriovenous Malformation ◽  
Clinical Condition ◽  
Stable Condition ◽  
Rare Condition ◽  
Management Options ◽  
Rare Presentation ◽  
Uterine Arteriovenous Malformation ◽  
Multiparous Women ◽  
History Of ◽  
Risk Of Hemorrhage

Congenital uterine arteriovenous malformation (AVM) is an extremely rare condition with <100 cases documented in literature. We report multiparous women presenting to us with a history of postcoital bleed. Initial Doppler ultrasonography was consistent with features suggestive of AVM. Subsequently, computed tomography (CT) angiography confirmed the diagnosis. Embolization was chosen as the treatment because of the large extension of AVM and the risk of hemorrhage during hysterectomy. The patient was discharged in a stable condition with a plan of repeat embolization in the next setting. At 6 and 12 weeks of follow-up, she did not experience any further episodes of bleed. The purpose of this case report is to highlight the salient clinical features, diagnosis, and the management options available for this rare clinical condition.

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