scholarly journals A rare case of extragonadal immature teratoma mimicking as subserosal pedunculated myoma

2020 ◽  
Vol 9 (6) ◽  
pp. 2649
Author(s):  
Aditi Rai ◽  
Ramesh Bettaiah ◽  
Minal Kumbhalwar ◽  
Isha Rani ◽  
Hema Garlapati
Keyword(s):  
Abdominal Pain ◽  
Rare Case ◽  
Mature Teratoma ◽  
Young Patients ◽  
Immature Teratoma ◽  
Primary Surgery ◽  
Ovarian Cancers ◽  
Histopathologic Diagnosis ◽  
Preservation Of Fertility ◽  
Cell Malignancy

Immature teratomas are usually derived from a malignant transformation of mature teratoma. The pure immature teratoma accounts for less than 1% of all ovarian cancers. It is the second most common germ cell malignancy and accounts for 10-20% of all ovarian malignancies seen in women younger than 20 years of age. Extragonadal origin are extremely rare and the most common extragonadal site of these teratomas is the omentum. We hereby describe a case report of a 29-year-old lady who presented with abdominal pain and her imaging with an ultrasound revealed a mass with features suggestive of a subserosal fibroid. She underwent a laproscopic myomectomy. A histopathologic diagnosis of Immature teratoma was made following her primary surgery. She subsequently underwent a staging laparotomy which was followed by chemotherapy. Immature teratomas predominantly occur in young patients, and preservation of fertility is an important factor in its management. Treatment should be initiated as soon as possible after surgery, preferably within 7-10 days, in those patients who require chemotherapy.

scholarly journals Concurrent, Bilateral Presentation of Immature and Mature Ovarian Teratomas with Refractory Hyponatremia: A Case Report

2020 ◽  
Vol 10 ◽  
pp. 23
Author(s):  
Ali Shah Tejani ◽  
Lin He ◽  
Wenxin Zheng ◽  
Kanupriya Vijay
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Erectile Dysfunction ◽  
Mature Teratoma ◽  
Immature Teratoma ◽  
Tumor Rupture ◽  
The Past ◽  
Bilateral Presentation ◽  
Fat Stranding ◽  
Ovarian Teratomas

We present the imaging and histopathological findings in a 32-year-old female who presented to the erectile dysfunction with progressively worsening abdominal pain over the past 2 months. Computed tomography abdomen and pelvis revealed bilateral ovarian teratomas, left significantly larger than right. There was associated fat stranding, mesenteric/omental stranding, and ascites worrisome for rupture versus peritoneal carcinomatosis. Histopathology confirmed a left immature teratoma (Grade 2), right mature teratoma, and peritoneal gliomatosis from possible tumor rupture before surgery.

scholarly journals Three Cases of Immature Teratoma Diagnosed after Laparoscopic Operation

2014 ◽  
Vol 7 ◽  
pp. CCRep.S17455 ◽  
Author(s):  
Masakazu Nishida ◽  
Yasushi Kawano ◽  
Akitoshi Yuge ◽  
Kaei Nasu ◽  
Harunobu Matsumoto ◽  
...  
Keyword(s):  
Young Women ◽  
Ovarian Tumor ◽  
Mature Teratoma ◽  
Cystic Teratoma ◽  
Immature Teratoma ◽  
Mature Cystic Teratoma ◽  
Fluid Content ◽  
Laparoscopic Operation ◽  
Ovarian Cancers

While mature cystic teratoma of the ovary is the most common ovarian tumor in young women, immature teratoma is a very rare tumor, representing only 1% of all ovarian cancers. In the three cases presented here, young women who were suspected to have mature cystic teratoma, based on CT scan and MRI, were ultimately diagnosed with immature teratoma Ic (b) G1 after laparoscopic operation. They underwent salpingo-oophorectomy of the affected side only and have shown no sign of recurrence during follow-up. We sometimes encounter patients with immature teratoma who have no findings pointing to malignancy on CT or MRI. Generally, if the components of immature nerve cells that represent immature teratoma are very few, it is difficult to diagnose the entity as immature teratoma with imaging evaluations such as CT or MRI. In many hospitals, laparoscopic surgery is selected for patients with ovarian mature teratoma. Therefore, it is essential to attempt as much as possible not to disseminate the fluid content of the tumor into the intra-abdominal space during laparoscopic operation, because in rare cases the tumor turns out not to be benign mature teratoma.

scholarly journals ADULT PRESENTATION OF HIRSCHSPRUNG’S DISEASE; A CASE REPORT

2021 ◽  
Vol 31 (03) ◽  
pp. 163-166
Author(s):  
Zainab Malik ◽  
Salma Gul ◽  
Khurram Khaliq Bhinder
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Rare Case ◽  
Young Patients ◽  
Lower Abdominal Pain ◽  
Hirschsprung Disease ◽  
Failure To Thrive ◽  
Late Presentation ◽  
Congenital Diseases ◽  
Adult Presentation

 Abstract  Young patients presenting with chronic constipation and failure to thrive, should be promptly investigated and looked upon for late presentation of congenital diseases like Hirschsprung disease (HD). This case is reported to highlight rare case of adult presentation of HD who presented to emergency department with complaints of lower abdominal pain, flatulence and lethargy. Considering the findings of CT scan suspicion of Adult presentation of HD was given and lateral biopsy confirmed the diagnosis.   

A Rare Case of Bilateral Incarcerated Obturator Hernias and a Right-Side Femoral Hernia

2020 ◽  
pp. 1-3
Author(s):  
Jinping Xu ◽  
Jinping Xu ◽  
Ruth Wei ◽  
Salieha Zaheer
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Femoral Hernia ◽  
Rare Case ◽  
Hernia Recurrence ◽  
High Morbidity ◽  
Diagnostic Challenge ◽  
Abdominal Ct ◽  
Abdominal Ct Scan ◽  
History Of

Obturator hernias are rare but pose a diagnostic challenge with relatively high morbidity and mortality. Our patient is an elderly, thin female with an initial evaluation concerning for gastroenteritis, and further evaluation revealed bilateral incarcerated obturator hernias, which confirmed postoperatively as well as a right femoral hernia. An 83-year-old female presented to the outpatient office initially with one-day history of diarrhea and one-week history of episodic colicky abdominal pain. She returned 4 weeks later with diarrhea resolved but worsening abdominal pain and left inner thigh pain while ambulating, without changes in appetite or nausea and vomiting. Abdominal CT scan then revealed bilateral obturator hernias. Patient then presented to the emergency department (ED) due to worsening pain, and subsequently underwent hernia repair. Intraoperatively, it was revealed that the patient had bilateral incarcerated obturator hernias and a right femoral hernia. All three hernias were repaired, and patient was discharged two days later. Patient remained well postoperatively, and 15-month CT of abdomen showed no hernia recurrence.

scholarly journals A case of sigmoid volvulus in an unexpected demographic

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mohammad Saba ◽  
Joshua Rosenberg ◽  
Gregory Wu ◽  
Gudata Hinika
Keyword(s):  
Abdominal Pain ◽  
Severe Pain ◽  
Rare Case ◽  
Young Female ◽  
Sigmoid Volvulus ◽  
Case Presentation ◽  
Operative Complications ◽  
History Of ◽  
Male Sex ◽  
Emergent Laparotomy

Abstract Background A sigmoid volvulus occurs when a segment of the colon twists upon its mesentery. This infliction is associated with old age, multiple co-morbidities, and the male sex. We present a rare case of sigmoid volvulus that occurred in a healthy young female. Case presentation A 28-year-old female presented with a one week history of constipation and abdominal pain. Her symptoms suddenly worsened and became associated with vomiting and severe pain. A focused history taking and physical examination showed peritoneal signs that led to timely diagnostic imaging to be implemented. Computed tomography (CT) of the abdomen was consistent with sigmoid volvulus. Our patient underwent emergent laparotomy with a sigmoidectomy and recovered with no post-operative complications. Conclusion This case report emphasizes the importance of clinicians maintaining a sigmoid volvulus as a rare, yet important differential when approaching abdominal pain in young healthy patients.

LUMBOSACRAL WILMS' TUMOR AS A COMPONENT OF IMMATURE TERATOMA ASSOCIATED WITH SPINAL DYSRAPHISM—A RARE CASE AND SHORT LITERATURE REVIEW

2009 ◽  
Vol 28 (5) ◽  
pp. 201-208 ◽  
Author(s):  
Mehar Chand Sharma ◽  
Deepali Jain ◽  
Chitra Sarkar ◽  
Veereshwar Bhatnagar ◽  
Arvind Rishi ◽  
...  
Keyword(s):  
Literature Review ◽  
Rare Case ◽  
Wilms Tumor ◽  
Spinal Dysraphism ◽  
Immature Teratoma

A rare case of rectal bleeding and Fusobacterium mortiferum sepsis due to solitary fibrous tumour originating from the mesentery

2021 ◽  
Vol 14 (10) ◽  
pp. e244603
Author(s):  
Swaminathan Perinkulam Sathyanarayanan ◽  
Khizar Hamid ◽  
Kayla Hoerschgen ◽  
Tony Oliver
Keyword(s):  
Abdominal Pain ◽  
Rectal Bleeding ◽  
Rare Case ◽  
Fusion Gene ◽  
Solitary Fibrous Tumour ◽  
Accurate Diagnosis ◽  
Solitary Fibrous Tumours ◽  
Mesenchymal Tumours

Solitary fibrous tumours (SFTs) are rare mesenchymal tumours that are mostly seen in the pleura. Lately, they have also been described in other locations. Recent discovery of the NAB2-STAT6 fusion gene which is specific for SFTs has led to an accurate diagnosis of SFTs. The occurrence of SFTs in the mesentery is very rarely reported in the literature. We report a case of a 63-year-old female who presented with abdominal pain, rectal bleeding and Fusobacterium bacteraemia, who was ultimately found to have a mesenteric SFT.

Right paraduodenal hernia accompanying superior mesenteric vein thrombosis: a rare case

2021 ◽  
Vol 14 (6) ◽  
pp. e241324
Author(s):  
Nail Omarov ◽  
İbrahim Halil Özata ◽  
Emre Balık
Keyword(s):  
Abdominal Pain ◽  
Mesenteric Artery ◽  
Rare Case ◽  
Superior Mesenteric Vein ◽  
Mortality Rates ◽  
Paraduodenal Hernia ◽  
Mesenteric Vein ◽  
Vein Thrombosis ◽  
Whirlpool Sign ◽  
Right Paraduodenal Hernia

A 59-year-old man with abdominal pain was admitted to the emergency department. Investigations had revealed a right-sided paraduodenal hernia and superior mesenteric vein (SMV) twisting around the superior mesenteric artery in rotation, the ‘whirlpool sign’. Owing to the increasing severity of abdominal pain and the presence of SMV thrombosis complicated with strangulated paraduodenal herniation associated with high mortality rates, diagnostic laparoscopy was performed. Resection of the intestines was not needed and paraduodenal hernia was repaired. The patient was uneventfully discharged.

scholarly journals Wandering spleen with splenic arteriovenous torsion

2021 ◽  
Author(s):  
Genichi Hashiguchi ◽  
Takashi Hamada ◽  
Mampei Yamashita ◽  
Tamotsu Kuroki
Keyword(s):  
Abdominal Pain ◽  
Rare Case ◽  
Wandering Spleen

This was a rare case of wandering spleen with splenomegaly and abdominal pain due to splenic arteriovenous torsion after childbirth.

scholarly journals Growing Teratoma Syndrome: Two case reports

2021 ◽  
Author(s):  
anju shrestha ◽  
Hari Dhakal ◽  
Sirish Pandey ◽  
Kapendra Amatya ◽  
Sudip Shrestha ◽  
...  
Keyword(s):  
Tumor Markers ◽  
Surgical Resection ◽  
Case Reports ◽  
Mature Teratoma ◽  
Immature Teratoma ◽  
Surgical Staging ◽  
Growing Teratoma Syndrome ◽  
Complete Surgical Resection

We present two cases of nine and twenty-seven years old girls with recurrence of immature teratoma after an incomplete surgical staging. In both cases, there were huge abdominopelvic masses despite decrease in tumor markers with chemotherapy. Complete surgical resection of these masses was done, and histopathology showed only mature teratoma.

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