scholarly journals Utero-ovarian ligament fibroid-an unusual location of extrauterine fibroids

2020 ◽  
Vol 9 (12) ◽  
pp. 5187
Author(s):  
Arunima Saini ◽  
Meenakshi Gothwal ◽  
Pratibha Singh ◽  
Garima Yadav
Keyword(s):  
Rare Case ◽  
Chronic Pelvic Pain ◽  
Imaging Techniques ◽  
Broad Ligament ◽  
Ovarian Mass ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Rare Case Report ◽  
Magnetic Resonance Imaging Mri ◽  
Tomography Scan

Utero-ovarian ligament fibroids are among the rarest sites for extrauterine leiomyomas. Broad ligament fibroids are relatively common. They can be either asymptomatic or present with chronic pelvic pain and pressure symptoms. They can be confused with an ovarian mass, broad ligament cyst or a pedunculated fibroid. There are high chances of missing it clinically. Ultrasonography, magnetic resonance imaging (MRI) and computed tomography scan are the imaging techniques used to diagnose such conditions, MRI being the most accurate in ruling out other broad ligament masses with suspected ovarian, tubal or isolated broad ligament cyst. Here is a rare case report of a pedunculated extrauterine leiomyoma with its origin in the utero-ovarian ligament.

scholarly journals Broad Ligament Fibroid Mimicking as Ovarian Tumor on Ultrasonography and Computed Tomography Scan

2013 ◽  
Vol 3 ◽  
pp. 8 ◽  
Author(s):  
Dayananda Kumar Rajanna ◽  
Vaibhav Pandey ◽  
Sujit Janardhan ◽  
Sujatha N Datti
Keyword(s):  
Adnexal Mass ◽  
Histopathological Examination ◽  
Broad Ligament ◽  
Ovarian Neoplasm ◽  
Cystic Degeneration ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Computed Tomographic ◽  
Contrast Enhanced ◽  
Tomography Scan

Giant fibroids are known to arise from the uterus, and very rarely from the broad ligament. Large fibroids often undergo hyaline, cystic, and at times, red degeneration. In the present case, cystic degeneration with intervening septations in an adnexal mass raised the suspicion of ovarian neoplasm as the ovaries were not seen as separate from the lesion. The ultrasonographic and contrast-enhanced computed tomographic findings of this case were characteristic of ovarian neoplasm. The differential diagnosis included rare possibility of giant fibroid with cystic degeneration. The diagnosis was confirmed on histopathological examination. The patient underwent excision of the broad ligament fibroid, hysterectomy, and bilateral salpingo-oophorectomy. Magnetic resonance imaging has a role in the diagnosis of such lesions.

scholarly journals Benign cemento-ossifying fibroma: a rare case report

2018 ◽  
Vol 4 (2) ◽  
pp. 585
Author(s):  
Gurbax Singh ◽  
Jasmine Kaur ◽  
Jai Lal Davessar ◽  
Latika Kansal ◽  
Ajay Singh
Keyword(s):  
Sphenoid Sinus ◽  
Rare Case ◽  
Surgical Excision ◽  
Ossifying Fibroma ◽  
Computed Tomography Scan ◽  
Rare Case Report ◽  
History Of ◽  
The Right ◽  
Slow Growing ◽  
Tomography Scan

<p>Cemento-ossifying fibroma (COF) is a benign fibro-osseous lesion commonly seen in the head and neck regions. It is considered as a benign, locally aggressive neoplasm that requires surgical excision. COF has traditionally been considered to be slow growing. We report a case of 11 year-old girl who presented to the ENT Department of our hospital with 7 months history of nasal obstruction, proptosis and headache. Computed Tomography scan images showed a mass in the right nasal cavity. This case is notable because involvement of the sphenoid sinus is rare. </p>

scholarly journals Duplication and Multiseptate Urinary Bladder: A Rare Case Report

2021 ◽  
Vol 57 (3) ◽  
pp. 267
Author(s):  
Muhammad Fawzi Zulfikar ◽  
Wahjoe Djatisoesanto ◽  
Tarmono Tarmono
Keyword(s):  
Magnetic Resonance Imaging ◽  
Pediatric Surgery ◽  
Rare Case ◽  
Congenital Abnormalities ◽  
Urinary Tract Obstruction ◽  
Resonance Imaging ◽  
Rare Case Report ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Surgery Department

The multiseptate bladder is a congenital bladder anomaly that is very rare and often accompanied by other congenital abnormalities. This condition could result in intravesical obstruction and kidney failure in more serious conditions. A 3-year-old girl without any complaint was consulted by the Pediatric Surgery Department with postoperative cloacal type malformation anorectal (MAR) postero-sagittal anorecto-vagino-urethroplasty (PSARVUP) + sigmoidectomy. Magnetic Resonance Imaging (MRI) of the pelvis showed the appearance of four interconnected multiple fluid lesions. Cystoscopy was performed and found many septa with varied positions and forms. From the cystography during the operation, it was seen duplication of the right and left bladder. There was no further operative treatment in the field of urology because no urinary tract obstruction and normal renal function were found in this study.

scholarly journals Steroid Cell Tumor of the Ovary in an Adolescent: A Rare Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Gokhan Boyraz ◽  
Ilker Selcuk ◽  
Zarife Yusifli ◽  
Alp Usubutun ◽  
Serdar Gunalp
Keyword(s):  
Laboratory Tests ◽  
Rare Case ◽  
Imaging Techniques ◽  
Dehydroepiandrosterone Sulfate ◽  
Cell Tumor ◽  
Resonance Imaging ◽  
Pelvic Ultrasound ◽  
Androgen Excess ◽  
Radiologic Imaging ◽  
Rare Case Report

Steroid cell tumors (SCTs) of the ovary are a rare subgroup of sex cord tumors, account for less than 0.1% of all ovarian tumors, and also will present at any age. These tumors can produce steroids, especially testosterone, and may give symptoms like hirsutism, hair loss, amenorrhea, or oligomenorrhea. For the evaluation of androgen excess, testosterone and dehydroepiandrosterone sulfate (DHEA-S) are the first laboratory tests to be measured. A pelvic ultrasound and a magnetic resonance imaging are useful radiologic imaging techniques. Although steroid cell tumors are generally benign, there is a risk of malignant transformation and clinical malignant formation. Surgery is the most important and hallmark treatment.

scholarly journals Meningioma with ring enhancement on MRI: a rare case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Miao Wang ◽  
Zhongke Wang ◽  
Peng Ren ◽  
Xiaoqing Zhang ◽  
Shiyong Liu
Keyword(s):  
Rare Case ◽  
World Health ◽  
Cystic Degeneration ◽  
Resonance Imaging ◽  
Contrast Administration ◽  
Case Presentation ◽  
Rare Case Report ◽  
Dural Tail ◽  
Magnetic Resonance Imaging Mri ◽  
Health Organization

Abstract Background Meningiomas typically manifest on magnetic resonance imaging (MRI) as iso- to hypointense on T1-weighted imaging and iso- to hyperintense on T2-weighted imaging. After contrast administration, they usually homogeneously enhance and exhibit a visible dural tail. Meningiomas with atypical findings may be misdiagnosed. Case presentation We report a 50-year-old female patient with a pathologically diagnosed fibrous meningioma (World Health Organization grade I) that exhibited ring enhancement on MRI. Conclusions Meningiomas may rarely present with ring enhancement on MRI. The natural history and mechanisms of cystic degeneration and enhancement in the various types of meningioma require further study.

scholarly journals A Rare Case of Double Belly Soleus Muscle

2020 ◽  
Vol 8 (A) ◽  
pp. 449-451
Author(s):  
Adegbenro Omotuyi John Fakoya ◽  
Jessica Flint ◽  
Maria C. Garcia Gonzalez ◽  
J. Bowman Williams III ◽  
Abayomi Gbolahan Afolabi ◽  
...  
Keyword(s):  
Soleus Muscle ◽  
Rare Case ◽  
Soft Tissue Tumor ◽  
Signs And Symptoms ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Anatomical Anomaly ◽  
Left And Right ◽  
Clinical Correlations ◽  
Tomography Scan

The rare anatomical anomaly of a double belly soleus muscle has been associated with some clinical and non-clinical correlations in patients. With symptomatic patients, usually not presenting until 20–30 years old, pain is exacerbated by long walks, running, and standing for long periods of time. This presentation could mimic the properties of a soft tissue tumor, thus misleading physicians. The discovery of the double belly soleus muscle is noticed while in surgery, biopsy, computed tomography scan, or magnetic resonance imaging machine. We herewith present a rare case of double belly soleus on the left and right posterior lower leg region of a 58-year-old female cadaver. This article will help bring awareness to the signs and symptoms of this rare anatomical anomaly.

scholarly journals Peran Fibrinogen Serum sebagai Prediktor Perforasi pada Pasien Apendisitis Akut di RSUP Dr. Hasan Sadikin Bandung 2018

2020 ◽  
Vol 48 (1) ◽  
pp. 3-14
Author(s):  
Joko Suprayitno ◽  
Reno Budiman ◽  
Tommy Ruchimat
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Area Under Curve ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Alvarado Score ◽  
Cross Sectional ◽  
Magnetic Resonance Imaging Mri ◽  
Tomography Scan

Latar Belakang. Insidensi apendisitis perforasi di dunia mencapai 2 per 10.000 kelahiran hidup, untuk proporsi apendisitis perforasi sekitar 25%. Kasus apendisitis di Indonesia berdasarkan data Kementerian Kesehatan RI pada tahun 2009 sebesar 596.132 kasus dengan persentase 3.36% dan meningkat pada tahun 2010 menjadi 621.435 kasus dengan persentase 3.53%. Sedangkan insidensi  di RS Hasan Sadikin  pada tahun 2017 mencapai 83% pasien yang datang dengan keluhan apendisitis telah mengalami perforasi. Pemeriksaan radiologik seperti computed tomography scan (CT), magnetic resonance imaging (MRI) ataupun ultrasonography (USG) memiliki sensitifitas dan spesifitas yang tinggi untuk mendiagnosis perforasi apendisitis, tetapi alat–alat ini tidak selalu tersedia di institusi–institusi kesehatan negara berkembang. Fibrinogen sebagai  faktor koagulasi yang pertama kali ditemukan dalam beberapa penelitian berpotensi digunakan sebagai prediktor perforasi pada pasien apendisitis, pemeriksaan fibrinogen dapat dilakukan sewaktu-waktu, memberikan hasil yang lebih cepat dengan harga yang lebih murah dibandingkan dengan pemeriksaan penunjang lain. Metode. Penelitian observasional analitik dengan pendekatan cross-sectional. Subjek pasien apendisitis periode 1 April 2018 – 31 Desember 2018 yang datang ke Installasi Gawat Darurat RSUP Dr. Hasan Sadikin Bandung dan bersedia mengikuti penelitian. Pasien yang didiagnosis kerja awal sebagai apendisitis akut atau pasien dengan appendisits perforasi dengan gejala peritonitis lokal atau peritonitis difus setelah dilakukan pemeriksaan klinis dan laboratorium. Pasien dilakukan  pemeriksaan fibrinogen serum preoperatif, lalu dilakukan operasi dan dicatat hasil temuan operasi yaitu yang mengalami perforasi dan yang tidak mengalami perforasi. Dilakukan pengelompokkan data setelah jumlah subyek penelitian terpenuhi. Hasil. Sebanyak 40 pasien (25 laki-laki, 15 perempuan) terdiagnosis apendisitis berdasarkan Alvarado Score, yang terdiri dari 20 pasien apendisitis akut dan 20 pasien apendisitis perforasi. Akurasi kadar fibrinogen serum dalam memprediksi terjadinya perforasi sebesar 85%. Nilai sensitivitas 90%, nilai spesifisitas 80%. Berdasarkan analisis kurva ROC diperoleh nilai Area Under Curve (AUC) sebesar 0,865 (p = 0,001). Menunjukkan bahwa kadar fibrinogen serum memiliki kemampuan diskriminasi yang tinggi dalam memprediksi terjadinya perforasi pada pasien apendisitis. Kesimpulan. Kadar fibrinogen serum yang meningkat dapat digunakan sebagai prediktor terjadinya perforasi pada pasien apendisitis. Kata kunci. Apendisitis perforasi, fibrinogen, prediktor (ISSN 2723-7494 J Bedah Indonesia. 2020;48:3-14)

scholarly journals A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum

2019 ◽  
Vol 32 (6) ◽  
pp. 466
Author(s):  
Joaquim Cruz Teixeira ◽  
Diogo Cardoso Simão ◽  
José Pimentel ◽  
Sérgio Livraghi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Fibrous Dysplasia ◽  
Rare Case ◽  
Low Back ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Medullary Bone ◽  
The Right ◽  
Tomography Scan

Fibrous dysplasia is a bone disease characterized by an osteoblastic dysfunction resulting in a fibrous replacement of the normal medullary bone. We describe the case of a 33-year-old who presented with low back pain irradiating to her right leg. Both the computed tomography scan and magnetic resonance imaging showed an osteolytic, multicystic lesion of the right hemi-sacrum with invasion of the right S1 foramen. She underwent foraminotomy and curettage of the lesion. Histological diagnosis was fibrous dysplasia, without features of malignant transformation. Three years after surgery the patient is asymptomatic and imaging is stable. This is the fifth known case of monostotic fibrous dysplasia involving the sacrum, a rare entity that must be considered in the differential diagnosis when approaching patients with sacral lesions.

Gnathic (Mandibular) Osteosarcoma in a Middle Adolescent-A rare case report

2021 ◽  
Vol 23 (09) ◽  
pp. 460-470
Author(s):  
Dr. Praveen K Sharma, MD RD ◽  
◽  
Dr. Jeban Chella Bruce ◽  
Dr. Sneha Yarlagadda, MD RD, DNB ◽  
Dr. Meyyappan Meenakshi soma sundaram, MD RD, DNB ◽  
...  
Keyword(s):  
Rare Case ◽  
Tumor Resection ◽  
Accurate Diagnosis ◽  
Resonance Imaging ◽  
Complete Tumor Resection ◽  
Adequate Treatment ◽  
Rare Case Report ◽  
Magnetic Resonance Imaging Mri ◽  
Maxilla And Mandible ◽  
Complete Tumor

Gnathic Osteosarcoma (GOS) is a subtype of osteosarcoma (OS) that primarily affects the maxilla and mandible. An accurate diagnosis, usually facilitated by Computed Tomography (CT), Magnetic Resonance Imaging (MRI), and Biopsy, is required to define the stage of the disease and plan adequate treatment. Early diagnosis and complete tumor resection are mandatory to improve the prognosis of GOS. We present a case of GOS in a 17-years-old female based on clinical-radio-pathological correlation.

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