scholarly journals Benign papillary cystadenofibroma of fallopian tube presenting as posterior fornix cyst: case report

2020 ◽  
Vol 10 (1) ◽  
pp. 364
Author(s):  
Gude Prajakta Narayanrao ◽  
P. V. Srinivasan ◽  
R. Kala
Keyword(s):  
Fallopian Tube ◽  
Incidental Finding ◽  
Female Genital Tract ◽  
Cystic Mass ◽  
Uneventful Recovery ◽  
Rare Tumor ◽  
First Case ◽  
Posterior Fornix ◽  
Left Fallopian Tube

Benign papillary cystadenofibroma of fallopian tube is very rare tumor of female genital tract. Usually asymptomatic and incidental finding. Worldwide literature only 18 cases were found. On account of its rarity and best of our knowledge, is the first case of benign papillary cystadenofiboma presented as posterior fornix cyst, so we are presenting this case. We report a rare case of benign papillary cystadenofibroma of fallopian tube in a 30-years old female P3L3 presenting with abdominal pain. On examination abdomen was soft, per vaginally mobile non-tender cystic mass of 5×4 cm was noted. Laparotomy was planned. Intraoperatively 5x4 cm cyst arising from serosal surface of left fallopian tube near fimbrial end noted with bilateral ovaries normal. Left fimbrial cystectomy with salpingectomy was done with sparing both ovaries. Histopathology suggestive of benign papillary cystadenofibroma of fallopian tube. Patient had uneventful recovery in follow up period. Benign papillary cystadenofibroma of fallopian tube is rare tumor found incidentally. Tumor seems to have benign course only cystectomy is required for treatment.

scholarly journals Isolated Fallopian Tubal Torsion Complicated by a Large Hydrosalpinx in a Perimenopausal Woman

2021 ◽  
Author(s):  
Masanori Kanemura ◽  
Atsushi Yoshida ◽  
Akihiko Toji ◽  
Yumi Murayama ◽  
Emi Iwai
Keyword(s):  
Laparoscopic Surgery ◽  
Fallopian Tube ◽  
Acute Abdominal Pain ◽  
Abdominal Cavity ◽  
Ovarian Tumour ◽  
Cystic Mass ◽  
Lower Abdomen ◽  
Acute Pelvic Pain ◽  
Magnetic Resonance Imaging Mri ◽  
Left Fallopian Tube

Adnexal torsion frequently causes acute pelvic pain in women. Ovarian tumour torsion is common; twisting and torsion of a fallopian tube are rare. This report presents a rare case of fallopian tubal torsion requiring the management of a large hydrosalpinx with laparoscopic surgery. A 48-year-old woman reported with acute abdominal pain and lower abdomen tenderness. Transvaginal ultrasonography and Magnetic Resonance Imaging (MRI) showed a cystic mass on the anterior uterine surface. Emergency surgery was performed for a suspected torsion of the left ovarian cyst. In the abdominal cavity, the left fallopian tube was enlarged (neonatal head size), dark purple coloured, and exhibited a 180° torsion; the left ovary was normal. Laparoscopic left salpingectomy was performed and the postoperative course was uneventful. Surgical pathology revealed hydrosalpinx with torsion. As diagnosing isolated fallopian tube torsion before surgery is difficult, laparoscopic surgery is useful in diagnosing and treating isolated tubal torsion.

scholarly journals Variations in Aggressive and Indolent Behaviour of Central Dentinogenic Ghost Cell Tumor

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Radhika Manoj Bavle ◽  
Sudhakara Muniswamappa ◽  
Soumya Makarla ◽  
Reshma Venugopal
Keyword(s):  
Solid Tumor ◽  
Cell Tumor ◽  
Odontogenic Tumors ◽  
Rare Tumor ◽  
Ghost Cell ◽  
Impacted Tooth ◽  
First Case ◽  
Maxilla And Mandible ◽  
Dentinogenic Ghost Cell Tumor

Among the aggressive odontogenic tumors, a few tumors generally ameloblastomas, carry a connotation of being aggressive. But, a rare tumor like central dentinogenic ghost cell tumor (DGCT) can be equally aggressive with a propensity for recurrence. The two cases discussed in this article are divergent in behaviour with features such as presentation, seen in early decades as central intraosseous tumors in the maxilla and mandible. The first case describes an aggressive DGCT, associated with impacted tooth and odontome which showed recurrence into a large solid tumor within a year. The second case arose in accordance with a partially erupted molar which was comparatively innocuous and less aggressive. Both the cases exhibited classic histopathological features. These two unconventional cases of DGCT with a follow-up are being reported here to highlight the variation in behaviour and presentation and also to understand the aggressive nature of the tumor.

scholarly journals Isolated fallopian tube torsion in an adolescent: a diagnostic challenge

2020 ◽  
Vol 10 (1) ◽  
pp. 340
Author(s):  
Leonor Bivar ◽  
Ana Castro ◽  
Neusa Teixeira
Keyword(s):  
Abdominal Pain ◽  
Fallopian Tube ◽  
Transvaginal Ultrasound ◽  
Rare Event ◽  
Lower Abdominal Pain ◽  
Cystic Mass ◽  
Diagnostic Challenge ◽  
Ovarian Involvement ◽  
Delayed Intervention

Torsion of the fallopian tube without ovarian involvement is an extremely rare event and often difficult to diagnose, but noteworthy, cause of lower abdominal pain. The authors describe a case related to a 14- year-old adolescent with acute lower abdominal pain and vomiting presented to the gynaecological emergency department. Blood tests exhibited modest biochemical parameters of inflammation and a transvaginal ultrasound showed a left adnexal tubular cystic mass with normal ovarian appearance. A diagnostic laparoscopy revealed an isolated fallopian tube torsion. The tube was able to be untwisted with restoration of pelvic anatomy and the follow-up was uneventful. The authors describe a challenging diagnosis in an adolescent in which delayed intervention could compromise her reproductive future. Tubal torsion should however be kept in mind in the differential diagnosis of lower abdominal pain in women of all ages.

scholarly journals Primary fallopian tube carcinoma

2009 ◽  
Vol 62 (1-2) ◽  
pp. 31-36 ◽  
Author(s):  
Ljiljana Mladenovic-Segedi
Keyword(s):  
Ovarian Carcinoma ◽  
Fallopian Tube ◽  
Female Genital Tract ◽  
Total Abdominal Hysterectomy ◽  
Cystic Mass ◽  
Common Finding ◽  
Ca 125 ◽  
Fallopian Tube Carcinoma ◽  
Brca1 And Brca2 ◽  
Primary Fallopian Tube Carcinoma

Introduction. Primary fallopian tube carcinoma is extremely rare, making 0.3-1.6% of all female genital tract malignancies. Although the etymology of this tumor is unknown, it is suggested to be associated with chronic tubal inflammation, infertility, tuberculous salpingitis and tubal endometriosis. High parity is considered to be protective. Cytogenetic studies show the disease to be associated with over expression of p53, HER2/neu and c-myb. There is also some evidence that BRCA1 and BRCA2 mutations have a role in umorogeneis. Clinical features. The most prevailing symptoms with fallopian tube carcinoma are abdominal pain, abnormal vaginal discharge/bleeding and the most common finding is an adnexal mass. In many patients, fallopian tube carcinoma is asymptomatic. Diagnosis. Due to its rarity, preoperative diagnosis of primary fallopian tube carcinoma is rarely made. It is usually misdiagnosed as ovarian carcinoma, tuboovarian abscess or ectopic pregnancy. Sonographic features of the tumor are non-specific and include the presence of a fluid-filled adnexal structure with a significant solid component, a sausage-shaped mass, a cystic mass with papillary projections within, a cystic mass with cog wheel appearance and an ovoid-shaped structure containing an incomplete separation and a highly vascular solid nodule. More than 80% of patients have elevated pretreatment serum CA-125 levels, which is useful in follow-up after the definite treatment. Treatment. The treatment approach is similar to that of ovarian carcinoma, and includes total abdominal hysterectomy and bilateral salpingo-oophorectomy. Staging is followed with chemotherapy.

scholarly journals A Focus of Differentiated Myeloid Sarcoma in a Ligation Specimen of the Fallopian Tube: No Evidence of Hematologic Abnormality in 18 Years of Follow-up Despite Absence of Treatment

2019 ◽  
Vol 28 (1) ◽  
pp. 99-101
Author(s):  
Eduardo Castro ◽  
Linden Morales ◽  
Riyam Zreik ◽  
Ludvik R. Donner
Keyword(s):  
Mast Cells ◽  
T Lymphocytes ◽  
B Lymphocytes ◽  
Fallopian Tube ◽  
Myeloid Cells ◽  
The Body ◽  
Myeloid Sarcoma ◽  
Left Fallopian Tube ◽  
The Right

A 0.2-cm intramural focus composed predominantly of myelocytes and metamyelocytes, many CD3+, CD43+ T-lymphocytes, scanty CD20+ B-lymphocytes, rare mast cells, but no eosinophils or myeloblasts was incidentally found in a ligation specimen of the left fallopian tube. The myeloid cells were positive for chloroacetate esterase, myeloperoxidase, myeloid marker BM2, and CD43, and they were negative for CD30, CD34, CD117, ERG, and TDT. The findings in the left fallopian tube were consistent with the diagnosis of differentiated myeloid sarcoma. The right fallopian tube was normal. No hematologic abnormalities were found elsewhere in the body. Curiously, the patient remains free of any hematologic abnormality for 18 years despite absence of treatment.

scholarly journals Isolated Fallopian Tube Torsion in Adolescents

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
S. Rajaram ◽  
S. Bhaskaran ◽  
S. Mehta
Keyword(s):  
Fallopian Tube ◽  
Adolescent Girls ◽  
Surgical Intervention ◽  
Cystic Mass ◽  
Reproductive Age ◽  
Imaging Features ◽  
Lower Abdomen ◽  
Women Of Reproductive Age ◽  
First Case ◽  
Paratubal Cyst

Background. Fallopian tube torsion is a rare cause of acute abdomen, occurring commonly in females of reproductive age. It lacks pathognomonic symptoms, signs, or imaging features, thus causing delay in surgical intervention.Case. We report two cases of isolated fallopian tube torsion in adolescent girls. In the first case a 19-year-old patient presented with acute pain in the left iliac region associated with episodes of vomiting for one day and mild tenderness on examination. Laparoscopy revealed left sided twisted fallopian tube associated with hemorrhagic cyst of ovary. The tube was untwisted and salvaged. In another case an 18-year-old virgin girl presented with similar complaints since one week, associated with mild tenderness in the lower abdomen and tender cystic mass on per rectal examination. On laparoscopy right twisted fallopian tube associated with a paratubal cyst was found. Salpingectomy was done as the tube was gangrenous.Conclusion. Fallopian tube torsion, though rare, should be considered in women of reproductive age with unilateral pelvic pain. Early diagnostic laparoscopy is important for an accurate diagnosis and could salvage the tube.

scholarly journals Aortic stenosis of a bicuspid aortic valve in a patient with Klippel–Feil syndrome: a case report

2020 ◽  
Vol 4 (3) ◽  
pp. 1-4
Author(s):  
Rory F L Hammond ◽  
Sara Jasionowska ◽  
Wael I Awad
Keyword(s):  
Cervical Spine ◽  
Aortic Valve ◽  
Aortic Stenosis ◽  
Valve Replacement ◽  
Bicuspid Aortic Valve ◽  
Uneventful Recovery ◽  
Caucasian Woman ◽  
Surgical Aortic Valve Replacement ◽  
First Case

Abstract Background Klippel–Feil syndrome (KFS) is a rare congenital anomaly of the cervical spine, which is associated with a number of cardiovascular malformations, including coarctation of the aorta, bicuspid aortic valve (BAoV), and aortic aneurysm. Operative management of aortic stenosis of a BAoV in a patient with KFS has not been previously reported. Case summary A 54-year-old Caucasian woman with known KFS presented to her local hospital for elective cholecystectomy. An ejection systolic murmur was found incidentally on preoperative workup, which was confirmed to be due to a severely stenosed BAoV. The cholecystectomy was cancelled, and the patient was referred to our centre and accepted for surgical aortic valve replacement (AVR) based on symptomatic and prognostic grounds. Anaesthetic review of cervical spine imaging showed fusion of the C2–C6 vertebral bodies and a desiccated bulging disc at C4–C5 but no significant foraminal narrowing in the lower cervical spine. Valve replacement with a mechanical aortic prosthesis resulted in an uneventful recovery and the patient was discharged home to follow-up. Discussion We report the first case of severe aortic valve stenosis requiring AVR in a Klippel–Feil patient, in whom the aortic valve was confirmed to be bicuspid. This report provides further evidence of an association of KFS with BAoV and strengthens the case for screening and follow-up of KFS patients for BAoV and other cardiovascular pathologies, the consequences of which may be serious.

scholarly journals Primary pleomorphic liposarcoma of fallopian tube with recurrence: a case report and review of the literature

Open Medicine ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 485-488
Author(s):  
Lianwei Wang ◽  
Runlan Luo ◽  
Jinming Xu ◽  
Dengyang Fang ◽  
Keyword(s):  
Fallopian Tube ◽  
Soft Tissue Sarcomas ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Lower Limbs ◽  
Pleomorphic Liposarcoma ◽  
First Case ◽  
Grade Malignancy ◽  
Left Fallopian Tube ◽  
High Grade Malignancy

AbstractBackgroundLiposarcoma, which develops in adipose tissue, is one of the most common soft tissue sarcomas. It appears mostly in the lower limbs, particularly in the thigh and limb girdles, followed by the upper extremities, thoracoabdominal wall, and the internal trunk and retroperitoneum. Pleomorphic liposarcoma (PLS), a rare subtype of liposarcoma is considered a highgrade malignancy.Case presentationWe present a case of primary PLS in the left fallopian tube of a 47-year-old female. Ten months previously, she was diagnosed with PLS of the left fallopian tube in another hospital and had a wide excision of left fallopian tube mass, including total abdominal hysterectomy and bilateral salpingo-oophorectomy for left fallopian tube PLS. Presently, she has developed a recurrence and metastasis of PLS in the pelvic and abdominal cavities.ConclusionThis may be the first case of primary fallopian tube PLS, wherein the prognosis of this patient was poor due to the high-grade malignancy of PLS.

scholarly journals P63-Negative Pulmonary NUT Carcinoma Arising in the Elderly: A Case Report.

2020 ◽  
Author(s):  
Satoe Numakura ◽  
Koji Saito ◽  
Noriko Motoi ◽  
Taisuke Mori ◽  
Yuichi Saito ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Incidental Finding ◽  
The Elderly ◽  
Tumor Location ◽  
First Case ◽  
Abnormal Shadow ◽  
Nut Carcinoma ◽  
The Right

Abstract Background: We herein describe a rare case of primary pulmonary NUT carcinoma with unusual clinical and pathological presentations. NUT carcinoma of the lung occurs near the hilum in younger adults with severe symptoms and is positive for p63. This is the first case to show negativity for p63 and is the oldest among previously reported cases of pulmonary NUT carcinoma. Case presentation: An 82-year-old man was referred for an incidental finding of an abnormal shadow at the peripheral apex of the right lung on computed tomography for a regular follow-up examination of renal cancer. Microscopically, small cell carcinoma was initially suspected; however, immunohistochemistry was not typical. NUT carcinoma with BRD4-NUT fusion was ultimately diagnosed using a NUT monoclonal antibody, fluorescence in situ hybridization, and RNA-seq. p63 protein expression was not detected. Conclusions: NUT carcinoma is rare, but lethal, and, thus, must not be overlooked. The present case suggests the importance of NUT immunohistochemistry in cases of small round cell tumors without clear lineage-specific differentiation, regardless of age, clinical symptoms, the tumor location, or p63 expression.

scholarly journals Successful carotid endarterectomy in a patient with an aberrant branch from the common carotid artery

2013 ◽  
Vol 95 (2) ◽  
pp. e17-e19 ◽  
Author(s):  
YC Chan ◽  
WH Wong ◽  
SW Cheng
Keyword(s):  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Common Carotid Artery ◽  
Incidental Finding ◽  
Uneventful Recovery ◽  
First Case ◽  
The Common ◽  
The Right

We report a patient who had an 80% asymptomatic stenosis in the distal right common carotid artery with an incidental finding of an aberrant branch arising from the right common carotid artery. He underwent an elective right carotid endarterectomy with an uneventful recovery. This is the first case in the literature of a successful endarterectomy in a patient with a common carotid anomaly and it emphasises the importance of careful dissection for unexpected anatomy.

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