scholarly journals Porcelain gall bladder: a case report

2018 ◽  
Vol 5 (5) ◽  
pp. 1978
Author(s):  
Sowmya Murugesan ◽  
Chandru R. ◽  
Ramya Ramakrishnan ◽  
Rajiv Raj ◽  
Kishore Kumar G.
Keyword(s):  
Case Report ◽  
High Risk ◽  
Gall Bladder ◽  
Chronic Cholecystitis ◽  
Histopathological Diagnosis ◽  
Dystrophic Calcification ◽  
Rare Entity ◽  
Prophylactic Cholecystectomy ◽  
X Ray ◽  
Risk Of Malignancy

Porcelain gall bladder is a rare entity and a morphological variant of chronic cholecystitis. Dystrophic calcification along with inflammatory scarring of the wall gives the porcelain nature to the gall bladder. Patients are mostly asymptomatic and incidentally diagnosed on X-ray, ultrasound or CT abdomen. In the early stages they can be a surprise as only a histopathological diagnosis. Prophylactic cholecystectomy is recommended in view of high risk of malignancy.

scholarly journals The giant resectable carcinoma of gall bladder—a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lovenish Bains ◽  
Haraesh Maranna ◽  
Pawan Lal ◽  
Ronal Kori ◽  
Daljit Kaur ◽  
...  
Keyword(s):  
Case Report ◽  
Gall Bladder ◽  
Lymph Node Involvement ◽  
Chronic Cholecystitis ◽  
Large Size ◽  
Node Involvement ◽  
Uncommon Condition ◽  
Well Differentiated ◽  
Vague Abdominal Pain ◽  
Common Malignancy

Abstract Background Gall bladder cancer (GBC) is the fifth most common malignancy in the gastrointestinal system and the most common malignancy of the biliary system. GBC is a very aggressive malignancy having a 5 year survival rate of 19%. Giant Gall Bladder (GGB) is an uncommon condition that can result from cholelithiasis or chronic cholecystitis and rarely with malignancy. Case report A 65 year old lady presented with vague abdominal pain for 12 years and right abdominal lump of size 20 × 8 cms was found on examination. CT scan showed a circumferentially irregularly thickened wall (2.5 cm) of gall bladder indicative of malignancy. Per-operatively a GB of size 24 × 9 cm was noted and patient underwent radical cholecystectomy. It was surprise to find such a giant malignant GB with preserved planes. Histopathology, it was well differentiated adenocarcinoma of gall bladder of Stage II (T2a N0 M0). Discussion It is known that mucocoele of GB can attain large size, however chronic cholecystitis will lead to a shrunken gall bladder rather than an enlarged one. A malignant GB of such size and resectable is rare without any lymph node involvement or liver infiltration. Few cases of giant benign gall bladder have been reported in literature, however this appears to be the largest resectable gall bladder carcinoma reported till date as per indexed literature. Conclusion Giant GB is an uncommon finding. They are mostly benign, however malignant cases can occur. Radiological findings may suggest features of malignancy and define extent of disease. Prognosis depends on stage of disease and resectability, irrespective of size.

scholarly journals Ectopic gall bladder – An interesting case report

2016 ◽  
Vol 17 (2) ◽  
pp. 156-158
Author(s):  
Sharmin Reza ◽  
Faria Nasreen ◽  
Sharmin Quddus ◽  
Tapati Mandal ◽  
Ferdous Ara Hussain
Keyword(s):  
Case Report ◽  
Gall Bladder ◽  
Interesting Case ◽  
The Other ◽  
Rare Entity ◽  
Diagnostic Dilemma ◽  
Hida Scan ◽  
Other Hand ◽  
Hepatobiliary Scan

Ectopic gall bladder is a rare entity. It can often be misdiagnosed causing diagnostic dilemma leading to various complications. Ultrasonography is the most common investigation for evaluating gall bladder pathologies. However, the confirmation of ectopic gallbladder is not easily possible by this method. On the other hand, hepatobiliary scan (HIDA scan) plays an important role in evaluating the presence and position of ectopic gallbladder. Here we present a case of sonographically suspected ectopic gallbladder confirmed by hepatobiliary scan highlighting the importance of HIDA scan in ectopic gallbladder.Bangladesh J. Nuclear Med. 17(2): 156-158, July 2014

scholarly journals X-ray and computed tomography findings in macrodystrophia lipomatosa of the foot with secondary osteoarthritic changes diagnosed in an elderly female: a case report

2017 ◽  
Vol 50 (2) ◽  
pp. 132-134 ◽  
Author(s):  
Rajesh Sharma ◽  
Puneet Gupta ◽  
Manik Mahajan ◽  
Manjit Arora ◽  
Anchal Gupta
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pressure Effects ◽  
Rare Entity ◽  
X Ray ◽  
Macrodystrophia Lipomatosa ◽  
Elderly Female ◽  
Second Toe

Abstract Macrodystrophia lipomatosa is a rare entity that is mostly diagnosed in children. It has been very rarely reported in adults. Here, we describe the X-ray and computed tomography findings in a case of macrodystrophia lipomatosa in an elderly female presenting with an enlarged second toe since birth and bony outgrowths causing pressure effects and cosmetic problems.

scholarly journals Pure mucinous (colloid) carcinoma of gall bladder: a rare entity

2017 ◽  
Vol 4 (8) ◽  
pp. 2858
Author(s):  
Gireesha Rawal ◽  
Charanjeet Ahluwalia ◽  
Amit Kumar Yadav ◽  
Indrani Dhawan
Keyword(s):  
Case Report ◽  
Natural History ◽  
Gall Bladder ◽  
Histopathological Examination ◽  
Mucinous Carcinoma ◽  
Final Diagnosis ◽  
Tumour Volume ◽  
Rare Entity ◽  
Hypochondriac Region ◽  
Cut Surface

In the biliary tract, ‘mucinous’ carcinomas in which extracellular mucin constitutes more than 50% of the tumour volume, are very rare. Those tumours in which the mucinous pattern comprises of at least 90% of the tumour are called ‘pure mucinous’ carcinomas and are exceedingly rare in the gallbladder. We describe the case of a 55 years old female, who presented with the complaints of jaundice and dull aching pain in right hypochondriac region. USG abdomen was suggestive of carcinoma along with cholelithiasis, following which cholecystectomy was performed. Grossly, a large grey-white tumour was identified whose cut surface was variegated. Sections showed a tumour which was entirely composed of pools of extracellular mucin, in which clusters of tumour cells were floating. Based on morphology and immunohistochemistry, a final diagnosis of ‘pure mucinous (colloid) adenocarcinoma’ of the gallbladder was given. This case is described owing to the rarity of this neoplasm. The clinical features, natural history and prognosis of mucinous carcinoma of GB are not very well known, due to their extreme rarity. These have been discussed in this case report. Histopathological examination is vital for a decisive diagnosis of such cases. 

scholarly journals A Rare Presentation of Radicular Cyst: A Case Report and Review of Literature

2021 ◽  
Author(s):  
Rohan Jagtap ◽  
Nick Shuff ◽  
Maram Bawazir ◽  
Michelle Garrido ◽  
Indraneel Bhattacharyya ◽  
...  
Keyword(s):  
Case Report ◽  
Histopathological Diagnosis ◽  
Dystrophic Calcification ◽  
Radicular Cyst ◽  
Periapical Lesion ◽  
Rare Presentation ◽  
Radiographic Appearance ◽  
Periapical Lesions ◽  
Cellular Debris ◽  
The Right

The radicular cyst is the most common inflammatory odontogenic cyst in the jaws. It is a periapical lesion associated with non-vital teeth in the tooth-bearing regions of the jaws with a slight male predilection. A radicular cyst is typically asymptomatic, but if large or secondarily infected may cause swelling. The usual radiographic appearance of a radicular cyst is that of a periapical radiolucent lesion. This case report documents a rare case of 61-year-old male with a mixed-density periapical lesion diagnosed as a radicular cyst. The lesion presented as a well-defined, expansile, space occupying, corticated, sclerotic, hydraulic, unilocular, mixed density lesion, associated with the right mandibular second premolar that was predominantly radiolucent with scattered foci of radiopacities. Microscopic examination revealed fragments of lining epithelium along with small fragments of inflamed fibrous connective tissue, aggregates of necrotic cellular debris, and bacterial colonies intermixed with foci of dystrophic calcifications. The histopathological diagnosis was a radicular cyst with dystrophic calcification. Although rare, this entity should be considered in the differential diagnosis of mixed-density periapical lesions. Complete history and proper diagnosis is important in this type of rare cases as treatment varies between a radicular cyst and other odontogenic neoplasms.

scholarly journals Fetus in Fetu (Pre-surgical dilemma: Review of literature and a case report)

2011 ◽  
Vol 2 (1) ◽  
pp. 68-71
Author(s):  
Om Prakash Sharma ◽  
Senthil Shanmugam
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Abdominal Distension ◽  
Axial Skeleton ◽  
Rare Entity ◽  
Review Of Literature ◽  
Medical Sciences ◽  
Monochorionic Twins ◽  
Fetus In Fetu ◽  
X Ray

Fetus in fetu is an extremely rare developmental anomaly, due to disorganised embryogenesis in a diamniotic monochorionic pregnancy. Approximately 87 reports have been documented in the literature to date. We describe such an entity in two months old boy, who presented with abdominal distension and features of obstruction. Plain X ray abdomen and CT scan helped in correct pre operative diagnosis. The literature on this rare entity is reviewed, and the diagnosis and pathogenesis of the disease are discussed. Key Words: Fetus in fetu; CT scan; Teratoma; Axial skeleton; Diamniotic monochorionic twins DOI: 10.3126/ajms.v2i1.3208 Asian Journal of Medical Sciences 2 (2011) 68-71

scholarly journals Torsion of gall bladder, a rare entity: a case report and review article

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
Author(s):  
Vanita Gupta ◽  
Vikrant Singh ◽  
Ajit Sewkani ◽  
Dipak Purohit ◽  
Rajneesh Varshney ◽  
...  
Keyword(s):  
Case Report ◽  
Gall Bladder ◽  
Review Article ◽  
Rare Entity

scholarly journals Bilateral posterior fracture-dislocation of the shoulder after epileptic seizures: A case report

2019 ◽  
Keyword(s):  
Case Report ◽  
Electroconvulsive Therapy ◽  
Shoulder Dislocation ◽  
Sports Injuries ◽  
Epileptic Seizures ◽  
Fracture Dislocation ◽  
Rare Entity ◽  
Electrical Shock ◽  
X Ray ◽  
Posterior Shoulder

Bilateral shoulder dislocation is a rare entity usually caused by sports injuries, electrical shock, or electroconvulsive therapy. Epileptic seizures account in less than 2% of cases . Almost always posterior, bilateral shoulder dislocation is usually due to unbalanced tonic muscles contraction and may be associated with fracture of the upper end of the humerus . The diagnosis is made by pertinent clinical examination and appropriate standard X ray requests and may easily be missed. Delayed management may lead to irreversible sequelae. We report a case of 46- year-old male who sustained bilateral posterior shoulder fracture- dislocation following epileptic seizures. The aim is to highlight diagnosis circumstances and the results of the management.

Congenital Syphilis Simulating Bone Neoplasm in 2-Month Old Infant – Case Report

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Case Report ◽  
Congenital Syphilis ◽  
Eosinophilic Granuloma ◽  
Osteolytic Lesion ◽  
Lower Limbs ◽  
Upper Body ◽  
Elective Cesarean Section ◽  
Distal Fibula ◽  
X Ray

Introduction: Congenital Syphilis (CS) occurs through the transplacental transmission of Treponema pallidum in inadequately treated or non-treated pregnant women, and is capable of severe consequences such as miscarriage, preterm birth, congenital disease and/or neonatal death. CS has been showing an increasing incidence worldwide, with an increase of 208% from 2009 to 2015 in Brazil. Case report: 2-month old infant receives care in emergency service due to edema of right lower limb with pain in mobilization. X-ray with osteolytic lesion in distal fibula. Infant was sent to the Pediatrics Oncology clinic. Perinatal data: 7 prenatal appointments, negative serology at 10 and 30 weeks of gestation. End of pregnancy tests were not examined and tests for mother’s hospital admission were not requested. Mother undergone elective cesarean section at 38 weeks without complications. During the pediatric oncologist appointment, patient showed erythematous-squamous lesions in neck and other scar-like lesions in upper body. A new X-ray of lower limbs showed lesions in right fibula with periosteal reaction associated with aggressive osteolytic lesion compromising distal diaphysis, with cortical bone rupture and signs of pathological fracture, suggestive of eosinophilic granuloma. She was hospitalized for a lesion biopsy. Laboratory tests: hematocrit: 23.1 / hemoglobin 7.7 / leukocytes 10,130 (without left deviation) / platelets 638,000 / Negative Cytomegalovirus IgG and IgM and Toxoplasmosis IgG and IgM / VDRL 1:128. Congenital syphilis diagnosis with skin lesions, bone alterations and anemia. Lumbar puncture: glucose 55 / total proteins 26 / VDRL non reagent / 13 leukocytes (8% neutrophils; 84% monomorphonuclear; 8% macrophages) and 160 erythrocytes / negative VDRL and culture. X-ray of other long bones, ophthalmological evaluation and abdominal ultrasound without alterations. Patient was hospitalized for 14 days for treatment with Ceftriaxone 100mg/kg/day, due to the lack of Crystalline Penicillin in the hospital. She is now under outpatient follow-up. Discussion: CS is responsible for high rates of morbidity and mortality. The ongoing increase of cases of this pathology reflects a severe health issue and indicates failures in policies for the prevention of sexually transmitted diseases, with inadequate follow-up of prenatal and maternity protocols.

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