scholarly journals Challenges for endocrine surgeons: management of a colossal normotensive pheochromocytoma

2018 ◽  
Vol 5 (7) ◽  
pp. 2672
Author(s):  
Zahir Hussain ◽  
Jabamalai Ferdinant ◽  
Senthilkumar M. S. ◽  
Kumaran M. P. ◽  
Saivishnupriya V.
Keyword(s):  
Case Report ◽  
Perioperative Management ◽  
Abdominal Mass ◽  
Unusual Presentation ◽  
Paroxysmal Hypertension

Although the presentation of pheochromocytoma is remarkably protean, it usually presents as sustained or paroxysmal hypertension with triad of headache, palpitation and diaphoresis. The Incidence of serendipitously discovered pheochromocytoma is approximately 4% to 8%. Perioperative management of such cases are not only controversial but also poses infallible challenges to the surgeon. This case report intends to highlight an unusual presentation of asymptomatic, normotensive pheochromocytoma as a huge abdominal mass and its management.

scholarly journals Perioperative Management of a Giant Ovarian Tumour in an Adolescence with Severe Scoliosis and Unilateral Diaphragmatic Dysfunction: A Case Report

2021 ◽  
Vol 9 (1) ◽  
pp. 50-57
Author(s):  
Gezy Wita Giwangkancana ◽  
Andi Kurniadi ◽  
Yunita Susanto Putri ◽  
Euis Maryani
Keyword(s):  
Case Report ◽  
Ovarian Tumor ◽  
Perioperative Management ◽  
Abdominal Mass ◽  
Preoperative Assessment ◽  
Ventilator Weaning ◽  
Diaphragmatic Dysfunction ◽  
Severe Scoliosis ◽  
Severe Stage ◽  
Operative Care

Though giant ovarian tumor are rare but due to the limitations in oncology surgery during the COVID-19 pandemic, many oncology patients are presented with a more severe stage and giant ovarian tumors may be more commonly seen during this period. The aim of this case report study was to describe the perioperative management of an adolescent patient with a giant ovarian tumor, severe scoliosis, and unilateral diaphragm dysfunction. An 18-years-old girl weighing 28 kgBW came with a giant abdominal mass that extended to her thoracic and back areas. The patient had a history of severe scoliosis since childhood. She had signs of respiratory distress and was not comfortable lying down. Preoperatively, the surgeon used ultrasonography to guide cyst puncture using a thoracic tube and 6,500 cc of mucinous fluid was drained. Inhalational induction with preservation of spontaneous breathing was performed. Two massive masses filled the entire abdominal area, adhering to the peritoneum while pushing and tenting the diaphragm cranially and laterally to the right and bilateral salpingo-oophorectomy was conducted. Serial radiological examinations showed unilateral diaphragmatic dysfunction and a progressing ventilator associated pneumonia. Improving post-operative outcome of patients with giant intraabdominal masses must include preoperative assessment of potential peri-operative respiratory complications, preparation of intraoperative hemodynamic, and ventilatory disturbances with gentle weaning and multidisciplinary approach during the post-operative care to assess readiness of ventilator weaning.

scholarly journals Cholesterol Granuloma of the Maxillary Sinus—A Case Report and Literature Review

2021 ◽  
Vol 12 ◽  
pp. 215265672098478
Author(s):  
Abdulrahman Alghulikah ◽  
Norah Musallam ◽  
Ibrahim Sumaily ◽  
Amany Fathaddin ◽  
Surayie Aldossary
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Maxillary Sinus ◽  
Review Article ◽  
Unusual Presentation ◽  
Differential Diagnoses ◽  
Anatomical Site ◽  
Cholesterol Granuloma ◽  
Comprehensive Literature Review

Cholesterol Granulomas of the Maxillary Sinus, considered an unusual presentation at this anatomical site. Over last 2 decades, only few cases are reported in the literature (English) and no available comprehensive reviews or studies on this entity. Herein in this article we present a comprehensive literature review of the available reports of 16 cases along with reporting a new case which we managed, aided with its histopathological pictures. This review article can be a reference for practitioners in the field of otorhinolaryngology who may encounter these cases. Also, it attracts the attention to consider this pathology among the differential diagnoses of nasal masses. Moreover, including a described pathological imaging may help young pathologist to identify this pathology.

An Unusual Presentation of Methotrexate-Induced B-Cell Lymphoma of the Metacarpophalangeal Joint: A Case Report and Literature Review

2006 ◽  
Vol 31 (7) ◽  
pp. 1193-1196 ◽  
Author(s):  
J. Woodfin Kennedy ◽  
Lesley K. Wong ◽  
Behrooz Kalantarian ◽  
Leslie Turner ◽  
Cauley W. Hayes
Keyword(s):  
Case Report ◽  
Literature Review ◽  
B Cell ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Metacarpophalangeal Joint ◽  
Unusual Presentation

scholarly journals Large intraperitoneal lipoleiomyoma in a pre-menopausal woman: a case report

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sara L. Schaefer ◽  
Amy L. Strong ◽  
Sheena Bahroloomi ◽  
Jichang Han ◽  
Michella K. Whisman ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Smooth Muscle ◽  
Case Report ◽  
Smooth Muscle Actin ◽  
Abdominal Mass ◽  
Histopathological Analysis ◽  
Menopausal Woman ◽  
En Bloc ◽  
Cross Sectional

Abstract Background Lipoleiomyoma is a rare, benign variant of the commonplace uterine leiomyoma. Unlike leiomyoma, these tumors are composed of smooth muscle cells admixed with mature adipose tissue. While rare, they are most frequently identified in the uterus, but even more infrequently have been described in extrauterine locations. Case presentation We describe a case report of a 45-year-old woman with a history of in vitro fertilization pregnancy presenting 6 years later with abdominal distention and weight loss found to have a 30-cm intra-abdominal lipoleiomyoma. While cross-sectional imaging can narrow the differential diagnosis, histopathological analysis with stains positive for smooth muscle actin, desmin, and estrogen receptor, but negative for HMB-45 confirms the diagnosis of lipoleiomyoma. The large encapsulated tumor was resected en bloc. The patients post-operative course was uneventful and her symptoms resolved. Conclusions Lipoleiomyoma should be considered on the differential diagnosis in a woman with a large intra-abdominal mass. While considered benign, resection should be considered if the mass is symptomatic, and the diagnosis is unclear or there is a concern for malignancy.

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