scholarly journals Laparoscopic management of acute cholecystitis with hepatic choristoma of the gall bladder wall: case reportand review of the literature

2019 ◽  
Vol 6 (9) ◽  
pp. 3364
Author(s):  
Francisco Terrazas Espitia ◽  
David Molina Davila ◽  
Carlos Armando Diaz De Alba
Keyword(s):  
Acute Abdominal Pain ◽  
Soft Tissue Mass ◽  
Bladder Wall ◽  
Gallbladder Wall ◽  
Hepatic Tissue ◽  
Imaging Studies ◽  
En Bloc ◽  
Tissue Mass ◽  
Gall Bladder Wall ◽  
The Right

Choristoma is a term which refers to the presence of histologically normal tissue in a heterotopic location; hepatic choristoma is a condition in which hepatic tissue can be found in abnormal locations above or below the diaphragm, the gallbladder wall being the most frequent heterotopic site for implantation, this disease is usually asymptomatic and is rarely detected preoperatively with imaging studies due to a general lack of knowledge of this entity. We present the case of a 37 year old male patient who presented with acute abdominal pain in the right upper quadrant, colicky in nature, accompanied by nausea and vomiting; a HIDA 99 mTc scan revealed gallbladder diskynesia as well as a radiolucent bilobulated image. Upon laparoscopy, we encountered two masses on the superoanterior gallbladder wall and Hartmann´s pouch, which upon histopathological specimen examination revealed the presence of hepatic choristoma. This entity should be considered whenever a soft tissue mass is reported on the anterior gallbladder wall on imaging studies; It has been reported that hepatic choristoma is at higher risk for development of hepatocellular carcinoma and should be removed en bloc with the gallbladder.

Primary vesical actinomycosis with changes of cystitis cystica presenting as bladder mass

2021 ◽  
Vol 0 ◽  
pp. 1-4
Author(s):  
Nagendra Mishra ◽  
Henil Upadhyay ◽  
Charmy Parikh
Keyword(s):  
Soft Tissue ◽  
Urinary Bladder ◽  
Soft Tissue Mass ◽  
Histopathological Examination ◽  
Bladder Wall ◽  
Tissue Mass ◽  
Rare Differential Diagnosis ◽  
The Right ◽  
Cystitis Cystica ◽  
Bladder Mass

Actinomycosis is a rare chronic granulomatous suppurative infection caused by Gram-positive bacteria. The occurrence of primary vesical actinomycosis is extremely rare and only a few cases have been reported. Pre-operative diagnosis of vesical actinomycosis is challenging as the clinical and radiological features usually point towards bladder malignancy. Therefore, in most cases, definitive diagnosis is usually made after histopathological examination of the involved tissue. A 60-year-old male presented with complaints of hematuria, burning micturition, irritative, and obstructive urinary symptoms for 15 days. USG revealed a large soft-tissue mass having a polypoidal intraluminal and extraluminal component and involving the right posterolateral urinary bladder wall. CT scan showed a large irregular soft-tissue mass with multiple cystic lesions involving the right lateral wall of the urinary bladder. Transurethral resection of bladder mass biopsy was performed and the histopathological examination showed bacterial colonies of Actinomyces with changes of cystitis cystica. The patient was treated with amoxicillin and potassium clavulanate for 3 months. Actinomycosis should be kept as a rare differential diagnosis in cases presenting as bladder mass. The diagnosis is most commonly made by histopathology and may need a repeat biopsy to arrive at the correct diagnosis. The patient should be treated by penicillin group of antibiotics for 2–3 months and followed up for years to detect any recurrence.

A 30-Year-Old Man With a Soft Tissue Mass on the Right Elbow

2006 ◽  
Vol 130 (3) ◽  
pp. e35-e36
Author(s):  
Einas Alkuwari ◽  
Denis H. Gravel
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Tissue Mass ◽  
The Right

CHARACTERISTICS OF SOFT TISSUE MASS IN THE HAND BY ULTRASONOGRAPHIC EXAMINATION

2005 ◽  
Vol 09 (01) ◽  
pp. 45-51
Author(s):  
Alexander Blankstein ◽  
Aharon Chechick ◽  
Abraham Adunski ◽  
Uri Givon ◽  
Yigal Mirovski ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Wrist Joint ◽  
Imaging Modality ◽  
Routine Practice ◽  
X Rays ◽  
Diagnostic Challenge ◽  
Tissue Mass ◽  
Soft Tissue Masses ◽  
The Right

Soft tissue masses are amongst the commonest complaints encountered in orthopedic practice. Of these, masses found in the hand and the wrist are presented at higher frequency. They are often painful and may cause limitation of movement. This work describes the prevalence and the nature of soft tissue masses in the hand and wrist encountered in routine practice. This work was performed to assess the characteristics of soft tissue mass in the hand and the effectiveness of ultrasonography in the diagnosis of soft tissue masses and their differentiation from other lesions in the hand and wrist. Orthopedic surgical conditions that involve soft tissue in the hand and wrist may remain a diagnostic challenge when clinical diagnosis is uncertain and standard X-rays are non-diagnostic. High resolution ultrasound is widely available, non-invasive, without damage of radiation, imaging modality that can help the diagnosis. We reviewed retrospectively 25 patients with soft tissue masses. We compared the ultrasound findings with the histological findings in seven operated patients. A substantial majority of these lesions occurred in the right hand: 79% of the lesions were in the dorsal aspect of the hand, of which 37% were distal to the wrist joint, among them 42% at wrist either radial or ulnar; and 21% of the lesions were found in the volar aspect, among them 17% at wrist aspect, either radial or ulnar side. No predisposing factors could be found. The findings of this study reaffirm the utility of ultrasonography as primary diagnostic tool in routine orthopedic practice.

Histiocytic sarcoma of the stifle in a dog with cranial cruciate ligament failure and TPLO treatment

2008 ◽  
Vol 21 (04) ◽  
pp. 375-377 ◽  
Author(s):  
E. Simko ◽  
G. Harasen
Keyword(s):  
Tibial Plateau ◽  
Soft Tissue Mass ◽  
Cruciate Ligament ◽  
Histiocytic Sarcoma ◽  
Tissue Mass ◽  
Cranial Cruciate Ligament ◽  
Chronic Synovitis ◽  
Previously Treated ◽  
Ligament Failure ◽  
The Right

SummaryA 10-year-old spayed female Golden Retriever was admitted with chronic lameness of the right hind limb. A tibial plateau leveling osteotomy (TPLO) had been performed on this leg approximately three years previously. A progressively growing soft tissue mass, affecting the right stifle, previously treated with TPLO was biopsied and found to be a histiocytic sarcoma. Previously proposed links between the development of neoplasia in the stifle region and the presence of chronic synovitis, osteotomy, orthopaedic implants, and specifically the Slocum TPLO plate, are briefly discussed.

Sonographic Evidence of Ascites, Pleura-Pericardial Effusion and Gallbladder Wall Edema for Dengue Fever

2011 ◽  
Vol 26 (5) ◽  
pp. 335-341 ◽  
Author(s):  
M. Motla ◽  
S. Manaktala ◽  
V. Gupta ◽  
M. Aggarwal ◽  
S.K. Bhoi ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Pericardial Effusion ◽  
Gall Bladder ◽  
Renal Dysfunction ◽  
Dengue Fever ◽  
Bladder Wall ◽  
Gallbladder Wall ◽  
World Population ◽  
Gall Bladder Wall ◽  
The Mean

AbstractIntroduction: Radiographic findings of dengue fever have not yet been clearly elucidated in relation to clinical and serological findings, despite the fact that two-fifths of the world population lives in areas where the virus is endemic. The current study is a retrospective analyzis of ultrasonographic (USG) features of patients presenting with probable dengue fever during the outbreak of DF of 2006 in North India.Methods: Case records of a 169 patients with probable dengue fiver were included. Ten individual sonographic parameters were reviewed vis-à-vis ascites, hepatomegaly, splenomegaly, gall bladder wall edema (GBWE), pleural effusion (right or left or both), pericardial effusion, pericholecystic collection, perinephric collection. Subjects who had GB wall thickness >3 mm as measured on ultrasound were identified as positive for GBWE. The cases were analyzed in view of their serological profile.Results: The mean age of the subjects was 27.9 +/− 13.4 years. The mean value of the platelet count was 57.4 +/− 22.3 x 103/cmm. The most common ultrasonographic feature was ascites (126, 74.6%) followed by gall bladder wall edema (122, 72%), hepatomegaly (78, 46.2%), splenomegaly (66, 39.1%) and pericholecystic collection (63, 37.3%); 48 (28.4%) subjects demonstrated evidence of pleural effusion on the right side, while 19 (11.2%) had bilateral effusion. None of the subjects had an isolated left pleural effusion. Twenty-seven (16%) subjects reported bleeding manifestations in the form of petechiae and five (3%) developed renal dysfunction. Presence of pleural and pericardial effusions was found to be specific while ascites and GBWE were identified as highly sensitive markers for seropositive Primary DF.Conclusions: Ultrasonographic evidence of ascites, pleuro-pericardial effusion, and gallbladder wall edema are rapidly aquired, non-invasive markers of dengue and can be helpful before serological investigations become available. These findings may indicate severity and may herald the onset of bleeding (petechiae) or predict the development of acute renal dysfunction.

Two concurrent embryonal rhabdomyosarcomas of the oesophageal and perilaryngeal tissue in an adult dog: imaging, cytological and histological features

2020 ◽  
Vol 8 (3) ◽  
pp. e001119
Author(s):  
Alexis Gombert ◽  
Deborah Culang ◽  
Isabelle Lanthier ◽  
Edouard Martin ◽  
Cyrielle Finck
Keyword(s):  
Poor Prognosis ◽  
Ultrasound Guidance ◽  
Soft Tissue Mass ◽  
Final Diagnosis ◽  
Postmortem Examination ◽  
Tissue Mass ◽  
Cervical Oesophagus ◽  
Tissue Histology ◽  
The Right ◽  
Histology And Immunohistochemistry

A five-year-old neutered male Labrador Retriever was presented for recurring severe dyspnoeic episodes. Oral examination performed under sedation revealed a mass originating from the left arytenoid. CT highlighted a large perilaryngeal soft-tissue mass abutting the oesophagus, with a small intralaryngeal component. The mass created a narrowing of the laryngeal lumen and displaced the cranial cervical oesophagus dorsally and to the right. CT also highlighted a second smaller mass rostrally at the level of an oesophageal outpouching, narrowing the caudal aspect of the nasopharynx. The perilaryngeal mass was aspirated under ultrasound guidance. Cytology was suggestive of a tumour arising from skeletal muscle and a rhabdomyosarcoma was suspected. Due to poor prognosis, the patient was euthanased. Postmortem examination confirmed two masses affecting the cranial cervical oesophagus, one of which also invaded the perilaryngeal tissue. Histology and immunohistochemistry provided a final diagnosis of two concurrent oesophageal and perilaryngeal embryonal rhabdomyosarcomas.

scholarly journals Myositis ossificans traumatica of the left masseter muscle presenting as soft tissue mass: a case report

2013 ◽  
Vol 13 (1) ◽  
pp. 73-75
Author(s):  
Kaleem Ahmad ◽  
Sajid Ansari ◽  
Kanchan Dhungel ◽  
Mukesh Kumar Gupta ◽  
RK Rauniyar ◽  
...  
Keyword(s):  
Myositis Ossificans ◽  
Soft Tissue Mass ◽  
Medical Science ◽  
Heterotopic Bone ◽  
Heterotopic Bone Formation ◽  
Imaging Studies ◽  
Tissue Mass ◽  
Jaw Opening ◽  
Magnetic Resonance Imaging Mri ◽  
Bone Scans

Myositis ossificans is a rare disease in which manifests as heterotopic bone formation within a muscle and is rarely found in the head or neck regions, including the masticator muscle. It should be considered as a differential diagnosis in patients of trauma with severe limitation of jaw opening. Panoramic radiographs and axial and coronal computed tomography (CT) scans can effectively delineate the calcified mass. Other imaging studies that may be helpful include magnetic resonance imaging (MRI), bone scans, and ultrasound.DOI: http://dx.doi.org/10.3329/bjms.v13i1.17441 Bangladesh Journal of Medical Science Vol. 13 No. 01 January2014: 73-75

A cavernous haemangioma of the thyroid gland

2005 ◽  
Vol 119 (10) ◽  
pp. 828-830 ◽  
Author(s):  
Motohiro Kano ◽  
Kaori Kameyama ◽  
Yasuhiro Hosoda ◽  
Kiminori Sugino ◽  
Koichi Ito
Keyword(s):  
Computed Tomography ◽  
Thyroid Gland ◽  
Soft Tissue Mass ◽  
Cavernous Haemangioma ◽  
Imaging Findings ◽  
Papillary Thyroid ◽  
Tissue Mass ◽  
Surgical Specimen ◽  
Right Lobe ◽  
The Right

Haemangioma of the thyroid gland is extremely rare. We report a case of a cavernous haemangioma of the neck that was located both inside and outside the thyroid gland of a 21-year-old man. Ultrasonography of the neck revealed numerous calcified nodules. Computed tomography (CT) showed a large calcified soft tissue mass in the right lobe of the thyroid. Based on the imaging findings a papillary thyroid carcinoma was suspected, but examination of the surgical specimen revealed a huge cavernous haemangioma containing numerous phleboliths.

scholarly journals Role of gallbladder wall thickness in predicting laparoscopic operability prior to cholecystectomy: a retrospective analysis

2018 ◽  
Vol 5 (5) ◽  
pp. 1885
Author(s):  
Priyank Pathak ◽  
Rihan Zaidi
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Wall Thickness ◽  
Open Surgery ◽  
Bladder Wall ◽  
Gallbladder Wall ◽  
Bladder Wall Thickness ◽  
Conversion To Open Surgery ◽  
Gall Bladder Wall ◽  
Calculous Cholecystitis

Background: Laparoscopic cholecystectomy is the gold standard procedure for cholecystitis. There are variable rates of conversion of laparoscopic cholecystectomy to open cholecystectomy. Various studies have highlighted gall bladder wall thickness of > 3mm as an independent risk factor for conversion. The purpose of our study is to predict the feasibility of cholecystectomy laparoscopically bases on the pre-operative ultrasound guided measurement of gall bladder wall thickness.Methods: It is a retrospective study conducted in the Department of Surgery, Himalayan Institute of Medical Sciences (HIMS) from June 2016 to September 2017. Patient’s pre-operative complete haemogram, liver function tests were also analyzed. Gallbladder wall thickness was estimated by using the maximal obtainable measurement at the fundus. A thin gallbladder wall was less than 3 mm in diameter. A thick gallbladder wall was 3 mm or greater in diameter.Results: A total of 192 patients were included in this study. Most of the patients were of the age group between 30-40 years, with average age of 37 years and 70% of the patients were females. Out of 192, 176 patients underwent laparoscopic cholecystectomy and 16 patients required conversion to open surgery. Ninety patients (46.8%) had cholecystectomy for acute cholecystitis and one hundred two patients (53.15%) had cholecystectomy for chronic cholecystitis. The gallbladder wall was found to be greater than 3 mm in 23 patients (25.5%) with acute calculous cholecystitis and greater than 3 mm in 25 patients (24.5%) with chronic calculous cholecystitis. Forty-eight patients, out of a total of 192, had a gallbladder wall thickness greater than 3 mm by preoperative sonography and 16 of these patients (33.3%) required conversion to an open cholecystectomy.Conclusions: Gall bladder wall thickness bases on ultrasound is a good predictor for difficult cholecystectomy and conversion to open surgery.

scholarly journals Frontal sinus adenocarcinoma

2000 ◽  
Vol 118 (4) ◽  
pp. 118-120 ◽  
Author(s):  
Márcio Abrahão ◽  
Ana Paula Vieira Gonçalves ◽  
Roberto Yamashita ◽  
Rogério Aparecido Dedivitis ◽  
Rodrigo Oliveira Santos ◽  
...  
Keyword(s):  
Case Report ◽  
Frontal Sinus ◽  
Tumor Resection ◽  
Posterior Wall ◽  
Wood Dust ◽  
Medial Aspect ◽  
En Bloc ◽  
Tissue Mass ◽  
History Of ◽  
The Right

CONTEXT: Paranasal sinus cancer is considered rare, with an incidence of less than 1 per 100,000 per year, with the frontal sinus being the primary site in only 0.3%. We report a case of adenocarcinoma arising in the frontal sinus. DESIGN: Case report. CASE REPORT: A 59-year-old woman, secretary, came in February 1998 with a 4-month history of low intensity frontal headache. She denied contact with wood dust. On examination a non-tender swelling was noted over her right forehead next to the medial aspect of the right orbit. CT scan showed a soft-tissue mass involving frontal sinus with intracranial invasion through the posterior wall. The anterior ethmoid sinus and the medial aspect of the right orbit were also involved. MRI demonstrated dural thickening in communication with the frontal mass. She underwent an en-bloc tumor resection by craniotomy including orbital clearance. Histology revealed an adenocarcinoma. After surgery she had tumor recurrence, and chemotherapy and radiotherapy were started resulting in partial improvement.

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