scholarly journals Unusual presentation of a cutaneous leiomyoma of the neck simulating a goiter

2016 ◽  
Vol 1 (3) ◽  
Author(s):  
Kouame Kanga ◽  
Komenan Kassi ◽  
Kouame Kouassi ◽  
Ildevert Patrice Gbery ◽  
Jean-Marie Kanga

<p>We report an unusual case of a large cutaneous leiomyoma. Dermal leiomyomas are rare and benign skin tumors derived from the smooth erector muscles of the hair. The patient was a 12-year-old child who came in for a consultation on a big cervical tumor of the anterior part of the neck which simulated goiter. The lesion evolved since the patient was five years old; it was consistently firm and was associated with skin ulceration and significant deep suppurations. Computed tomography (CT) scan revealed that this tumor was limited to the soft and cutaneous tissues without invading the thoracic muscles. Surgical treatment allowed the excision of the gelatinous and well vascularized skin tumor measuring about 15 cm in diameter. Final histological examination confirmed the diagnosis of dermal leiomyoma.</p>

2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Jumana A. Alratroot ◽  
Amani A. Joudeh ◽  
Samir S. Amr

A 52-year-old woman presented with abdominal pain and vomiting. Computed tomography (CT) scan of the abdomen revealed a huge exophytic gallbladder mass displacing or invading the surrounding structures. The patient underwent radical cholecystectomy, transverse colectomy, distal gastrectomy, and liver bed resection. Histologically, the tumor showed both carcinomatous and sarcomatous components, with prominent chondrosarcomatous differentiation. In addition, several malignant cells showed intracytoplasmic eosinophilic hyaline globules (Thanatosomes). The tumor showed metastatic deposits to the omentum, the liver, and the peripancreatic lymph nodes. We report this unusual case and present a review of all cases of carcinosarcoma of the gallbladder with chondrosarcomatous differentiation.


2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Peymaneh Alizadeh Taheri ◽  
Mohsen Jafari ◽  
Fouzieh Mehrazmai

Abstract Acute mastoiditis (AM) is rarely seen in newborns. It is characterized by retroauricular pain, swelling, tenderness and protrusion of the auricle. This is the first report of the neonatal mastoiditis in a 17-day-old term neonate with no obvious clinical manifestation of mastoiditis and no associated malformation of the ears and mastoids. A computed tomography (CT) scan of the temporal bones revealed right mastoiditis without osteitis, destruction of the mastoid bone or abscess formation. Discharge culture revealed streptococcus A colonies sensitive to ampicillin, ceftriaxone, vancomycin and chloramphenicol. She was successfully treated with intravenous ampicillin and ceftizoxime. No complication or recurrence was reported.


2017 ◽  
Vol 36 (01) ◽  
pp. 26-28
Author(s):  
Benedito Pereira ◽  
Radmila Holanda ◽  
José Targino Neto ◽  
Luciano Holanda

AbstractA 25-year-old patient was admitted to the emergency room presenting headaches after a traumatic brain injury (TBI) 30 days before, when he collided frontally with another driver. After a skull radiography, the presence of a foreign body was observed in the frontal sinus. A cranial computed tomography (CT) scan found that it was a tooth. The patient underwent surgical treatment for the removal of the tooth. Traumatic brain injury caused by non-missile penetrating objects is unusual, and has been described in case reports in the literature. To the best of our knowledge, no similar reports can be found in the literature.


2021 ◽  
Vol 6 (9) ◽  
pp. 389-392
Author(s):  
Rui Barbeiro Gonçalves ◽  
André Grenho ◽  
Joana Correia ◽  
João Eurico Reis

Abstract. We report a case of complicated sternoclavicular joint septic arthritis in a previously healthy adult with no risk factors. An 83-year-old female presented to the emergency with a 1-week history of right shoulder pain followed by fever and prostration in the last 48 h. Computed tomography (CT) scan findings were consistent with right sternoclavicular joint (SCJ) septic arthritis complicated by periarticular abscess. Emergent surgical debridement was performed by a surgical team composed of orthopaedic and thoracic surgeons, followed by 6 weeks of antibiotic treatment. This case highlights the diagnosis and surgical treatment of a rare septic arthritis location but with frequent complications as well as the importance of multidisciplinary collaboration.


2007 ◽  
Vol 18 (2) ◽  
pp. 171-174 ◽  
Author(s):  
Marcelo Oliveira Mazzetto ◽  
Takami Hirono Hotta

This paper reports the case of a patient who presented limited buccal opening, though, without apparent symptomatology. The patient was partially toothless and exodontia of the remaining teeth was indicated. Clinical examination and clinical interview were performed as well as panoramic radiograph, transcranial radiograph of the temporomandibular joints (TMJ) and, later, computed tomography (CT), emphasizing the importance of complementary exams in the diagnostic phase. Analysis of the CT scan confirmed the structural alteration in the condylar and coronoid processes of the jaw, explaining the limited buccal opening. The remaining teeth were extracted and complete upper and lower dentures were fabricated, reestablishing the occlusal relationship and the patient's stomatognathic functions. Surgical treatment of the coronoid process was discarded.


2016 ◽  
Vol 36 (02) ◽  
pp. 122-124
Author(s):  
Gabriel Cavasana ◽  
Rodrigo Mendonça ◽  
Fabricio Zanini

AbstractA non-traumatic intra-cystic hemorrhage in an arachnoid cyst is a rare event, with few cases reported in the literature. We present a case of an eleven-year-old boy patient, which presented a spontaneous acute subdural hematoma and intra-cystic hemorrhage after a strong headache episode. The results were evidenced by a computed tomography (CT) scan and surgical findings. We perform a brief literature review on the arachnoid cyst and its suggested treatments. In our case, the patient underwent a surgical treatment with a complete resolution of the case.


Author(s):  
Jena Deitrick ◽  
◽  
William Sessions ◽  
Daniel Nguyen ◽  
Ariel Santos ◽  
...  

Foramen of Winslow hernias are a rare type of internal hernia that account for less than 1% of all cases of intestinal obstruction. It is extremely rare surgical condition with estimated mortality of about 50%. Timely diagnosis aided by computed tomography (CT scan) can facilitate proper planning and surgical treatment. Optimal treatment depends on patient’s condition, status of the incarcerated structure as well as surgeon’s comfort and preference.


1999 ◽  
Vol 113 (4) ◽  
pp. 369-372
Author(s):  
C. K. Hari ◽  
D. G. Roblin ◽  
M. J. K. M. Brown ◽  
I. Thompson

AbstractAn unusual case of encephalocele causing obstruction of the upper airway in a neonate is described. The patient presented with a large mass in the neck, which extended from the base of the skull to the level of the larynx. Although there was no evidence of a defect of the skull base, subsequent excision and histological examination confirmed an encephalocele.


2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Daniel Arnaud ◽  
Joseph Varon ◽  
Salim Surani

Congenital lobar emphysema is an uncommon bronchopulmonary malformation characterized by lobar overinflation and accompanying alveolar septum damage that leads to compression atelectasis of the lung parenchyma and displacement of mediastinal structures, with the resultant ventilation-perfusion mismatch. We present a case of a 33-year-old lady with progressive exertional dyspnea. Chest radiograph findings lead to the suspicion of congenital lobar emphysema, which was then confirmed by a computed tomography (CT) scan. This condition is most commonly identified in newborns, with very few cases being reported in adults. Lobectomy remains the treatment of choice and in general has good outcome.


2021 ◽  
pp. 014556132110405
Author(s):  
Tsuyoshi Morisaki ◽  
Takahiro Fukuhara ◽  
Hiroaki Ehara ◽  
Hideyuki Kataoka ◽  
Satoshi Koyama ◽  
...  

The cricoid plays 2 key roles: phonation and maintenance of the airway frame, both of which are lost in cases of comminuted cricoid fractures. The management of these 2 functions becomes a challenge in planning surgical treatment. We report the treatment course in a case of traumatic comminuted cricoid fracture that was resolved with good airway and phonatory functions. A 25-year-old man fell down the stairs and complained of respiratory discomfort and hoarseness of voice. A computed tomography scan showed comminuted cricoid fracture; therefore, surgery was performed to restore the patient’s airway and phonation functions. We found that the airway was maintained by the anterior part and that the phonation depended on the posterior part of the cricoid. This novel concept helped clarify the treatment goal in this case of comminuted cricoid fractures. Furthermore, it is important that the anterior part of the cricoid is reconstructed with sufficient internal diameter, while the posterior part of the cricoid is reconstructed in the correct position.


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