scholarly journals Focal, Extranodal Primary Polymorph Hemangioendothelioma Treated With Endovascular Embolization Plus Open Surgery Resection: Rare Case Report and Review

2021 ◽  
Author(s):  
Esteban Ramirez-Ferrer ◽  
Francisco Javier Perez-Pinto ◽  
William Mauricio Riveros-Castilla ◽  
Samuel David Morales-Naranjo ◽  
Luis Alejandro Osorio-Bohorquez
Keyword(s):  
Case Report ◽  
Open Surgery ◽  
Rare Case ◽  
Tumor Resection ◽  
Vascular Tumor ◽  
Endovascular Embolization ◽  
High Rate ◽  
Endovascular Coiling ◽  
Histopathological Diagnosis ◽  
Surgery Resection

Abstract Background: We report the rare case of an adult with a primary extranodal polymorphous hemangioendothelioma at dorsum, treated with endovascular coiling followed by open surgery resection. Clinical history, findings of spinal arteriography, histopathological findings and combined surgical procedure are reported.Case report: A 22-year-old male patient complained of a dorsal mass that has been increasing in size, painful, soft, no mobile and without neurological symptoms. A vascular tumor was suspected and an endovascular followed by an open surgical approach was performed. Histopathological diagnosis of an extranodal polymorph hemangioendothelioma was documented and a total resection was confirmed by free-tumor resection margin. The postoperative course was uneventful. Conclusion: Polymorph hemangioendothelioma is a rare vascular tumor. given the high vascular features of the lesion and, therefore, the high rate of bleeding during surgery.

scholarly journals Intravascular Guidewire Residue After Endovascular Embolization for Intractable Epistaxis: A Case Report

2021 ◽  
pp. 014556132110405
Author(s):  
Fei Wang ◽  
Shijun Cui ◽  
Shengjia Yang ◽  
Lianrui Guo
Keyword(s):  
Case Report ◽  
Facial Pain ◽  
Open Surgery ◽  
Rare Case ◽  
Endovascular Embolization ◽  
Massive Hemorrhage ◽  
Intractable Epistaxis

Endovascular embolization (EE) has become an effective method for the treatment of intractable epistaxis (IE). However, complications such as facial pain, headaches, aphasia, hemiplegia, and transient blindness can also occur during or after surgery. In this article, we report a rare case of IE with residual intravascular guidewire after EE. Open surgery was used to remove the guidewire. However, to avoid serious complications such as massive hemorrhage, only part of the guidewire was removed.

scholarly journals Endovascular embolization versus surgical clipping in a single surgeon series of basilar artery aneurysms: a complementary approach in the endovascular era

2021 ◽  
Vol 163 (5) ◽  
pp. 1527-1540
Author(s):  
Ethan A. Winkler ◽  
Anthony Lee ◽  
John K. Yue ◽  
Kunal P. Raygor ◽  
W. Caleb Rutledge ◽  
...  
Keyword(s):  
Basilar Artery ◽  
Open Surgery ◽  
Endovascular Embolization ◽  
Neurologic Outcome ◽  
Endovascular Coiling ◽  
Surgical Clip ◽  
Complementary Approach ◽  
Complete Obliteration ◽  
Good Neurologic Outcome ◽  
Appropriate Therapy

Abstract Background Currently, most basilar artery aneurysms (BAAs) are treated endovascularly. Surgery remains an appropriate therapy for a subset of all intracranial aneurysms. Whether open microsurgery would be required or utilized, and to what extent, for BAAs treated by a surgeon who performs both endovascular and open procedures has not been reported. Methods Retrospective analysis of prospectively maintained, single-surgeon series of BAAs treated with endovascular or open surgery from the first 5 years of practice. Results Forty-two procedures were performed in 34 patients to treat BAAs—including aneurysms arising from basilar artery apex, trunk, and perforators. Unruptured BAAs accounted for 35/42 cases (83.3%), and the mean aneurysm diameter was 8.4 ± 5.4 mm. Endovascular coiling—including stent-assisted coiling—accounted for 26/42 (61.9%) treatments and led to complete obliteration in 76.9% of cases. Four patients in the endovascular cohort required re-treatment. Surgical clip reconstruction accounted for 16/42 (38.1%) treatments and led to complete obliteration in 88.5% of cases. Good neurologic outcome (mRS ≤ 2) was achieved in 88.5% and 75.0% of patients in endovascular and open surgical cohorts, respectively (p = 0.40). Univariate logistic regression analysis demonstrated that advanced age (OR 1.11[95% CI 1.01–1.23]) or peri-procedural adverse event (OR 85.0 [95% CI 6.5–118.9]), but not treatment modality (OR 0.39[95% CI 0.08–2.04]), was the predictor of poor neurologic outcome. Conclusions Complementary implementation of both endovascular and open surgery facilitates individualized treatment planning of BAAs. By leveraging strengths of both techniques, equivalent clinical outcomes and technical proficiency may be achieved with both modalities.

scholarly journals Metastatic Intraocular Tumor Due to Colorectal Adenocarcinoma: Case Report and Literature Review

2020 ◽  
Author(s):  
Deivy Cruzado-Sánchez ◽  
Luis A. Saavedra-Mejía ◽  
Walter A. Tellez ◽  
Grissnery Maquera-Torres ◽  
Solon Serpa-Frias
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Colorectal Adenocarcinoma ◽  
Vision Loss ◽  
Serous Retinal Detachment ◽  
Tumor Resection ◽  
Histopathological Diagnosis ◽  
Tubular Adenocarcinoma ◽  
Survival Times ◽  
Intraocular Metastasis

Purpose: To describe the clinical and histopathological findings of a case of intraocular metastasis due to colorectal adenocarcinoma and to carry out a literature review. Case Report: A 64-year-old man with a history of tumor resection due to infiltrating colorectal adenocarcinoma three years previously sought ophthalmological care because of severe ocular pain without response to medical treatment and progressive vision loss in the left eye. On ultrasonographic examination, there was a heterogeneous intraocular choroidal tumor, which occupied approximately 40% of the vitreous cavity, as well as peritumoral serous retinal detachment. The patient underwent left eyeball enucleation. The histopathological diagnosis was metastatic tubular adenocarcinoma involving the retina and choroid that partially infiltrated the sclera and the proximal optic nerve. Conclusion: The present case highlights a rare pathological entity associated with variable therapeutic schemes and survival times and poor prognosis in patients with metastatic intraocular tumors due to colorectal adenocarcinoma.

scholarly journals A Rare Case of Unrecognized and Uncommon Bladder Perforation after Transobturator Tape Procedure

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ercüment Kılınç ◽  
Yaşam Kemal Akpak
Keyword(s):  
Case Report ◽  
Postoperative Period ◽  
Open Surgery ◽  
Rare Case ◽  
Transobturator Tape ◽  
Bladder Perforation ◽  
Woman Patient ◽  
Significant Step

The transobturator tape (TOT) procedure has become practically widespread worldwide. Complications seem to be rare, but recognizing them intraoperatively is the most significant step because some of the complications which may appear in postoperative period can be challenging for both physicians and patients. The purpose of this case, with this patient who was operated on with open surgery, is to evaluate this rarely seen unrecognized and uncommon bladder perforation after TOT procedure and thus make some contribution to the literature. Here, we present a case report about the treatment of a 48-year-old woman patient with unrecognized and uncommon bladder perforation after TOT procedure, 5 months postoperatively. Cystoscopic evaluation is not recommended routinely, but it must be performed if the patient is complicated enough to create doubt and also the surgeon's skill and ability are not sufficient enough to operate decently.

scholarly journals Epitheloid Hemangioendothelioma of the Submandibular Region

2015 ◽  
Vol 30 (1) ◽  
pp. 47-50
Author(s):  
Peter Ranjit ◽  
Parekh Nayan Madhusudan ◽  
Dayangku Norsuhazenah Pengiran Suhaili ◽  
Ian Christopher Bickle
Keyword(s):  
Local Excision ◽  
Wide Local Excision ◽  
Soft Tissues ◽  
Regional Lymph Node ◽  
Arterial Embolization ◽  
Distant Metastases ◽  
Vascular Tumor ◽  
High Rate ◽  
Histopathological Diagnosis ◽  
Submandibular Region

Objective: To present an uncommon cause for a submandibular mass and review of the literature. Methods: Design: Case Report Setting: Tertiary Government Hospital Patient: One Results: A 25-year-old lady presented with a painless chronic submandibular swelling. Ultrasound identified a solid mass, following which an uncomplicated core biopsy was performed obtaining an accurate pre-operative histopathological diagnosis. Pre-operative arterial embolization of this vascular mass led to a relatively bloodless wide local excision. Radiological imaging for distant metastases was negative. Conclusion: Epitheloid Hemangioendothelioma is an uncommon cause for a submandibular mass. A malignant vascular soft tissue tumor with morphologic characteristics similar to carcinomas, melanomas and epitheloid sarcomas, it has a high rate of metastasis and morbidity when it affects the soft tissues and viscera. Immunohistochemistry provides clues to differentiation, and recommended treatment consists of a surgical wide local excision with regional lymph node resection. As there are no established standard therapeutic protocols for this disease due to its rarity, an individual case-by-case approach and follow-up needs to be undertaken. Keywords:  epitheloid hemangioendothelioma, malignant vascular tumor, submandibular mass

scholarly journals Bilateral Total Aplasia of Paranasal Sinuses: A Rare Case Report

2015 ◽  
Vol 8 (3) ◽  
pp. 124-126
Author(s):  
Ankita Joshi ◽  
Chinmay Sundarray ◽  
Krishna Arpita Sahoo
Keyword(s):  
Case Report ◽  
Paranasal Sinus ◽  
Paranasal Sinuses ◽  
Rare Case ◽  
The Other ◽  
High Rate ◽  
Unknown Etiology ◽  
Structural Variations ◽  
The Third ◽  
Rare Case Report

ABSTRACT Paranasal sinus anatomical anomalies with unknown etiology are common. Paranasal sinus-related diseases are associated with so high rate of morbidities, it becomes essential to identify the structure and pathophysiology of the paranasal sinuses. Computed tomography (CT) is a valuable tool in displaying its anatomy, any anatomic variations and diseases. As paranasal sinus development is a complex and long-lasting process, there are great structural variations between individuals. Maxillary and/or frontal sinus aplasia or hypoplasia are more common than the other types. Several degrees and combinations of aplasias and hypoplasias have been reported; however, there is only two case of total paranasal sinus aplasia in the literature. Here, we present the third case of total paranasal sinus aplasia, and the first ever case reported from India. How to cite this article Joshi A, Sundarray C, Sahoo KA. Bilateral Total Aplasia of Paranasal Sinuses: A Rare Case Report. Clin Rhinol An Int J 2015;8(3):124-126.

A rare case of cervical metastatis of glioblastoma after cranial tumor resection: case report and review of literature

2020 ◽  
pp. 1-7
Author(s):  
Okan Turk ◽  
Nuriye Guzin Ozdemir ◽  
Ibrahim Burak Atci ◽  
Hakan Yilmaz ◽  
Feray Gunver ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Tumor Resection ◽  
Review Of Literature

scholarly journals Sinonasal Paraganglioma: A Case Report and Review of Literature

2014 ◽  
Vol 7 (2) ◽  
pp. 87-89 ◽  
Author(s):  
Neelam Wadhwa ◽  
PP Singh ◽  
Vipin Arora ◽  
Pankaj Verma ◽  
Khyati Bhatia
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Nasal Cavity ◽  
Rare Case ◽  
Surgical Excision ◽  
Histopathological Diagnosis ◽  
Rare Tumor ◽  
Review Of Literature ◽  
Diagnostic Challenge ◽  
History Of

ABSTRACT A rare case of sinonasal paraganglioma is described. A 40-year-old female patient presented with 2 years history of unilateral nasal obstruction and bleeding. CT scan demonstrated an expansile enhancing mass involving bilateral ethmoids, right nasal cavity and right maxillary sinus. Histopathological diagnosis was neuroendocrine tumor with possibility of paraganglioma. A subtotal maxillectomy with excision of mass performed. Primary nonchromaffin paraganglioma of nose and paranasal sinus is a very rare tumor, these lesion pose diagnostic challenge to clinicians and pathologist. Only twenty five cases are reported in review of literature. Surgical excision is the mainstay of treatment. How to cite this article Arora V, Verma P, Singh PP, Wadhwa N, Bhatia K. Sinonasal Paraganglioma: A Case Report and Review of Literature. Clin Rhinol An Int J 2014;7(2):87-89.

scholarly journals Lumbar Vertebrae and Epidural Space Metastases of Choriocarcinoma: A Case Report

2020 ◽  
Author(s):  
Lin Liu ◽  
Yini Zhang ◽  
Wei Zhang ◽  
Zhi Zhao ◽  
Zhengwei Li
Keyword(s):  
Case Report ◽  
Epidural Space ◽  
Lumbar Vertebrae ◽  
Endovascular Embolization ◽  
Lower Limbs ◽  
Histopathological Diagnosis ◽  
Aged Woman ◽  
Β Hcg ◽  
The Right ◽  
Surgery Department

Abstract Background: Choriocarcinoma is a rare and highly malignant tumor. It is characterized by the production of large amounts of human chorionic gonadotropin (HCG). The lumbar vertebrae and epidural space metastases of choriocarcinoma are extremely rare. This is a rare case report of a middle-aged woman with metastatic choriocarcinoma in the lumbar vertebrae, epidural space.Case presentation: The present case report describes a 42-year-old Chinese female patient who was admitted to the spine surgery department of The Second Afflicted Hospital of Dalian Medical University with signs of low back pain for ten days, weakness in both lower limbs and dysuria for four days in 2019. Magnetic resonance imaging revealed an inhomogeneous nodular lesion in the anterior epidural space from L3 to L4 and an abnormal signal in the L4 vertebral body. The patient underwent emergency surgery on the first day of admission for quick onset of paraplegia and dysuria. But the operation was stopped because of heavy bleeding. Five days later, she underwent endovascular embolization of the left and the right L4 lumbar segmental arteries, and after that, the hypervascular mass was subtotally removed. The histopathological diagnosis was choriocarcinoma. Then the patient received chemotherapy. But there was no apparent improvement in the neurological statement after chemotherapy. The patient’s outcome is death.Conclusions: This case suggests that choriocarcinoma should be borne in mind when observing a spinal extraosseous extension lesion with elevated β-HCG in a woman of child-bearing age.

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