scholarly journals Total Endoscopic Left Ventricle Lipoma Removal: A Case Report

Author(s):  
Tom Langenaeken ◽  
Alaaddin Yilmaz ◽  
Aydin Basoglu

Abstract Background: Left ventricle (LV) lipoma is a very rare, benign cardiac tumor. Due to its rarity, LV lipoma is often misdiagnosed. Aspecific symptoms such as murmurs, arrhythmias, memory loss and palpitation may occur due to the mass effect. Case presentation: We report a case report of a 42 year old woman who was found to have left ventricle mass after check-up for arrhytmia. By a fully endoscopic approach, the mass was successfully resected from the left ventricle without the need for sternotomy. Conclusion: Total endoscopic removal of left ventricle lipoma’s can be done safely and has several advantages to conventional sternotomy. Larger studies are needed to confirm this hypothesis.

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Tom Langenaeken ◽  
Aydin Basoglu ◽  
Abdullah Kaya ◽  
Alaaddin Yilmaz

Abstract Background Left ventricle (LV) lipoma is a very rare, benign cardiac tumor. Due to its rarity, LV lipoma is often misdiagnosed. Aspecific symptoms such as murmurs, arrhythmias, memory loss and palpitation may occur due to the mass effect. Case presentation We report a case report of a 42 year old woman who was found to have left ventricle mass after check-up for arrhytmia. By a fully endoscopic approach, the mass was successfully resected from the left ventricle without the need for sternotomy. Conclusion Total endoscopic removal of left ventricle lipoma’s can be done safely and has several advantages to conventional sternotomy. Larger studies are needed to confirm this hypothesis.


Author(s):  
Aisa Talebi ◽  
Sam Zeraatian Nejad Davani ◽  
Ali Saberi Shahrbabaki ◽  
Milad Gholizadeh Mesgarha ◽  
Arash Pour Mohammad ◽  
...  

Cardiac angiofibroma is a very rare diagnosis when a patient develops an intracardiac mass. It is a primary benign cardiac tumor with a scarcity of information in the literature.  This case report illustrates a 26-year-old man with a complaint of chronic chest tightness who was firstly diagnosed with right ventricle tumor by echocardiography then underwent cardiac MRI which confirmed the presence of a highly-vascular tumor with radiologically benign behavior. Then his tumor was excised, his postoperative course was uncomplicated and he was well within almost 2 months after discharge. Ultimately the histopathologic findings demonstrated vascular and stromal tissue in favor of angiofibroma and excluded the other diagnoses with IHC and trichrome staining.  Angiofibroma is a benign, highly vascular tumor, mostly discovered in the nasopharynx. When it is found in the heart, CMR and pathology are pivotal to rule in its diagnosis. It is isointense in T1 weighted and hyperintense in T2 weighted sequences with intense enhancement following contrast injection. Its pathology contains an admixture of vasculatures with CD31 positive immunoreactivity for endothelial cells and fibrotic tissue with bluish coloration in trichrome staining. Eventually, its treatment includes merely surgical excision given its benign nature.


2015 ◽  
Vol 76 (2) ◽  
Author(s):  
Mariantonietta D’Agostino ◽  
Francesco Giallauria ◽  
Caterina Montuori ◽  
Francesca Farina ◽  
Luigi Maresca ◽  
...  

Introduction. Takotsubo syndrome is a reversibile cardiomyopathy that often occurs during an emotional stress and is more frequent in post-menopausal women. Case presentation. We describe a clinic case of a 42 years old woman, admitted to our emergency unit because of a thoracic pain. The ECG showed ST-T elevation in V1- V4, the echocardiography revealed akinesia of apical segment of left ventricle. Coronary arteries were free from significant stenosis and ventriculography showed akinesia of apical segment of left ventricle. In the following days, ECG evolved toward a normalization of ST-T segment with appearance of negative T wave in V2-V6, and also the echocardiography showed a normalized LV wall motion. The patient was discharged and ECG and echocardiography were normal at two months follow up. Conclusion. In this case report, a young woman during puerperium presented with a Takotsubo syndrome. We speculate that the high Prolactin level and her emotional state contributed to the clinical manifestation of the syndrome.


2021 ◽  
Vol 20 (1) ◽  
pp. 41-45
Author(s):  
O. M. Iugai ◽  
D. A. Mtvralashvili ◽  
A. A. Likutov ◽  
Yu. E. Vaganov

Endoscopic removal of giant adenomas of the cecum is associated with high risk of perforation and conversion to laparoscopic procedure. Endoscopic submucosal dissection for cecal adenomas had technical limitations due to the adjacent ileocecal valve and appendix opening, perpendicular operating angle. Case presentation of the possibility of successful removal of a large laterally spreading cecal adenoma by the method of endoscopic submucosal tunnel dissection (ESTD) never been described before for this tumor site and size. Patient 54 years old, an LST-G adenoma (5 cm in diameter, according to Kudo – IIIL, according to Sano – II) was detected in the dome of the cecum during colonoscopy. ESTD. The postoperative period without any unfavorable events; the patient was discharged on the 5th day after surgery. The morphological conclusion: tubulo-villous adenoma with moderate epithelial dysplasia, R0. ESTD is suitable for cecal giant adenomas.


Heart India ◽  
2015 ◽  
Vol 3 (4) ◽  
pp. 101
Author(s):  
Thabish Syed ◽  
Dilip Ahir ◽  
MaheshKumar Gupta ◽  
Avneesh Prasad

Author(s):  
Fahmi Othman ◽  
Abdul Rehman Abid ◽  
Sabir Abdulkarim ◽  
Mohamad Khatib ◽  
Abdulqadir Nashwan ◽  
...  

Lipomatous hypertrophy of the interatrial septum (LHIAS) is a benign cardiac tumor. Differential diagnosis of LHIAS consists of atrial masses such as myxomas or lipomas. Herein, we report a 66-year-old male, admitted as a case of severe COVID-19 and was found to have a LHIAS extending to the crista terminalis.


2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Vasileios Bonatsos ◽  
Deepak Batura

Abstract Background According to the literature, there have been reports of introduction of foreign bodies into the urethra predominantly in males, both adults and children. Erotic stimulation, intoxication, assault and psychiatric conditions are the most frequent contributors. Case presentation A 70-year-old male presented with difficulty in passing urine for one week after having inserted two plastic ballpoint pens into his urethra. The patient had a failed attempt at removal using a rigid cystoscope and biopsy forceps. A Liga-clip applicator allowed successful blind removal of both pens while the patient was under a general anaesthetic. Conclusions Removal of urethral foreign bodies can be challenging as endoscopic removal may fail, and open or blind procedures may be required. Moreover, complications can be significant. On occasions, improvisations in techniques may be helpful, such as in our patient. A psychiatric review is vital to try and ensure the prevention of repeat incidents.


2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Aniket Agarwal ◽  
Kavita Vani

Abstract Background Myelolipomas are mesenchymal tumors usually involving the adrenal gland. They are a rare entity with incidence ranging from 0.08 to 0.4% as per autopsy reports. Only 15% of these are in extra-adrenal locations such as pelvis, retroperitoneum, mediastinum, lungs, stomach, liver, spleen and kidneys. Very few (only 3) cases of bilateral extra-adrenal perirenal myelolipomas have been reported until now; and one such case has been presented in our case report. Case presentation A 45-year-old male presented with abdominal distension and bilateral lower limb edema for 2 months. Renal functions were mildly deranged. Ultrasound was suggestive of perirenal masses. CT scan of the abdomen confirmed the diagnosis of bilateral extra-adrenal, perirenal myelolipoma. The differentials of lipomatous retroperitoneal tumors were considered. Core biopsy from perirenal masses revealed adipose tissue with interspersed hematopoietic precursors. Conclusion Extra-adrenal myelolipoma are rare tumors that are not known to have malignant potential and may be symptomatic only due to mass effect. Diagnosis can be confirmed by imaging in most cases. Histopathology may not be able to confirm malignancy even in sarcoma if sample is not taken from the appropriate site, usually non-fatty soft-tissue components. This rare case is presented in order to add to literature, the varied presentations of extra-adrenal myelolipomas.


Author(s):  
Milad Gholizadeh Mesgarha ◽  
Aisa Talebi ◽  
Sam Zeraatian Nejad Davani ◽  
Ali Saberi Shahrbabaki ◽  
Arash Pour Mohammad ◽  
...  

Cardiac angiofibroma is a very rare diagnosis when a patient develops an intracardiac mass. It is a primary benign cardiac tumor with a scarcity of information in the literature.  This case report illustrates a 26-year-old man with a complaint of chronic chest tightness who was firstly diagnosed with right ventricle tumor by echocardiography then underwent cardiac MRI which confirmed the presence of a highly-vascular tumor with radiologically benign behavior. Then his tumor was excised, his postoperative course was uncomplicated and he was well within almost 2 months after discharge. Ultimately the histopathologic findings demonstrated vascular and stromal tissue in favor of angiofibroma and excluded the other diagnoses with IHC and trichrome staining.  Angiofibroma is a benign, highly vascular tumor, mostly discovered in the nasopharynx. When it is found in the heart, CMR and pathology are pivotal to rule in its diagnosis. It is isointense in T1 weighted and hyperintense in T2 weighted sequences with intense enhancement following contrast injection. Its pathology contains an admixture of vasculatures with CD31 positive immunoreactivity for endothelial cells and fibrotic tissue with bluish coloration in trichrome staining. Eventually, its treatment includes merely surgical excision given its benign nature.


2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Margaret L. Musser ◽  
Erika P. Berger ◽  
Cameron Parsons ◽  
Sophia Kathariou ◽  
Chad M. Johannes

Abstract Background Listeria monocytogenes is a promising therapeutic vaccine vector for cancer immunotherapy. Although highly attenuated, three cases of systemic listeriosis have been reported in people following treatment with Listeria-based therapeutic vaccines. This complication has thus far not been reported in canine patients. Case presentation A dog previously diagnosed with osteoblastic osteosarcoma was presented for care following administration of three doses of the Canine Osteosarcoma Vaccine-Live Listeria Vector. On routine staging chest radiographs, mild sternal lymphadenopathy and a right caudoventral thoracic mass effect were noted. Further evaluation of the mass effect with computed tomography and ultrasound revealed a cavitated mass associated with the 7th right rib. Aspirates of the mass cultured positive for Listeria monocytogenes. The mass and associated ribs were surgically removed. Histopathology was consistent with metastatic osteoblastic osteosarcoma. Treatment was continued with doxorubicin chemotherapy and at the time of publication, the dog was alive over 1 year following diagnosis with no evidence of further disease progression. Genotyping of the abscess-derived L. monocytogenes was consistent with the vaccine strain. Conclusions This case represents the first veterinary case to describe development of a Listeria abscess following administration of a Listeria-based therapeutic vaccine.


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