scholarly journals Tuberculosis of the Rare Azygos Lobe of Lung

2021 ◽  
Author(s):  
Sandeep Singh Awal ◽  
Som Subhro Biswas ◽  
Hitesh Goyal ◽  
Sampreet Kaur Awal
Keyword(s):  
Incidental Finding ◽  
Chest Imaging ◽  
Cardinal Vein ◽  
Anatomical Variant ◽  
Case Presentation ◽  
Azygos Lobe ◽  
Rare Case Report ◽  
History Of ◽  
Posterior Cardinal Vein ◽  
Indian Male

Abstract Background: The azygos lobe is a rare anatomical variant seen in the upper lobe of right lung. It occurs during embryological development due to the failure of posterior cardinal vein to migrate supero-medially. It is often an incidental finding on imaging and is asymptomatic in majority of cases. Tuberculosis involving the azygos lobe is extremely rare. Only a few cases of tuberculosis involving the azygos lobe have been reported in literature.Case presentation: We present a rare case report of tuberculosis infection involving the azygos lobe in a 57-year-old Indian male with history of chronic cough, fever, haemoptysis and weight loss.Conclusions: The azygos lobe is usually asymptomatic, but it may be misdiagnosed as bulla, lung cyst or abscess. In rare cases it may be associated with certain pathology such as tuberculosis, other infections, and lung cancer. Hence, it is pertinent for a radiologist to be aware of this variant when reporting chest imaging cases.

scholarly journals A case of tuberculosis of the rare azygos lobe of the right lung

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Sandeep Singh Awal ◽  
Som Subhro Biswas ◽  
Hitesh Goyal ◽  
Sampreet Kaur Awal
Keyword(s):  
Incidental Finding ◽  
Chest Imaging ◽  
Cardinal Vein ◽  
Anatomical Variant ◽  
Case Presentation ◽  
Azygos Lobe ◽  
Rare Case Report ◽  
History Of ◽  
The Right ◽  
Posterior Cardinal Vein

Abstract Background The azygos lobe is a rare anatomical variant seen in the upper lobe of right lung. It occurs during embryological development due to the failure of posterior cardinal vein to migrate supero-medially. It is often an incidental finding on imaging and is asymptomatic in majority of cases. Tuberculosis involving the azygos lobe is extremely rare. Only a few cases of tuberculosis involving the azygos lobe have been reported in literature. Case presentation We present a rare case report of tuberculosis infection involving the azygos lobe in a 57-year-old male with history of chronic cough, fever, hemoptysis, and weight loss. Conclusions The azygos lobe is usually asymptomatic, but it may be misdiagnosed as bulla, lung cyst, or abscess. In rare cases it may be associated with certain pathology such as tuberculosis, other infections, and lung cancer. Hence, it is pertinent for a radiologist to be aware of this variant when reporting chest imaging cases.

scholarly journals Hoarseness of Voice as a Rare Presentation of Tuberculosis: A Case Report Study

2019 ◽  
Vol 7 (19) ◽  
pp. 3262-3264
Author(s):  
Taher Felemban ◽  
Abdullah Ashi ◽  
Abdullah Sindi ◽  
Mohannad Rajab ◽  
Zuhair Al Jehani
Keyword(s):  
Laryngeal Carcinoma ◽  
Incidental Finding ◽  
Chain Reaction ◽  
Rare Presentation ◽  
Case Presentation ◽  
X Ray ◽  
History Of ◽  
Chest X Ray ◽  
Polymerase Chain ◽  
Laryngeal Tuberculosis

BACKGROUND: Having hoarseness of voice as the first clinical manifestation of tuberculosis is rare. This atypical presentation causes some confusion since other more common conditions, such as laryngeal carcinoma, present similarly and might require more invasive tests to confirm the diagnosis. CASE PRESENTATION: A 38-year-old male presented to the otorhinolaryngology clinic with a four-month history of change in voice. Laryngoscopy demonstrated a right glottic mass, raising suspicion of laryngeal cancer. The computed tomography showed a mass and incidental finding of opacities in lung apices. Chest x-ray demonstrated findings suggestive of tuberculosis. Polymerase chain reaction and culture of sputum samples confirmed the diagnosis and the patient was started on anti-tuberculosis treatment. CONCLUSION: Despite accounting for only 1% of pulmonary tuberculosis cases and having a similar presentation to laryngeal carcinoma, we recommend considering laryngeal tuberculosis when evaluating hoarseness of voice in endemic areas.

scholarly journals Septic Pulmonary Embolism Secondary to Klebsiella pneumoniae Epididymitis: Case Report and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Juan Sebastián Alonso Ojeda Gómez ◽  
Jorge Alberto Carrillo Bayona ◽  
Laura Cristina Morales Cifuentes
Keyword(s):  
Pulmonary Embolism ◽  
Pulmonary Circulation ◽  
Respiratory Symptoms ◽  
Unusual Complication ◽  
Chest Imaging ◽  
Case Presentation ◽  
History Of ◽  
Septic Pulmonary Embolism ◽  
Uncommon Condition ◽  
Acute Epididymitis

Background. Septic pulmonary embolism (SPE) is defined as the occurrence of septic thrombi in the pulmonary circulation. We report a case of SPE secondary to K. pneumoniae epididymitis. Case Presentation. A 74-year-old male with a history of diabetes mellitus experienced SPE secondary to epididymitis, with isolation of K. pneumoniae in blood and presence of lung nodules, with a chest computed tomography showing the halo and reversed halo signs. Discussion. SPE is characterized by the presence of septic thrombi in the pulmonary circulation coming from an extrapulmonary infective focus. SPE secondary to K. pneumoniae epididymitis is an uncommon condition that is characterized by the presence of multiple bilateral nodules of peripheral distribution. Conclusion. SPE is an unusual complication of acute epididymitis. Suspicion of SPE should be considered in patients with a diagnosis of epididymitis, respiratory symptoms, and multiple nodules in chest imaging assessments.

scholarly journals Benign Pleural Multicystic Mesothelioma: A Rare Case Report

2021 ◽  
Author(s):  
Alireza Rezvani ◽  
SeyedehMaryam Pishva ◽  
Amirhossein Erfani ◽  
Ahmad Monabati ◽  
Bizhan Ziaian ◽  
...  
Keyword(s):  
Case Report ◽  
Chronic Cough ◽  
Rare Case ◽  
Pleural Mesothelioma ◽  
Case Presentation ◽  
Rare Case Report ◽  
History Of ◽  
The Right ◽  
Lateral Thoracotomy ◽  
Pleural Involvement

Abstract Background: Fewer than 200 benign multicystic peritoneal mesothelioma cases were reported worldwide till 2017, while its pleural involvement has rarely been reported. Case presentation: We report a 70-year-old man who presented with three months history of chronic cough. Surgical resection was performed, and the pathology confirmed benign multicystic pleural mesothelioma. The patient underwent right lateral thoracotomy, wedges resection of the right upper lobe, and parietal pleurectomy and was discharged with an uneventful postop course.Conclusion: Based on published literature to date, this is the second reported case of pleural involvement of this disease.

scholarly journals Cardiac failure and pulmonary hypertension secondary to renal arteriovenous malformation: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Laura J. Albak ◽  
Ashish H. Shah ◽  
James W. Tam
Keyword(s):  
Heart Failure ◽  
Arteriovenous Malformation ◽  
Incidental Finding ◽  
Low Cardiac Output ◽  
Case Presentation ◽  
Output State ◽  
Patients With Heart Failure ◽  
Renal Arteriovenous Malformation ◽  
History Of ◽  
High Output

Abstract Background Heart failure is usually associated with a low-cardiac-output state; however, a minority of these patients are characterized by a high-output cardiac state, described as a cardiac index of > 4 L/minute/m2. Usually such circulation is associated with low systemic vascular resistance or arteriovenous malformation (AVM), resulting in depressurized circulation and a high-output cardiac state. Treating physicians should be cognizant of such pathology when investigating patients with heart failure. As an example, renal arteriovenous malformations are a rare vascular phenomena that are typically the result of iatrogenic, traumatic or congenital etiology. Generally, non-salient, most are detected as an incidental finding. Case presentation A 75-year-old Afro-Caribbean man with multiple comorbidities presented to the emergency department with a 6-month history of heart failure symptoms. Cardiac catheterization demonstrated a giant right renal AVM leading to a significant left-to-right, post-tricuspid shunt that was treated with transcatheter coiling. Conclusions We present this case to emphasize the significance of a detailed workup in a patient with heart failure symptoms.

scholarly journals Massive Pulmonary Emboli in Klinefelter Syndrome: A Rare Case Report

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Fatemeh Javaherforooshzadeh ◽  
Yusef Torfi
Keyword(s):  
Klinefelter Syndrome ◽  
Genetic Disorder ◽  
Anticoagulation Therapy ◽  
Acute Chest Pain ◽  
Case Presentation ◽  
Oral Anticoagulation Therapy ◽  
Rare Case Report ◽  
Chief Complaints ◽  
History Of ◽  
Surgery Center

Introduction: Klinefelter syndrome (KS) is a genetic disorder that affects men. An augmented incidence of the thromboembolic event described in patients with KS. Case Presentation: A 34-year-old male identified with a definitive diagnosis of KS was hospitalized to our cardiac surgery center through the emergency with chief complaints of acute chest pain and dyspnea. Saddle pulmonary thromboembolism was established from chest Computed Tomography Angiography (CTA). The patient's symptoms resolved after embolectomy via surgery. Conclusions: There is a tendency for hypercoagulability in KS. This tendency is because of hormonal discrepancy and hereditary thrombophilic factors. So, patients with KS and past medical history of venous thromboembolism necessitate constant oral anticoagulation therapy.

scholarly journals Primary Carcinosarcoma of the Spleen: A Rare Case Report of Incidental Finding after Splenic Trauma

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Hugues Ndasu Matendo ◽  
Raouf Fayisall Geraldo ◽  
Liviu Musteata ◽  
Joel Allan Green ◽  
Valeriu Krasovski ◽  
...  
Keyword(s):  
Incidental Finding ◽  
Primary Lesion ◽  
Splenic Trauma ◽  
Splenic Mass ◽  
First Case ◽  
Left Hypochondrium ◽  
Rare Case Report ◽  
History Of ◽  
Mullerian Tumor ◽  
Uterine Adenocarcinoma

Primary carcinosarcoma of the spleen is a rare, aggressive splenic malignancy. To date, seven cases have been reported in the literature. We report a first case of primary carcinosarcoma of the spleen in France. A 75-year-old woman with a medical history of hysterectomy for uterine adenocarcinoma presented with left hypochondrium pain following blunt abdominal trauma. A splenic mass was noted on computed tomography (CT) scan. A splenectomy was performed by laparotomy. Histology revealed a malignant mixed Mullerian tumor. The PET scan allowed us to confirm that it was a primary lesion of the spleen. She is currently undergoing adjuvant chemotherapy despite the tumor progression. The interest of this case lies in the rarity of primary carcinosarcomas of the spleen and the circumstances of its diagnosis.

scholarly journals Recurrent bilateral chorioretinitis with positive Lyme serology: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Reda Issa ◽  
Stephen A. M. DeSouza
Keyword(s):  
Incidental Finding ◽  
Posterior Uveitis ◽  
Unique Case ◽  
Case Presentation ◽  
History Of ◽  
Fluctuating Course ◽  
Blurry Vision ◽  
The Right ◽  
Caucasian Female ◽  
Current Report

Abstract Background It has been disputed whether Lyme is a true causative agent in posterior uveitis or an incidental finding. Case presentation This report presents a case of a 33-year-old Caucasian female with a remote history of Lyme disease who presented with blurry vision in the right eye. Exam and imaging revealed a right active chorioretinitis and positive Lyme serology. The patient was systemically treated with prednisone and antibiotics. Symptoms initially improved, but she later developed a localized choriocapillaritis in the left eye. Steroids and antibiotics were restarted many times with fluctuating course of the disease. The patient was then started on chronic steroid-sparing immunosuppression, which has controlled the condition without recurrence. Conclusions The current report presents a unique case of recurrent bilateral chorioretinitis with positive Lyme serology and raises the question of the existence of true Lyme-associated uveitis.

A Rare Case Report of Inguinal Herniation with Urinary Bladder as its Content

2021 ◽  
Vol 03 ◽  
Author(s):  
Samadhan Pawar ◽  
Chaitanya Borde ◽  
Atul Patil ◽  
Yasam Venkata Ramesh ◽  
Raj Nagarkar
Keyword(s):  
Postoperative Recovery ◽  
Vital Role ◽  
Case Presentation ◽  
Inguinal Hernias ◽  
Rare Case Report ◽  
History Of ◽  
Bladder Herniation ◽  
Specific Symptoms ◽  
Inguinal Herniation

Background: Although inguinal hernias are common, cases of inguinal hernia involving the bladder were observed to be very rare (<5%). Diagnosis of Inguinal Bladder Herniation (IBH) is very challenging, and it was reported to be identified only in ≤10% of cases prior to an operation and ≤20% during surgical intervention. The majority of the patients are asymptomatic or have non-specific symptoms, making the condition difficult to diagnose pre-operatively. In many cases, the condition is usually diagnosed intraoperatively. Therefore, diagnosis, surgical planning, and careful management can play a vital role in avoiding any unwanted complications. Case Presentation: In the present case, a 60-year-old male patient with a known history of malignancy was presented to our hospital without any symptoms related to inguinal hernias. Conclusion: During his routine check-ups, the patient was fortuitously diagnosed with IBH. The patient underwent surgery, and the defect was repaired using Bassini hernioplasty without any complications. Postoperative recovery was uneventful. On follow-up, no pain or urinary-related symptoms were reported.

scholarly journals Schwannoma on Cervical Cervices (C2 & C3): A Case Report

2021 ◽  
Vol 2 (6) ◽  
Author(s):  
Djoko Supriyandono ◽  
Marjono Dwi Wibowo
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Rare Case ◽  
Surgical Removal ◽  
Nerve Roots ◽  
Case Presentation ◽  
The Past ◽  
Rare Case Report ◽  
Left Neck ◽  
History Of

Background: Schwannoma is classified as a benign, encapsulated tumor, derived from the perineural cells which are classified as neural cell membranes. About 10% of Schwannomas has occurred in the head and neck and the incidence of Schwannoma arising from the Cervical C2 nerve roots is extremely rare. Aims of study: This case report aims to provide a rare case report on Schwannoma located in cervical cervices (C2& C3). Case presentation: A 37-year-old female patient with a lump in the left neck for 4 years ago, the first lump appeared as a larger (increasingly large 1×1 cm) marbles with no pain in the lump but over the past 4 months the patient felt his legs and arms are weak. Patients have a history of surgical removal of tumors in the back of the neckline by the end of 2016. At first, we estimated the lump that appeared on the left neck of the patient stands alone in the sense that it was not related to the history of the first lump surgery, but when further examination, the tumor was apparently related to the lump that appeared previously who had surgery. Conclusion: The extracranial Schwannoma in the head and neck areas is a rare neoplasm. The extracranial Schwannoma case is a case that is difficult to diagnose, in addition to good clinical examination, imaging examination, such as CT scan and MRI are an indispensable way of ensuring the diagnosis of an extracranial Schwannoma.

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