scholarly journals Pilimiction, A Rare Manifestation of Ovarian Teratoma: A Case Report

2021 ◽  
Author(s):  
Feysel Hassen Issack ◽  
Seid Mohammed Hassen ◽  
Seid Kedir Hassen ◽  
Kaleab Habtemichael Gebreselassie ◽  
Ferid Ousman Mummed ◽  
...  
Keyword(s):  
Mature Teratoma ◽  
Bladder Wall ◽  
Lower Abdominal Pain ◽  
Rare Condition ◽  
Ovarian Teratoma ◽  
Cross Sectional ◽  
Patient Reported ◽  
Rare Manifestation ◽  
Cross Sectional Imaging ◽  
Enhanced Computed Tomography

Abstract Introduction: Adnexal teratoma involving the urinary bladder is a very rare condition. Presentation is variable ranging from irritative LUTS (lower urinary tract symptoms) to pilimiction or trichiuria (passage of hair in the urine).Case presentation: We report a case of 42-year-old woman who presented with pilimiction and lower abdominal pain. Contrast enhanced computed tomography scan (CECT) and Cystoscopy were used for the diagnosis. Tumor markers were negative. Right side salpingo-oophorectomy and partial bladder wall excision were performed. Histopathology of the specimen showed features consistent with mature teratoma. The Patient reported improvement of symptoms in the subsequent follow up visits.Conclusion: Pilimiction is a pathognomonic sign of bladder teratomas. Therefore, it is wise to think of this pathology in patients who report passage of hair through the urine (trichiuria or pilimiction), as in our case. Cystoscopy and cross-sectional imaging aided in the initial diagnosis. However, definitive diagnosis was provided by histopathology.

scholarly journals Pilimiction, A Rare Presentation of Ovarian Teratoma: A Case Report

2022 ◽  
Author(s):  
Feysel Hassen Issack ◽  
Seid Mohammed Hassen ◽  
Seid Kedir Hassen ◽  
Kaleab Habtemichael Gebreselassie ◽  
Ferid Ousman Mummed ◽  
...  
Keyword(s):  
Mature Teratoma ◽  
Bladder Wall ◽  
Lower Abdominal Pain ◽  
Rare Condition ◽  
Ovarian Teratoma ◽  
High Recurrence Rate ◽  
Rare Presentation ◽  
Cross Sectional ◽  
Patient Reported ◽  
Enhanced Computed Tomography

Abstract Background: Adnexal teratoma involving the urinary bladder is a very rare condition. Presentation is variable ranging from irritative LUTS (lower urinary tract symptoms) to pilimiction or trichiuria (passage of hair in the urine).Case presentation: We report a case of a 42-year-old woman who presented with pilimiction and lower abdominal pain. Contrast-enhanced computed tomography scan (CECT) and Cystoscopy were used for the diagnosis. Tumor markers were negative. Right side salpingo-oophorectomy and partial bladder wall excision were performed. Histopathology of the specimen showed features consistent with mature teratoma. The Patient-reported improvement of symptoms in the subsequent follow-up visits.Conclusion: Pilimiction is a pathognomonic sign of bladder teratomas. Therefore, it is wise to think of this pathology in patients who report the passage of hair through the urine (trichiuria or pilimiction), as in our case. Cystoscopy and cross-sectional imaging aided in the initial diagnosis. However, a definitive diagnosis was provided by histopathology.We performed right-side salpingo-oophorectomy and partial cystectomy. Transurethral resection is associated with a high recurrence rate and is not recommended for secondary bladder teratomas.

Miscellaneous Lesions of the Mediastinum

Chest Imaging ◽  
2019 ◽  
pp. 505-510
Author(s):  
Brett W. Carter
Keyword(s):  
Clinical History ◽  
Extramedullary Hematopoiesis ◽  
Vascular Lesions ◽  
Esophageal Hiatus ◽  
Malignant Neoplasms ◽  
Cross Sectional ◽  
Contrast Enhanced ◽  
Cross Sectional Imaging ◽  
Enhanced Computed Tomography ◽  
Omental Fat

A group of several miscellaneous lesions may arise within one or more of the mediastinal compartments that are distinct from benign or malignant neoplasms, cysts, lymphadenopathy, and vascular lesions. Such entities cannot be classified as one specific disease type, and include extramedullary hematopoiesis and multiple types of herniations, specifically hiatal, paraesophageal and Morgagni hernias. Extramedullary hematopoiesis typically manifests as paravertebral masses that may exhibit fat attenuation or signal. Hiatal and paraesophageal hernias are common abnormalities in which the stomach herniates into the thorax through the esophageal hiatus. Morgagni hernias occur through an anterior diaphragmatic defect and typically contain omental fat but may also contain liver and bowel. As with other abnormalities of the mediastinum, these lesions may first be identified on chest radiography. However, correlation with pertinent clinical history and cross-sectional imaging, typically contrast-enhanced computed tomography, is necessary for definitive diagnosis.

scholarly journals Carotidynia: A Rare Diagnosis for Unilateral Neck Pain Revealed by Cross-Sectional Imaging

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Corrado Santarosa ◽  
Salvatore Stefanelli ◽  
Roman Sztajzel ◽  
Pravin Mundada ◽  
Minerva Becker
Keyword(s):  
Neck Pain ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Carotid Bifurcation ◽  
Emergency Setting ◽  
Imaging Features ◽  
Cross Sectional ◽  
Characteristic Imaging ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Idiopathic carotidynia (IC) is a rare and poorly understood syndrome consisting of unilateral neck pain, tenderness, and increased pulsations over the affected carotid bifurcation. A growing body of evidence supports the hypothesis that IC is a distinct clinicopathologic entity with characteristic imaging features. We report the case of a 34-year-old Caucasian male presenting with intense unilateral neck pain in the emergency setting. Computed tomography and ultrasonography revealed fusiform eccentric thickening of the ipsilateral carotid bifurcation without vessel narrowing. Contrast-enhanced magnetic resonance imaging depicted major perivascular enhancement without evidence of dissection. Further imaging and laboratory work-up excluded vasculitis. The diagnosis of IC was made. The patient was treated with nonsteroidal anti-inflammatory drugs and symptoms and imaging findings disappeared within a few weeks. Cross-sectional imaging allows not only ruling out IC mimickers but also making the correct diagnosis of this rare condition, in particular, as the clinical presentation of IC is often nonspecific.

scholarly journals A RARE PRESENTATION OF CHOLEDOCHAL CYST IN ADULT.

2021 ◽  
pp. 92-93
Author(s):  
Neelendra Yesaswy MNV ◽  
Sankar Subramanian ◽  
Niket M Shah ◽  
Suresh Kumar P
Keyword(s):  
Choledochal Cyst ◽  
Adult Population ◽  
Rare Condition ◽  
Etiologic Factor ◽  
Gall Bladder Carcinoma ◽  
Rare Presentation ◽  
Cross Sectional ◽  
Cross Sectional Imaging ◽  
Asymptomatic Individuals ◽  
Cyst Development

Choledochal cyst (CC) is a relative rare condition in adult population. Only 20% of CC presents in adult population, of these 80% presents with additional hepatobiliary pathology (1,2). With widespread usage of cross sectional imaging, more cysts are likely being identified incidentally in asymptomatic individuals. The development of cancer arising from cysts increases from <0.7% in first decade of life to >11.4% after 2nd decade of life. Anatomic abnormality pancreaticbiliary maljunction (PBM) is a noted etiologic factor for cyst development and even for development of cancer in cysts. We report a rare adult presentation of choledochal cyst with underlying abnormal pancreaticobiliary maljunction with gall bladder carcinoma.

Vascular Lesions of the Mediastinum

Chest Imaging ◽  
2019 ◽  
pp. 499-503
Author(s):  
Brett W. Carter
Keyword(s):  
Chest Radiography ◽  
Pediatric Population ◽  
Pulmonary Arteries ◽  
Vascular Lesions ◽  
Cross Sectional ◽  
Vascular Abnormalities ◽  
Contrast Enhanced ◽  
Cross Sectional Imaging ◽  
Enhanced Computed Tomography ◽  
Arteries And Veins

Vascular lesions represent approximately 10% of mediastinal masses detected on chest radiography. The most common lesions include abnormalities of the systemic arteries and veins, pulmonary arteries and veins, and thoracic aorta. Benign neoplasms such as hemangiomas and lymphangiomas are rare. Vascular abnormalities may be congenital or acquired, and the former may be associated with congenital heart disease in the pediatric population. Most acquired lesions are degenerative, post-traumatic, or neoplastic. Vascular lesions of the mediastinum may be detected on chest radiography as loss of normal mediastinal contours, focal opacities, or thickening of lines and stripes. These abnormalities are best evaluated with cross-sectional imaging such as contrast-enhanced computed tomography (CT) or CT angiography (CTA).

scholarly journals Vagal Paraganglioma Presenting as a Neck Mass Associated with Cough on Palpation

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Richard Heyes ◽  
Nizar Taki ◽  
Miriam A. O’Leary
Keyword(s):  
Vagus Nerve ◽  
Complete Resolution ◽  
English Literature ◽  
Surgical Excision ◽  
Neck Mass ◽  
Pulsatile Tinnitus ◽  
Cross Sectional ◽  
Patient Reported ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

A 70-year-old female presented with a neck mass and sporadic dry cough, often leading to fits of coughing severe enough to cause vomiting. The patient reported that touching the mass triggered the cough. On examination, a 2.5 cm right-sided level two neck mass deep to the sternocleidomastoid was present. Palpation of the mass immediately triggered coughing. Cross-sectional imaging proposed vagal paraganglioma as the chief differential, which was confirmed following surgical excision. The patient reported complete resolution of her severe dry cough after surgery. Vagal paragangliomas are rare neuroendocrine tumors arising from the neural crest-derived paraganglionic tissue surrounding the vagus nerve, typically presenting as a neck mass associated with hoarseness or pulsatile tinnitus. To the best of our knowledge this is a unique description in the English literature. This case is presented to aid physicians should they encounter a neck mass associated with cough. Vagal paraganglioma, although rare, should be part of the differential in such a presentation.

Herniography (Peritoneography) for Diagnosis of Spigelian Hernia

2005 ◽  
Vol 50 (3) ◽  
pp. 124-125 ◽  
Author(s):  
G Sen ◽  
R Lochan ◽  
B V Joypaul
Keyword(s):  
Clinical Signs ◽  
Rare Condition ◽  
Spigelian Hernia ◽  
Contrast Study ◽  
Ultrasound Scan ◽  
Review Of Literature ◽  
Cross Sectional ◽  
Non Invasive ◽  
Cross Sectional Imaging

Background: Spigelian hernia is a rare clinical condition. It is difficult to diagnose in absence of obvious clinical signs. Ultrasound scan, cross-sectional imaging and contrast studies like herniography have been widely used for detecting occult abdominal wall hernias in symptomatic patients. Aim and methods: We present our experience of detecting a clinically occult Spigelian hernia in a 56-year-old symptomatic male patient, who had concomitant left sided inguinal and Spigelian hernias. In this patient, the Spigelian hernia was not detected on ultrasound scan. We also present a review of literature on the role of herniography in the diagnosis of this rare condition. Results and Conclusion: Herniography is a sensitive investigation for evaluation of occult hernias. However, it is an invasive contrast study and therefore must be used selectively. Non-invasive real-time imaging like ultrasonography remains the first line of investigation for detecting occult hernias.

scholarly journals Paraganglioma of the Bladder: a Case Report

2021 ◽  
Author(s):  
Tess van Doorn ◽  
Leonore F. Albers ◽  
Jaap van der Laan ◽  
Hossain Roshani
Keyword(s):  
Urothelial Carcinoma ◽  
Transurethral Resection ◽  
Clinical Symptoms ◽  
Bladder Wall ◽  
Hypertensive Crisis ◽  
Rare Condition ◽  
The Body ◽  
Patient Reported ◽  
Bladder Pathology ◽  
Benign Tumours

AbstractA paraganglioma of the bladder is a rare condition. Paraganglioma may case general symptoms of illness like sweating or headache. When performing a transurethral resection of the bladder of the paraganglioma, an antiadrenergic intervention is advised since the resection can trigger a hypertensive crisis. A 65-year-old female was under surveillance after a radical nephroureterectomy because of pTaG2 urothelial carcinoma of the renal pelvis. A year later, she had a recurrence in the bladder (pathology: TaG1 urothelial carcinoma). During follow-up, another suspicious lesion at the bladder wall was seen and resected by transurethral resection of the bladder. The pathology showed a paraganglioma. No other paragangliomas elsewhere in the body were detected. In retrospect, the patient reported to suffer from intermittent palpations and headaches, which are related to a paraganglioma. Paragangliomas are neuro-endocrine tumours and can occur at any age. Paragangliomas of the bladder are accountable for 0.05% of the tumours of the bladder. Eighty-three percent of the paragangliomas of the bladder are symptomatic due to production of catecholamines. Clinical symptoms include sweating, palpitations and hypertension during micturition and haematuria. Cystoscopy and resection of a hormone-producing can be dangerous in patients with symptomatic paragangliomas because of possible provocation of hypertensive crisis. Differentiating between malignant and benign tumours is difficult due to lack of histological criteria. Therefore, life-long monitoring is warranted.

State-of-the-art pulmonary arterial imaging – Part 2

VASA ◽  
2018 ◽  
Vol 47 (5) ◽  
pp. 361-375 ◽  
Author(s):  
Harold Goerne ◽  
Abhishek Chaturvedi ◽  
Sasan Partovi ◽  
Prabhakar Rajiah
Keyword(s):  
Pulmonary Artery ◽  
State Of The Art ◽  
Therapy Monitoring ◽  
Pulmonary Arteries ◽  
Imaging Modalities ◽  
Cross Sectional ◽  
Multiple Imaging ◽  
Cross Sectional Imaging ◽  
Pulmonary Arterial ◽  
Arterial Imaging

Abstract. Although pulmonary embolism is the most common abnormality of the pulmonary artery, there is a broad spectrum of other congenital and acquired pulmonary arterial abnormalities. Multiple imaging modalities are now available to evaluate these abnormalities of the pulmonary arteries. CT and MRI are the most commonly used cross-sectional imaging modalities that provide comprehensive information on several aspects of these abnormalities, including morphology, function, risk-stratification and therapy-monitoring. In this article, we review the role of state-of-the-art pulmonary arterial imaging in the evaluation of non-thromboembolic disorders of pulmonary artery.

State-of-the-art aortic imaging: Part II - applications in transcatheter aortic valve replacement and endovascular aortic aneurysm repair

VASA ◽  
2014 ◽  
Vol 43 (1) ◽  
pp. 6-26 ◽  
Author(s):  
Fabian Rengier ◽  
Philipp Geisbüsch ◽  
Paul Schoenhagen ◽  
Matthias Müller-Eschner ◽  
Rolf Vosshenrich ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Replacement ◽  
Surgical Repair ◽  
Imaging Modality ◽  
Open Surgical Repair ◽  
Cross Sectional ◽  
Transcatheter Aortic Valve ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Transcatheter aortic valve replacement (TAVR) as well as thoracic and abdominal endovascular aortic repair (TEVAR and EVAR) rely on accurate pre- and postprocedural imaging. This review article discusses the application of imaging, including preprocedural assessment and measurements as well as postprocedural imaging of complications. Furthermore, the exciting perspective of computational fluid dynamics (CFD) based on cross-sectional imaging is presented. TAVR is a minimally invasive alternative for treatment of aortic valve stenosis in patients with high age and multiple comorbidities who cannot undergo traditional open surgical repair. Given the lack of direct visualization during the procedure, pre- and peri-procedural imaging forms an essential part of the intervention. Computed tomography angiography (CTA) is the imaging modality of choice for preprocedural planning. Routine postprocedural follow-up is performed by echocardiography to confirm treatment success and detect complications. EVAR and TEVAR are minimally invasive alternatives to open surgical repair of aortic pathologies. CTA constitutes the preferred imaging modality for both preoperative planning and postoperative follow-up including detection of endoleaks. Magnetic resonance imaging is an excellent alternative to CT for postoperative follow-up, and is especially beneficial for younger patients given the lack of radiation. Ultrasound is applied in screening and postoperative follow-up of abdominal aortic aneurysms, but cross-sectional imaging is required once abnormalities are detected. Contrast-enhanced ultrasound may be as sensitive as CTA in detecting endoleaks.

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