scholarly journals A Rare Case of Thoracoschisis

2017 ◽  
Vol 6 (3) ◽  
pp. 65 ◽  
Author(s):  
Jamie Harris ◽  
Yanmin Zhang ◽  
Saurabh Patel ◽  
Benjamin Dille ◽  
Steven Garzon ◽  
...  
Keyword(s):  
Rare Case ◽  
Diagnostic Laparoscopy ◽  
Normal Liver ◽  
Radiological Imaging ◽  
Pathologic Examination ◽  
Liver Segment ◽  
Left Chest ◽  
Male Baby ◽  
Left Hemidiaphragm ◽  
Left Nipple

A term male baby, after delivery, was found to have a 3-centimeter beefy-red mass protruding from the left chest wall, adjacent to the left nipple. Radiological imaging suggested it’s origin from the left lateral liver segment. A diagnostic laparoscopy confirmed the isolated connection to the liver, elevated left hemidiaphragm, and protrusion between the ribs. The mass was excised using electrocautery, and pathologic examination showed normal liver tissue.

scholarly journals Diagnostic difficulties in obturator hernia: a rare case presentation and review of literature

2020 ◽  
Vol 13 (9) ◽  
pp. e235644
Author(s):  
Tharun Ganapathy Chitrambalam ◽  
Pradeep Joshua Christopher ◽  
Jeyakumar Sundaraj ◽  
Sundeep Selvamuthukumaran
Keyword(s):  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Diagnostic Laparoscopy ◽  
Obturator Hernia ◽  
High Morbidity ◽  
Radiological Imaging ◽  
Review Of Literature ◽  
Case Presentation ◽  
Diagnostic Difficulties

Hernia arising from obturator canal is rare and it contributes to about less than 1% of incidence of all hernias. Diagnosing an obturator hernia clinically is a challenging one and nearly impossible. These hernias usually present as an intestinal obstruction as more than 50% of obturator hernias goes in for strangulation. Here, we report an unusual presentation of an obturator hernia in a 70-year-old woman who presented to emergency room with acute abdomen and uncomplicated reducible inguinal hernia. Radiological imaging showed obstructed inguinal hernia while on diagnostic laparoscopy, a strangulated and perforated obturator hernia of Richter’s type was seen in addition to an uncomplicated inguinal hernia. Obturator hernia, although very rare, is associated with high morbidity and mortality as it is often underdiagnosed as in our case. Laparoscopy bailed us out from missing out a perforation from an occult obturator hernia.

Intra-Peritoneal Pseudocyst as a Rare Complication After Peritoneal Dialysis: The Use of a Staged Surgical Approach in Management

2021 ◽  
pp. 000313482110474
Author(s):  
Ahmad Kharsa ◽  
Kayla Colvill ◽  
Heather Stevenson ◽  
Jeffrey Fair ◽  
Rupak Kulkarni ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Surgical Approach ◽  
Rare Case ◽  
Diagnostic Laparoscopy ◽  
Rare Complication ◽  
Cyst Excision ◽  
Neoplastic Processes ◽  
Life Threatening ◽  
Pseudocyst Formation

Despite its numerous benefits, peritoneal dialysis (PD) can rarely result in dangerous and even life-threatening complications, including peritonitis, hernias, encapsulating peritoneal sclerosis (EPS), and rarely peritoneal pseudocysts. Herein, we present a rare case of a giant intra-peritoneal pseudocyst that presented four months following the discontinuation of a 5-year course of complicated PD. Despite the initially successful drainages, the patient’s symptoms continued to recur, and the imaging findings were concerning for underlying neoplastic processes. As such, a staged surgical approach was performed, starting with a diagnostic laparoscopy and was subsequently followed with cyst excision and marsupialization to the peritoneal cavity. While previous reports of such rare pseudocyst have been documented in the literature as a complication of PD, to our knowledge, this is the second case of pseudocyst formation to occur months after the discontinuation of PD therapy. This case emphasizes the importance of close follow-up in PD patients and showcases how a staged surgical approach can be utilized to accurately diagnose and manage such complicated cases.

scholarly journals Atraumatic Left Distal Radial Artery Aneurysm

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Joseph Maalouly ◽  
Dany Aouad ◽  
Elias Saidy ◽  
Antonios Tawk ◽  
Georges Baaklini ◽  
...  
Keyword(s):  
Radial Artery ◽  
Rare Case ◽  
Artery Aneurysm ◽  
Operative Management ◽  
Chief Complaint ◽  
Radiological Imaging ◽  
Left Wrist ◽  
Pulsatile Mass ◽  
Left Radial Artery ◽  
Distal Radial Artery

Distal radial artery aneurysms are an uncommon pathological entity in the field of surgery. Moreover, distal radial artery aneurysms of idiopathic etiology are even rarer. Herein, we present a rare case of idiopathic/atraumatic left radial artery aneurysm. A 73-year-old female patient presented with a chief complaint of a pulsatile mass located on her left wrist. Radiological imaging showed the presence of a distal radial artery aneurysm which was successfully surgically excised with subsequent ligation of the radial artery. Some of the etiologies and operative management of distal radial artery aneurysm in the anatomical snuffbox to what is in accordance with the literature are discussed. Distal radial artery aneurysms are rare. Hence, their misdiagnosis may lead to wrongful management and increase in morbidity. The appropriate management of distal radial aneurysm is almost always surgical.

scholarly journals Subcutaneous Emphysema, Pneumomediastinum, Pneumoretroperitoneum, and Pneumoscrotum: Unusual Complications of Acute Perforated Diverticulitis

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
S. Fosi ◽  
V. Giuricin ◽  
V. Girardi ◽  
E. Di Caprera ◽  
E. Costanzo ◽  
...  
Keyword(s):  
Subcutaneous Emphysema ◽  
Rare Case ◽  
Correct Diagnosis ◽  
Clinical Findings ◽  
Perforated Diverticulitis ◽  
Alveolar Wall ◽  
X Rays ◽  
Radiological Imaging ◽  
Upper Airways ◽  
Surgical Exploration

Pneumomediastinum, and subcutaneous emphysema usually result from spontaneous alveolar wall rupture and, far less commonly, from disruption of the upper airways or gastrointestinal tract. Subcutaneous neck emphysema, pneumomediastinum, and retropneumoperitoneum caused by nontraumatic perforations of the colon have been infrequently reported. The main symptoms of spontaneous subcutaneous emphysema are swelling and crepitus over the involved site; further clinical findings in case of subcutaneous cervical and mediastinal emphysema can be neck and chest pain and dyspnea. Radiological imaging plays an important role to achieve the correct diagnosis and extension of the disease. We present a quite rare case of spontaneous subcutaneous cervical emphysema, pneumomediastinum, and pneumoretroperitoneum due to perforation of an occult sigmoid diverticulum. Abdomen ultrasound, chest X-rays, and computer tomography (CT) were performed to evaluate the free gas extension and to identify potential sources of extravasating gas. Radiological diagnosis was confirmed by the subsequent surgical exploration.

Echinococcosis of the psoas muscle: Clinical case

1992 ◽  
Vol 59 (1_suppl) ◽  
pp. 217-218
Author(s):  
F. Blefari ◽  
O. Risi ◽  
P. Pino
Keyword(s):  
Hydatid Cyst ◽  
Surgical Management ◽  
Rare Case ◽  
Clinical Case ◽  
Psoas Muscle ◽  
Radiological Imaging ◽  
Short Account ◽  
Diagnostic Difficulties ◽  
Left Psoas Muscle ◽  
Serological Data

A rare case of hydatid cyst of the left psoas muscle with a short account of the nosological, physiopathological and therapeutical aspects due to muscular echinococcosis is reported. The Authors particularly emphasize the diagnostic difficulties due to discrepancies between radiological imaging and serological data and specially recommend prudence in surgical management.

scholarly journals Extensive Subcutaneous Emphysema and Pneumomediastinum after Ecstasy Ingestion

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
A. Gungadeen ◽  
J. Moor
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Young Adult ◽  
Conservative Management ◽  
Subcutaneous Emphysema ◽  
Rare Case ◽  
Relevant Literature ◽  
Radiological Imaging ◽  
Neck Swelling ◽  
History Of

Objective. To present a rare case of extensive subcutaneous emphysema and spontaneous pneumomediastinum following ingestion of Ecstasy in a young adult. We also review the relevant literature and discuss how this case supplements it.Case Report. We report a case of a 19-year-old man with a history of painless neck and chest swelling, and no chest pain or breathlessness, after consuming Ecstasy tablets. Radiological imaging showed evidence of pneumomediastinum and extensive subcutaneous emphysema. The patient remained well under observation and his symptoms improved with conservative management.Conclusions. Subcutaneous emphysema and pneumomediastinum after Ecstasy ingestion is uncommon. Cases are often referred to the otolaryngologist as they can present with neck and throat symptoms. Our case showed that the severity of symptoms may not correlate with severity of the anatomical abnormality and that pneumomediastinum should be suspected in Ecstasy users who present with neck swelling despite the absence of chest symptoms. Although all cases reported so far resolved with conservative management, it is important to perform simple investigations to exclude coexisting serious pathology.

scholarly journals Case Report of Fetal Macrosomia with Birth Weight 6.25 kg: A Rare Encounter

2021 ◽  
Vol 43 (1) ◽  
pp. 57-59
Author(s):  
Suvana Maskey ◽  
Geeta Gurung
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Rare Case ◽  
Maternal Diabetes ◽  
Fetal Macrosomia ◽  
Male Baby ◽  
Newborn Weight ◽  
History Of ◽  
Route Of Delivery ◽  
Period Of Gestation

Newborn weight exceeding 4000 g or 4500 g is considered as macrosomia, incidence of which varies from 6 to 10% of all deliveries. Maternal diabetes, obesity, age >35 years, male baby, history of previous macrosomia, multiparity are few risk factors. It is associated with several maternal and neonatal complications and presents an obstetric challenge as there is no consensus regarding the most appropriate route of delivery for macrosomic baby. We report a rare case of fetal macrosomia with birth weight of 6.25 kg delivered by cesarean section to 39 years old woman at 38 weeks 6 days period of gestation.

The great mimicker: a rare case of head and neck inflammatory pseudotumour in the presence of human immunodeficiency virus

2015 ◽  
Vol 130 (1) ◽  
pp. 107-110 ◽  
Author(s):  
H Ramotar ◽  
L Cheung ◽  
L Pitkin
Keyword(s):  
Human Immunodeficiency Virus ◽  
Head And Neck ◽  
Cervical Lymph Node ◽  
Rare Case ◽  
Radiological Imaging ◽  
Inflammatory Pseudotumour ◽  
Antiretroviral Therapies ◽  
Appropriate Treatment ◽  
Immunodeficiency Virus ◽  
Inflammatory Syndrome

AbstractBackground:Inflammatory pseudotumours of the head and neck are rare. A connection has been made between inflammatory pseudotumours and human immunodeficiency virus positivity.Case report:This paper reports a case of an inflammatory pseudotumour presenting with a lesion in the left tonsil and left cervical lymph node in a 49-year-old human immunodeficiency virus positive patient. A histological diagnosis was obtained after biopsy and serial radiological imaging.Conclusion:Diagnostic uncertainties can lead to unnecessary surgery. It is important to recognise the clinical, radiological and histological indicators of an inflammatory pseudotumour to enable a timely diagnosis and arrange appropriate treatment. In patients with co-morbidities causing immunocompromise, the potential diagnosis of an inflammatory pseudotumour should be considered. This is especially the case in human immunodeficiency virus patients, as inflammatory pseudotumours have been associated with immune reconstitution inflammatory syndrome, which can manifest up to several years after the initiation of, or change in, antiretroviral therapies.

scholarly journals Extrahepatic undifferentiated embryonal sarcoma, cytology as an accurate method for early diagnosis: an extremely rare case report in an Indian child

2019 ◽  
Vol 7 (8) ◽  
pp. 3175
Author(s):  
Nupur Rastogi ◽  
R. K. Tanwar ◽  
B. Saxena
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Rare Case ◽  
Normal Liver ◽  
Accurate Method ◽  
First Case ◽  
Mesenchymal Neoplasm ◽  
Rare Case Report ◽  
Upper Abdominal ◽  
Embryonal Sarcoma

Undifferentiated embryonal sarcoma has been described in the liver, a rare malignant mesenchymal neoplasm, that occurs primarily in children and teenagers. Approximately 260 cases have been reported arising in the liver since 1978 when this disease was first described. Its pathogenesis is still obscure. Authors presented a case of extrahepatic undifferentiated embryonal sarcoma in a 9-year-old female presenting with upper abdominal dull pain. Ultrasound and CT Scan showed normal liver architecture, with liver pushed upwards due to compression by tumor arising in the retroperitoneum. To the best of our knowledge, this is first case of extrahepatic undifferentiated embryonal sarcoma diagnosed on cytomorphology and confirmed by histopathology and immunohistochemistry markers.

scholarly journals Congenital femoral deficiency: a rare case report

2017 ◽  
Vol 4 (3) ◽  
pp. 1118
Author(s):  
Sadashiva B Ukkali ◽  
Khodaija Mahvish ◽  
Nazeer Jeergal
Keyword(s):  
Congenital Anomaly ◽  
Lower Limb ◽  
Rare Case ◽  
Detailed History ◽  
Rare Congenital Anomaly ◽  
Male Baby ◽  
Left Lower Limb ◽  
Rare Case Report ◽  
Type C ◽  
Proximal Femoral Focal Deficiency

Proximal femoral focal deficiency (PFFD) is a rare congenital anomaly. We present a case of an isolated unilateral congenital femoral deficiency that was born locally. A full-term male baby was brought to us with a complaint of short left lower limb. Examination revealed short left lower limb with absence of thigh. Detailed history was obtained and he was examined clinically as well as radiologically. He was diagnosed as a case of PFFD of type C. Proper evaluation and its management accordingly can help the patient to lead a socially and economically productive life. 

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