scholarly journals A Rare Case of a Large Meningocele Posterior Sacrococcygeal

2021 ◽  
Vol 2 (1) ◽  
pp. 20-22
Author(s):  
Rakotondraibe Willy Francis ◽  
Bemora Joseph Synèse ◽  
Habib Nouraly ◽  
Raveloharimino Nirina Henintsoa ◽  
Tsiaremby Marc Guichard ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Rare Case ◽  
Antenatal Diagnosis ◽  
Normal Skin ◽  
Sacrococcygeal Teratoma ◽  
Metabolic Complications ◽  
Maternal History ◽  
X Ray ◽  
Fluid Formation

We report a case of sacrococcygeal meningocele simulating a sacrococcygeal teratoma. Likewise, there are a discussion of the pathophysiology and surgical approach of these types of lesions. We present a case of an exceptionally large posterior coccygeal meningocele of a newborn, and show the interest of radio-echographic couple and the interest of a management surgical approach. This was a case of posterior coccygeal meningocele, in a 10-day-old newborn born at term, with no known maternal history other than active smoking. The clinical examination finds a eupneic newborn, presents a median mass at the level of the sacrococcygeal part, of soft consistency, painless, without signs of inflammation, of normal skin, volume 18 x 21 x 19 cm, with positive transillumination test, no sensitivomotor deficit of both limbs, no other malformative anomalies detected clinically, but presence of anal atony and vesico-anal inconstancy. The ultrasound reveals a fluid formation containing small cysts. The x-ray revealed the absence of the posterior coccyx arch, an appearance in favor of a posterior sacrococcygeal meningocele. The surgery consisted of a meningocele cure followed by a buttock plasty. The postoperative follow-up was simple, without infectious or metabolic complications. Standardization and improvement of accessibility to ultrasound and obstetric MRI could improve the antenatal diagnosis of this pathology in Madagascar. 

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 Sacrococcygeal teratoma: a case report

2019 ◽  
Vol 6 (3) ◽  
pp. 1007
Author(s):  
Nilay Kumar ◽  
Avinash Kumar Sinha
Keyword(s):  
Germ Cell ◽  
Clinical Presentation ◽  
Normal Growth ◽  
Female Child ◽  
Large Mass ◽  
Sacrococcygeal Teratoma ◽  
X Ray ◽  
Sacrococcygeal Region ◽  
To Come

Teratomas are germ cell tumours composed of multiple types of cells derived from more than a single germ cell layer. The most common site of an extra gonadal teratoma is the sacrococcygeal region. We report a case of a 10-day-old female child with a large swelling in the sacrococcygeal region extending laterally into the buttocks. X-ray showed a large mass projecting from the lower pelvic region and delineate the extent of the tumour and the involvement of tissues. Image findings and clinical presentation led to the diagnosis of sacrococcygeal teratoma. Tumour was surgically excised with prior pre-anaesthetic checkup, post-operative period was uneventful. She was discharged with advice to come in follow-up surgical outpatient clinic. There was no evidence of tumour recurrence till 1 year of age. She had normal growth curve for her age with normal developmental milestones.

scholarly journals Isolated calcific tendinitis at the posterosuperior labrum: a rare case study

2020 ◽  
Vol 23 (4) ◽  
pp. 194-197
Author(s):  
Dong-Hwan Suh ◽  
Jong-Hun Ji ◽  
Chang-Yeon Kim
Keyword(s):  
Shoulder Joint ◽  
Rare Case ◽  
Calcific Tendinitis ◽  
Resonance Imaging ◽  
Mri Findings ◽  
X Ray ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

Calcific tendinitis of the shoulder joint, also known as chemical furuncle of the shoulder, causes intense shoulder pain and usually occurs within 1–2 cm from the insertion of the rotator cuff. We experienced a rare case of calcific tendinitis in the posterosuperior labrum of the shoulder joint in a 39-year-old male patient who presented with severe pain and weakness in the right shoulder. Radiographs and magnetic resonance imaging (MRI) findings showed calcific tendinitis in the posterosuperior labrum of the shoulder joint. A 1-week attempt at conservative treatment failed, so the calcified deposit in the posterosuperior labrum was arthroscopically removed. The patient’s symptoms were completely relieved, and satisfactory clinical outcomes were achieved. Postoperative follow-up X-ray and MRI showed no recurrence of calcific tendinitis.

scholarly journals Hemangioma of the rib: a rare case report and literature review

Open Medicine ◽  
2017 ◽  
Vol 12 (1) ◽  
pp. 257-260
Author(s):  
You-cai Zhu ◽  
Xue-ping Lin ◽  
Yan Lu ◽  
Wen-xian Wang ◽  
Kai-qi Du ◽  
...  
Keyword(s):  
Blood Cells ◽  
Rare Case ◽  
Benign Neoplasm ◽  
X Ray ◽  
Fibrous Stroma ◽  
Rare Case Report ◽  
Chest X Ray ◽  
Thin Walled ◽  
Bone Trabeculae

AbstractHemangiomas of the rib are extremely rare benign neoplasm. Here we present a case in a 47-year-old female, detected by chest X-ray and underwent a surgical resection. Histologically, the tumor was composed of a homogeneous conglomerate, irregular, thin walled and dilated blood vessels containing red blood cells, supported by fibrous stroma and intermingled to regular bone trabeculae. The postoperative courses were uneventful, and there was no recurrence during 64 months follow-up.

Electron Microscopy of Human Gallstones

1971 ◽  
Vol 29 ◽  
pp. 296-297
Author(s):  
C. Wolpers ◽  
R. Blaschke
Keyword(s):  
Electron Microscopy ◽  
Room Temperature ◽  
Bile Pigment ◽  
X Ray Diffraction ◽  
Triclinic Crystal System ◽  
X Ray ◽  
Follow Up Study ◽  
Infra Red ◽  
Main Components

Scanning microscopy was used to study the surface of human gallstones and the surface of fractures. The specimens were obtained by operation, washed with water, dried at room temperature and shadowcasted with carbon and aluminum. Most of the specimens belong to patients from a series of X-ray follow-up study, examined during the last twenty years. So it was possible to evaluate approximately the age of these gallstones and to get information on the intensity of growing and solving.Cholesterol, a group of bile pigment substances and different salts of calcium, are the main components of human gallstones. By X-ray diffraction technique, infra-red spectroscopy and by chemical analysis it was demonstrated that all three components can be found in any gallstone. In the presence of water cholesterol crystallizes in pane-like plates of the triclinic crystal system.

Identification of Pulmonary Deposits from a Sandpaper Worker: A Study by Electron Microscopy and X-Ray Microanalysis

1982 ◽  
Vol 40 ◽  
pp. 52-53
Author(s):  
S. K. Peng ◽  
M.A. Egy ◽  
J. K. Singh ◽  
M.B. Bishop
Keyword(s):  
Electron Microscopy ◽  
Environmental Pollution ◽  
Rare Case ◽  
Interstitial Fibrosis ◽  
X Ray ◽  
Documented Case ◽  
Etiologic Agents ◽  
Pulmonary Interstitial Fibrosis ◽  
Gold Miners ◽  
Pulmonary Changes

Electron microscopy and energy dispersive x-ray microanalysis (EDXA) are found to be very useful tools for identification of etiologic agents in pneumoconiosis or interstitial pulmonary disorders. Pulmonary interstitial fibrosis and granulomatosis are frequently associated with occupational and environmental pollution. Numerous reports of pneumoconiosis in various occupations such as coal and gold miners are presented in the literature. However, there is no known documented case of pulmonary changes in workers in the sandpaper industry. This study reports a rare case of pulmonary granulomatosis containing deposits from abrasives of sandpaper diagnosed by using EDXA.

Sacrococcygeal Teratoma: Antenatal Diagnosis: About 6 Cases

2016 ◽  
Vol 76 (05) ◽  
Author(s):  
F Mraihi ◽  
A Gharsa ◽  
W Abdallah Med ◽  
S Schlomann ◽  
A Achour ◽  
...  
Keyword(s):  
Antenatal Diagnosis ◽  
Sacrococcygeal Teratoma

Congenital Syphilis Simulating Bone Neoplasm in 2-Month Old Infant – Case Report

2017 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Case Report ◽  
Congenital Syphilis ◽  
Eosinophilic Granuloma ◽  
Osteolytic Lesion ◽  
Lower Limbs ◽  
Upper Body ◽  
Elective Cesarean Section ◽  
Distal Fibula ◽  
X Ray

Introduction: Congenital Syphilis (CS) occurs through the transplacental transmission of Treponema pallidum in inadequately treated or non-treated pregnant women, and is capable of severe consequences such as miscarriage, preterm birth, congenital disease and/or neonatal death. CS has been showing an increasing incidence worldwide, with an increase of 208% from 2009 to 2015 in Brazil. Case report: 2-month old infant receives care in emergency service due to edema of right lower limb with pain in mobilization. X-ray with osteolytic lesion in distal fibula. Infant was sent to the Pediatrics Oncology clinic. Perinatal data: 7 prenatal appointments, negative serology at 10 and 30 weeks of gestation. End of pregnancy tests were not examined and tests for mother’s hospital admission were not requested. Mother undergone elective cesarean section at 38 weeks without complications. During the pediatric oncologist appointment, patient showed erythematous-squamous lesions in neck and other scar-like lesions in upper body. A new X-ray of lower limbs showed lesions in right fibula with periosteal reaction associated with aggressive osteolytic lesion compromising distal diaphysis, with cortical bone rupture and signs of pathological fracture, suggestive of eosinophilic granuloma. She was hospitalized for a lesion biopsy. Laboratory tests: hematocrit: 23.1 / hemoglobin 7.7 / leukocytes 10,130 (without left deviation) / platelets 638,000 / Negative Cytomegalovirus IgG and IgM and Toxoplasmosis IgG and IgM / VDRL 1:128. Congenital syphilis diagnosis with skin lesions, bone alterations and anemia. Lumbar puncture: glucose 55 / total proteins 26 / VDRL non reagent / 13 leukocytes (8% neutrophils; 84% monomorphonuclear; 8% macrophages) and 160 erythrocytes / negative VDRL and culture. X-ray of other long bones, ophthalmological evaluation and abdominal ultrasound without alterations. Patient was hospitalized for 14 days for treatment with Ceftriaxone 100mg/kg/day, due to the lack of Crystalline Penicillin in the hospital. She is now under outpatient follow-up. Discussion: CS is responsible for high rates of morbidity and mortality. The ongoing increase of cases of this pathology reflects a severe health issue and indicates failures in policies for the prevention of sexually transmitted diseases, with inadequate follow-up of prenatal and maternity protocols.

Lingual Dystonia Treated with Botulinum Toxin - A Case Report

1970 ◽  
Vol 24 (2) ◽  
pp. 75-78
Author(s):  
MA Hayee ◽  
QD Mohammad ◽  
H Rahman ◽  
M Hakim ◽  
SM Kibria
Keyword(s):  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
X Ray ◽  
Medical College ◽  
Lingual Dystonia ◽  
History Of ◽  
Chest X Ray

A 42-year-old female presented in Neurology Department of Sir Salimullah Medical College with gradually worsening difficulty in talking and eating for the last four months. Examination revealed dystonic tongue, macerated lips due to continuous drooling of saliva and aspirated lungs. She had no history of taking antiparkinsonian, neuroleptics or any other drugs causing dystonia. Chest X-ray revealed aspiration pneumonia corrected later by antibiotics. She was treated with botulinum toxin type-A. Twenty units of toxin was injected in six sites of the tongue. The dystonic tongue became normal by 24 hours. Subsequent 16 weeks follow up showed very good result and the patient now can talk and eat normally. (J Bangladesh Coll Phys Surg 2006; 24: 75-78)

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