scholarly journals Concha Bullosa Mucocele: A Case Series and Review of the Literature

2016 ◽  
Vol 7 (4) ◽  
pp. ar.2016.7.0179 ◽  
Author(s):  
Sarah Khalife ◽  
Cinzia Marchica ◽  
Faisal Zawawi ◽  
Sam J. Daniel ◽  
John J. Manoukian ◽  
...  
Keyword(s):  
Care Center ◽  
Middle Turbinate ◽  
Case Series ◽  
Subtotal Resection ◽  
Concha Bullosa ◽  
Review Of The Literature ◽  
Nasal Mass ◽  
Health Care Center ◽  
Imaging Characteristics ◽  
Rare Diagnosis

Background Concha bullosa mucocele is a rare diagnosis that presents as a nasal mass. It impinges on surrounding structures and can easily be mistaken for a neoplasm. Objective The objective of this study was to shed light on this rare entity and report its diagnostic features and treatment outcomes. Methods A case series conducted in a tertiary health care center. Demographic data, clinical presentation, imaging, cultures, and treatments were recorded. Operative video illustration and key images were obtained. A review of the literature was also performed. Results A total of five cases were reviewed, four of which were concha bullosa mucoceles and one was a mucopyocele. Three of the patients had some form of previous nasal trauma. Headache and nasal obstruction were the most common symptoms with a nasal mass finding on physical examination. Computed tomography was used in all the patients, and magnetic resonance imaging was used in four of the five patients. Four patients had coexistent chronic rhinosinusitis, and three had positive bacterial cultures. All these patients were treated endoscopically either with middle turbinate marsupialization or subtotal resection. No recurrence has been noted thus far. Conclusion Concha bullosa mucocele is a rare diagnosis. Imaging characteristics are helpful in considering the diagnosis, although surgical intervention is often necessary to confirm the diagnosis and treat concha bullosa mucocele.

scholarly journals Phyllodes tumors of the breast treated in a tertiary health care center: case series and literature review

2018 ◽  
Vol 48 (1) ◽  
pp. 030006051880353
Author(s):  
Hazem Assi ◽  
Rana Salem ◽  
Fares Sukhon ◽  
Jaber Abbas ◽  
Fouad Boulos ◽  
...  
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Care Center ◽  
Case Series ◽  
Health Care Center ◽  
Phyllodes Tumors

Spectrum of Cantrell’s Pentalogy: Case Series From a Single Tertiary Care Center and Review of the Literature

2013 ◽  
Vol 34 (7) ◽  
pp. 1703-1710 ◽  
Author(s):  
Kiran K. Mallula ◽  
Cyndi Sosnowski ◽  
Sawsan Awad
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Case Series ◽  
Tertiary Care Center ◽  
Review Of The Literature ◽  
Cantrell's Pentalogy

scholarly journals Unusual Location of a Fungus Ball: The Concha Bullosa, a Review of the Literature

2021 ◽  
Vol 12 ◽  
pp. 215265672110361
Author(s):  
Walid Bijou ◽  
Bushra Abdulhakeem ◽  
Karim Choukry ◽  
Youssef Oukessou ◽  
Sami Rouadi ◽  
...  
Keyword(s):  
Demographic Data ◽  
Fungus Ball ◽  
Concha Bullosa ◽  
Review Of The Literature ◽  
Gender Ratio ◽  
Fungal Ball ◽  
The Mean ◽  
Rare Diagnosis ◽  
Tomography Scan

Introduction The fungal balls of the paranasal sinuses are usually seen in the maxillary and sphenoid sinuses. Although, the lesion of the concha bullosa, without sinus participation, is very uncommon. We report the case of a fungal ball of concha bullosa in an 88-year-old patient. Objective The objective of our review of literature is to investigate the epidemiological, clinical, paraclinical, and therapeutic characteristics of patients diagnosed with fungus ball in concha bullosa. Methods A case of a patient who was diagnosed with concha bullosa of a fungus ball is reported. Demographic data, clinical presentation, imaging, and treatments were recorded. Key images were obtained. A review of the literature was also performed. Results A total of 12 cases have been reported so far in the literature revealed by different symptoms. The mean age was 38.8 years and the gender ratio was ∼12 (female):1 (male). The endoscopic surgical approach was the most frequently used treatment and provides good outcomes. Neither postoperative complications nor recurrences were noted, however, there is insufficient follow-up data. Conclusion Concha bullosa fungal ball is a rare diagnosis that can be revealed by different symptoms. It should be considered in patients with and unexplained chronic facial pain. A preoperative computed tomography scan is an essential tool in making a diagnosis. Endoscopic surgery is the treatment of choice, with a low morbidity and recurrence rate.

scholarly journals Characterization of a case series of Mastocytosis in a health care center in Cali, Colombia

2021 ◽  
Author(s):  
Daniela Marulanda Sandoval ◽  
Oscar Felipe Borja Montes ◽  
Jose Leonel Zambrano Urbano ◽  
Rigoberto Gomez Gutierrez
Keyword(s):  
World Literature ◽  
Case Reports ◽  
Care Center ◽  
Clinical Manifestations ◽  
Case Series ◽  
Poor Response ◽  
Skin Lesions ◽  
Serum Tryptase ◽  
Health Care Center

Abstract Mastocytosis is a group of rare diseases, which correspond to neoplasms of the myeloid lineage. In Colombia there are only case reports and so far there are no studies of greater extension. We conducted a case series in which an active search was made for patients with a diagnosis of mastocytosis, either cutaneous (CM) or systemic (SM), from the total number of consultations between June 2004 and June 2019 in the reference hemato-oncologic center ("mastocytosis"). A total of 4 cases of CM and 3 cases of SM were identified. The most frequent clinical manifestations were skin lesions, which were present in 100% of patients; of these hyperpigmented macules were the most frequent findings. Serum tryptase (TS) levels were found to be elevated in 67% (2/3) of patients with DM. Both TS levels and mean absolute eosinophils were higher in patients with MS. In this case series we found a higher frequency of extracutaneous involvement, and in general a very poor response to the management. The findings of this series are comparable to those reported in world literature.

scholarly journals Poncet’s disease diagnostic criteria decodes conundrum: Poncet’s vs pseudo Poncet’s

Reumatismo ◽  
2019 ◽  
Vol 71 (1) ◽  
pp. 46-50 ◽  
Author(s):  
V. Shobha ◽  
A.M. Desai
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Care ◽  
Diagnostic Criteria ◽  
Care Center ◽  
Case Series ◽  
The Other ◽  
Health Care Center ◽  
Seropositive Rheumatoid Arthritis ◽  
Poncet’S Disease

Poncet’s disease is very important and yet a challenging diagnosis of importance in countries with high TB endemicity (e.g. India). In this case series, we present 5 patients with diagnosed as Poncet’s disease and in our tertiary health care center over 12 months and examine the performance of the diagnostic criteria suggested by Sharma and Pinto. The majority (4/5) of the patients were subsequently diagnosed and responded to anti-tuberculous therapy. In the other patient, a diagnosis of atypical seropositive rheumatoid arthritis or Pseudo Poncet’s disease was established on follow up.

scholarly journals Concha Bullosa Mucopyocele: a Case Report

2015 ◽  
Vol 58 (4) ◽  
pp. 147-149 ◽  
Author(s):  
Kamran Sari ◽  
Zeliha Kapusuz Gencer ◽  
Yunus Kantekin
Keyword(s):  
Case Report ◽  
Nasal Obstruction ◽  
Middle Turbinate ◽  
Lateral Part ◽  
Mucociliary Transport ◽  
Anatomic Variations ◽  
Concha Bullosa ◽  
Left Nasal Cavity ◽  
Nasal Mass ◽  
History Of

Concha bullosa (CB) is among the most common anatomic variations of sinonasal anatomy. Although usually asymptomatic, CB can occasionally cause nasal obstruction or headache. Obstructions within the mucociliary transport system can develop into a mucocele or mucopyocele. A 48-year-old female, with a history of progressive headache and nasal obstruction, was referred to our department. Paranasal sinus tomography revealed a nasal mass in the left nasal cavity resembling a mucopyocele in the middle turbinate. Under general anesthesia, the purulent material was aspirated, and the lateral part of the left turbinate was resected. Mucopyoceles are common within the paranasal sinuses, but uncommon with CB; thus, they should be considered in patients with a large hyperemic nasal mass.

scholarly journals ECT in the Postpartum Period: A Retrospective Case Series from a Tertiary Health Care Center in India

2018 ◽  
Vol 40 (6) ◽  
pp. 562-567
Author(s):  
Sandeep Grover ◽  
Swapnajeet Sahoo ◽  
Subho Chakrabarti ◽  
Debashish Basu ◽  
Shubh M. Singh ◽  
...  
Keyword(s):  
Health Care ◽  
Postpartum Period ◽  
Care Center ◽  
Case Series ◽  
Retrospective Case ◽  
Health Care Center ◽  
Retrospective Case Series

scholarly journals Intrasellar cavernous hemangiomas: A case report with a comprehensive review of the literature

2021 ◽  
Vol 12 ◽  
pp. 58
Author(s):  
Sultan Al-Saiari ◽  
Khalid Al-Orabi ◽  
Ahmed Farag ◽  
Zaina Brinji ◽  
Azza Azzouz ◽  
...  
Keyword(s):  
Clinical Improvement ◽  
Clinical Manifestations ◽  
Subtotal Resection ◽  
Frozen Sections ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Comprehensive Review ◽  
Imaging Characteristics ◽  
Cavernous Hemangiomas ◽  
Delayed Contrast Enhancement

Background: Extra-axial cerebral cavernous hemangiomas particularly those found in the sellar region, are extremely rare. Their clinical manifestations and imaging characteristics can mimic those of a pituitary adenoma thus making preoperative diagnosis difficult. Few cases are reported in the literature. We present a case, along with a comprehensive review of the literature regarding specific aspects of diagnosis and management of all similarly reported rare cases. Case Description: We present the clinical, radiological, and operative data of a rare case of a large intrasellar cavernous hemangioma in a 49-year-old female patient presented with headache and diminution of vision, which was diagnosed intraoperatively during an endonasal endoscopic transsphenoidal approach. Subtotal debulking was performed with immediate postoperative clinical improvement. The patient was then referred for radiotherapy and maintained her clinical improvement since then. Conclusion: Neurosurgeons should consider this rare pathology in the preoperative differential diagnosis of sellar tumors. Bright hyperintense T2 signal with or without signal voids associated with centripetal delayed contrast enhancement in magnetic resonance imaging images might raise the suspicion which can be further confirmed intraoperatively with frozen sections. Due the reported high vascularity and intraoperative profuse bleeding leading to high operative morbidities, piecemeal subtotal resection followed by radiosurgery may be considered today as the safest and most effective strategy.

scholarly journals Malignant transformation of ovarian mature teratoma: 04 cases report, review of the literature

2020 ◽  
Vol 9 (2) ◽  
pp. 819
Author(s):  
Jihad Jamor ◽  
Alpha Boubacar Conte ◽  
Fatima Zohra Fdili Alaoui ◽  
Sofia Jayi ◽  
Hikmat Chaara ◽  
...  
Keyword(s):  
Health Care ◽  
Dermoid Cyst ◽  
Malignant Transformation ◽  
Care Center ◽  
Mature Teratoma ◽  
Rare Event ◽  
Review Of The Literature ◽  
Health Care Center ◽  
Epithelial Tumors ◽  
Post Menopausal

Mature ovarian teratomas or dermoid cysts are the most common ovarian germinal tumors and account for 20 to 25% of ovarian organ tumors. The malignant transformation of a mature teratoma is a rare event (1 to 3%), mainly found in the post-menopausal period. This is carcinomatous degeneration (80% of cases) or sarcomatous differentiated tissues of the dermoid cyst. The diagnosis of certainty is established by anatomopathological study of the surgical piece. Treatment of carcinoma teratomas is surgical and same to ovarian malignant epithelial tumors. We report four cases we managed in our health care center with a review of the literature.

scholarly journals Peri-operative Considerations in Intracranial Hemorrhage in Dengue Virus Infected Patients: A Prospective Mini Case Series

2016 ◽  
Vol 13 (1) ◽  
pp. 43-46
Author(s):  
Shyam C Meena ◽  
Suresh C Dulara ◽  
Sachindanand Gautam ◽  
Sharad Beldar
Keyword(s):  
Intracranial Hemorrhage ◽  
Care Center ◽  
Case Series ◽  
Operative Management ◽  
Toxic Encephalopathy ◽  
Rare Presentation ◽  
Health Care Center ◽  
Excellent Outcome ◽  
Neurologic Status ◽  
High Dependency

Dengue is one of the most common mosquito-transmitted arboviral diseases of tropical and few subtropical areas of the world. It is estimated that 100 million cases occur every year and 2.5 billion people are at risk. Hemorrhagic complications causing encephalopathy is quite a rare presentation but usually fatal. We discuss the peri-operative management of 8 uncommon cases of intracranial hemorrhage (ICH) in dengue. High index of suspicion is required for prompt diagnosis and treatment.Eighteen dengue serology positive patients who presented with neurological manifestations were managed in neurosurgery unit of our tertiary health care center in six months duration. Most of the patients had deranged prothrombin time and thrombocytopenia. They were given platelet concentrates for correction of thrombocytopenia. All vital parameters and neurologic status were closely monitored in high dependency unit. Eight of these patients had deterioration in neurologic status; five of them underwent surgery.All patients who underwent surgery had excellent outcome. Rest of the patients including one patient of cervical extradural hemorrhage were managed conservatively with intravenous fluid and cerebral decongestants. Two patients with deep-seated bleed deteriorated very rapidly and died. Rest who were managed either surgically or conservatively including cervical EDH improved well without any residual deficit.High index of suspicion of ICH is required in dengue especially during convalescence. Special attention should be given to those patients who are disoriented and have altered sensorium and should not be misinterpreted as fever delirium or toxic encephalopathy. It needs immediate attention and investigation. Timely diagnosis and intervention can save lives.Nepal Journal of Neuroscience 13:43-46, 2016  

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