Primary vesical actinomycosis with changes of cystitis cystica presenting as bladder mass

2021 ◽  
Vol 0 ◽  
pp. 1-4
Author(s):  
Nagendra Mishra ◽  
Henil Upadhyay ◽  
Charmy Parikh
Keyword(s):  
Soft Tissue ◽  
Urinary Bladder ◽  
Soft Tissue Mass ◽  
Histopathological Examination ◽  
Bladder Wall ◽  
Tissue Mass ◽  
Rare Differential Diagnosis ◽  
The Right ◽  
Cystitis Cystica ◽  
Bladder Mass

Actinomycosis is a rare chronic granulomatous suppurative infection caused by Gram-positive bacteria. The occurrence of primary vesical actinomycosis is extremely rare and only a few cases have been reported. Pre-operative diagnosis of vesical actinomycosis is challenging as the clinical and radiological features usually point towards bladder malignancy. Therefore, in most cases, definitive diagnosis is usually made after histopathological examination of the involved tissue. A 60-year-old male presented with complaints of hematuria, burning micturition, irritative, and obstructive urinary symptoms for 15 days. USG revealed a large soft-tissue mass having a polypoidal intraluminal and extraluminal component and involving the right posterolateral urinary bladder wall. CT scan showed a large irregular soft-tissue mass with multiple cystic lesions involving the right lateral wall of the urinary bladder. Transurethral resection of bladder mass biopsy was performed and the histopathological examination showed bacterial colonies of Actinomyces with changes of cystitis cystica. The patient was treated with amoxicillin and potassium clavulanate for 3 months. Actinomycosis should be kept as a rare differential diagnosis in cases presenting as bladder mass. The diagnosis is most commonly made by histopathology and may need a repeat biopsy to arrive at the correct diagnosis. The patient should be treated by penicillin group of antibiotics for 2–3 months and followed up for years to detect any recurrence.

A 30-Year-Old Man With a Soft Tissue Mass on the Right Elbow

2006 ◽  
Vol 130 (3) ◽  
pp. e35-e36
Author(s):  
Einas Alkuwari ◽  
Denis H. Gravel
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Tissue Mass ◽  
The Right

CHARACTERISTICS OF SOFT TISSUE MASS IN THE HAND BY ULTRASONOGRAPHIC EXAMINATION

2005 ◽  
Vol 09 (01) ◽  
pp. 45-51
Author(s):  
Alexander Blankstein ◽  
Aharon Chechick ◽  
Abraham Adunski ◽  
Uri Givon ◽  
Yigal Mirovski ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Wrist Joint ◽  
Imaging Modality ◽  
Routine Practice ◽  
X Rays ◽  
Diagnostic Challenge ◽  
Tissue Mass ◽  
Soft Tissue Masses ◽  
The Right

Soft tissue masses are amongst the commonest complaints encountered in orthopedic practice. Of these, masses found in the hand and the wrist are presented at higher frequency. They are often painful and may cause limitation of movement. This work describes the prevalence and the nature of soft tissue masses in the hand and wrist encountered in routine practice. This work was performed to assess the characteristics of soft tissue mass in the hand and the effectiveness of ultrasonography in the diagnosis of soft tissue masses and their differentiation from other lesions in the hand and wrist. Orthopedic surgical conditions that involve soft tissue in the hand and wrist may remain a diagnostic challenge when clinical diagnosis is uncertain and standard X-rays are non-diagnostic. High resolution ultrasound is widely available, non-invasive, without damage of radiation, imaging modality that can help the diagnosis. We reviewed retrospectively 25 patients with soft tissue masses. We compared the ultrasound findings with the histological findings in seven operated patients. A substantial majority of these lesions occurred in the right hand: 79% of the lesions were in the dorsal aspect of the hand, of which 37% were distal to the wrist joint, among them 42% at wrist either radial or ulnar; and 21% of the lesions were found in the volar aspect, among them 17% at wrist aspect, either radial or ulnar side. No predisposing factors could be found. The findings of this study reaffirm the utility of ultrasonography as primary diagnostic tool in routine orthopedic practice.

LIPOBLASTOMA OF THE HAND TREATED WITH EXCISION AND LIGAMENT RECONSTRUCTION: A CASE REPORT

Hand Surgery ◽  
2008 ◽  
Vol 13 (02) ◽  
pp. 103-106 ◽  
Author(s):  
Emmanuel P. Estrella ◽  
Ellen Y. Lee
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Ligament Reconstruction ◽  
Soft Tissue Mass ◽  
Large Mass ◽  
Tendon Graft ◽  
Benign Tumour ◽  
Tissue Mass ◽  
Rare Benign Tumour ◽  
The Right

Lipoblastoma of the hand is a rare benign tumour of infancy. Although benign, the tumour can present as a large mass. We present a case of a two-year-old female with a large, slowly growing soft tissue mass between the second and third metacarpal of the right hand. After excision of the mass, the deep transverse metacarpal ligament (DTML) was reconstructed using a free tendon graft from the extensor indicis propius (EIP).

scholarly journals Laparoscopic management of acute cholecystitis with hepatic choristoma of the gall bladder wall: case reportand review of the literature

2019 ◽  
Vol 6 (9) ◽  
pp. 3364
Author(s):  
Francisco Terrazas Espitia ◽  
David Molina Davila ◽  
Carlos Armando Diaz De Alba
Keyword(s):  
Acute Abdominal Pain ◽  
Soft Tissue Mass ◽  
Bladder Wall ◽  
Gallbladder Wall ◽  
Hepatic Tissue ◽  
Imaging Studies ◽  
En Bloc ◽  
Tissue Mass ◽  
Gall Bladder Wall ◽  
The Right

Choristoma is a term which refers to the presence of histologically normal tissue in a heterotopic location; hepatic choristoma is a condition in which hepatic tissue can be found in abnormal locations above or below the diaphragm, the gallbladder wall being the most frequent heterotopic site for implantation, this disease is usually asymptomatic and is rarely detected preoperatively with imaging studies due to a general lack of knowledge of this entity. We present the case of a 37 year old male patient who presented with acute abdominal pain in the right upper quadrant, colicky in nature, accompanied by nausea and vomiting; a HIDA 99 mTc scan revealed gallbladder diskynesia as well as a radiolucent bilobulated image. Upon laparoscopy, we encountered two masses on the superoanterior gallbladder wall and Hartmann´s pouch, which upon histopathological specimen examination revealed the presence of hepatic choristoma. This entity should be considered whenever a soft tissue mass is reported on the anterior gallbladder wall on imaging studies; It has been reported that hepatic choristoma is at higher risk for development of hepatocellular carcinoma and should be removed en bloc with the gallbladder.

scholarly journals Cervicomediastinal tuberculous lymphadenitis

2002 ◽  
Vol 130 (7-8) ◽  
pp. 265-269
Author(s):  
Branislava Ivanovic-Krstic ◽  
Dimitra Kalimanovska-Ostric ◽  
Bosiljka Vujisic-Tesic ◽  
Dragana Jovanovic ◽  
Aleksandar Diklic ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Extrapulmonary Tuberculosis ◽  
Main Pulmonary Artery ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Tuberculous Lymphadenitis ◽  
Tissue Mass ◽  
Caseating Granuloma ◽  
The Right

Tuberculous lymphadenitis is an uncommon form of extrapulmonary tuberculosis We report on a case of isolated Cervicomediastinal tuberculous lymphadenitis without parenhimal involvement. A 49-year old woman was hospitalized with a four week history of night sweats and weight loss. Plain chest radiography disclosed mediastinal mass of the right side. Echocardiographic examination revealed a soft tissue mass below the ascending aorta and aortic arch causing moderate narrowing of the right ventricular outflow tract and the main pulmonary artery. Computed tomographic scanning showed soft tissue mass in the middle mediastinum surrouding the great vessels extending posteriorly with moderate compression of trachea. Histological examination of the cervical mass revealed caseating granuloma containing acidalcohol fast bacillus. Antituberculous chemiotherapy was started.

Composite Paraganglioma: Pioneering in the Head and Neck

2018 ◽  
Vol 27 (3) ◽  
pp. 282-289
Author(s):  
Santiago Delgado ◽  
Stephen M. Smith ◽  
Saral Mehra ◽  
Manju L. Prasad
Keyword(s):  
Soft Tissue ◽  
Carotid Artery ◽  
Urinary Bladder ◽  
Head And Neck ◽  
Soft Tissue Mass ◽  
Rare Entity ◽  
Tissue Mass ◽  
First Case ◽  
Clinicopathologic Findings

Composite paragangliomas are rare with less than 20 cases documented in the abdomen, retroperitoneum, and urinary bladder. In this article, we report the first case of composite paraganglioma in the head and neck presenting as a soft tissue mass in the neck adjacent to the carotid artery in a 50-year-old woman. We discuss the clinicopathologic findings and genetic implications, and we review the literature of this rare entity.

scholarly journals Pleomorphic Hyalinizing Angiectatic Tumor (PHAT): Review of the Literature with Case Presentation

2021 ◽  
Vol 8 (2) ◽  
pp. 97-102
Author(s):  
Gerardo Cazzato ◽  
Anna Colagrande ◽  
Antonietta Cimmino ◽  
Teresa Lettini ◽  
Maria Teresa Savino ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Subcutaneous Tissue ◽  
World Health ◽  
Tissue Mass ◽  
Case Presentation ◽  
Pleomorphic Hyalinizing Angiectatic Tumor ◽  
Health Organization ◽  
The Right ◽  
Upper Third

Pleomorphic hyalinizing angiectatic tumor (PHAT) is a very rare entity of soft tissue considered a “neoplasm of uncertain behaviour of connective or other soft tissue” by the World Health Organization (2020). It develops in subcutaneous tissue of the lower extremities, more frequently in the region of the ankle and foot, and rarely as a deep-seated soft tissue mass in locations such as the perineum, buttock, arms, head and neck, and viscera. Although inconsistent cytogenetic data have been reported on PHAT so far, there are potential morphological and genetic overlaps with hemosiderotic fibrolipomatous tumor (HFLT) and myxoinflammatory fibroblastic sarcoma (MIFS). Here we report a case of PHAT at the level of the upper third of the right thigh in a 48-year-old patient and we also focus on the differential diagnoses of these entities and conduct a literature review of reported cases.

scholarly journals Nevus lipomatosus cutaneous superficialis presenting as papilloma: A case report

2021 ◽  
Vol 7 (4) ◽  
pp. 367-369
Author(s):  
Shagufta Tahir Mufti ◽  
Shreya Mehdiratta ◽  
Salim Tahir ◽  
M.M.A. Faridi
Keyword(s):  
Adipose Tissue ◽  
Rare Case ◽  
Soft Tissue Mass ◽  
Histopathological Examination ◽  
Review Of Literature ◽  
Tissue Mass ◽  
Dermal Collagen ◽  
History Of ◽  
Smooth Skin ◽  
The Right

Nevus Lipomatosus Cutaneous Superficialis (NLCS) is an uncommon hamartomatous lesion of the skin. NLCS is classified into two clinical forms classic and solitary. Some authors consider this lesion as a type of connective tissue nevus. We report a rare case of solitary NLCS in a 69 year old male with a long history of pedunculated swelling in the right gluteal cleft with review of literature. On gross appearance the lesion was a grey brown, exophytic, cerebriform, smooth skin covered soft tissue mass measuring 4.5 cms in the largest dimension with a broad peduncle attached. On histopathological examination the lesion showed superficial and deep dermal infiltration of the adipose tissue with distortion of the dermal collagen.

scholarly journals Dystocia caused by Sacrococcygeal Teratoma: A Case Report

1970 ◽  
Vol 27 (3) ◽  
pp. 169-172
Author(s):  
Tarafdar Runa Laila
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Mass ◽  
Lateral Wall ◽  
Postoperative Recovery ◽  
Labor Pain ◽  
Sacrococcygeal Teratoma ◽  
Tissue Mass ◽  
Left Lateral Wall ◽  
Anechoic Area ◽  
The Right

A 23-year-old pregnant mother presented with labor pain for 14 hours with delivery of part of a baby with the exception of right leg. Single ultrasonography (USG) done at 34 weeks of gestation showed an anechoic area measuring 8 cm x 6 cm surrounded by a thin rim. The patient was put under general anesthesia (GA) and the right leg of the baby was drawn out of the uterus. A soft tissue mass partly cystic in nature, connected with the perineal region of the baby, prevented the complete delivery. After decompressing the mass, complete delivery was possible. But exploration of the uterus showed rupture in the left lateral wall. Laparotomy with repair of the uterus was done. Excision of the soft tissue mass of the baby was done one day after delivery and histology of the mass showed mature sacrococcygeal teratoma. Postoperative recovery of both the mother and the baby was good. DOI:10.3329/jbcps.v27i3.4296 J Bangladesh Coll Phys Surg 2009; 27: 169-172

Isolated tubercular hypoglossal nerve paralysis

2016 ◽  
Vol 47 (3) ◽  
pp. 255-260 ◽  
Author(s):  
JS Thakur ◽  
Naina Verma ◽  
Shobha Mohindroo ◽  
Ramesh K Azad ◽  
NK Mohindroo
Keyword(s):  
Nerve Palsy ◽  
Hypoglossal Nerve ◽  
Soft Tissue Mass ◽  
Histopathological Examination ◽  
Posterior Wall ◽  
Tissue Mass ◽  
Nerve Paralysis ◽  
Hypoglossal Nerve Palsy ◽  
Neurological Finding ◽  
The Right

Hypoglossal nerve palsy is not an uncommon neurological finding but primary nasopharyngeal tuberculosis (TB) presenting as hypoglossal nerve palsy is very rare. A 31-year-old woman presented with headache and progressive tongue deviation towards the right side. Diagnostic nasal endoscopy revealed soft tissue mass lesion on the posterior wall of nasopharynx while MRI revealed isointense tumour in nasopharynx with normal hypoglossal nerve and brain. Histopathological examination found TB. We discuss the clinical challenges and possible pathogenesis of this rare clinical entity.

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