scholarly journals THE “HIGH-RIDING” SUPERIOR PERICARDIAL RECESS

2021 ◽  
Vol 13 (1) ◽  
pp. 26-30
Author(s):  
Emrah Dogan ◽  
Utku Tapan ◽  
Ozge Oral Tapan

The presence of prominent physiological fluid in the posterior part of the superior pericardial recess is known as "high-riding pericardial recess" (HRPR). Even in series studies with high numbers, the amount of liquid in this area was measured with a maximum 1,4 cm in size. Our case report is the biggest HRPR in diameter. HRPRs have clinical significance since they are in the differential diagnosis with lymph nodes and mediastinal cysts. We present a 57-year-old patient with clinical and radiological findings.

2014 ◽  
Vol 8 (5-6) ◽  
pp. 364 ◽  
Author(s):  
Paul Gustafson ◽  
Howard N. Fenster ◽  
Alan I. So

Lesions around the urethral meatus in women are common. The differential diagnosis for these lesions is extensive and includes urethral caruncle, urethral prolapse, urethral diverticulum, periurethral gland abscesses and, of most concern, urethral carcinoma. Non-invasive squamous lesions of the urethra are rare and their clinical significance is uncertain. We present a case of a urethral squamous papilloma at the urethral meatus in a premenopausal woman causing significant symptoms.


2008 ◽  
Vol 87 (4) ◽  
pp. 230-233 ◽  
Author(s):  
Shashidhar Sadda Reddy ◽  
Swarupa A. Gadre ◽  
Patrick Adegboyega ◽  
Arun K. Gadre

Pilomatrixoma is a rare, benign, circumscribed, calcifying epithelial neoplasm that is derived from hair matrix cells. Multiple pilomatrixomas are uncommon. We describe a case of multiple pilomatrixomas in a 23-year-old black woman who presented with lesions on her face and back. Based on the results of the clinical examination, she was provisionally diagnosed with either calcified sebaceous cysts or calcified lymph nodes. She underwent surgical excision of the masses. On histopathology, the lesions were identified as pilomatrixomas. We attribute our original failure to diagnose this condition to our lack of familiarity with it. We discuss the presentation, differential diagnosis, and other characteristics of pilomatrixomas.


F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 288
Author(s):  
Behnam Jafari ◽  
Gholamabas Sabz ◽  
Elahe Masnavi ◽  
Roghaye Panahi ◽  
Saeid Jokar ◽  
...  

Introduction: Sarcoidosis is a granulomatous disease with unknown cause that can vary from an asymptomatic condition. Almost half of the patients with sarcoidosis have no symptoms. In this article, we describe a sarcoidosis patient with lung and liver engagement; it may be confused with metastasis. Case report: A 39-year-old man, with known as hypothyroidism who had come to the emergency ward with dyspnea and coughing after exposure to detergents in a closed environment. The patient smoked for 10 years (3 pack/year). No other findings were found in clinical examinations except for wheezing in the right lung. The patient's chest radiography was shown a mass. For further investigation, spiral CT scan was performed. Large lymph nodes on the right side of the trachea, measuring about 23 mm and a mass of 70 × 77 mm in the vicinity of the right lung hilum and a hypodense nodule in the posterior part of the liver with malignancy suspicious were reported. After several biopsy results was shown chronic granulomatous inflammation, the most important differential diagnosis is tuberculosis (TB) and sarcoidosis. Sputum smear, culture, and PCR were performed for tuberculosis. Also, the level of angiotensin-converting enzyme (ACE) was measured for sarcoidosis. the results ruled out TB and shown a higher level of ACE (ACE = 88 IU/L).After diagnosis treatment started with prednisolone. Now, the patient is in the follow- up. Conclusion: In hilar lymphadenopathy of lung sarcoidosis is the importance differential diagnosis that should be considered.


2002 ◽  
Vol 55 (11-12) ◽  
pp. 529-531 ◽  
Author(s):  
Dragos Stojanovic ◽  
Djordje Lalosevic ◽  
Mirjana Stojanovic ◽  
Zorica Caparevic ◽  
Marija Djosev ◽  
...  

Introduction Emphysematous cholecystitis is a rare gallbladder pathology characterized by gas accumulation in the gallbladder wall as a result of severe inflammation, mostly caused by bacteria known as Clostridium species. Case report This is a case report of a 59 year-old male diabetic, with typical anamnestic, clinical, ultrasonographic and radiological findings, pointing to acute cholecystitis of emphysematous form. Surgical and bacteriological procedures confirmed the preoperative findings. Conclusion Reliable findings considering clinical status, ultrasonographic and radiological differential diagnosis, adequate and quick preoperative preparation, cholecystectomy and drainage with appropriate antibiotic treatment and hyperbaric oxygenation, represent the basic principles in diagnostics and treatment of this disease.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Anna Saran ◽  
Firszt Oliver ◽  
Tomasz Łosień ◽  
Monika Kulig-Kulesza ◽  
Jolanta Myga-Porosiło ◽  
...  

Abstract Background Persistent structural changes of the lungs in anorexia nervosa (AN) patients are rarely described in contemporary medical literature. The objective of our paper is to report a rare case of severe bronchiectasis and inflammatory changes to the lungs resulting from chronic malnutrition in a AN patient. Case presentation We describe a patient with severe inflammatory lung disease caused by malnutrition, resulting in persistent bronchiectasis accompanying AN. We performed an analysis of the patient’s medical records including radiological findings and laboratory results. A review of available literature shows very little data available on this topic. Conclusion Bronchiectasis and other structural changes of the lungs are rare, but severe complications of severe, chronic malnutrition. As exemplified by our case report, they may require extensive differential diagnosis and pose a significant clinical challenge due to their non-reversible character. A successful treatment relies heavily on the patient’s compliance and may be hard to achieve. Clinicians managing patients with anorexia nervosa should be wary of early respiratory tract dysfunction-related symptoms and always consider malnutrition bronchiectasis as a differential diagnosis option.


2016 ◽  
Vol 10 (1) ◽  
pp. 330-337 ◽  
Author(s):  
Liane Gambirazi ◽  
Tatiana Libório ◽  
Fábio Nunes ◽  
Norberto Sugaya ◽  
Dante Migliari

This article reports a case of oral mucosa lesions as the sole manifestation in Langerhans cell histiocytosis (LCH). This is a very uncommon manifestation of LCH since this disease preferably affects the bones with frequent involvement of the jaws. LCH may also involve other organs, particularly the lungs, liver, lymph nodes, and skin. The highlights of this report are the differential diagnosis, immunohistochemical analysis and, mostly, the therapeutic approach.


2020 ◽  
pp. 014556132093195
Author(s):  
Hyun Jin Min ◽  
Kyung Soo Kim

Primary nasopharyngeal tuberculosis, defined as an isolated tuberculosis infection of the nasopharynx without systemic or pulmonary disease, is rare, even in areas endemic for tuberculosis. It is challenging for ENT specialists to diagnose primary nasopharyngeal tuberculosis at an early stage. In this report, we describe a new case of primary nasopharyngeal tuberculosis, focusing on its nasopharyngoscopic features and radiological findings that can help the understanding and aid in accurate diagnosis of this unusual disease entity. Our experience suggests that although primary nasopharyngeal tuberculosis is a relatively rare disease, it must be included in the differential diagnosis of various nasopharyngeal lesions, particularly in patients with unusual nasopharyngoscopic and computed tomography findings.


F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 288
Author(s):  
Behnam Jafari ◽  
Gholamabas Sabz ◽  
Elahe Masnavi ◽  
Roghaye Panahi ◽  
Saeid Jokar ◽  
...  

Introduction: Sarcoidosis is a granulomatous disease with unknown cause that can vary from an asymptomatic condition. Almost half of the patients with sarcoidosis have no symptoms. In this article, we describe a sarcoidosis patient with lung and liver engagement; it may be confused with metastasis. Case report: A 39-year-old man, known as hypothyroidism who had come to the emergency ward with dyspnea and coughing after exposure to detergents in a closed environment A 39-year-old man, known as hypothyroidism who had come to the emergency ward with dyspnea and coughing after exposure to detergents in a closed environment. The patient smoked for 10 years (3 pack/year). No other findings were found in clinical examinations except for wheezing in the right lung. The patient's chest radiography was shown a mass. For further investigation, spiral CT scan was performed. Large lymph nodes on the right side of the trachea, measuring about 23 mm and a mass of 70 × 77 mm in the vicinity of the right lung hilum and a hypodense nodule in the posterior part of the liver with malignancy suspicious were reported. After several biopsy results was shown chronic granulomatous inflammation, the most important differential diagnosis is tuberculosis (TB) and sarcoidosis. Sputum smear, culture, and PCR were performed for tuberculosis. Also, the level of angiotensin-converting enzyme (ACE) was measured for sarcoidosis. the results ruled out TB and shown a higher level of ACE (ACE = 88).After diagnosis treatment started with prednisolone. Now, the patient is in the follow- up. Conclusion: In hilar lymphadenopathy of lung sarcoidosis is the importance differential diagnosis that should be considered


2005 ◽  
Vol 38 (02) ◽  
pp. 164-166
Author(s):  
P Jaijesh

AbstractVariant muscle slips from pectoralis major muscle are rare. Among these, the muscle chondro-epitrochlearis is a very rare muscular anomaly. Here, in this report, we describe a similar muscle which had an origin from the lower ribs along with the lower fibres of the pectoralis major muscle, arched across the axilla, and then inserted to the medial epicondyle of humerus. In this report we present a review of literature on this muscle. We also discuss the clinical significance of this muscle since the knowledge of this muscle is important in the differential diagnosis of ulnar nerve entrapment.


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