Vallecular cyst in an infant with stridor: a case report

Background and Objectives: Vallecular cysts are rare and generally asymptomatic. In infants and children they present with stridor, feeding difficulties, failure to thrive. Treatment is surgical excision with cautery or laser.Presentation of Case: We discuss the clinical, radiological presentation of a 7 months old child with vallecular cyst which was surgically treated with deroofing and marsupialisation with elecrocautery. There was no recurrence even up 2 years of follow-up.Discussion: Flexible nasopharyngolaryngoscopic examination was done which showed present of swelling in the left vallecula pushing the epiglottis posteriorly and to the right with narrowed normal endolarynx. Radiological investigations with CT scan showed cystic lesion noted in left side of neck with no septation and solid component. The lesion was extending to ipsilateral vallecula and paraglottic region with narrowing of endolarynx.Conclusion: Vallecular cyst is rare cause of noisy breathing in infants and children. In adults it is usually asymptomatic. Treatment of choice is marsupialization with electrocautery or laser.

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Mesenchymal hamartoma of the liver in adults: Case report

Medicinski pregled ◽

10.2298/mpns1412399l ◽

2014 ◽

Vol 67 (11-12) ◽

pp. 399-403 ◽

Cited By ~ 1

Author(s):

Tanja Lakic ◽

Mirjana Zivojinov ◽

Milivoje Vukovic ◽

Jelena Ilic-Sabo ◽

Tamara Boskovic

Keyword(s):

Case Report ◽

Cystic Lesion ◽

Benign Lesion ◽

Abdominal Mass ◽

Surgical Excision ◽

Cystic Neoplasm ◽

Mesenchymal Hamartoma ◽

Transplantation Surgery ◽

Clinical Center ◽

The Right

Introduction. Mesenchymal hamartoma of the liver is a benign lesion presenting as an enlarging abdominal mass in children less than 2 years of age. Fewer than 5% cases are present in individuals over 5 years of age, and this lesion is extremely rare in adults. It may affect the left or the right lobe of liver as a cystic or solid mass or both components may be present. The pathogenesis remains incompletely understood, but these lesions have generally been considered to represent a development abnormality in the bile duct plate formation. Case Report. In this report, we present a case of a 44-year-old man who was surgically treated at the Department of Abdominal, Endocrine and Transplantation Surgery of the Clinical Center of Vojvodina due to cystic lesion in the liver segment IV that had been verified by computed tomography imaging diagnostics. The patient was sent from a smaller health center with the diagnosis of echinococcosis. After the adequate preparation of the patient, surgical excision of the liver cystic lesion was done. Once a thorough histological examination had been performed, the diagnosis of mesenchymal hamartoma was made. Conclusion. Mesenchymal hamartoma of the liver is a benign tumor resulting from abnormal, intra-uterine development of bile ducts and has a delayed clinical manifestation, thus this lesion appears to be related to the processes of maturation. It is potentially premalignant lesion presenting as a solid and/or cystic neoplasm. Symptoms, laboratory results and radiographic imaging are nonspecific and inconclusive, so surgical excision of the whole lesion is the imperative for the definitive diagnosis.

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Intrascrotal lipoblastoma in adulthood

BMJ Case Reports ◽

10.1136/bcr-2019-231320 ◽

2019 ◽

Vol 12 (12) ◽

pp. e231320

Author(s):

Mário José Pereira-Lourenço ◽

Duarte Vieira-Brito ◽

João Pedro Peralta ◽

Noémia Castelo-Branco

Keyword(s):

Case Report ◽

Magnetic Resonance ◽

S100 Protein ◽

Surgical Excision ◽

Large Mass ◽

Histological Diagnosis ◽

Physical Exam ◽

Nodular Lesion ◽

Inferior Portion ◽

The Right

This case report describes the case of a 37-year-old man that noticed an intrascrotal right mass with 1 month of evolution. During physical exam presented with a large mass at the inferior portion of the right testicle, clearly separated from the testicle, with a tender consistency and mobile. An ultrasound was performed that showed a solid and subcutaneous nodular lesion, extra testicular, heterogeneous, measuring 7.2 cm. Pelvic magnetic resonance imageMRI showed a lesion compatible with a lipoma. The patient was subjected to surgical excision of the lesion by scrotal access, having histology revealed a lipoblastoma (LB) of the scrotum. Histological diagnosis was obtained by microscopic characteristics (well-circumscribed fatty neoplasm) and immunohistochemistry (stains for CD34, S100 protein and PLAG1 were positive; stains for MDM2 and CDK4 were negative). LB is extremely rare after adolescence in any location, being this first described case of intrascrotal LB described in adulthood.

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Spontaneous intracranial haemorrhage as initial presentation of haemophilia in infants and children: A case report and systematic literature review

Haemophilia ◽

10.1111/hae.14239 ◽

2021 ◽

Author(s):

Celine Rohaert ◽

Veerle Labarque

Keyword(s):

Case Report ◽

Literature Review ◽

Systematic Literature Review ◽

Intracranial Haemorrhage ◽

Infants And Children ◽

Initial Presentation ◽

In Infants And Children

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Extensive parapharyngeal and skull base neuroglial ectopia; a challenge for differential diagnosis and treatment: case report

Sao Paulo Medical Journal ◽

10.1590/s1516-31802010000500011 ◽

2010 ◽

Vol 128 (5) ◽

pp. 302-305 ◽

Cited By ~ 4

Author(s):

Giulianno Molina de Melo ◽

Gabrielle do Nascimento Holanda Gonçalves ◽

Ricardo Antenor de Souza e Souza ◽

Danilo Anunciatto Sguillar

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Skull Base ◽

Infratemporal Fossa ◽

Newborn Infants ◽

Surgical Excision ◽

Neck Mass ◽

Oral Feeding ◽

Feeding Difficulties ◽

Complete Surgical Excision

CONTEXT: Neuroglial ectopia has been defined as a mass composed of differentiated neuroectodermal tissue isolated from the spinal canal or cranial cavity and remains rare. This lesion has to be considered in the differential diagnosis among newborn infants with classical symptoms of respiratory distress, neck mass and feeding difficulties. We present a rare case of extensive parapharyngeal and skull base neuroglial ectopia in 6-month-old girl who presented respiratory and feeding obstruction at birth. CASE REPORT: A six-month-old girl who presented upper respiratory and feeding obstruction at birth and was using tracheostomy and gastrostomy tubes was referred to our institution. Complete surgical excision of the mass consisted of a transcervical-transparotid approach with extension to the infratemporal fossa by means of a lateral transzygomatic incision, allowing preservation of all vital neurovascular structures. The anatomopathological examination showed a solid mass with nests of neural tissue, with some neurons embedded in poorly encapsulated fibrovascular stroma, without mitotic areas, and with presence of functioning choroid plexus in the immunohistochemistry assay. Neurovascular function was preserved, thus allowing postoperative decannulation and oral feeding. Despite the large size of the mass, the child has completed one year and six months of follow-up without complications or recurrence. Neuroglial ectopia needs to be considered in diagnosing airway obstruction among newborns. Surgical treatment is the best choice and should be performed on clinically stable patients. An algorithm to guide the differential diagnosis and improve the treatment was proposed.

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Virilization in a Girl with Adrenocortical Adenoma: A Case Report

Ibrahim Medical College Journal ◽

10.3329/imcj.v6i2.14736 ◽

2013 ◽

Vol 6 (2) ◽

pp. 70-72

Author(s):

Tahniyah Haq ◽

SM Ashrafuzzaman ◽

Zafar A Latif

Keyword(s):

Case Report ◽

Soft Tissue ◽

Adrenal Gland ◽

Ct Scan ◽

Dehydroepiandrosterone Sulfate ◽

Adrenocortical Adenoma ◽

Adrenal Carcinoma ◽

Mass Size ◽

The Right ◽

Androgen Levels

We present a case of Cushings syndrome and virilization in a 15 year old girl which was suspected to be due to an adrenal carcinoma. She presented with features of virilization in addition to those of hypercortisilism. Her high androgen levels especially dehydroepiandrosterone sulfate (DHEAS) were also in favor of an adrenal carcinoma. An unenhanced computerized tomography (CT) scan showed a mass (size: 5.3 cm) in the right adrenal gland with a soft tissue intensity of more than 10 HU which was suggestive of adrenal carcinoma. But, histopathology of the resected mass revealed a benign adrenocortical adenoma. DOI: http://dx.doi.org/10.3329/imcj.v6i2.14736 Ibrahim Med. Coll. J. 2012; 6(2): 70-72

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Surviving a Self-inflicted Transorbital Pen Intrusion to the Cerebellum: Case Report

Journal of Neurological Surgery Part A Central European Neurosurgery ◽

10.1055/s-0041-1735859 ◽

2021 ◽

Author(s):

David Breuskin ◽

Ralf Ketter ◽

Joachim Oertel

Keyword(s):

Case Report ◽

Ct Scan ◽

Foreign Bodies ◽

Routine Procedure ◽

Low Velocity ◽

Foreign Objects ◽

Surgical Exposure ◽

The Right ◽

The Brain ◽

Do So

Abstract Background Although intracranial traumas by penetrating foreign objects are not absolute rarities, the nature of trauma, the kind of object, and its trajectory make them a one of a kind case every time they occur. Whereas high-velocity traumas mostly result in fatalities, it is the low-velocity traumas that demand an individualized surgical strategy. Methods We present a case report of a 33-year-old patient who was admitted to our department with a self-inflicted transorbital pen injury to the brain. The authors recall the incident and the technique of the pen removal. Results Large surgical exposure of the pen trajectory was considered too traumatic. Therefore, we opted to remove the pen and have an immediate postoperative computed tomography (CT) scan. Due to its fragility, the pen case could only be removed with a screwdriver, inserted into the case. Post-op CT scan showed a small bleeding in the right peduncular region, which was treated conservatively. The patient was transferred back to intensive care unit and woken up the next day. She lost visual function on her right eye, but suffered from no further neurologic deficit. Conclusion Surgical management of removal of intracranial foreign bodies is no routine procedure. Although some would favor a large surgical exposure, we could not think of an approach to do so without maximum surgical efforts. We opted for a minimal surgical procedure with immediate CT scan and achieved an optimal result. We find this case to be worth considering when deciding on a strategy in the future.

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Huge true aneurysm of the facial artery treated with internal trapping and surgical excision: a case report

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa375 ◽

2020 ◽

Vol 2020 (9) ◽

Author(s):

Kiyoko Nakagawa ◽

Takuji Yasuda ◽

Natsuko Kobayashi ◽

Kazuhiko Urabe

Keyword(s):

Case Report ◽

Case Reports ◽

Surgical Excision ◽

Facial Artery ◽

True Aneurysm ◽

The Right

Abstract A report of true aneurysms is extremely rare. There are only five previous case reports of true aneurysm of the facial artery. In the previously reported cases, there was no case that underwent trapping and surgical excision. In this case report, we describe the procedure of internal trapping before the surgical excision of a huge true aneurysm of the right facial artery for a 79-year-old woman. There was no recurrence of the aneurysm during a 6-month follow-up period.

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Hot Water Epilepsy in a Pregnant Woman: A Case Report

Case Reports in Medicine ◽

10.1155/2010/134578 ◽

2010 ◽

Vol 2010 ◽

pp. 1-2 ◽

Cited By ~ 1

Author(s):

Aysel Milanlıoğlu ◽

Temel Tombul ◽

Refah Sayın

Keyword(s):

Case Report ◽

Pregnant Woman ◽

Antiepileptic Drugs ◽

Hot Water ◽

Infants And Children ◽

Gestation Period ◽

Reflex Epilepsy ◽

Unique Form ◽

Reflex Seizures ◽

In Infants And Children

Hot water epilepsy is a unique form of reflex epilepsy precipitated by the stimulus of bathing with hot water poured over the head. It is mostly seen in infants and children, with a predominance in males. Unlikely, we present a 32-year-old pregnancy woman with the incipient of reflex seizures triggered by pouring hot water over the head while having a bath during the gestation period and treated successfully with carbamazepine 400 mg/day therapy. Hot water epilepsy is known as a benign and self-limited reflex epilepsy, by firstly avoiding hot water or long showers and secondly using intermittent benzodiazepines or conventional antiepileptic drugs, may be sufficient to be seizure-free.

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