scholarly journals Pancreatic Tuberculosis mimicking Cystic Neoplasm

2017 ◽  
Vol 20 (1) ◽  
pp. 35-37
Author(s):  
Anamika Jha
Keyword(s):  
Young Patients ◽  
Pancreatic Head ◽  
Young Male ◽  
Cystic Neoplasm ◽  
Histopathological Study ◽  
Head Region ◽  
Pancreatic Involvement ◽  
Pancreatic Masses ◽  
History Of ◽  
Pancreatic Origin

Tuberculosis is endemic in our part of the world and may have uncommon presentations like pancreatic involvement. A young male presented to the OPD with recent history of pain in epigastric region and was subsequently diagnosed with a multi-loculated cystic neoplasm in pancreatic head region on ultrasonography and CT scan. The pancreatic origin was confirmed on surgery while the histopathological study revealed tuberculous nature. This case report highlights the importance of considering tuberculosis in the differential diagnosis in pancreatic masses, especially, with atypical appearances, in young patients or with background predisposing to TB and the need for histological diagnosis.  

scholarly journals Granulomatous Pancreas: A Case Report of Pancreatic Sarcoid

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Tatiana Bihun ◽  
Yanet Diaz ◽  
Seth Wenig
Keyword(s):  
Disease Process ◽  
Unknown Etiology ◽  
Frozen Sections ◽  
Gi Tract ◽  
Quadrant Pain ◽  
Pancreatic Involvement ◽  
Pancreatic Masses ◽  
Fresh Frozen ◽  
History Of ◽  
Head Of The Pancreas

Sarcoidosis is a chronic, systemic, noncaseating granulomatous disease process of unknown etiology. Sarcoidosis most commonly manifests in the lungs; however, gastrointestinal manifestations can occur. If in the GI tract, it is almost always found in the liver. Solitary pancreatic lesions are extremely rare, with less than 50 documented cases found in the literature. We present a case of a 61-year-old female, with a past medical history of sarcoidosis, who presented to the ER with unexpected weight loss, scleral icterus, right upper quadrant pain, and epigastric and back pain. US and MRI found a dilated common bile duct and mild dilation of the pancreatic duct, as well as a focal prominence in the head of the pancreas surrounded by areas of atrophy. A pancreaticoduodenectomy procedure was performed and fresh frozen sections were taken. The pathologist made a diagnosis of nonnecrotizing granulomatous pancreatitis. Pancreatic sarcoid is often asymptomatic and a benign finding on autopsy; however, clinicians should be mindful of pancreatic involvement when working up differential diagnosis for pancreatic masses.

The efficacy of dopamine agonist therapy in a young man with a giant prolactinoma: case report

2017 ◽  
Vol 63 (4) ◽  
pp. 231-235
Author(s):  
Alexandr I. Tsiberkin ◽  
Tatiana L. Karonova ◽  
Anna B. Dalmatova ◽  
Elena N. Grineva
Keyword(s):  
Pituitary Adenoma ◽  
Pituitary Adenomas ◽  
Young Patients ◽  
Young Male ◽  
Serum Prolactin ◽  
Agonist Therapy ◽  
Giant Prolactinoma ◽  
Dopamine Agonist Therapy ◽  
History Of

Prolactinomas are the most common of hormone secreting pituitary adenomas. Patients with prolactinomas generally have a benign prognosis. An algorithm is currently available for managing of this disease. Giant prolactinoma larger than 40 mm with severe invasive growth account for about 2—3% of the prolactin-secreting pituitary adenomas and evidence about management of such patients is limited. This case illustrates progress of a giant prolactin-secreting pituitary adenoma up to 70 mm in young male with a family history of prolactinomas in the absence of the adequate therapy for 8 years after initial diagnosis. After evaluation, it was decided to prescribe medical treatment. Cabergoline therapy started after evaluation appeared to be effective and had lead to significant decrease of serum prolactin level and shrinkage of pituitary adenoma. Described case emphasize the crucial role of identification of hyperprolactinemia among young patients on early stages of the disease. Our observation implies that treatment with dopamine agonists might be effective even in cases with giant prolactinomas.

scholarly journals Rapidly Progressive Atrioventricular Block in a Patient with Sarcoidosis

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Nagham Saeed Jafar ◽  
Warkaa Al Shamkhani ◽  
Sunil Roy Thottuvelil Narayanan ◽  
Anil Kumar Rajappan
Keyword(s):  
Cardiac Sarcoidosis ◽  
Previous History ◽  
Pacemaker Implantation ◽  
Young Patients ◽  
Young Male ◽  
Pulmonary Involvement ◽  
Av Block ◽  
History Of ◽  
Exercise Induced ◽  
Cardiac Manifestations

Cardiac sarcoidosis is a major cause of death in patients with systemic sarcoidosis. Cardiac manifestations are seen in 2.3% of the patients. Atrioventricular (AV) block is one of the common manifestations of cardiac sarcoidosis. Other presentations of cardiac involvement include congestive heart failure, ventricular arrhythmias, and sudden cardiac death. The presence of AV block in young patients should raise the suspicion of sarcoidosis. AV block may be the only manifestation and patients may not have clinical evidence of pulmonary involvement. Here we describe a young male presented with exercise induced AV block rapidly progressing to complete heart block with recurrent syncope needing urgent pacemaker implantation. Factors that suggested an infiltrative process included his young age, rapidly progressive conduction abnormalities in the ECG in the absence of coronary disease, and previous history of cutaneous sarcoidosis.

scholarly journals Isolated pancreatic tuberculosis presenting as obstructive jaundice

2021 ◽  
Vol 8 (4) ◽  
pp. 1296
Author(s):  
Muhammad Salman Shafique ◽  
Sayyam Fatima
Keyword(s):  
Obstructive Jaundice ◽  
Pancreatic Head ◽  
Needle Aspiration ◽  
Tuberculosis Patient ◽  
Head Region ◽  
Gradual Improvement ◽  
Pancreatic Tuberculosis ◽  
History Of ◽  
Diagnostic Work ◽  
Anti Tubercular Therapy

A 36-year-old male patient presented in surgical clinic with complaints of abdominal pain and progressively increasing yellowish discoloration of his skin and sclera for last 1 month. He was deeply jaundiced with mild tenderness in epigastric region. He had a strong family history of tuberculosis. Diagnostic work-up revealed obstructive jaundice secondary to pancreatic tuberculosis. Tomographic examination revealed a pancreatic head mass with peripancreatic lymphadenopathy. Endoscopic ultrasound (EUS) showed a mass at pancreatic head region & EUS guided fine needle aspiration revealed tuberculosis. Patient was started on anti-tubercular therapy with gradual improvement of symptoms over the course of treatment.

scholarly journals Chronic Calcific Pancreatitis Associated Diabetes Presenting as Involuntary Weight Loss and Multiple Soft Tissue Calcifications in a Young Male

2018 ◽  
Vol 2 (2) ◽  
pp. 52-55
Author(s):  
Ravi Kant ◽  
Aditya Sudan
Keyword(s):  
Weight Loss ◽  
Young Patients ◽  
Young Male ◽  
Serum Lipase ◽  
Secondary Diabetes ◽  
The Past ◽  
Chronic Calcific Pancreatitis ◽  
History Of ◽  
Involuntary Weight Loss ◽  
Calcific Pancreatitis

Introduction: Chronic Calcific Pancreatitis, a rare form of secondary diabetes occurs due to recurrent alcohol induced acute pancreatitis. Case Summary: A 28 year old male patient presented with significant involuntary weight loss associat-ed with a history of passing clay colored sticky stools for the past 1 year. He was also detected to have deranged blood sugars on routine work up at a local hospital for increased thirst and increased urine output. There was a history of recurrent bouts of moderate to severe abdominal pain over the past 3 to 4 years. At the time of initial presentation his Random blood sugar values was 468 mg/dL. Other routine tests tests were within normal limits. His serum amylase levels were 185 U/L and serum Lipase levels were 467 U/L. Conclusions: Chronic fibro calcific pancreatitis is a rare cause of diabetes in young patients but has a characteristic clinical picture with a young patient presenting with features of malabsorption and low BMI, low propensity for DKA , low beta cell reserve and sensitivity to Insulin. 

scholarly journals Acute ST elevation myocardial infarction (STEMI) in Young Male with Nephrotic Syndrome: A case report

2021 ◽  
Vol 2 (3) ◽  
pp. 31-34
Author(s):  
Ratna Pancasari ◽  
Cholid Tri Tjahjono ◽  
Anna Fuji Rahimah ◽  
Indra Prasetya
Keyword(s):  
Myocardial Infarction ◽  
Nephrotic Syndrome ◽  
Coronary Thrombosis ◽  
Laboratory Data ◽  
Young Patients ◽  
Young Male ◽  
Young Males ◽  
History Of ◽  
St Elevation ◽  
Electrocardiogram Ecg

Background: In young males, an acute myocardial infarction is an uncommon event. Thrombolism caused by nephrotic syndrome (NS) is one of the pathophysiologies of their infarctions. Case Illustration: A-24-y.o male patient, presenting with prolong typical chest pain since 72 hours before admission. The chest leads on an electrocardiogram (ECG) indicated ST-Elevation. Cardiac troponin was significantly raised. Since the previous two weeks, he has been experiencing nephrotic syndrome symptoms including anasarca edema.It was supported by laboratory data which is obtained proteinuria, hyperlipidemia and hypoalbuminemia. A complete acute occlusion of the proximal portion of the left anterior descending artery was revealed by coronary angiography. Increased fibrinogen levels appeared to be a contributing factor for hypercoagulable state in this patient, implying a correlation between coronary thrombosis and nephrotic syndrome. Discussion: Myocardial infarction (MI) is rare in young males, but it occurs 8 times more often in patients with NS than in the general population. Clinicians should pay closer attention to the history of previous diseases with a high risk of thromboembolism in young patients with MI, and they should specifically promote thromboembolism prevention and care in patients with renal disease to decrease the incidence of thromboembolism complications. Conclusion: Nephrotic syndrome should be considered as a contributing factor in any patient presenting with acute STEMI, particularly in young males.

scholarly journals Rare Benign cystic teratoma in the parotid gland

2020 ◽  
Vol 18 (1) ◽  
pp. 42-44
Author(s):  
Mahmoud M. Gharaibeh ◽  
◽  
Ahmed Al Wadiya ◽  
Ahmad Gharaibeh ◽  
Hdua Hammad ◽  
...  
Keyword(s):  
Parotid Gland ◽  
Young Patients ◽  
Cystic Teratoma ◽  
Histopathological Study ◽  
Tissue Mass ◽  
Parotid Region ◽  
Benign Cystic Teratoma ◽  
Different Types ◽  
History Of ◽  
Ear Cartilage

Introduction. A teratoma is a tumor developed of several different types of tissue, like hair, muscle, teeth or bone. Aim. Mature benign cystic teratomas are very rare in the salivary glands and just few cases were reported. Description of the case. A 13 years old female was presented to our dental clinic of Princes Basma Hospital in Irbid in north of Jordan, with a painless, insidious progressive swelling in left parotid region without any significant family and personal history. Parents were cancer phobic and nervous from the condition of their daughter, they were very confused. There was no pain or any history of trauma. It was present just inferior to left ear cartilage. The mass was of size 3x3cm, non-tender, fixed, soft to firm in consistency, having smooth surface. Conclusion. Teratoma in parotid region is an extremely rare entity. Lack of any pathognomonic feature, it is hard to diagnose preoperatively. Lumpectomy is advisable to remove the mass because the risk of damaging facial nerve in young patients and recurrence is rare. A definitive diagnosis is achieved after the histopathological study. Teratoma should be kept in account while evaluating a case of a soft tissue mass of parotid gland as a differential diagnosis.

scholarly journals Spontaneous chronic subdural hematoma in a young male patient: case report

2014 ◽  
Vol 21 (2) ◽  
pp. 239-244
Keyword(s):  
Case Report ◽  
Elderly Patients ◽  
Surgical Management ◽  
Male Patient ◽  
Subdural Hematoma ◽  
Young Patients ◽  
Chronic Subdural Hematoma ◽  
Young Male ◽  
Patient Case ◽  
History Of

Abstract The chronic subdural hematoma is a common pathology in elderly patients. There is usually a history of head trauma. The diagnosis of chronic subdural hematomas in young patients is very rare and few cases have been reported in the literature. The authors present a case of a patient of 16 years old who presented headache of two months of evolution, which was conducted by tomography diagnosis of chronic subdural hematoma. The patient had no history of mild trauma. Surgical management was performed, showing a satisfactory evolution.

scholarly journals A Patient with Chronic Lymphocytic Leukemia with Pancreatic Involvement

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Rajesh Essrani ◽  
Matthew J. Sullivan ◽  
Hiral Shah
Keyword(s):  
Chronic Lymphocytic Leukemia ◽  
Total Bilirubin ◽  
Pancreatic Head ◽  
Needle Aspiration ◽  
Lymphocytic Leukemia ◽  
Pancreatic Involvement ◽  
Laboratory Results ◽  
Night Sweats ◽  
History Of

A 78-year-old female with a past medical history of hypertension, type 2 diabetes mellitus, and chronic lymphocytic leukemia was hospitalized for poor appetite, weight loss, and night sweats. On physical exam, there was no palpable lymphadenopathy, and her abdomen was soft and nondistended. Laboratory results showed a hemoglobin count of 13.3 g/dl, hematocrit 41.3%, white blood cell 68.4 × 103 μL with lymphocytes 92.0%, total bilirubin 0.4 mg/dL, aspartate transaminase 14 U/L, and alanine transaminase 15 U/L. CT of the chest, abdomen, and pelvis showed hypodense lesions within the pancreatic body (1.4 × 1.4 cm) and medial aspect of the pancreatic head (1.2 cm) as well as mild splenomegaly (13 cm craniocaudally). She subsequently underwent endoscopic ultrasound (EUS) with fine needle aspiration (FNA) of the pancreatic mass. Flow cytometry revealed expression of CD5 and CD23, consistent with chronic lymphocytic leukemia.

scholarly journals Unique position of a pancreatic head insulinoma during laparoscopic enucleation: case report

2020 ◽  
Vol 7 (9) ◽  
pp. 3095
Author(s):  
Abdullah M. Alshamrani ◽  
Hisham M. Ghabbani ◽  
Omar M. Alobaid ◽  
Abdullah J. AlShehri ◽  
Khalid M. Alzaraa ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Serum Insulin ◽  
Delayed Diagnosis ◽  
Young Patients ◽  
Pancreatic Head ◽  
Serum Glucose ◽  
High Serum ◽  
Blurred Vision ◽  
History Of ◽  
Laparoscopic Enucleation

Insulinomas are benign pancreatic neuroendocrine tumors that require surgical intervention as a therapeutic measure. We describe an 18-year-old male patient who presented to the emergency department with a history of syncope, blurred vision, and diaphoresis. His blood sugar level was low upon admission, and a 72-hour fasting plasma glucose test showed low serum glucose, high serum insulin, and high C-peptide. An abdominal computed tomography scan and magnetic resonant imaging revealed a solitary tumor in the pancreatic head with no sign of ductal dilatation. Laparoscopic enucleation was performed, and a histopathological examination revealed findings consistent with insulinoma. The patient’s postoperative course was uneventful, and his follow-up examination was unremarkable. In conclusion, physicians should have a high clinical suspicion index for insulinomas, especially in young patients with a history of syncope, blurred vision, and diaphoresis, in order to avoid delayed diagnosis.

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