scholarly journals Cerebellar Abscess Mimicking Recurrent Pilocytic Astrocytoma: A Case Report

2016 ◽  
Vol 12 (2) ◽  
pp. 85-87
Author(s):  
Harihar Devkota ◽  
Rajiv Jha
Keyword(s):  
Case Report ◽  
Children And Adolescents ◽  
Pilocytic Astrocytoma ◽  
Preoperative Diagnosis ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Cerebellar Abscess ◽  
Septic Focus ◽  
Operative Findings ◽  
Space Occupying Lesion

Cerebellar abscess is a rare condition occurring more commonly in children and adolescents usually caused by otitis media. They can occur following trauma or surgery or from septic focus directly or hematologically. It is sometime hard to distinguish from other space occupying lesion clinically or by imaging modalities. We report a case of an eight year boy who had undergone craniotomy and excision of a pilocytic astrocytoma two years back and now presented with headache and preoperative diagnosis of recurrent pilocytic astrocytoma was made. But, to our surprise, the operative findings showed an abscess which was confirmed with histopathology. The final diagnosis of cerebellar abscess was made.Nepal Journal of Neuroscience 12:85-87, 2015

scholarly journals Strangulated lumber hernias in adults: A case report and review of the literature

2016 ◽  
Vol 98 (8) ◽  
pp. e160-e161 ◽  
Author(s):  
I Ka ◽  
ML Gueye ◽  
O Thiam ◽  
LG Akpo ◽  
AO Toure
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Preoperative Diagnosis ◽  
Rare Condition ◽  
Lumbar Hernia ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Management Guideline ◽  
Therapeutic Modalities ◽  
Specific Management

Strangulated lumbar hernia is a very rare condition, with no more than 30 cases reported in the literature so far. Therefore, there is no specific management guideline and the diagnosis remains difficult. By reporting the case of a Senegalese male patient who had a preoperative diagnosis of strangulated lumbar hernia, we aim to discuss the diagnosis and therapeutic modalities of this rare entity, which is often misdiagnosed.

Tears of blood – a female adolescent with essential idiopathic bilateral haemolacria: case report and brief review

2020 ◽  
pp. 004947552096128
Author(s):  
Sahil Agrawal ◽  
Monikha T ◽  
Deepsekhar Das ◽  
Mandeep Singh Bajaj ◽  
Sujeeth Modaboyina ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Emergency Department ◽  
Case Report ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Female Adolescent ◽  
Radiological Imaging ◽  
The Past ◽  
Normal Limits ◽  
Underlying Pathology

Haemolacria is a rare condition that usually occurs secondary to a hidden pathology. On rare occasions when no underlying cause may be found, it is called essential idiopathic haemolacria. Here the authors report a case of a 13-year-old girl presented to the ophthalmology emergency department with spontaneous bloody tears from both eyes for the past six months. There was associated bleeding from the ear. The rest of the systemic and ophthalmology examinations were within normal limits. She was investigated systemically to look for any underlying pathology; however, her blood investigations, radiological imaging and local examinations performed by the Otorhinolaryngology, Ophthalmology, Gynaecology and Internal Medicine departments were all normal. A final diagnosis of bilateral essential haemolacria was made.

scholarly journals Volvulus of gall bladder: case report

2017 ◽  
Vol 4 (11) ◽  
pp. 3792 ◽  
Author(s):  
Rajneesh Kumar ◽  
Ankur Hastir ◽  
Ramandeep Singh Walia ◽  
Subhash Goyal
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Gall Bladder ◽  
Preoperative Diagnosis ◽  
Rare Case ◽  
Rare Condition ◽  
Middle Aged ◽  
Biliary Peritonitis

Gall bladder volvulus or twisting is a rare condition and occurs due to rotation of gall bladder. Preoperative diagnosis is exception and usually misdiagnosed as cholecystitis before surgery. It is potentially fatal condition unless diagnosed and treated early leading to gangrene and biliary peritonitis. It has been reported in only about 500 cases in the literature ranging in age given 2-100 years old. We report a rare case of middle aged female 56 years old with volvulus of gall bladder having concomitant cholelithiasis treated with laparoscopic cholecystectomy.

scholarly journals Cannabinoid Hyperemesis Syndrome: A Case Report of Cyclic Severe Hyperemesis and Abdominal Pain with Long-Term Cannabis Use

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Julia Hermes-Laufer ◽  
Lola Del Puppo ◽  
Ihsan Inan ◽  
François-Xavier Troillet ◽  
Omar Kherad
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
D2 Receptor ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Cannabis Use ◽  
Severe Nausea ◽  
Cannabis Consumption ◽  
Cannabinoid Hyperemesis Syndrome

Introduction.Cannabinoid Hyperemesis Syndrome (CHS) is a rare condition that includes cyclic severe vomiting in subjects who have been consuming large doses of cannabis for several years. One of the major diagnostic criteria is the alleviation of symptoms by hot showers. The syndrome was first described in 2004 and is so far neither completely understood nor well known. The latter leads to continued morbidity in concerned subjects and unnecessary expenses for futile investigations. Standard treatments of vomiting as 5-HT3 or D2-receptor antagonists have been shown to be ineffective in alleviating the symptoms. The only long-term satisfying treatment option is the complete abstinence from cannabis consumption.Case Summary.In this case report we describe a 26-year-old male Caucasian long-term cannabis consumer who repeatedly presented in our emergency room with cyclic severe nausea and vomiting ceased by hot showers and resistant to all other treatments. The final diagnosis was not established until his third visit to the ER.Conclusion.CHS is an important differential diagnosis in patients who present with cyclic vomiting and abdominal pain with a history of long-term cannabis use. Recognition of this syndrome is important in order to avoid unnecessary clinical testing and to help the patients break the cycle of drug use.

Spontaneous pneumocephalus presenting with alien limb phenomena

2012 ◽  
Vol 126 (7) ◽  
pp. 733-736 ◽  
Author(s):  
R Nash ◽  
M Wilson ◽  
M Adams ◽  
N Kitchen
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Rare Condition ◽  
Alien Limb ◽  
Space Occupying Lesion

AbstractBackground:Spontaneous pneumocephalus is a rare condition that has been reported infrequently. Alien limb syndrome is an uncommon phenomenon most often seen in patients with frontal and callosal lesions.Method:Case report of a patient with pneumocephalus presenting with alien limb syndrome. The patient underwent successful surgical management. A literature review and discussion of aspects of this presentation are also included.Conclusion:In this case, a spontaneous pneumocephalus has formed a frontal space-occupying lesion and presented with alien limb phenomena.

scholarly journals A Case Report of Aggressive Angiomyxoma in Pregnancy: Do Hormones Play a Role?

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Theofano Orfanelli ◽  
Chi-Son Kim ◽  
Sally F. Vitez ◽  
James Van Gurp ◽  
Neeti Misra
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Reproductive Age ◽  
Aggressive Angiomyxoma ◽  
The Right ◽  
Labium Majus ◽  
Growing Mass ◽  
In Pregnancy

Aggressive angiomyxoma is a rare, locally invasive tumor that generally affects the perineum and pelvis of reproductive age females. Aggressive angiomyxoma is often misdiagnosed, resulting in the delay of the treatment. Case reports show increased growth of the tumor during pregnancy, thus suggesting a hormonal dependency. We report this rare condition in a 29-year-old primigravid female with a growing mass on the right labium majus at 20 weeks’ gestation. The patient also developed a smaller mass on the left labium majus at 37 weeks’ gestation. The patient underwent a primary cesarean section with resection of the right labial mass, with a final diagnosis of aggressive angiomyxoma. The lesion on her left labium majus resolved spontaneously postpartum. This case report supports a hormonal involvement in this tumor.

scholarly journals Case report: a camouflaged parathyroid carcinoma with initial misdiagnosis

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hongtao Cao ◽  
Weibin Wang
Keyword(s):  
Case Report ◽  
Preoperative Diagnosis ◽  
Poor Prognosis ◽  
Parathyroid Carcinoma ◽  
Clinical Manifestations ◽  
Rare Condition ◽  
Optimal Management ◽  
Case Presentation ◽  
Preoperative Ultrasonography ◽  
Rare Malignancy

Abstract Background Parathyroid carcinoma is a rare malignancy with an increasing incidence. Most patients are characterized by the presence of severe primary hyperparathyroidism, especially hypercalcemia, while patients with normal level of serum calcium are extremely rare. Unfortunately, patients free of hypercalcemia are usually diagnosed at a later stage and suffer from a rather poor prognosis. Case presentation We describe a patient diagnosed with intrathyroidal normocalcemic parathyroid carcinoma, whose preoperative ultrasonography suggests that the tumor is located inside the thyroid gland and present without obvious clinical manifestations, which makes it more challenging for diagnosis. Conclusions Preoperative suspicion of malignancy is of great importance for advanced management while preoperative diagnosis is rather challenging with the limited contribution of imaging examinations. Any abnormality in serum level of calcium or parathormone may help to make an initial diagnosis especially when the level is extremely high. We introduce this case of initial misdiagnosis of an intrathyroidal parathyroid carcinoma, mimicking a suspicious thyroid nodule, to focus on the possible anomalous presentations of this rare condition and on its optimal management.

scholarly journals Fetus in fetu presenting as suprarenal mass: a case report

2017 ◽  
Vol 4 (4) ◽  
pp. 1490
Author(s):  
Md Nawad Azam ◽  
Baikuntha Narayan Mishra ◽  
Subrat Kumar Majhi ◽  
Ranjit Kumar Joshi ◽  
Prabin Prakash Pahi
Keyword(s):  
Case Report ◽  
Renal Mass ◽  
Antenatal Diagnosis ◽  
Rare Condition ◽  
Male Child ◽  
Fetus In Fetu ◽  
Suprarenal Mass ◽  
Operative Findings

Fetus in fetu (FIF) is a rare condition in which baby harbors its monozygotic malformed twin fetus inside its own body. This is even rarer in supra renal location, mostly asymptomatic but may present as a palpable abdominal lump. Here in we describe one newborn male child with antenatal diagnosis of mass abdomen. Post-natal ultra-sonogram of abdomen was suggestive of left supra renal mass. Operative findings and histopathology were consistent with fetus in fetu.

scholarly journals Isolated liver tuberculosis

2016 ◽  
Vol 7 (1) ◽  
pp. 71
Author(s):  
Ruksana Karim ◽  
Md. Mohsen Chowdhury ◽  
Arif Salam Khan
Keyword(s):  
Preoperative Diagnosis ◽  
Rare Case ◽  
Clinical Presentation ◽  
Rare Condition ◽  
Metastatic Carcinoma ◽  
Correct Preoperative Diagnosis ◽  
Hepatic Tuberculosis ◽  
Atypical Clinical Presentation ◽  
Isolated Liver ◽  
Space Occupying Lesion

Isolated liver tuberculosis is still considered a rare condition and its atypical clinical presentation challenges the clinical acumen of the treating physician. There is difficulty in reaching the correct preoperative diagnosis of nodular hepatic tuberculosis that presents as a space-occupying lesion. It is usually unsuspected and confused with primary or metastatic carcinoma of the liver. In this report, we describe a rare case of isolated liver tuberculosis.

scholarly journals Gallbladder Tuberculosis Mimicking Gallbladder Carcinoma: A Case Report and Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Yao Liu ◽  
Kai Wang ◽  
Heng Liu
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Gallbladder Carcinoma ◽  
Preoperative Diagnosis ◽  
Final Diagnosis ◽  
Xanthogranulomatous Cholecystitis ◽  
Surgical Biopsy ◽  
Gallbladder Diseases ◽  
Correct Preoperative Diagnosis

Gallbladder tuberculosis (GT) is extremely rare, and it is difficult to differentiate from other gallbladder diseases, such as gallbladder carcinoma and Xanthogranulomatous Cholecystitis. A correct preoperative diagnosis of GT is difficult. The final diagnosis is usually made postoperatively according to surgical biopsy. Here, we report a case of a patient who underwent surgery with the preoperative diagnosis of gallbladder carcinoma. We reviewed the literature and present the process of differential diagnosis between two or more conditions that share similar signs or symptoms.

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