scholarly journals An Intraarticular Osteoid Osteoma: A Case Report & Review of Literature

2014 ◽  
Vol 3 (2) ◽  
pp. 77-80
Author(s):  
AR Pant ◽  
MK Gupta ◽  
PK Santhalia ◽  
K Ahmad ◽  
RPS Kalawar ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Osteoid Osteoma ◽  
Rare Case ◽  
Clinical Presentation ◽  
Review Of Literature ◽  
Delay In Diagnosis ◽  
Atypical Clinical Presentation ◽  
The Common ◽  
Central Calcification ◽  
Chronic Shoulder Pain

 Osteoid osteoma (OO) is one of the common benign bone tumors but an uncommon cause of musculoskeletal pain. Its diagnosis is usually not difficult in classic clinical setup and in typical location in diaphyseal region. However, the diagnosis of juxta or intraarticular osteoid osteoma (IAOO) is challenging because of atypical clinical presentation responsible for delay in diagnosis and treatment. We report a rare case of IAOO as a cause of chronic shoulder pain to make clinician aware to help in its early diagnosis and management. A 28-year-old woman presented with chronic debilitating right shoulder pain. The diagnosis was established on CTscan after 2 years of onset of symptoms because of atypical clinical presentation as a chronic monoarthritis of the shoulder. CTscan demonstrated radiolucent nidus with central calcification with areas of surrounding sclerosis. The tumor was excised surgically and histopathologic examination confirmed the diagnosis of osteoid osteoma. So, in the scenario of an unexplained chronic monoarthritis, the possibility of intraarticular osteoid osteoma should also be kept in mind. CT-scan remains the investigation of choice for demonstrating the nidus and surgical exicision relieves the symptoms.  DOI: http://dx.doi.org/10.3126/njr.v3i2.9615   Nepalese Journal of Radiology Vol.3(2)July-Dec, 2013: 77-80

scholarly journals AGGRESSIVE MESENTRIC FIBROMATOSIS: A RARE CASE REPORT AND REVIEW OF LITERATURE

2013 ◽  
Vol 03 (01) ◽  
pp. 79-82
Author(s):  
Rohan Shetty ◽  
Shubha Bhat ◽  
Rajesh Ballal ◽  
Pramod Makannavar ◽  
Anil Kumar K. N.
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Rare Case ◽  
Clinical Presentation ◽  
Aggressive Fibromatosis ◽  
Definitive Diagnosis ◽  
Review Of Literature ◽  
Therapeutic Challenge ◽  
Rare Case Report ◽  
Small Intestinal

AbstractMesentric fibromatosis is a proliferative fibroblastic neoplasm of the small intestinal mesentery with varied clinical presentation. Giant mesentric fibromatosis is uncommon and its rarity poses a diagnostic and therapeutic challenge. This paper presents a recurrent aggressive fibromatosis in a 38 year old male patient, who had initially undergone a laparotomy outside for mass abdomen but only pus was evacuated and definitive diagnosis was not made.

Atypical Presentation of Congenital Yellow Nail Syndrome in a 2-Year-Old Female

2013 ◽  
Vol 17 (1) ◽  
pp. 66-68 ◽  
Author(s):  
Michael Cecchini ◽  
Joseph Doumit ◽  
Nordau Kanigsberg
Keyword(s):  
Rare Case ◽  
Pediatric Patients ◽  
Clinical Presentation ◽  
Positive Family History ◽  
Clinical Manifestations ◽  
Clinical Entity ◽  
Unknown Etiology ◽  
Close Monitoring ◽  
Yellow Nail Syndrome ◽  
Atypical Clinical Presentation

Background: Yellow nail syndrome (YNS) is a rare clinical entity of unknown etiology that is characterized by a triad of yellow nails, respiratory manifestations, and lymphedema. The condition appears in the mid- to later years of life and only rarely in childhood. We describe a rare case of YNS with an atypical clinical presentation consisting of only yellow and dystrophic nails in a 2- year-old female since birth. Objective: A case of congenital YNS with only dystrophic and yellow nails is reported. Methods and Results: A 2-year-old female presented with yellow nails since birth. There was no positive family history. Physical examination revealed 20 thickened, dystrophic, yellow nails with onycholysis. There was no evidence of respiratory manifestations or lymphedema. Conclusion: Although rare, YNS can present as a congenital clinical entity and persist after birth. Pediatric patients with YNS show different clinical manifestations than the classic adult patient. The presence of yellow and dystrophic nails in the absence of respiratory and lymphatic manifestations may be the only sign of pathology and warrants close monitoring as progression to more serious complications can occur.

scholarly journals Primary hydatid cyst of the psoas adherent to the aortoiliac axis: a real therapeutic challenge

2021 ◽  
Vol 7 (7) ◽  
pp. 363
Author(s):  
Anwar Rahali ◽  
Rahal Mssrouri ◽  
Marouane Baiss ◽  
Abderrahmane Mansouri ◽  
Hamid Mohamed ◽  
...  
Keyword(s):  
Literature Review ◽  
Hydatid Cyst ◽  
Rare Case ◽  
Essential Role ◽  
Histological Analysis ◽  
Clinical Presentation ◽  
Atypical Clinical Presentation ◽  
Residual Cavity ◽  
Primary Hydatid Cyst

<p class="abstract">Hydatidosis of the psoas is an unusual entity even in countries endemic to hydatid disease. We reported a rare case of hydatid cyst of psoas in a 54 year old man without pathological history. The atypical clinical presentation and the uncharacterizable radiology have demonstrated the essential role of surgery and histological analysis in the management of this type of lesion. The patient underwent a resection of the protruding dome with drainage of the residual cavity  because of the anatomical relationships of this hydatid cyst. Through this case and literature review, we aimed to discuss the diagnostic means, the natural course of the disease, the differential diagnoses as well as the therapeutic options for a hydatid cyst of the psoas.</p>

scholarly journals APPENDICEAL MUCOCOELE WITH PARTIAL NON ROTATION OF GUT – A RARE CASE REPORT

2020 ◽  
pp. 1-2
Author(s):  
Shirish Bhagvat ◽  
Nikhil Dhimole
Keyword(s):  
Abdominal Pain ◽  
Rare Case ◽  
Patient Management ◽  
Clinical Presentation ◽  
Delayed Diagnosis ◽  
Laparoscopic Approach ◽  
Intermittent Abdominal Pain ◽  
Atypical Clinical Presentation ◽  
Rare Case Report

Mucocoele of appendix and partial non-rotation of gut are rare pathological entities, and when they are present together they pose diagnostic and therapeutic difficulties due to atypical clinical presentation. This dilemma of varied clinical presentation can lead to delayed diagnosis and complications, thereby adversely affecting patient management and outcome. We report a 33 year old lady, presenting with intermittent abdominal pain in the periumbillical since 3 months diagnosed to have an appendiceal mucocoele with partial non rotation of gut on imaging. The patient underwent laparoscopic appendectomy and was discharged on post operative day 1 following an uneventful course with no recurrence on 6 months of follow up. Histopathology of the specimen confirmed the diagnosis of mucocoele of appendix with no evidence of malignancy. To our knowledge, this is the first reported case of mucocoele of appendix with partial non rotation of gut managed with minimally invasive laparoscopic approach.

scholarly journals The common peroneal nerve schwannoma: A case rare case report with brief review of literature

2020 ◽  
Vol 6 (4) ◽  
pp. 330-332
Author(s):  
Abhijeet Bele ◽  
◽  
Piyush Kumar Panchariya ◽  
H Singh ◽  
D Singh
Keyword(s):  
Case Report ◽  
Peroneal Nerve ◽  
Rare Case ◽  
Common Peroneal Nerve ◽  
Review Of Literature ◽  
Rare Case Report ◽  
The Common

scholarly journals Resolution of Chronic Shoulder Pain after Repair of a Posttraumatic Diaphragmatic Hernia: A 22-Year Delay in Diagnosis and Treatment

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Brody W. King ◽  
John G. Skedros ◽  
Robert E. Glasgow ◽  
D. Glen Morrell
Keyword(s):  
Shoulder Pain ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Rib Fractures ◽  
Left Shoulder ◽  
Delay In Diagnosis ◽  
Traumatic Diaphragmatic Rupture ◽  
Diaphragm Hernia ◽  
Delays In Diagnosis ◽  
Chronic Shoulder Pain

Diagnosing traumatic diaphragmatic rupture (TDR) due to penetrating rib fractures is challenging because the lesions are often too small to be detected and may present years after injury. Patients with delays in diagnosis of TDR rarely present with orthopaedic-related complaints of pain. We report the case of a 52-year-old female who presented with chronic left shoulder pain following a motor vehicle accident (MVA). In addition to left-side lower rib fractures, she also sustained a left-sided splenic laceration, pneumothorax, and two-part upper humerus fracture. Fracture treatment was percutaneous pinning; the other injuries were treated nonoperatively. Her shoulder pain could not be attributed to shoulder or neck pathology. Twenty years after the MVA, she began experiencing episodes of left-sided abdominal pain and nausea. A CT scan obtained two years later revealed a diaphragm hernia, which was repaired laparoscopically. Unique aspects of this case include (1) presentation to an orthopaedic surgeon with a chief complaint of chronic shoulder pain; (2) at 22 years, this is the fourth longest case of a delay in diagnosis of TDR; and (3) the unique symptom of ipsilateral referred shoulder pain, which immediately improved after hernia repair.

scholarly journals Genitourinary Tuberculosis: An Atypical Clinical Presentation

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Pei Shan Lim ◽  
Ixora Kamisan Atan ◽  
Aruku Naidu
Keyword(s):  
Clinical Presentation ◽  
Surgical Intervention ◽  
Early Recognition ◽  
Extrapulmonary Tuberculosis ◽  
Uterovaginal Prolapse ◽  
Genitourinary Tuberculosis ◽  
Immunocompromised Individual ◽  
Atypical Clinical Presentation ◽  
The Common ◽  
Complicated Situation

Genitourinary tuberculosis is one of the common forms of extrapulmonary tuberculosis. We report a case of atypical genitourinary tuberculosis: massive uterovaginal prolapse with cervical lesion mimicking cervical carcinoma. This particular case highlights the problem of healthcare in most of the developing countries. Lack of patient education, awareness, and access to a healthcare system resulted in a complicated situation. In an endemic area or in an immunocompromised individual, a higher index of suspicion would allow early recognition and treatment institution to minimise its late consequences as well as spreading of the disease. Though anti-TB is the mainstay of treatment, surgical intervention might be needed in selected cases.

scholarly journals Segmental Schwannomatosis in the Upper Extremity: A Case Report and Review of Literature

2021 ◽  
Author(s):  
Cheungsoo Ha ◽  
Yun Kyung Kang ◽  
Joong Won Ha ◽  
Dong Hun Han ◽  
Jun-Ku Lee ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Rare Case ◽  
Case Series ◽  
Nerve Fibers ◽  
Benign Tumors ◽  
Review Of Literature ◽  
Sensory Deficits ◽  
Nerve Sheath ◽  
The Common ◽  
Multiple Schwannomas

Schwannomas, the most frequently occurring benign tumors of the peripheral nerve sheath, generally remain as painless swellings for several years before diagnosis. Multiple schwannomas involving different nerves within the same extremity are rare. We report a rare case of a 61-year-old female who presented with multiple schwannomas in the palmar common and proper digital nerves, 15 years after the resection of a median nerve schwannoma within the same upper extremity. Using preestablished diagnostic criteria, she was diagnosed with segmental schwannomatosis. After careful surgical resection, biopsy confirmed the diagnosis and she recovered without neurological symptoms or limitations in the range of motion. Literature review revealed only four case series on segmental schwannomatosis, indicating its rarity. Postoperative sensory deficits are more likely in cases with multiple schwannomas in the common and proper digital nerves. We demonstrate that such complications can be avoided by meticulous dissection and separation of the tumors from the nerve fibers.

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