scholarly journals Gastric Epithelioid Haemangioendothelioma: A Case Report

2021 ◽  
pp. 1-3
Author(s):  
Mitri Roberto ◽  
Mitri Roberto ◽  
Filippo Mocciaro ◽  
Ambra Bonaccorso ◽  
Elisabetta Conte ◽  
...  
Keyword(s):  
Case Report ◽  
Preoperative Diagnosis ◽  
Malignant Potential ◽  
Upper Endoscopy ◽  
Vascular Neoplasm ◽  
Chronic Anaemia ◽  
History Of ◽  
Low Incidence ◽  
Submucosal Lesion ◽  
Epithelioid Haemangioendothelioma

Objective: To report a case of gastric epithelioid haemangioendothelioma, given its low incidence. Introduction: Epithelioid haemangioendothelioma is a vascular neoplasm composed of epithelioid or histiocytoid cells with endothelial characteristics. They have a very low incidence of approximately one per one million and are usually asymptomatic with a difficult preoperative diagnosis. Case Report: This study reports the case of a 58-year-old woman with a history of chronic anaemia. She underwent an elective upper endoscopy with evidence of an ulcerated submucosal lesion in the gastric antrum. The histological examination performed over the endoscopic biopsies showed the vascular characteristic of the tumor and endosonography confirmed the submucosal origin of the lesion. After resective surgery, the tumor showed the histological and immunohistochemical features of the epithelioid haemangioendothelioma. Conclusion: Surgery in the form of wide excision seems to be the treatment of choice for this rare neoplasm in the absence of histological markers of malignant potential.

Epithelioid haemangioendothelioma in the parapharyngeal space

2006 ◽  
Vol 120 (6) ◽  
pp. 505-507 ◽  
Author(s):  
J-C Lee ◽  
B-J Lee ◽  
S-G Wang ◽  
H-W Kim
Keyword(s):  
Endothelial Cells ◽  
Facial Nerve ◽  
Head And Neck ◽  
Soft Tissues ◽  
Parapharyngeal Space ◽  
Malignant Potential ◽  
Vascular Neoplasm ◽  
Cytoplasmic Vacuolation ◽  
Upper And Lower Extremities ◽  
Epithelioid Haemangioendothelioma

Epithelioid haemangioendothelioma (EHE) is an uncommon vascular neoplasm which occurs rarely in the head and neck and has an unpredictable clinical behaviour. It is characterized by round or spindle-shaped endothelial cells with cytoplasmic vacuolation. Most often, EHE arises from the soft tissues of the upper and lower extremities, and it has borderline malignant potential. We describe the first reported case of EHE in the parapharyngeal space, which was treated successfully via a transcervical–transparotid approach (following angiography with embolization), without massive intra-operative bleeding or facial nerve damage.

scholarly journals Extensive nasopharyngeal angiofibroma – case report

1970 ◽  
Vol 15 (2) ◽  
pp. 75-77
Author(s):  
M Alamgir Chowdhury ◽  
Mousumi Malakar ◽  
SM Golam Rabbani ◽  
Naseem Yasmeen ◽  
Shahidul Islam
Keyword(s):  
Case Report ◽  
Physical Examination ◽  
Nasal Cavity ◽  
Neck Region ◽  
Lateral Rhinotomy ◽  
Male Population ◽  
Vascular Neoplasm ◽  
Nasopharyngeal Angiofibroma ◽  
Recurrent Epistaxis ◽  
History Of

Juvenile nasopharyngeal angiofibroma is a benign vascular neoplasm, but it is locally aggressive. This accounts for less than 0.5% of all the neoplasm in the head & neck region in the male population only. Here we report a case of 10-year-old boy with a blackish red smooth polypoidal mass in the nasal cavity, with history of recurrent epistaxis. On physical examination it was suspected as nasopharyngeal angiofibroma. We removed it totally by lateral rhinotomy approach. And the diagnosis was nasopharyngeal angiofibroma on histopathology. Key words: Angiofibroma; Nasopharyngeal. DOI: 10.3329/bjo.v15i2.5061 Bangladesh J Otorhinolaryngol 2009; 15(2): 75-77

scholarly journals Case Report: Creutzfeld- Jakob disease, onset with ataxia and absence of dementia

2021 ◽  
Author(s):  
Lucas de Oliveira Pinto Bertoldi ◽  
Beatriz Cassarotti ◽  
Isabela Silva Souza ◽  
Alana Strucker Barbosa ◽  
Eduardo Silveira Marques Branco ◽  
...  
Keyword(s):  
Case Report ◽  
Cognitive Deficit ◽  
Disease Onset ◽  
Abdominal Distension ◽  
Initial Assessment ◽  
Progressive Dementia ◽  
Mri Scan ◽  
History Of ◽  
Jakob Disease ◽  
Low Incidence

Context: Creutzfeld Jakob disease, a rare prion disease that leads to rapidly progressive dementia and movement disorders, through its pathophysiology will determine brain damage. Regardless of the cause, the course of the disease will be rapid and will invariably lead to death. Objective: The reason why the case is described is due to the low incidence of this disease and its unusual course in the case described. Case report: A 67-year-old male, had a personal history of smoking and obesity . Referred to our service due to sudden ataxia, in the presence of an unchanged MRI scan. The first sympton started when he woke up with a dizzying and inability to walk due to imbalance. In the initial assessment, the patient had appendicular ataxia in all 4 limbs, with an examination of his mental status without changes. New head MRI exam showing alterations compatible with CJD. Interned with hipotheses diagnoses of Wilson’s disease, encephalitis or CJD, he developed abdominal distension with surgical need and immediately after the procedure he already presented a comatose, spastic, and myoclonic condition compatible with the final phase of CJD, later protein 14-3-3 was found in the CSF. Conclusions: CJD, usually presents with rapidly progressive cognitive deficit associated with movement disorder. In the case presented, initially there was no change in cognition and after an urgent surgical procedure, there was an important advance in a shorter than expected period for the disease.

Primary Intradural Classic Chondrosarcoma: Case Report and Literature Review

Neurosurgery ◽  
2001 ◽  
Vol 48 (2) ◽  
pp. 420-423 ◽  
Author(s):  
Jark Jan Daniël Bosma ◽  
Ramez Wadie Kirollos ◽  
John Broome ◽  
Paul Richard Eldridge
Keyword(s):  
Case Report ◽  
Adjuvant Radiotherapy ◽  
Clinical Presentation ◽  
Malignant Potential ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Image Guided ◽  
History Of ◽  
Grade Ii ◽  
Exact Origin

Abstract OBJECTIVE AND IMPORTANCE The exact origin of rare intradural chondrosarcomas remains obscure. We present a case report of an intradural classic chondrosarcoma (a very rare subtype of chondrosarcoma in this location), with a review of the literature, in an attempt to clarify the histogenesis of these tumors. CLINICAL PRESENTATION A 48-year-old man presented with a 12-month history of progressive right hemiparesis. Computed tomography and magnetic resonance imaging demonstrated a left parietal space-occupying lesion. INTERVENTION The patient underwent an image-guided, left parietal parasagittal craniotomy. An extrinsic tumor, which seemed to arise from the dura, was macroscopically removed. There was no bone involvement. The histological examination revealed a Grade II classic chondrosarcoma with tumor infiltration into the dura. Adjuvant radiotherapy was administered. CONCLUSION Intradural chondrosarcomas are rare tumors, the majority of which are mesenchymal. Classic chondrosarcomas in this location are much rarer. Their histogenesis is uncertain. In this case, the origin seems to be from the dura. Because of the malignant potential of these tumors, radical extirpation whenever possible, followed by radiotherapy, is indicated.

scholarly journals Retroperitoneal leiomyoma of gynecologic type: a case report and review of the litterature

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Derqaoui Sabrine ◽  
Elouazzani Hafsa ◽  
Mkira Omar ◽  
Ahmed Jahid ◽  
Kaoutar Znati ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Smooth Muscle ◽  
Case Report ◽  
Preoperative Diagnosis ◽  
Uterine Leiomyoma ◽  
English Literature ◽  
Muscle Differentiation ◽  
Benign Tumors ◽  
Total Hysterectomy ◽  
History Of

Abstract Retroperitoneal leiomyomas are rare benign tumors with smooth muscle differentiation, with only ~1001 cases reported in the English literature to date. Because of its scarcity and non-specific presentation, the preoperative diagnosis might be challenging. On histology, these neoplasms share the same macroscopic, morphological and phenotypic features with uterine leiomyoma; thus, they are referred to as leiomyoma of gynecologic type. Herein, we describe a case of a voluminous retroperitoneal leiomyoma in a 51-year-old woman with a history of total hysterectomy to raise awareness about this condition, as its differential diagnosis might be challenging.

scholarly journals Adult Colo-Colic Intussusception Induced By a Lipoma Masquerading As a Sigmoid Polyp on Colonoscopy: A Case Report

2013 ◽  
Vol 5 (1) ◽  
pp. 72-74
Author(s):  
Junaid Nabi ◽  
SM Quamrul Akhter ◽  
Mohammad Abdullah Al Mamun ◽  
Nelema Jahan ◽  
Md Mamunur Rahman
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Preoperative Diagnosis ◽  
Anal Verge ◽  
Lower Abdominal Pain ◽  
Histological Evaluation ◽  
Midline Incision ◽  
History Of ◽  
Specific Symptoms ◽  
Satisfactory Recovery

Intussusception in adults is rare, accounting for only 5% of all cases of intussusceptions and only 1% of bowel obstruction. Preoperative diagnosis is often difficult due to non specific symptoms and subacute nature. This case report was a per-operatively diagnosed adult colo-colic intussusception induced by a lipoma which mimicked a sigmoid polyp on colonoscopy. A 40-year-old Bengali woman was admitted with two weeks history of colicky lower abdominal pain. Ultrasound abdomen was unremarkable. Colonoscopy revealed a moderately enlarged sigmoid polyp at 25 cm from the anal verge. A midline incision laparotomy was performed only to reveal a colo-colic intussusception. The intussusception was reduced and the patient underwent a segmental resection of the involved bowel. Histological evaluation confirmed the diagnosis of lipoma of the colon. The patient however satisfactory recovery and remains well six months after surgery. DOI: http://dx.doi.org/10.3329/jssmc.v5i1.16226 J Shaheed Suhrawardy Med Coll, 2013;5(1):72-74

scholarly journals Management of Pleural Brucellosis: Case Report

2009 ◽  
Vol 2 ◽  
pp. IDRT.S2235 ◽  
Author(s):  
Adel Alothman ◽  
Salih Bin Salih ◽  
Salwa Alothman ◽  
Ghassan Al Johani
Keyword(s):  
Case Report ◽  
Pleural Effusion ◽  
Incidence Rate ◽  
Pleural Fluid ◽  
Middle Eastern ◽  
Developed Countries ◽  
History Of ◽  
Chest X Ray ◽  
Low Incidence ◽  
The Right

Background Brucellosis is a zoonotic disease, with low incidence rate in developed countries, however the incidence rate in Middle Eastern countries remains high. Chest symptoms in brucellosis cases account for about 15% of the cases, but dealing with respiratory system involvement is rare particularly pleural involvement. Case Report We report a case of a 60-year-old Saudi woman who was admitted with two months history of fever, productive cough anorexia and weight loss, contact with sheep. She was ill looking, underweight and febrile while she was on treatment. Examination of the chest showed signs of pleural effusion on the right side with right infrascapular crepitations. Chest X-ray: showed pleural effusion and right LL infiltrates. CT chest: showed right loculated, pleural effusion. Pleural fluid examination showed exudative changes, on culture of pleural fluid, Brucella species grew. AFB in pleural fluid was negative. She was treated with Streptomycin, Doxycyclin and Ciprofloxacin. She improved within one week of treatment and was discharged, after 14 days on antibrucella therapy. Discussion Pulmonary brucellosis is reported in medical literature occasionally but only few reports are available about pleural brucellosis. The challenge with pleural brucellosis and the association of loculated abscesses lies in therapy. Due to lack of previous information with such cases, we suggest that a period of more than six weeks is needed to treat this condition. We recommend that pleural brucellosis needs to be treated with at least two therapeutic agents for nine weeks.

scholarly journals Large left paraduodenal hernia with intestinal ischemia: a case report and literature review

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052095504
Author(s):  
Hao Xu ◽  
Ning Nie ◽  
Fanmin Kong ◽  
Banghua Zhong
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Preoperative Diagnosis ◽  
Intestinal Ischemia ◽  
Clinical Manifestations ◽  
Common Type ◽  
Paraduodenal Hernia ◽  
Rare Type ◽  
History Of ◽  
Small Intestinal

A left paraduodenal hernia is a rare type of internal hernia but the most common type of peritoneal recess hernia. Preoperative diagnosis of a left paraduodenal hernia is difficult because of its nonspecific clinical manifestations, and it is often confused with other causes of acute abdomen. Diagnosis is therefore often delayed, resulting in serious clinical outcomes. We herein report a case of a large paraduodenal hernia with small intestinal obstruction and ischemia without abdominal pain. The patient was successfully discharged after emergency hernia repair. This case reveals the importance of diagnosing a left paraduodenal hernia with or without abdominal pain, especially in patients with no history of abdominal surgery.

scholarly journals Endoscopic Submucosal Dissection for Resolution of a Symptomatic Pancreatic Rest in a Pediatric Patient: A Case Report and Literature Review

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Sandra Mabel Camacho-Gomez ◽  
Chris Moreau ◽  
James Noel ◽  
Robert Adam Noel ◽  
Sandeep Patel
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Endoscopic Submucosal Dissection ◽  
Normal Function ◽  
Submucosal Layer ◽  
Submucosal Dissection ◽  
History Of ◽  
Greater Curvature ◽  
Recurrent Ulcers ◽  
Submucosal Lesion

The pancreatic rest, aberrant, or heterotopic pancreas is a normal function pancreas found in the submucosal layer of the greater curvature of the gastric antrum and occasionally in the duodenum. Most of the patients are asymptomatic and the finding is usually incidental. We describe the case of a child with abdominal pain and history of recurrent ulcers that necessitated esophagogastroduodenoscopy and further evaluation with endoscopic ultrasound that confirmed a submucosal lesion consistent with a pancreatic rest. Endoscopic submucosal dissection was performed without complication, and complete symptom resolution was achieved after dissection of the pancreatic rest.

scholarly journals Adenoma in Ectopic Pancreas: A Case Report

2021 ◽  
pp. 1-3
Author(s):  
Pamela Frigerio ◽  
Adrián Reynol Sosa Mejía ◽  
Raquel Quiroga Coronado ◽  
Pamela Frigerio ◽  
Raúl Portillo Cordero ◽  
...  
Keyword(s):  
Case Report ◽  
Duodenal Bulb ◽  
Subtotal Gastrectomy ◽  
Pancreatic Tissue ◽  
Histopathological Study ◽  
Diagnostic Challenge ◽  
History Of ◽  
Low Incidence ◽  
Ectopic Pancreatic Tissue ◽  
Pancreatic Adenoma

Introduction: The presence of pancreatic tissue that lacks anatomical or vascular communication with the pancreatic organ has a frequency in autopsy studies that ranges between 0.5% and 13.7%. It is most commonly found in the stomach, specifically in the antrum. Treatment is not clearly established. Surgical resection is recommended in symptomatic patients whose only cause of symptoms is ectopic pancreatic tissue or cancerous formations. Objective: Report a case of ectopic pancreatic adenoma given its low incidence. Case Report: This study reports the case of a 45-year-old male with a history of clinical diagnosis of gastroesophageal reflux disease and a Nissen fundoplication. He presented poor evolution 6 months after the surgery. An endoscopy which revealed postpyloric “polyp” at the level of the duodenal bulb and an inconclusive histopathological study of the same were performed. Reassessment with CT showed a tumor in the first portion of the duodenum measured at 2.2cm, without adenopathies, and a normal-appearing pancreas. It has been made a subtotal gastrectomy and Roux “Y” reconstruction, without complications, with good postoperative evolution, discharged at home on the sixth day. With hematoxylin and eosin technique, the histopathology report reported bile duct adenoma originating in ectopic pancreatic tissue, positive immunohistochemistry for cytokeratin 7 (IHC-7), predominantly expressed by ductal epithelial cells of the pancreatobiliary tract. The patient after surgery had a good clinical evolution and disappearance of symptoms. Conclusion: The clinical cases of rare pathologies are presented to increase the world bibliography and to be able to compare the diagnosis and treatment. In this case, a heterotopic pancreatic adenoma was presented, which is a diagnostic challenge.

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