Temporal extradural ectopic craniopharyngioma

2007 ◽  
Vol 107 (1) ◽  
pp. 178-180 ◽  
Author(s):  
Péter Banczerowski ◽  
Katalin Bálint ◽  
László Sipos
Keyword(s):  
Epithelial Cell ◽  
Rare Case ◽  
Surgical Intervention ◽  
Bone Erosion ◽  
Cystic Tumor ◽  
Squamous Epithelial Cell ◽  
Solid Portion ◽  
Suprasellar Region ◽  
Craniopharyngeal Canal ◽  
The Right

✓A rare case of histologically confirmed primary craniopharyngioma at an ectopic location is presented. This cystic tumor, which had a small solid portion, was located extradurally at the right temporobasal region, and pyramidal bone erosion was observed. No evidence of involvement of the sellar or suprasellar region was found. The neuroimaging findings, surgical intervention, and histopathological features of the tumor are discussed. The authors' hypothesis regarding the extradural location of the tumor is that mismigration of squamous epithelial cell remnants of the obliterated craniopharyngeal canal had occurred.

scholarly journals Noninvasive Duplex Ultrasound Findings of Left-Sided Inguinal Endometriomas

2019 ◽  
Vol 43 (1) ◽  
pp. 34-37
Author(s):  
Rachel Honl ◽  
Riyad Karmy-Jones
Keyword(s):  
Computer Tomography ◽  
Clinical Setting ◽  
Rare Case ◽  
Surgical Intervention ◽  
Duplex Ultrasound ◽  
Endometrial Tissue ◽  
Inguinal Region ◽  
Duplex Ultrasonography ◽  
Ultrasound Findings ◽  
The Right

Endometriosis is described as the presence of endometrial tissue found at sites outside of the uterus. Symptoms can include pain, hemorrhage, and/or infertility. Typically, computer tomography is utilized to make the diagnosis, which requires surgical intervention to confirm and treat. Extra-abdominal endometriosis, presenting as painful groin mass, is uncommon. In the vast majority of cases, it occurs in the right inguinal region. However, in the inguinal region, duplex ultrasound can be utilized to make the diagnosis and, depending on the clinical setting, may obviate the need for biopsy or excision. We present a rare case of left-sided inguinal endometrioma diagnosed by duplex ultrasonography.

scholarly journals Complicated Ventral Hernia: A Perquisite for Perforated Peptic Ulcer—Unusual Clinical Scenario

2021 ◽  
Vol 07 (02) ◽  
pp. e66-e68
Author(s):  
Jignesh A. Gandhi ◽  
Pravin Shinde ◽  
Bhavika Kothari ◽  
Marina Kharkongor
Keyword(s):  
Peptic Ulcer ◽  
Ventral Hernia ◽  
Rare Case ◽  
Surgical Intervention ◽  
Fluid Collection ◽  
Perforated Peptic Ulcer ◽  
Epigastric Hernia ◽  
Case Presentation ◽  
Perforated Gastric Ulcer ◽  
The Right

Abstract Introduction Peptic ulcer usually presents to the emergency in the form of an acute abdomen, which is usually diagnosed easily either clinically or radiologically. Although its incidence has decreased with the introduction on proton pump inhibitors it is still one of the most common emergencies encountered by a surgeon. Case Presentation A 60-year-old woman complained of epigastric swelling for 6 months which gradually increased and became irreducible over the last 2 months. The patient also complained of pain associated with vomiting. Radiological investigations revealed a epigastric hernia with omentum and stomach as content along with fluid collection in the right perihepatic region, with tiny air foci. The patient was explored for the same. Discussion Perforated peptic ulcer is a serious complication and carries high risk of morbidity and mortality. Early diagnosis with immediate resuscitation and surgical intervention is essential to improve outcomes. This is a rare case of perforated gastric ulcer which was masked under the complicated ventral hernia.

scholarly journals Gambaran Radiologi Sinovial Kondromatosis pada Sendi Siku Wanita Muda

2016 ◽  
Vol 2 (1) ◽  
pp. 46-51
Author(s):  
Merliana Debyanti ◽  
Yana Supriatna ◽  
Bambang Supriadi
Keyword(s):  
Connective Tissue ◽  
Old Age ◽  
Young Women ◽  
Elbow Joint ◽  
Rare Case ◽  
Hyaline Cartilage ◽  
Bone Erosion ◽  
Male Predominance ◽  
Limited Movement ◽  
The Right

Synovial condromatosis, focus of cartilage which develops in synovial, bursa or tendon, is a sub-sinovial connective tissue metaplasia. Frequently seen in the knee (70%), male predominance (4 times higher), and old age. CT identifes intra-articular calcifcation fragments and extrinsic bone erosion. MRI exhibits hyaline cartilage non-calcifed neoplasia with T2 hyperintense and T1 iso-hypointense.We report a girl 29 years-old who complained of lumps, pains, and limited movement of the right elbow. CT found multiple calcifcation in synovial, MRI revealed 12x12x8 cm T2 hyperintense and T1 iso-hypointense nodule, without expansion. FNAB and cytology of joint ?uid show no sign of malignancy. Thus synovial condromatosis can occur in the elbow joint of young women, which is a rare case.

scholarly journals A Third Surgically Managed Ectopic Pregnancy after Two Salpingectomies Involving the Opposite Tube

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Naoyuki Iwahashi ◽  
Yoko Deguchi ◽  
Yuko Horiuchi ◽  
Kazuhiko Ino ◽  
Kenichi Furukawa
Keyword(s):  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Rare Case ◽  
Surgical Intervention ◽  
Indigo Carmine ◽  
Natural Conception ◽  
Ectopic Pregnancies ◽  
The Right

Recurrent ectopic pregnancy in a remnant fallopian tube after ipsilateral salpingectomy is clinically rare. We report the extremely rare case of a third recurrent ectopic pregnancy after two previous salpingectomy procedures involving the opposite tube. A 26-year-old woman, gravida 3 para 0, experienced three ectopic pregnancies brought about by natural conception, all of which were treated surgically (right partial salpingectomy, right remnant tube resection, and left total salpingectomy). During the two salpingectomy procedures involving the right tube, the patency of the intact left tube was intraoperatively confirmed with indigo carmine. The most appropriate surgical intervention should be discussed when managing recurrent ectopic pregnancies. It might be necessary to perform total salpingectomy to reduce the risk of future recurrence on the remaining tube.

scholarly journals Urinary bladder fistula following laparoscopic inguinal hernioplasty: a case report

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ken Hagiwara ◽  
Shigeoki Hayashi ◽  
Takeki Suzuki ◽  
Keio Song ◽  
Tadatoshi Takayama
Keyword(s):  
Urinary Bladder ◽  
Rare Case ◽  
Surgical Intervention ◽  
Clinical Symptoms ◽  
Fluid Collection ◽  
Mesh Erosion ◽  
Fistula Formation ◽  
Mesh Removal ◽  
The Right ◽  
Fluid Culture

Abstract Background Fistula formation due to mesh erosion into hollow viscera, such as the urinary bladder, is uncommon. To date, there have been no reports of fistula formation into the urinary bladder without evidence of mesh erosion after hernioplasty; herein, we report one such rare case, in which the clinical symptoms improved without any surgical intervention. Case presentation A 73-year-old man underwent a trans-abdominal preperitoneal repair for bilateral direct inguinal hernia. One month later, the patient experienced a painful induration in the right inguinal region, and computed tomography revealed fluid collection in this region. A culture of the aspirated fluid yielded no bacteria. Seven months later, he experienced another episode of painful induration in the same region. However, blood examination revealed a normal white blood cell count and C-reactive protein level. Moreover, no organisms were detected by aspirated fluid culture. Although the painful induration subsided after aspiration of the fluid collection, he developed gross hematuria and dysuria a month later. Cystoscopy revealed a fistula in the right wall of the urinary bladder that discharged a purulent fluid. Culture of the fluid revealed no bacteria, and there was no evidence of mesh erosion. Hematuria improved without therapeutic or surgical intervention. The patient’s clinical symptoms improved without mesh removal. Moreover, cystoscopy revealed that the fistula was scarred 12 months after the initial appearance of urinary symptoms. No further complications were observed during a 42-month follow-up period. Conclusions We report a rare case of a fistula in the urinary bladder without evidence of mesh erosion after laparoscopic hernioplasty. The patient’s condition improved without mesh removal. Fluid collection due to foreign body reaction to meshes can cause fistula formation in the urinary bladder without direct mesh contact.

scholarly journals Inguinal hernia containing a native orthotopic kidney

2019 ◽  
Vol 12 (1) ◽  
pp. bcr-2018-227645
Author(s):  
Douglas J Cassidy ◽  
Hemang Kotecha ◽  
Vicki Sein
Keyword(s):  
Inguinal Hernia ◽  
Rare Case ◽  
Surgical Intervention ◽  
Radiographic Finding ◽  
Review Of The Literature ◽  
Inferior Pole ◽  
Native Kidney ◽  
Inguinal Hernias ◽  
The Right

We report a rare case of an inguinal hernia containing part of a native kidney and present a review of the literature with regard to urological findings in patients with inguinal hernias. This case involves an elderly man with known bilateral inguinal hernias with an incidental radiographic finding of a large right inguinal hernia containing the inferior pole of the right kidney. The patient was not symptomatic from the hernia and given his overall frailty, no surgical intervention was offered.

scholarly journals Diffuse Midline Glioma with H3-K27M Mutation: A Rare Case with GFAP-positive Anucleate Whorled Patterns

2021 ◽  
Author(s):  
Yi-Hua Wang ◽  
Jian Gu ◽  
Juan-Han Yu ◽  
Lin Fu ◽  
Qing-Chang Li ◽  
...  
Keyword(s):  
Lateral Ventricle ◽  
Rare Case ◽  
Third Ventricle ◽  
Subtotal Resection ◽  
Tumor Type ◽  
K27m Mutation ◽  
Suprasellar Region ◽  
Astrocytic Differentiation ◽  
The Right ◽  
Diffuse Midline Glioma

Abstract Background: Diffuse midline glioma with H3-K27M mutation is a new tumor type in the 2016 WHO classification of tumors of the central nervous system, with predominantly astrocytic differentiation and is characterized by K27M mutation in either H3F3A/-HIST1H3B/C. It occurs at the midline of the CNS. It is mainly found in children, and adult cases are relatively rare . Although its histopathological features have been widely described, GFAP-positive anucleate whorled patterns have not been reported to the best of our knowledge. Hence, we have reported this unusual case.Case presentation：A woman presented with complaints of walking instability. MRI showed a mass shadow of isometric T1 and slightly longer T2 with mild mixed signals in the third ventricle of the suprasellar region, about 3.4 x 2.5 x 3.4 cm in size. The enhanced scan showed that the lesion was irregular and annular, with a clear edge. The lesion had spread to the right lateral ventricle, which dilated the ventricular system, especially the right lateral ventricle. Furthermore, the lamellar long T2 signal was seen in bilateral paraventricular white matter, the midline structure had shifted to the left, and the corpus callosum was thinner. Radiological findings suggested ependymoma. Subtotal resection craniotomy was performed. After surgery, the patient was routinely treated with temozolomide for chemotherapy and synchronous radiotherapy (Dt=60 Gy/30f). It has been 11 months now, and the patient is living well.Result: We described an extremely rare case of diffuse midline glioma, H3-K27M mutation with GFAP-positive anucleate whorled patterns. Conclusions: This case report provides information on the microscopic morphological features of diffuse midline glioma with H3K27M mutation, which can help pathologists to make a definitive diagnosis of this tumor.

scholarly journals Successful Surgical Treatment of a Giant Left Coronary Artery Aneurysm with Fistula

2021 ◽  
Vol 24 (5) ◽  
pp. E868-E869
Author(s):  
Huadong Li ◽  
Hong Yu ◽  
Yu Song ◽  
Lu Tong ◽  
Meng Zhao ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Surgical Treatment ◽  
Rare Case ◽  
Left Coronary Artery ◽  
Coronary Artery Aneurysm ◽  
Surgical Intervention ◽  
Artery Aneurysm ◽  
Fistula Formation ◽  
The Right ◽  
Low Prevalence

Coronary artery aneurysm (CAA) is an aortic catastrophe with low prevalence. Giant CAA is even more uncommon, requiring surgical intervention. Giant CAA usually originates from the proximal segments of the right coronary and the anterior descending arteries. Here we report a rare case of giant left CAA with fistula formation treated with successful surgery.

Large Vulvar Lipoma in an Adolescent: A Case Report

JMS SKIMS ◽  
2011 ◽  
Vol 14 (1) ◽  
pp. 28-29
Author(s):  
R K Maurya ◽  
Pawan Kumar Singh ◽  
Sandeep Singh
Keyword(s):  
Case Report ◽  
Epithelial Cell ◽  
Adolescent Girl ◽  
Rare Case ◽  
Mesenchymal Cell ◽  
Benign Tumors ◽  
Melanocytic Tumors

Lipomas of vulva have been reported only rarely. Benign tumors of the vulva are normally classified according to their origin as epithelial cell tumors (e.g., keratinocytic, adnexal and ectopic tumors), or mesenchymal cell tumors (e.g., vascular, fibrous, muscular, neural, adipose and melanocytic tumors). Vulvar lipomas need to be differentiated from liposarcomas, which are rare but are very similar to lipomas clinically. Here we present a rare case of large vulvar lipoma in an adolescent girl. JMS 2011;14(1):28-29

Successful treatment of conversion chemotherapy for initially unresectable synchronous colorectal liver metastasis

2020 ◽  
Author(s):  
Lungwani Muungo
Keyword(s):  
Liver Metastasis ◽  
Colorectal Liver Metastasis ◽  
Surgical Intervention ◽  
Liver Volume ◽  
Sigmoid Colon Cancer ◽  
Remnant Liver ◽  
Future Remnant Liver ◽  
The Right ◽  
Synchronous Colorectal Liver Metastasis ◽  
Right Hepatic Vein

A 72-year-old woman with a sigmoid colon cancer anda synchronous colorectal liver metastasis (CRLM), whichinvolved the right hepatic vein (RHV) and the inferiorvena cava (IVC), was referred to our hospital. Themetastatic lesion was diagnosed as initially unresectablebecause of its invasion into the confluence of theRHV and IVC. After she had undergone laparoscopicsigmoidectomy for the original tumor, she consequentlyhad 3 courses of modified 5-fluorouracil, leucovorin,and oxaliplatin (mFOLFOX6) plus cetuximab. Computedtomography revealed a partial response, and theconfluence of the RHV and IVC got free from cancerinvasion. After 3 additional courses of mFOLFOX6 pluscetuximab, preoperative percutaneous transhepaticportal vein embolization (PTPE) was performed tosecure the future remnant liver volume. Finally, a righthemihepatectomy was performed. The postoperativecourse was uneventful. The patient was dischargedfrom the hospital on postoperative day 13. She hadneither local recurrence nor distant metastasis 18 moafter the last surgical intervention. This multidisciplinarystrategy, consisting of conversion chemotherapy usingFOLFOX plus cetuximab and PTPE, could contributein facilitating curative hepatic resection for initiallyunresectable CRLM.Key words: Initially unresectable; Colorectal liver metastasis;Conversion chemotherapy; Cetuximab; Percutaneoustranshepatic portal vein embolization

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