The chemotherapy effect on embryonal rhabdomyosarcoma in a 2-year-old girl in a development country: A rare case

Rhabdomyosarcoma (RMS) is the third most common solid organ malignancy in children after Wilms tumor and neuroblastoma. It is a highly malignant tumor with local tissue invasion and lymphatic and hematogenous metastases. The main treatment for RMS is complete resection with a combination of chemotherapy and radiotherapy. Here, we present the case of a 2-year-old girl who came to the hospital with a complaint of noisy breathing (Stridor) for the past 2 weeks. Intraoral examination showed an oval mass at the base of the tongue that almost closed the airway, felt soft, and had a bump. A computed tomography scan of the neck was performed, and a solid lesion with clear irregular borders was found in the posterior lingua. Incisional biopsy was performed with histopathological results of embryonal RMS. Two weeks after the biopsy, chemotherapy was performed, and the evaluation after two chemotherapy sessions, the mass size was found to have decreased.

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The Infection Returns: A Case of Pulmonary Sporotrichosis Relapse after Chemotherapy

Case Reports in Medicine ◽

10.1155/2018/1384029 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4 ◽

Cited By ~ 3

Author(s):

Samid M. Farooqui ◽

Houssein Youness

Keyword(s):

Fungal Infections ◽

Left Lung ◽

Sporothrix Schenckii ◽

Computed Tomography Scan ◽

Dimorphic Fungus ◽

Carcinoma Of The Esophagus ◽

Case Presentation ◽

The Past ◽

Thoracic Computed Tomography ◽

Tomography Scan

Background. Pulmonary sporotrichosis is a rare disease caused by a dimorphic fungus, Sporothrix schenckii. It is rarely found in association with malignancy. We present a case of pulmonary sporotrichosis recurrence after chemotherapy. Case Presentation. A 44-year-old man, treated for pulmonary sporotrichosis in the past, presented with dysphagia and was found to have squamous cell carcinoma of the esophagus. After undergoing chemotherapy, extensive cavitary lesions were observed on thoracic computed tomography scan. A bronchoalveolar lavage revealed the presence of Sporothrix schenckii sensu lato. Despite treatment with itraconazole, he eventually required a left pneumonectomy for progressive destructive cavitary lesions involving the left lung. Conclusion. This case highlights the importance of considering past fungal infections, albeit cured, in patients initiating immunosuppressive therapy.

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Laryngolith

The Journal of Laryngology & Otology ◽

10.1017/s0022215109004265 ◽

2009 ◽

Vol 123 (2) ◽

Author(s):

A H Hegab

Keyword(s):

Computed Tomography ◽

Case Report ◽

Interesting Case ◽

Rare Entity ◽

Review Of The Literature ◽

Computed Tomography Scan ◽

Unique Case ◽

The Past ◽

Tomography Scan ◽

Biochemical Examination

AbstractObjective:To report an extremely rare and interesting case of a woman who developed a laryngeal stone.Case report:A 44-year-old woman was referred to our ENT clinic complaining of dyspnoea and stridor. She had been treated for chest problems for approximately 30 years. On examination, she had a large, spiky, subglottic lesion compromising the airway. A laryngeal computed tomography scan and histopathological and biochemical examination showed the lesion to be a calcium phosphate stone. Review of the literature from the past 50 years, using several search engines, revealed no similar cases.Conclusion:To the author's knowledge, this is a unique case of a stone that developed in the subglottis. This rare entity was the cause of long-standing chest problems unresponsive to medical treatment. The patient recovered completely from all her symptoms after removal of the laryngolith.

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Current controversy: Is computed tomography scan of the chest needed in patients with Wilms' tumor?

Journal of Pediatric Surgery ◽

10.1016/s0022-3468(96)90393-0 ◽

1996 ◽

Vol 31 (1) ◽

pp. 215

Author(s):

Michael P Hirsh

Keyword(s):

Computed Tomography ◽

Wilms Tumor ◽

Computed Tomography Scan ◽

Current Controversy ◽

Tomography Scan

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Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease

Sao Paulo Medical Journal ◽

10.1590/s1516-31802006000400012 ◽

2006 ◽

Vol 124 (4) ◽

pp. 234-236 ◽

Cited By ~ 10

Author(s):

Ruy Jorge Cruz Junior ◽

Jorge Nahas ◽

Luiz Francisco Poli de Figueiredo

Keyword(s):

Computed Tomography ◽

Case Report ◽

Abdominal Wall ◽

Rare Complication ◽

Gallbladder Disease ◽

Computed Tomography Scan ◽

The Past ◽

The Right ◽

High Degree ◽

Tomography Scan

CONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration or cellulitis.

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An Incidental Finding of a Double-Lumen Trachea

Acta Médica Portuguesa ◽

10.20344/amp.12000 ◽

2021 ◽

Vol 34 (3) ◽

pp. 229

Author(s):

Krzysztof Piersiala ◽

Anna Loroch ◽

Joanna Jackowska ◽

Malgorzata Wierzbicka

Keyword(s):

Incidental Finding ◽

Subglottic Stenosis ◽

Unusual Complication ◽

Tracheal Bronchus ◽

Computed Tomography Scan ◽

Double Lumen ◽

Endoscopic Findings ◽

The Past ◽

Post Intubation ◽

Tomography Scan

The aim of this case report is to present an incidental finding of a firm tracheal septum in a 61-year-old woman. The patient was admitted to the hospital with mild dyspnea and a preliminary diagnosis of a tracheal subglottic stenosis. During microlaryngoscopy, just below the subglottic stenosis, a firm, vertical symphysis (septum), forming a double-lumen trachea was found. There was no record of any previous difficulties with intubation. A computed tomography scan performed after the microlaryngoscopy revealed an airway branch arising from the trachea at the level of thyroid gland and joining its lumen below. The radiological and endoscopic findings in the presented case hardly resemble the conditions described in the literature, as the discovered septum does not have a pseudomembranous nature, nor does it form a tracheal bronchus. Therefore, the finding is thought to be an unusual complication of multiple intubations in the past. This is an extremely rare finding and it is important to share our experience in managing a patient with the aforementioned post-intubation complications.

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Tubular colonic duplication in an adult: case report and brief literature review

Journal of International Medical Research ◽

10.1177/0300060518773016 ◽

2018 ◽

Vol 46 (7) ◽

pp. 2970-2975 ◽

Cited By ~ 7

Author(s):

Xin Wu ◽

Xiequn Xu ◽

Chaoji Zheng ◽

Binglu Li

Keyword(s):

Alimentary Tract ◽

Abdominal Distension ◽

Exploratory Laparotomy ◽

Computed Tomography Scan ◽

Adult Case ◽

Rare Congenital Anomaly ◽

Colonic Duplication ◽

The Past ◽

Nausea And Emesis ◽

Tomography Scan

Gastrointestinal tract duplication is a rare congenital anomaly that can occur anywhere along the alimentary tract. Most of the reported patients present with acute abdomen during childhood. We describe a case of tubular colonic duplication in an adult. The patient was a 25-year-old woman who presented with abdominal pain, bloating, nausea, and emesis for 3 days. The physical examination was remarkable for abdominal distension, tenderness, and rigidity. Abdominal computed tomography scan revealed abnormal intestinal dilatation. Exploratory laparotomy was performed, and tubular colonic duplication was identified intraoperatively. The diagnosis was verified by postoperative pathology results. The patient was discharged on postoperative day 14 and followed for 2 years without specific events or complications. Furthermore, we reviewed the published literature on colorectal duplication in adults for the past two decades.

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Bowel endometriosis: a diagnostic and therapeutic challenge

Hormone Molecular Biology and Clinical Investigation ◽

10.1515/hmbci-2017-0051 ◽

2017 ◽

Vol 33 (3) ◽

Cited By ~ 1

Author(s):

Beng Kwang Ng ◽

Su Ee Phon ◽

Ani Amelia Zainuddin ◽

Wendy Yin Ling Ng ◽

Nordashima Abd Shukor ◽

...

Keyword(s):

Computed Tomography ◽

Clinical Suspicion ◽

Computed Tomography Scan ◽

Bowel Endometriosis ◽

Therapeutic Challenge ◽

Diagnosis And Management ◽

The Past ◽

Retroverted Uterus ◽

Tomography Scan

Abstract Bowel endometriosis is the most common extragenital manifestation of endometriosis. Clinical suspicion is of utmost importance for achieving its diagnosis. Management of this condition is, however, always challenging to the gynaecologist. We report a case of bowel endometriosis in which the patient presented with dyschezia and haematochezia prior to her menses for the past 2 years. A 44-year-old para two woman presented with worsening dysmenorrhea and dyspareunia. She also experienced dyschezia and haematochezia prior to her menses for the past 2 years. An examination revealed a fixed retroverted uterus. A computed tomography scan showed focal bowel thickening. She underwent a colonoscopy examination and biopsy that revealed stromal endometriosis. She was subsequently treated with dienogest and became asymptomatic. Diagnosis and management of this debilitating illness was revisited and discussed.

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"Occult" rib fractures diagnosed on computed tomography scan only are still a risk factor for solid organ injury

Journal of Emergencies Trauma and Shock ◽

10.4103/0974-2700.160706 ◽

2015 ◽

Vol 8 (3) ◽

pp. 140 ◽

Cited By ~ 4

Author(s):

Bishwajit Bhattacharya ◽

Jennifer Fieber ◽

Kevin Schuster ◽

Kimberly Davis ◽

Adrian Maung

Keyword(s):

Computed Tomography ◽

Risk Factor ◽

Rib Fractures ◽

Organ Injury ◽

Solid Organ ◽

Computed Tomography Scan ◽

Solid Organ Injury ◽

Tomography Scan

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Peritoneal Chlamydia trachomatis Infection as a Cause of Ascites: A Diagnosis Not to Be Missed

Case Reports in Gastroenterology ◽

10.1159/000519706 ◽

2021 ◽

pp. 898-903

Author(s):

Luísa Leite Barros ◽

Jessica Calheiros da Silva ◽

Anna Carolina Batista Dantas ◽

Leandro Aurelio Liporoni Martins ◽

Sidney Klajner ◽

...

Keyword(s):

Chlamydia Trachomatis ◽

Fallopian Tubes ◽

Common Complication ◽

Computed Tomography Scan ◽

Massive Ascites ◽

Lymphoplasmacytic Infiltrate ◽

Peritoneal Biopsy ◽

Histopathological Results ◽

Lymphoid Proliferation ◽

Tomography Scan

Ascites is a common complication of several conditions, but it is rare in cases of <i>Chlamydia trachomatis</i> infection. We report a 36-year-old patient presenting with abdominal swelling for a week prior to hospitalization. An extensive workup excluded liver or heart disease and malignancy. A computed tomography scan demonstrated massive ascites and severe thickening of peritoneal reflections. Laboratory tests showed low serum-ascites albumin gradient, high total protein, and low adenosine. Diagnostic laparoscopy revealed inflammatory signs of both fallopian tubes. The histopathological results from peritoneal biopsy were consistent with lymphoid proliferation with reactive lymphoplasmacytic infiltrate. A gynecological investigation showed a positive DNA for <i>C. trachomatis</i> in the cervical swab. After treatment with doxycycline, there was a complete resolution of ascites.

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