scholarly journals A case of primary adenocarcinoma of Meckel’s diverticulum presenting as ovarian mass and literature review

2021 ◽  
pp. 380-382
Author(s):  
Arnab Gupta ◽  
Singh Inderdeep ◽  
Haldar Sudip ◽  
Chakraborty Biman
Keyword(s):  
Adnexal Mass ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Needle Aspiration ◽  
Meckel's Diverticulum ◽  
Primary Adenocarcinoma ◽  
Diagnostic Dilemma ◽  
Mesenteric Border ◽  
Needle Aspiration Cytology ◽  
The Right

Meckel’s diverticulum (MD) is the most common congenital anomaly affecting the gastrointestinal tract. It is located on the anti-mesenteric border of the small intestine and occurs due to incomplete obliteration of the omphalomesenteric duct during embryogenesis. Tumors, particularly cancers, are rare complications of MD. Carcinoids are the most common malignancies in this site. Adenocarcinomas are extremely rare and carry a poor prognosis. Here, we present the case of adenocarcinoma of MD presenting as Krukenberg tumor in a 42-year-old lady and causing a diagnostic dilemma. Pelviabdominal examination revealed large bilateral adnexal masses along with ascites and computed tomography-guided fine-needle aspiration cytology from the right adnexal mass was suggestive of adenocarcinoma. At exploratory laparotomy, a MD was found with hard intramural growth palpable at the tip of MD adnexal deposits and omental caking. Immunohistochemistry revealed CK 7- and CK 20+ve and also CDX2 positive. The rarity of presentation of bilateral adnexal mass due to primary adenocarcinoma of MD urges us to report this case.

scholarly journals Submandibular lipoma in elderly female in mid western Nepal: A Case Report

2017 ◽  
Vol 4 (2) ◽  
pp. 46-49
Author(s):  
Bishow Tulachan ◽  
Buddha Nath Borgohain
Keyword(s):  
Needle Aspiration ◽  
The Body ◽  
Rare Entity ◽  
Medical Sciences ◽  
Diagnostic Dilemma ◽  
Submandibular Region ◽  
Medical College ◽  
Needle Aspiration Cytology ◽  
The Right ◽  
Rule Out

Background and Objectives: The submandibular lipomas are relatively rare entity. The reported age of the patients were from birth to 84 years old, and average being 55.7 years. These are mainly asymptomatic and mostly cause aesthetic concerns. Deep lipomas, especially in the head and neck, are not commonly reported. To our knowledge there’s not even a single publication regarding the lipoma in the submandibular region in our mid western region as well as in our country.Presentation of case: A 72 years old female presented with complaints of painless progressive neck swelling in the right submandibular region for about 2 years. Clinically, it was thought to be submandibular gland neoplasm/ lymphadenopathy. Ultrasonography (USG) and fine-needle aspiration cytology (FNAC) were done. It was negative for malignancy. She underwent excision of the mass under general anesthesia without postoperative complications. The histopathology confirmed it to be lipoma. Discussion: Lipoma is a common benign mesenchymal tumour that is found almost anywhere in the body. However, a large lipoma is relatively rare in the submandibular region. On clinical doubt, one can rely on USG / MRI (magnetic resonance imaging) and FNAC to rule out diagnostic dilemma. The treatment of choice is simply excision. Conclusion: It’s a rare entity and may be the first report of a lipoma in the submandibular region in an elderly people. One should rule out its possibility while going through the submandibular region diseases.Janaki Medical College Journal of Medical Sciences (2016) Vol. 4 (2): 46-49

scholarly journals Carcinoid of the uncinate process of the pancreas in a child: An unusual case

Mediscope ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 58-62
Author(s):  
Ashish Kumar Chowdhury ◽  
Jashim Uddin Ahmed ◽  
Mowsumi Chowdhury ◽  
Satyam Sarker
Keyword(s):  
Exploratory Laparotomy ◽  
Needle Aspiration ◽  
Uncinate Process ◽  
Lumbar Region ◽  
Solid Mass ◽  
Malignant Carcinoid ◽  
Head Of The Pancreas ◽  
Needle Aspiration Cytology ◽  
The Right ◽  
Upper Abdomen

Carcinoid of the pancreas is rare among children. We treated a debilitating child who complained about post-prandial pain with a mass in upper abdomen, vomiting and weakness for a period of six months. Abdominal examination revealed an immobile, mildly tender, solid mass in the right lumbar region. Ultrasonography of abdomen demonstrated a tumour of head of the pancreas and ultrasonography-guided fine needle aspiration cytology of the mass suggested a malignant small round cell tumour. With Computed Tomogram an enhancing compact big mass was found at the head of the pancreas compressing the duodenum without invasion and metastasis. At exploratory laparotomy, we also detected a well-defined, rounded, big solid mass arising from uncinate process of the pancreas with no metastasis. After the excision of the mass along with a healthy portion of uncinate process, the patient recovered successfully. Histopathology evaluation showed a neoplasm composed of small nests and sheets of a dense cluster of malignant round cells with hyperchromatic nuclei, sometimes forming acini with stromal invasion. Diagnosis was malignant carcinoid of the pancreas, T2 N0 M0. At follow-up of three and a half years, the patient was found symptom-free and there was no evidence of recurrence. Mediscope Vol. 7, No. 1: Jan 2020, Page 58-62

Disseminated rhinosporidiosis

2013 ◽  
Vol 127 (10) ◽  
pp. 1020-1024 ◽  
Author(s):  
S N Bandyopadhyay ◽  
S Das ◽  
T K Majhi ◽  
G Bandyopadhyay ◽  
D Roy
Keyword(s):  
Spontaneous Regression ◽  
Subcutaneous Tissue ◽  
Needle Aspiration ◽  
Immunocompetent Patient ◽  
Primary Lesion ◽  
Single Patient ◽  
Aspiration Cytology ◽  
Diagnostic Dilemma ◽  
Mucous Membranes ◽  
Needle Aspiration Cytology

AbstractIntroduction:Rhinosporidiosis primarily affects the mucous membranes of the nose and nasopharynx. The disseminated form of this chronic fungal disease is extremely rare.Case report:The authors present a case of disseminated rhinosporidiosis in an immunocompetent patient with involvement of the skin, subcutaneous tissue, muscle, bone, penis and urethra, and with a long-standing primary lesion in the nose.Discussion:A late or atypical presentation of rhinosporidiosis may cause diagnostic dilemma. Fine needle aspiration cytology of the tumoural lesions may establish the diagnosis. Histopathology is confirmatory. The subcutaneous masses may be solid or cystic. Ulceroproliferative lesions need to be differentiated from malignancies.Conclusion:This is the first reported case of truly disseminated rhinosporidiosis with simultaneous involvement of multiple anatomically unrelated sites in a single patient. This is also the first reported case of cystic rhinosporidiosis. The possibility and sequelae of spontaneous regression of rhinosporidiosis are also discussed.

scholarly journals Resection of a colonic mass following trauma: a diagnostic dilemma

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Paul Burchard ◽  
Alan A Thomay
Keyword(s):  
Ct Scan ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Symptomatic Improvement ◽  
Diagnostic Dilemma ◽  
Vehicle Accident ◽  
Abdomen Ct ◽  
History Of ◽  
Mitotic Figures ◽  
The Right

Abstract A 53-year-old Caucasian male presented with a 2-week history of abdominal distension, pain, nausea and lethargy. His symptoms began 1 day after an all-terrain vehicle accident during which he suffered blunt-force trauma to his mid-right abdomen. CT scan demonstrated abnormal thickening of the ascending colon and terminal ilium with surrounding inflammation within the retroperitoneum and colonic mesentery. Given his likely mechanism and symptomatic improvement, he was initially managed conservatively. However, he was readmitted with recurrence of symptoms, and a repeat CT scan demonstrated no interval improvement. An exploratory laparotomy was performed and a firm, fixed mass of the right-colon and colonic mesentery was found. Final histopathology of the mass revealed a diffuse lymphoid infiltrate with numerous mitotic figures and apoptotic cells. Immunohistochemical staining was positive for CD45, CD20, CD10, and BCL-6 and negative for CD3, TdT, and BCL-2, indicating a diagnosis of Burkitt lymphoma.

scholarly journals A diagnostic dilemma: Pedunculated mesenteric lipodystrophy mimicking Meckel’s diverticulum. A case report and literature review

2020 ◽  
Vol 72 ◽  
pp. 183-187
Author(s):  
Alessandra Mirabile ◽  
Marco Moschetta ◽  
Nicola Lucarelli ◽  
Michele Telegrafo ◽  
Arnaldo Scardapane ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Diagnostic Dilemma ◽  
Mesenteric Lipodystrophy

Primary Adenocarcinoma in a Meckel's Diverticulum

1942 ◽  
Vol 226 (4) ◽  
pp. 142-146 ◽  
Author(s):  
Hollis L. Albright ◽  
John S. Sprague
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Primary Adenocarcinoma

A SWOLLEN MIDDLE FINGER IN A MIDDLE-AGED FARMER

Hand Surgery ◽  
2012 ◽  
Vol 17 (01) ◽  
pp. 121-123 ◽  
Author(s):  
Somprakas Basu ◽  
Shilpi Bhadani ◽  
Vijay Kumar Shukla
Keyword(s):  
Proximal Phalanx ◽  
Middle Finger ◽  
Needle Aspiration ◽  
Excision Biopsy ◽  
Middle Aged ◽  
Cytological Examination ◽  
Diagnostic Dilemma ◽  
X Ray ◽  
The Right ◽  
Bony Erosion

Hand tumors are not common and a swollen finger poses considerable diagnostic dilemma. We present a case of a middle-aged farmer who had presented with a painless swelling of the middle finger of the right hand without any neurovascular deficit or evidence of metastasis. An X-ray of the finger showed cortical expansion and bony erosion of the proximal phalanx. A fine needle aspiration cytological examination was inconclusive. He underwent a digit amputation in view of subsequent morbidity and chances of recurrence following local excision. Biopsy proved it to be a giant cell tumor of the proximal phalanx. Following six months of treatment he is doing well. We herein highlight an unusual tumor of the finger and its diagnostic and treatment challenges.

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