Congenital Intercostal Hernia: A Rare Entity

JMS SKIMS ◽  
2018 ◽  
Vol 21 (1) ◽  
pp. 48
Author(s):  
Syed Muzamil Andrabi ◽  
Mohd Yousuf Dar ◽  
Javid Ahmad Bhat
Keyword(s):  
Male Patient ◽  
General Surgery ◽  
Rare Entity ◽  
Intercostal Hernia ◽  
History Of ◽  
Lateral Chest ◽  
Patient Department

A 35-year-old male patient presented to the General Surgery Out Patient Department with a history of swelling on the left lateral chest since birth. The swelling appeared during inspiration and disappeared during expiration. JMS 2018;21(1):48 

scholarly journals Cartilaginous Choristoma in Tonsil : A Rare entity

2015 ◽  
Vol 1 (1) ◽  
pp. 49-50
Author(s):  
Sujan Sharma ◽  
Ramesh Makaju ◽  
Bikash Shrestha
Keyword(s):  
Histological Examination ◽  
Hyaline Cartilage ◽  
Burning Sensation ◽  
Rare Entity ◽  
Lymphoid Follicles ◽  
History Of ◽  
History Of Pain ◽  
Patient Department

Choristoma is a tumor like mass consisting of tissues foreign to the site at which they are located. We report a 39-year-old female who presented to our out-patient department with history of pain and burning sensation in the throat. On examination of the tonsils, bilateral keratosis was present. Histological examination demonstrated the unexpected presence of mature hyaline cartilage surrounded by lymphoid follicles. DOI: http://dx.doi.org/10.3126/acclm.v1i1.12316 Ann. Clin. Chem. & Lab. Med. 1(1) 2015: 49-50

scholarly journals Type 4 appendiceal diverticulum within a de Garengeot hernia

2016 ◽  
Vol 98 (7) ◽  
pp. e141-e142 ◽  
Author(s):  
SH Rossi ◽  
E Coveney
Keyword(s):  
Femoral Hernia ◽  
Cystic Lesion ◽  
Vermiform Appendix ◽  
Clinical Suspicion ◽  
Intraluminal Pressure ◽  
Rare Entity ◽  
History Of ◽  
The Right ◽  
De Garengeot Hernia ◽  
Learning Points

A de Garengeot hernia is defined as an incarcerated femoral hernia containing the vermiform appendix. We describe the case of a patient with a type 4 appendiceal diverticulum within a de Garengeot hernia and delineate valuable learning points.A 76-year-old woman presented with a 2-week history of a non-reducible painless femoral mass. Outpatient ultrasonography demonstrated a 36mm × 20mm smooth walled, multiloculated, partially cystic lesion anterior to the right inguinal ligament in keeping with an incarcerated femoral hernia. Intraoperatively, the appendix was found to be incarcerated in the sac of the femoral hernia and appendicectomy was performed. Histopathology demonstrated no evidence of inflammation in the appendix. However, an incidental appendiceal diverticulum was identified.It is widely recognised that a de Garengeot hernia may present with concomitant appendicitis, secondary to raised intraluminal pressure in the incarcerated appendix. Appendiceal diverticulosis is also believed to develop in response to raised pressure in the appendix and may therefore develop secondary to incarceration in a de Garengeot hernia. To our knowledge, only one such case has been described in the literature. A de Garengeot hernia is a rare entity, which poses significant diagnostic challenges. A high index of clinical suspicion is necessary as these hernias are at particularly high risk of perforation and so prompt surgical management is paramount.

Clear cell carcinoma of Mullerian origin in the urinary bladder: A rare entity

2021 ◽  
pp. 205141582098766
Author(s):  
Harshit Garg ◽  
Brusabhanu Nayak ◽  
Tripti Nakra ◽  
Prabhjot Singh ◽  
Seema Kaushal
Keyword(s):  
Urinary Bladder ◽  
Cell Carcinoma ◽  
Clear Cell ◽  
Clear Cell Carcinoma ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Rare Entity ◽  
Level Of Evidence ◽  
History Of ◽  
Carcinoma Of The Bladder

Mullerian neoplasms of the urinary system are rare but complex tumor-like lesions. The identification of the Mullerian neoplasm is crucial for patient management owing to its etiology, natural history, and prognosis. We present a case of a 42-year-old female with a history of three lower segment cesarean sections presenting with complaints of dysmenorrhea and suprapubic pain with no history of hematuria or any urinary symptoms. Magnetic resonance imaging revealed a 2 cm×2 cm exophytic lesion suspicious of being either a bladder lesion or an endometrial lesion infiltrating the urinary bladder. Cystoscopy and transurethral biopsy of this suspicious bladder tumor revealed a malignant tumor with papillary and tubulocystic architecture. Based on the overall histomorphological and immunohistochemical features, a diagnosis of clear cell carcinoma of Mullerian origin was made, and the patient underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy and partial cystectomy. The patient was kept on regular surveillance and showed no signs of recurrence at the one-year follow-up. Clear cell carcinoma of the bladder of Mullerian origin is a rare entity and is established on histopathology. Prompt diagnosis and a multidisciplinary approach are indispensable for management. Level of evidence: Level 4.

Eosinophilic Angiocentric Fibrosis

2004 ◽  
Vol 128 (1) ◽  
pp. 90-91 ◽  
Author(s):  
Sevgen Önder ◽  
Arzu Sungur
Keyword(s):  
Nasal Obstruction ◽  
Inflammatory Cells ◽  
Sinonasal Tract ◽  
Rare Entity ◽  
History Of ◽  
Eosinophilic Angiocentric Fibrosis ◽  
Nasal Septoplasty

Abstract We present the case of a 45-year-old man who presented with medication-resistant chronic bilateral nasal obstruction. The patient had no known history of allergy or any other disease. Nasal septoplasty was performed to relieve his symptoms. Histologically, thick collagen bundles were seen, characteristically whorling around vessels in a fibrotic stroma. Inflammatory cells, rich in eosinophils, were scattered throughout the lesion. No granulomas, necrosis, or vessel destruction were present. A diagnosis of eosinophilic angiocentric fibrosis was made. This neoplasm, which has very characteristic histologic features, is a rare entity of the sinonasal tract.

74 LAPAROSCOPIC MANAGEMENT OF A PULSION EPIPHRENIC OESOPHAGEAL DIVERTICULUM SECONDARY TO ACHALASIA.

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Jeremy Tan ◽  
Baldwin Yeung ◽  
Lester Ong ◽  
Bin Chet Toh ◽  
Wai Keong Wong ◽  
...  
Keyword(s):  
Laparoscopic Resection ◽  
Barium Swallow ◽  
Toupet Fundoplication ◽  
Rare Entity ◽  
Upper Gi ◽  
Operative Complications ◽  
History Of ◽  
Upper Gi Endoscopy

Abstract   This is a video submission of a laparoscopic resection of an epiphrenic oesophageal pulsion diverticulum secondary to achalasia. A Heller’s cardiomyotomy is also performed together with a Toupet fundoplication. Methods The patient is a 40 year old woman with a 12 month history of worsening dysphagia, reflux symptoms, as well as occasional regurgitation of food, worse at night. Barium swallow showed a distal oesophageal diverticulum and oesophageal manometry confirmed type 1 achalasia. Upper GI endoscopy showed no other intra-luminal findings. Results The patient underwent a laparoscopic resection of the diverticulum, together with a Heller’s cardiomyotomy and Toupet fundoplication. There were no post-operative complications. She remains well and asymptomatic at 9 month follow-up. Conclusion Pulsion diverticula secondary to achalasia are a known but rare entity. A few variations exist on how to manage this condition surgically, especially with respect to the type of fundoplication. We present our preferred technique for dealing with this condition. Video https://www.dropbox.com/s/dg4edkamykugupn/Oesophagealdivert.mp4?dl=0

scholarly journals A Rare Cause of Intestinal Obstruction in Infants: Ileum Duplication Cyst and Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Mehmet Serif Arslan ◽  
Erol Basuguy ◽  
Hikmet Zeytun ◽  
Serkan Arslan ◽  
Bahattin Aydogdu ◽  
...  
Keyword(s):  
Literature Review ◽  
Intestinal Obstruction ◽  
Male Patient ◽  
Pediatric Surgery ◽  
Clinical Symptoms ◽  
Abdominal Distension ◽  
Duplication Cyst ◽  
Oral Feeding ◽  
Imaging Method ◽  
History Of

Cases of neonatal gastrointestinal system (GIS) obstruction are quite complex for pediatric surgery clinics. A rare cause of intestinal obstruction is the duplication cyst (DC). A three-day-old male patient presented at our clinic with a history of abdominal distension and bilious vomiting on the second day following birth. Although pathology had not yet been determined from observation and examination, surgery was performed when the patient could not tolerate oral feeding. An ileal DC forming an incomplete obstruction was observed. Ileoileal anastomosis was performed on the patient. Because DCs can present with different clinical symptoms, it is quite difficult to diagnose them in neonate patients. Lacking an imaging method that can provide an exact diagnosis, the diagnostic laparotomy is a suitable approach for both diagnosis and treatment to avoid delays in treatment.

scholarly journals Raspberry-like tumor on the skin – A rare entity

2019 ◽  
Vol 1 ◽  
pp. 91-93
Author(s):  
Soumya Sreedharan ◽  
Kunjumani Sobhanakumari ◽  
Fousiya Pulikkal ◽  
Machiyanickel Issac Celine ◽  
Parapattu K. Balachandran
Keyword(s):  
Nasal Cavity ◽  
Male Patient ◽  
Rare Entity ◽  
Rhinosporidium Seeberi ◽  
Granulomatous Infection

Rhinosporidiosis is a chronic granulomatous infection, caused by Rhinosporidium seeberi, which frequently affects the nasal cavity and nasopharynx. Cutaneous rhinosporidiosis is rare and probably underreported. We report a case of cutaneous rhinosporidiosis in association with recurrent nasopharyngeal rhinosporidiosis in a 68-year-old male patient.

scholarly journals A 15 year old male with continuous dull pain in the maxillary left central incisor

2018 ◽  
Vol 11 (2) ◽  
pp. 145
Author(s):  
Mst. Mahbuba Kafia Parvin ◽  
Mohammad Ali Asgor Moral ◽  
Md. Shamsul Alam ◽  
Gokul Chand Kundu
Keyword(s):  
Medical History ◽  
Male Patient ◽  
Dental Treatment ◽  
Traumatic Injury ◽  
Sinus Tract ◽  
Gingival Tissue ◽  
Central Incisor ◽  
Dull Pain ◽  
Root Area ◽  
History Of

<p><span>This article has no abstract. The first 100 words appear below:</span></p><p>A 15 year old male patient came to the Department with the complaint of continuous dull pain on his upper left central incisor. He also gave a history of traumatic injury when he was eight years old for which he didn't undergo any dental treatment. He had noncontributory medical history. On extraoral examination, no abnormality was detected. Intraoral examination revealed there was no sign of caries, no crown discoloration, no swelling and no sinus tract was present. Gingival tissue and tooth were intact. On palpation, the patient felt mild pain on the root area of affected tooth. On percussion, dull percussion note was present.</p>

scholarly journals Ectopic decidua of the appendix: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Manabu Kaneko ◽  
Hiroaki Nozawa ◽  
Hirofumi Rokutan ◽  
Koji Murono ◽  
Tetsuo Ushiku ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Acute Appendicitis ◽  
Rare Entity ◽  
Lower Quadrant ◽  
Case Presentation ◽  
Decidual Tissue ◽  
Abdominal Symptoms ◽  
History Of ◽  
Myxoid Degeneration ◽  
Right Lower Quadrant

Abstract Background Ectopic decidua is the presence of decidual tissue outside the uterus. Ectopic decidua of the appendix is a rare entity that can present with abdominal symptoms mimicking appendicitis. We report a case of a 39-year-old female patient at 27 weeks gestational age with a 2-day history of right lower quadrant abdominal pain. Case presentation The patient was referred to our hospital with suspicion of either acute appendicitis or threatened rupture of the uterus, the latter of which was considered unlikely following close examination. Therefore, she underwent emergency appendectomy via laparotomy. Microscopic examination revealed decidual tissue with myxoid degeneration in the subserosal layer of the tip side of the appendix, without endometriosis, which was compatible with ectopic decidua (deciduosis). Conclusions Because it is extremely difficult to distinguish ectopic decidua of the appendix from acute appendicitis, even with various imaging modalities, we should be aware that ectopic decidua of the appendix is a differential diagnosis for acute appendicitis in pregnant women.

scholarly journals Splenosis mimicking gastric obstructive tumor. Diagnostic workup.

2021 ◽  
Author(s):  
Vaia-Aliki Rompou ◽  
Dimitrios Korkolis ◽  
Evelina Skafida ◽  
Dimitrios Tsamis ◽  
Aris Plastiras
Keyword(s):  
Surgical Resection ◽  
Male Patient ◽  
Splenic Rupture ◽  
Diagnostic Workup ◽  
Gastric Gist ◽  
History Of

Splenosis is a condition that occurs after splenic rupture. A 29 year-old male patient with a history of splenectomy, was admitted due to multiple vomiting episodes. The diagnostic workup was unable to differentiate between gastric GIST and splenosis. Laparoscopic surgical resection was performed leading to the diagnosis of splenosis.

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