Splenic Lymphangioma: A Rare Tumour of Spleen in Adults

JMS SKIMS ◽  
2019 ◽  
Vol 21 (2) ◽  
pp. 122-124
Author(s):  
Nisar A Chowdri ◽  
Syed Muzamil Andrabi ◽  
Javaid Ahmad Bhat ◽  
Mubashir Ahmad Shah
Keyword(s):  
Cystic Lesion ◽  
Paediatric Population ◽  
Abdominal Discomfort ◽  
Surgical Removal ◽  
Rare Tumour ◽  
Abdominal Ultrasonography ◽  
Palpable Mass ◽  
History Of ◽  
History Of Pain ◽  
Loss Of Appetite

Splenic Lymphangioma is a rare, benign, cystic lesion arising from malformations of splenic lymphatic channels. They are usually found in paediatric population and rarely in adults. Isolated lesions are asymptomatic and detected incidentally. However larger lesions present with abdominal discomfort, loss of appetite or a palpable mass. Surgical removal of spleen remains the treatment of choice. A 25-year-old, unmarried female presented 2 months history of pain epigastrium. Abdominal ultrasonography revealed a well defined hypoechoic area in relation to the lower pole of spleen with normal splenic and portal vein. Computed tomography with contrast enhancement showed mild splenomegaly with multiple hypodense lesions with peripherally enhancing rim and decreased central attenuation with likely possibility of angiosarcoma of spleen. JMS 2018: 21 (2):122-124

scholarly journals Giant retroperitoneal lipoma: a case report

2003 ◽  
Vol 40 (4) ◽  
pp. 251-255 ◽  
Author(s):  
Carlos Augusto Real Martinez ◽  
Rogério Tadeu Palma ◽  
Jaques Waisberg
Keyword(s):  
Case Report ◽  
Histological Study ◽  
Abdominal Mass ◽  
Benign Neoplasm ◽  
Large Mass ◽  
White Female ◽  
Ascending Colon ◽  
Abdominal Ultrasonography ◽  
History Of ◽  
History Of Pain

BACKGROUND: Retroperitoneal lipoma is an extremely rare neoplasm. AIMS: The authors report a case of giant retroperitoneal lipoma in a 32-year-old white female, with a history of pain and an abdominal mass over a 2-year period. Total abdominal ultrasonography and barium enema showed a large mass located in the retroperitoneal space behind the ascending colon. Laparotomy showed a large encapsulated tumor measuring 20 x 13 x 10 cm and weighing 3.400 g. The histological study revealed a benign neoplasm of fatty cells. CONCLUSION: The patient remains well 17 years after surgery, without recurrentce of the disease.

scholarly journals Laparoscopic Excision of A Rare Retroperitoneal Non-Pancreatic Pseudocyst

2014 ◽  
Vol 2 (1) ◽  
pp. 35-37
Author(s):  
Sardar Rezaul Islam ◽  
Shafiqur Rahman ◽  
Kamal Pasha ◽  
ASM Sayem
Keyword(s):  
Cystic Lesion ◽  
Pancreatic Pseudocyst ◽  
Left Kidney ◽  
Cystic Mass ◽  
Epithelial Lining ◽  
Lower Pole ◽  
Abdominal Ultrasonography ◽  
Laparoscopic Excision ◽  
History Of ◽  
Upper Abdomen

Retroperitoneal cysts (RCs) are rare. They are composed of both epithelial and mesothelial tissues, and those without an epithelial lining in the wall are called pseudocysts. Most retroperitoneal pseudocysts are pancreatic in origin, and nonpancreatic pseudocysts are very rarely reported.We report a case of large cystic lesion adjacent to the left kidney in a 25 years old man. He presented with 2 and half years history of gradual swelling of left upper abdomen. Abdominal ultrasonography and CT scan showed a large unilocular cystic mass in left side of the abdomen, which was attached with the lower pole of the left kidney. The cystic mass was excised laparoscopically. Histology showed a fibrous wall without epithelial lining thus confirming the diagnosis of a nonpancreatic pseudocyst.

Hydrosalpinx in adolescent girls: What did two cases teach?

2021 ◽  
Author(s):  
Ahmet Hikmet Şahin
Keyword(s):  
Abdominal Pain ◽  
Adolescent Girls ◽  
Cystic Lesion ◽  
Lower Abdominal Pain ◽  
Fallopian Tubes ◽  
Abdominal Ultrasonography ◽  
Palpable Mass ◽  
Abdominal Magnetic Resonance Imaging ◽  
First Case ◽  
Abdominal Exploration

Hydrosalphinx is the fallopian tubes getting filled with fluid due to their blockage. It usually occurs with obstruction of fallopian tubes after infection in women of sexually active age. The aim of this article is to draw attention to hydrosalpinx in adolescent girls because of two adolescent cases. First case; a cystic lesion of 38x51x76 mm in the right adnexal region was detected in the lower abdominal magnetic resonance imaging of a 13-year-old girl who presented with the complaint of abdominal pain and vomiting. Right tubal torsion and hydrosalpinx were detected during abdominal exploration. The tube was detorsioned and marsupialization was applied to the hydrosalpinx. Second case; a cystic lesion with dimensions of 24x12x35 cm was detected in the abdominal ultrasonography of a 16-year-old girl who presented with the complaint of abdominal pain and a palpable mass. On abdominal exploration, a right hydrosalpinx filling the entire abdomen was detected. Tubal excision was performed. Both cases have not been undergone any intraabdominal surgery previously. Hydrosalpinx is very rare in adolescent girls. Hydrosalpinx also should be considered in lower abdominal pain. Cases should be examined in terms of preventing infertility problems in future carefully, development of adhesion should be curtailed and parents should be informed in detail.

Median Nerve Compression Secondary to a High Insertion of Pronator Teres

2010 ◽  
Vol 2 (2) ◽  
pp. 124-126 ◽  
Author(s):  
Robert A. Mcculloch ◽  
Simon B. M. Maclean ◽  
Jag Dhaliwal ◽  
Adrian W. Simons
Keyword(s):  
Median Nerve ◽  
Nerve Compression ◽  
Surgical Removal ◽  
X Rays ◽  
Upper Arm ◽  
Median Nerve Compression ◽  
Pronator Teres ◽  
History Of ◽  
History Of Pain ◽  
Supracondylar Process

We present a case of a 46-year-old male presenting with a 10 year history of pain and paraesthesia in the median nerve distribution together with a palpable lump in the upper arm. X-rays confirmed a supracondylar process of the humerus. Intra-operatively it was found that there was an aberrant insertion of one of the heads of pronater teres from the process. After surgical removal of the process and release of the head of pronator teres his symptoms improved.

scholarly journals Schwannoma stomach: a sheep in tiger’s skin

2018 ◽  
Vol 5 (7) ◽  
pp. 2685
Author(s):  
Anuraj Appukkuttan ◽  
Lakshmi M. Peedikathara
Keyword(s):  
Family History ◽  
Abdominal Discomfort ◽  
Stromal Tumour ◽  
The Other ◽  
Benign Schwannoma ◽  
History Of ◽  
Carcinoma Stomach ◽  
Loss Of Appetite ◽  
Upper Abdominal ◽  
Upper Abdomen

Carcinoma stomach- Captain of men of death, is the first diagnosis we have across any patient presenting with pallor, epigastric lump and loss of appetite. We present the case of a 47 year old lady with upper abdominal discomfort, anemia and a lump in the upper abdomen and family history of carcinoma stomach, suspected even intra operatively to have carcinoma or gastro intestinal stromal tumour(GIST) of stomach, to be surprised by the histopathology of a benign schwannoma. GIST, a more common pathology of stomach, has malignant behaviour upto 30%. On the other hand, schwannomas are more benign and have excellent prognosis. There lies the importance of differentiating the two.

scholarly journals Cervical Schwannoma of the Vagus Nerve: Systematic Review and Two Illustrative Cases

2021 ◽  
Vol 9 (4) ◽  
Author(s):  
Silvya Bernardino ◽  
Fernando Morais de Souza ◽  
Roberto Martins ◽  
Mariana Lêdo de Araújo ◽  
Rodrigo Malheiros ◽  
...  
Keyword(s):  
Vagus Nerve ◽  
Histopathological Examination ◽  
Cervical Region ◽  
Benign Tumors ◽  
Surgical Removal ◽  
Complete Excision ◽  
Palpable Mass ◽  
Choice Of Treatment ◽  
History Of ◽  
Painless Mass

Background: Cervical schwannoma is a rare and benign tumor exclusively developed from the cell of Schwann that rarely involve the vagus nerve. Methods: We have conducted a retrospective review with strategy of the consulted references and database included articles published in Portuguese, English and French in PUBMED, MEDLINE, EMBASE, LILACS and SciELO, since 1936 until the present day, associated with a description of two illustrative cases. Both patients presented with a history of painless palpable mass in the cervical region. Results: About 160 cases has been described in literature. Most cases of manifest between the third and sixth decades of the patient's life as a slow growing firm, painless mass in the lateral neck. Imaging is essential to management. Histopathological examination can reveals encapsulated, biphasic spindle cell neoplasia. The best choice of treatment for this type of tumor is complete surgical removal with preservation of the vagus nerve by means of intracapsular resection. In both ilustrative cases the lesions were diagnosed by means of imaging studies and were totally ressected. Surgical findings and histopathology confirmed the diagnosis of vagus nerve schwannoma. There was no recurrence at five years of follow-up. In one case there was disphonya that solved within six months after the surgery. Conclusion: Vagus nerve schwannomas are rare benign tumors. The enucleation technique is used to obtain the most functional preservation and complete excision without permanent deficit is possible even with the occurrence of large lesions.

The history of pain and hysteria

1997 ◽  
Vol 8 (3) ◽  
pp. 157-162 ◽  
Author(s):  
H Merskey
Keyword(s):  
History Of ◽  
History Of Pain

Sacral plexus disorder caused by a wooden toothpick in the rectum

2021 ◽  
Vol 14 (1) ◽  
pp. e238690
Author(s):  
Takuro Endo ◽  
Taku Sugawara ◽  
Naoki Higashiyama
Keyword(s):  
Lower Limb ◽  
Spinal Nerve ◽  
Leg Pain ◽  
Sacral Plexus ◽  
Lateral Recess ◽  
Lateral Recess Stenosis ◽  
Preoperative Ct ◽  
History Of ◽  
History Of Pain ◽  
The Right

A 67-year-old man presented with a 2-month history of pain in his right buttock and lower limb. MRI depicted right L5/S1 lateral recess stenosis requiring surgical treatment; however, preoperative CT showed an approximately 7 cm long, thin, rod-shaped structure in the rectum, which was ultimately determined to be an accidentally ingested toothpick. It was removed surgically 6 days after diagnosis, because right leg pain worsened rapidly. The pain disappeared thereafter, and the symptoms have not recurred since. The pain might have been localised to the right buttock and posterior thigh in the early stages because the fine tip of the toothpick was positioned to the right of the anterior ramus of the S2 spinal nerve. Although sacral plexus disorder caused by a rectal foreign body is extremely rare, physicians should be mindful to avoid misdiagnosis.

scholarly journals Mixed neuroendocrine–non-neuroendocrine neoplasms of the gallbladder: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Tatsuki Ishikawa ◽  
Katsunori Nakano ◽  
Masafumi Osaka ◽  
Kenichi Aratani ◽  
Kadotani Yayoi ◽  
...  
Keyword(s):  
System Analysis ◽  
Cancer Control ◽  
Staging System ◽  
Neuroendocrine Neoplasms ◽  
Ki 67 ◽  
Regional Lymph Nodes ◽  
Abdominal Ultrasonography ◽  
Case Presentation ◽  
History Of ◽  
Lymph Nodes Dissection

Abstract Background  Primary neuroendocrine tumors of the gallbladder (GB-NETs) are rare, accounting for 0.5% of all NETs and 2.1% of all gallbladder cancers. Among GB-NETs, mixed neuroendocrine–non-neuroendocrine neoplasms of the gallbladder (GB-MiNENs) are extremely rare. Case presentation We present the case of a 66-year-old woman who was referred to us for the management of a gallbladder tumor (incidentally found during abdominal ultrasonography indicated for gallbladder stones). The patient had no history of abdominal pain or fever, and the findings on a physical examination were unremarkable. Blood tests showed normal levels of tumor markers. Imaging studies revealed a mass of approximately 10 mm in diameter (with no invasion of the gallbladder bed) located at the fundus of the gallbladder. A gallbladder cancer was suspected. Therefore, an open whole-layer cholecystectomy with regional lymph nodes dissection was performed. The postoperative course was uneventful, and she was discharged on postoperative day 6. Pathological findings showed GB-MiNENs with invasion of the subserosal layer and no lymph node invasion (classified T2aN0M0 pStage IIA according to the Union for International Cancer Control, 8th edition staging system). Analysis of the neuroendocrine markers revealed positive chromogranin A and synaptophysin, and a Ki-67 index above 95%. Fourteen months after the operation, a local recurrence was detected, and she was referred to another hospital for chemotherapy. Conclusions  GB-MiNENs are extremely aggressive tumors despite their tumor size. Optimal therapy should be chosen for each patient.

scholarly journals Composite phaeochromocytomas—a systematic review of published literature

2021 ◽  
Author(s):  
K. Dhanasekar ◽  
V. Visakan ◽  
F. Tahir ◽  
S. P. Balasubramanian
Keyword(s):  
Case Reports ◽  
Descriptive Analysis ◽  
Management Strategies ◽  
Gastrointestinal Symptoms ◽  
Rare Condition ◽  
Epidemiological Data ◽  
Human Case ◽  
Rare Tumour ◽  
Palpable Mass

Abstract Introduction Composite phaeochromocytoma is a tumour containing a separate tumour of neuronal origin in addition to a chromaffin cell tumour. This study reports on two cases from a single centre’s records and presents a systematic literature review of composite phaeochromocytomas. Methods In addition to describing 2 case reports, a systematic search of the Medline database from inception up to April 2020 was done for human case reports on composite phaeochromocytomas. Relevant titles and/or abstracts were screened, and full texts were reviewed to identify appropriate studies. Data was extracted and a descriptive analysis of presentation, clinical features, management strategies and outcomes was performed. The quality of included studies was assessed using a critical appraisal checklist. Results There were 62 studies included, with a total of 94 patients. Of 91 patients where data was available, the median (range) age of patients was 48 (4–86) years. Of 90 patients where information was provided, 57% were female. In at least 28% of patients, a genetic cause was identified. Common presenting features include abdominal pain, palpable mass, cardiovascular and gastrointestinal symptoms. The most common tumour component with phaeochromocytoma is ganglioneuroma; other components include ganglioneuroblastoma, neuroblastoma and malignant peripheral nerve sheath tumours. In patients with follow-up data (n=48), 85% of patients were alive and well at a median (range) follow-up time of 18 (0.5–168) months. Conclusion Composite phaeochromocytoma is a rare tumour, with a significant genetic predisposition. This review summarises available epidemiological data, which will be useful for clinicians managing this rare condition.

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