scholarly journals ELECTIVE REMOVAL OF A LARGE MESENTERIC CYST – LAPROSCOPIC EXCISION.

2021 ◽  
pp. 24-25
Author(s):  
piyush Ranjan ◽  
Pragya Pragya ◽  
Manish Manish
Keyword(s):  
Unusual Case ◽  
Clinical Findings ◽  
Mesenteric Cyst ◽  
Pathological Examination ◽  
Midline Incision ◽  
Right Colon ◽  
Complete Excision ◽  
Benign Pathology ◽  
The Right ◽  
Tomography Scan

A mesentric cyst is a rare intra abdominal benign pathology. They are found in the mesentry of small bowel (66%) and large intestine (33%), usually in the right colon. Very few cases have been reported of tumours found in mesentry of descending colon, sigmoid or rectum. Mesentric cysts do not show classical clinical findings and are detected incidentally during imaging due to absent or non-specific clinical presentation or during management of one of their complications. Optimal surgical management requires complete excision of the lesions. Although they are invariably benign, a full laparotomy has been the conventional approach for resection, often via a large midline incision. The advantage of minimally invasive surgery has allowed resection of the cysts, without need for a full laparotomy, with the benefit of improved cosmetics, less postoperative pain, and shorter hospital stay. However, laparoscopy can be technically challenging with large intra abdominal cysts. This is mainly due to lack of intra abdominal space and poor ergonomics in relation to port placements with large cysts. We report the incident of a 44-year-old female. A USG and computed tomography scan followed to help diagnose the lesion as a cyst. She underwent laproscopic removal and the cyst was enucleated intact. Postoperative period was uneventful and pathological examination showed a benign mesentric cyst . Objectives of this study is to analyze our experience with emphasis on the presentation, management, and outcome. Laproscopy not only helps in diagnosing the site and origin of the mesentric cyst but also has a therapeutic role. Laproscopic treatment of mesentric cyst is a safe, preferred method of treatment and is a less-invasive surgical technique. Here, we present an unusual case of mesentric cyst arising from Ascending colon treated by laproscopic excision.

scholarly journals A Case Report on Frontal Osteoma

Pulse ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 45-48
Author(s):  
MR Molla ◽  
F Ferdousi ◽  
DR Shankar ◽  
AKMB Karim
Keyword(s):  
Case Report ◽  
Frontal Lobe ◽  
Frontal Sinus ◽  
Clinical Findings ◽  
Complete Excision ◽  
Tumor Mass ◽  
The Right ◽  
Orbital Region

A 13 years old boy admitted with the complaint of progressive exophthalmos and gradually decreasing vision on right eye, also occasional headache and deformity on the right fronto-orbital region. Radiological & clinical findings revealed a case of frontal osteoma in the right frontal sinus extending up to right frontal lobe, eroding right roof of the orbit. Complete excision of the tumor mass was possible surgically. Biopsy confirmed a case of osteoma. Below is a discussion on diagnosis & management of frontal osteomaPulse Vol.9 January-December 2016 p.45-48

scholarly journals The largest reported intrathoracic lipoma: a case report and current perspectives review

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Mohammed Aldahmashi ◽  
Abdalmotaleb Elmadawy ◽  
Mahmoud Mahdy ◽  
Mohamed Alaa
Keyword(s):  
Single Case ◽  
Tumor Resection ◽  
Pathological Examination ◽  
Complete Excision ◽  
Case Presentation ◽  
Medical Checkup ◽  
Excellent Outcome ◽  
The Right ◽  
Intrathoracic Mass

Abstract Background The huge size intrathoracic lipomas are very rare. Few cases have been reported worldwide. To our knowledge, this presented case is one of the few cases reported. Here we report a single case as very huge intrathoracic lipoma compressing the right lung and displacing the diaphragm and liver downward. It has been managed by right posterolateral thoracotomy and complete excision, with excellent outcome. Case presentation A 32-year-old male presented with a symptomatic right intrathoracic mass, which was confirmed to be a lipomatous tumor using computed tomography. A penduculated tumor originating from the mediastinal pleura was resected through the conventional right posterior thoracotomy. Pathological examination indicated a diagnosis of fibrolipoma. Conclusion The tumor was symptomatic and relatively huge when detected during a medical checkup. This enabled the successful tumor resection via conventional thoracotomy approach. Although intrathoracic lipomas are histologically benign, careful observation and follow-up are crucial due to the possibility of recurrence.

Concurrent adrenocortical carcinoma and Conn's adenoma in a man with primary hyperaldosteronism. In vivo and in vitro studies

1992 ◽  
Vol 127 (2) ◽  
pp. 189-192 ◽  
Author(s):  
Y Touitou ◽  
A Boissonnas ◽  
A Bogdan ◽  
A Auzéby
Keyword(s):  
Adrenal Gland ◽  
Adrenocortical Carcinoma ◽  
Primary Aldosteronism ◽  
Unusual Case ◽  
In Vitro Studies ◽  
In Vitro Biosynthesis ◽  
The Right ◽  
Tomography Scan

This is a report of a rare and unusual case of adrenal pathology. A patient presented with clinical and biological signs of primary aldosteronism and computed body tomography scan led to our suspecting the presence of a left adrenocortical carcinoma. The in vitro studies performed on the resected tumour showed very low synthesis of mineralocorticoids and glucocorticoids. The patient could not be re-examined until 15 months later, when he still suffered hypertension; another tomography scan revealed a mass on the right adrenal gland. The studies performed on this second tumour confirmed the diagnosis of Conn's adenoma: active in vitro biosynthesis of 18-hydroxy-corticosterone and aldosterone from exogenous tritiated precursors.

scholarly journals Clinical, laboratory and ultrasonographic findings in 38 calves with type-4 abomasal ulcer

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Ueli Braun ◽  
Christina Widmer ◽  
Karl Nuss ◽  
Monika Hilbe ◽  
Christian Gerspach
Keyword(s):  
Clinical Laboratory ◽  
Clinical Findings ◽  
Pathological Examination ◽  
Severe Illness ◽  
Diffuse Peritonitis ◽  
Laboratory Findings ◽  
Poor General Health ◽  
Abdominal Examination ◽  
The Right ◽  
Tentative Diagnosis

Abstract Background Type-4 abomasal ulcers (U4) are perforated ulcers causing diffuse peritonitis. This retrospective study describes the clinical, laboratory and ultrasonographic findings in 38 calves with U4. The medical records of 38 calves aged three days to 20 weeks with U4 were scrutinised. Results The most common clinical findings were poor general health (95%), reduced skin elasticity (95%), rumen atony (91%), abdominal guarding (76%) and positive percussion auscultation and/or swinging auscultation on the right side of the abdomen (75%). The most frequent laboratory findings were increased numbers of segmented neutrophils (87%), eosinopenia (87%), acidosis (84%), azotaemia (79%) and hyponatraemia (79%). The most frequent abdominal ultrasonographic findings were intestinal atony (68%), fluid (67%) and fibrin deposits (58%) in the abdomen. Thirty-five calves were euthanased and three calves died spontaneously. All calves underwent pathological examination. Diffuse peritonitis caused by a transmural abomasal ulcer was the principal diagnosis in all calves. Conclusions Perforated abomasal ulcers cause severe illness, and a thorough clinical examination combined with ultrasonographic abdominal examination should lead to a tentative diagnosis.

scholarly journals Atypical presentation of Lemierre’s syndrome: case report and literature review

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Marie-Eva Laurencet ◽  
Sarah Rosset--Zufferey ◽  
Jacques Schrenzel
Keyword(s):  
Unusual Case ◽  
Fusobacterium Nucleatum ◽  
Fusobacterium Necrophorum ◽  
Lumbar Pain ◽  
Lemierre’S Syndrome ◽  
Case Presentation ◽  
Psoas Muscles ◽  
The Right ◽  
Lemierre's Syndrome ◽  
Tomography Scan

Abstract Background The classic Lemierre’s syndrome refers to a septic thrombosis of the internal jugular vein, usually caused by a Fusobacterium necrophorum infection starting in the oral cavity, and typically complicated by pulmonary emboli. However, unusual forms of the disorder have been rarely reported. Case presentation We describe an unusual case of a previously healthy 58-year-old male with Lemierre’s syndrome, manifesting with lumbar pain and fever. A thrombosis of the iliac veins and abscesses in the right iliac and the left psoas muscles was diagnosed by a computed tomography scan, together with a right lung pneumonia complicated by pleural effusion and an L4-L5 spondylodiscitis. Blood culture and pus drainage were positive for Fusobacterium nucleatum and an atypical Lemierre’s syndrome was suspected. The patient was treated with anticoagulant therapy for 12 weeks and intravenous antibiotic therapy for 6 weeks with a good evolution and resolution of the thrombosis. Conclusions This case illustrates the thrombogenic and thromboembolic tendency of Fusobacterium nucleatum and its potential invasiveness, regardless of the site of primary infection. The concept of an atypical Lemierre’s syndrome is redefined here to take into consideration non-cervical sites.

scholarly journals An Unusual Case of Monolobar Caroli’s Disease

1994 ◽  
Vol 8 (3) ◽  
pp. 185-188
Author(s):  
Anthony J Gomez ◽  
Robert J Bailey
Keyword(s):  
Abdominal Pain ◽  
Unusual Case ◽  
Pathological Examination ◽  
Right Hepatectomy ◽  
Radiological Evaluation ◽  
Caroli's Disease ◽  
Caroli’S Disease ◽  
Hepatic Lobe ◽  
Upper Abdominal ◽  
The Right

A 27-year-old male with recurrent upper abdominal pain was found to have a suspicious mass in the right hepatic lobe. Right hepatectomy was performed. Pathological examination and further radiological evaluation proved this to be a focal form of Caroli’s disease.

scholarly journals Unusual cause of airway obstruction: subglottic oncocytic cyst

2019 ◽  
Vol 12 (6) ◽  
pp. e228663
Author(s):  
Faith Louise Mary Sibthorp Protts ◽  
Samantha Goh
Keyword(s):  
Unusual Case ◽  
Shortness Of Breath ◽  
Careful Monitoring ◽  
Complete Excision ◽  
Benign Pathology ◽  
Laryngeal Mucosa ◽  
Recent Treatment ◽  
Hoarse Voice ◽  
Supraglottic Larynx

Oncocytic cysts are rare benign cystic lesions, which are usually seen in the supraglottic region. They usually present with symptoms of hoarse voice or the sensation of a lump in the throat. Management is with complete excision and follow-up to monitor for recurrence. In this unusual case, an elderly woman presenting with shortness of breath following recent treatment for pneumonia developed rapidly worsening stridor during admission. Flexible nasal endoscopy revealed a large pedunculated cystic lesion arising from the subglottic laryngeal mucosa. A tracheostomy was performed as an emergency and the lesion was then excised. Histology confirmed the diagnosis of a benign oncocytic cyst. Although oncocytic cysts are a recognised benign pathology of the supraglottic larynx, they should remain in the differential diagnosis for the subglottic larynx. Management is based on cases of supraglottic pathology, and we advise careful monitoring for this previously unreported pathology.

scholarly journals Malignant Ovarian Steroid Cell Tumor, Not Otherwise Specified, Causes Virilization in a 4-Year-Old Girl: A Case Report and Literature Review

2020 ◽  
Vol 13 (1) ◽  
pp. 358-364
Author(s):  
Takaharu Yoshimatsu ◽  
Kozo Nagai ◽  
Reiji Miyawaki ◽  
Kyoko Moritani ◽  
Kazuhiro Ohkubo ◽  
...  
Keyword(s):  
Replacement Therapy ◽  
Tumor Resection ◽  
Serum Levels ◽  
Cell Tumor ◽  
Pathological Examination ◽  
Ovarian Steroid ◽  
Not Otherwise Specified ◽  
Steroid Cell Tumor ◽  
The Right ◽  
Tomography Scan

We report a case of a 4-year-old girl with an ovarian steroid cell tumor, not otherwise specified (SCT-NOS). She was admitted to the hospital with progressing virilization and Cushing’s syndrome, which included abnormality of the perineum, hirsutism, hypertrichosis, flushing of face, hoarseness, and weight gain. Blood testing showed a significantly increased testosterone level and slightly increased cortisol level. Computed tomography scan revealed an 8.0 × 5.0 × 5.0 cm tumor of the right ovary. The patient underwent right salpingo-oophorectomy, and pathological examination showed malignant potential. Three courses of bleomycin, etoposide, and cisplatin were administered as postoperative chemotherapy. After tumor resection, her testosterone decreased to undetectable levels. However, during the course of the treatment, the patient suffered from adrenal insufficiency resulting in the need for hydrocortisone replacement therapy. Although SCT-NOS in childhood are typically benign, pathological findings should be carefully observed for potential malignancy. In cases of cortisol-producing SCT-NOS, serum levels should be monitored, and hydrocortisone replacement therapy should be considered before resection.

scholarly journals Retroperitoneal malignant schwannoma in a child

2018 ◽  
Vol 46 (10) ◽  
pp. 4315-4322 ◽  
Author(s):  
Jun Wang ◽  
Mingming Yu ◽  
Haobo Zhu ◽  
Liqu Huang ◽  
Xiaojiang Zhu ◽  
...  
Keyword(s):  
Preoperative Diagnosis ◽  
Retroperitoneal Tumor ◽  
Pathological Examination ◽  
Malignant Schwannoma ◽  
Lumbar Region ◽  
Complete Excision ◽  
Painless Mass ◽  
The Right ◽  
Space Occupying Lesion

Retroperitoneal malignant schwannomas are extremely rare. Only a few cases have been reported, only one of which occurred in a child. We herein report a case of retroperitoneal malignant schwannoma in a 2-year-old boy who presented with a painless mass in the right lumbar region. The mass had gradually enlarged during a 1-year period, and it was about the size of the patient’s fist at the time of consultation. Whole-abdomen computed tomography revealed a space-occupying lesion in the retroperitoneum infiltrating from the L1 to L4 spinal canal. A preoperative diagnosis of a retroperitoneal tumor was made, and complete tumorectomy was performed. Postoperative pathological examination showed a malignant schwannoma. The tumor recurred 1 month after the first operation, and a second complete excision was carried out; the postoperative pathologic examination findings were similar to the previous findings. The patient recovered well and continued to undergo close follow-up.

scholarly journals An Unusual Case of Hepatic Abscess

2001 ◽  
Vol 15 (9) ◽  
pp. 615-617 ◽  
Author(s):  
Robert Tambay ◽  
Jean Côté ◽  
Anne-Marie Bourgault ◽  
Jean-Pierre Villeneuve
Keyword(s):  
Unusual Case ◽  
Lower Lobe ◽  
Hepatic Abscess ◽  
Pulmonary Infiltrate ◽  
Cytological Examination ◽  
Appropriate Treatment ◽  
Hepatic Actinomycosis ◽  
The Right ◽  
Tomography Scan

A case of recurring primary hepatic actinomycosis is reported. A 50-year-old man presented with fever, weight loss and multiple hepatic masses. A diagnosis was obtained by cytological examination of a biopsy sample taken from the largest hepatic mass, which revealed the presence ofActinomycesspecies. The patient was treated with penicillin for 12 months and did well. Seven years later, he presented with similar symptoms but with a single large liver mass and a pulmonary infiltrate in the right lower lobe. Liver biopsy showed an inflammatory pseudotumour, and lung biopsy showed the presence ofActinomycesspecies. Again, the patient was treated with penicillin. Five months later, the patient was doing well, and a follow-up computed tomography scan showed partial regression of the hepatic pseudotumour. This case indicates that hepatic actinomycosis can recur several years after an appropriate treatment and stresses the need for careful follow-up in such patients.

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