scholarly journals Rupture of a mature cystic teratoma in a young girl caused by a car accident: an extremely rare case and review of the literature

Folia Medica ◽  
2021 ◽  
Vol 63 (3) ◽  
pp. 438-442
Author(s):  
Dimitrios Tsapralis ◽  
Anastasia Prodromidou ◽  
Georgios Vasiliadis ◽  
Chrysovalantis Vergadis ◽  
Nikolaos Machairas ◽  
...  

Mature cystic teratomas (MCT) of the ovary or dermoid cysts are commonly encountered benign ovarian lesions accounting for  approximately 70% of benign tumors and originating from germ cells. A rare case of peritonitis in a 17-year-old female patient caused by traumatic rupture of an MCT of the right ovary is herein presented. A meticulous search of the literature has also been performed. Due to deterioration of patient’s clinical condition, she was urgently led to surgery and intraoperative investigation of the peritoneal cavity revealed an inflamed ruptured ovarian cyst along with extensive peritoneal adhesions and purulent peritoneal fluid. A cyst resec-tion was performed with preservation of the ovary followed by adhesiolysis and meticulous abdominal washing and the patient had an uneventful recovery.  Despite its rarity, traumatic rupture of ovarian cyst should be considered at evaluation of trauma patients with special attention to cases with a discovered or known presence of ovarian cyst.

2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
Rathin Gosavi ◽  
Ee Ban

Abstract An internal hernia is a protrusion of viscera through a congenital or acquired defect in the mesentery of peritoneum. They account for <0.9% of all small bowel obstructions [1] and ~4% of obstructions due to hernias [2]. We present a rare case of closed loop obstruction secondary to a band adhesion traversing the lower abdomen from a sigmoid colon appendage epiploicae to the right pelvic wall. A 82-year-old woman presented to the emergency department with nausea, vomiting and worsening right sided abdominal pain for 24 h, on the background of previous pelvic radiation and hysterectomy for uterine cancer. She was subsequently found to have a closed loop obstruction with 30 cm of ischemic bowel strangulated by a band adhesion from a sigmoid colon appendage epiploicae to the right abdominal wall. The patient underwent a successful small bowel resection with primary anastomosis and made an uneventful recovery.


2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Ricardo Roberto de Souza Fonseca ◽  
Mário Augusto Ramos Junior ◽  
Douglas Baruchi ◽  
Tabata Resque Beckmann Carvalho ◽  
Andresa Borges Soares ◽  
...  

Leiomyomas are rare benign tumors that grow in the tunica media of smooth muscle cells. Leiomyomas occur most frequently in the uterus or gastrointestinal tract and only very rarely in the area of the cheek. This study reports on a rare case of a leiomyoma in the cheek of a 43-year-old woman, who presented with a well-circumscribed, asymptomatic, mobile swelling in the right cheek. This swelling was slightly purplish in color and measured approximately 4 cm×3 cm. Surgical excision was the treatment of choice, and the diagnosis was based on histopathological and immunohistochemical stains, which were positive for actin and desmin and negative for AE1/AE3, CD34, and S100. The patient’s follow-up, two years later, showed no recurrence, and she has been asymptomatic since the surgery.


2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Mingxia Shi ◽  
Firas Al-Delfi ◽  
Majd Al Shaarani ◽  
Kurt Knowles ◽  
James Cotelingam

Adenomatoid tumor of the ovary is rare, and so are collision tumors in this location. The most common histological combination of ovarian collision tumors is the coexistence of mature cystic teratoma with ovarian cystadenoma or cystadenocarcinoma. Presented herein is a rare case of ovarian adenomatoid tumor found incidentally and coexisting with mature cystic teratoma. A 44-year-old woman presented with a one-year history of intermittent right-sided pelvic pain. Ultrasound evaluation revealed a heterogeneous cystic mass in the right ovary, and a clinical diagnosis of teratoma was made. The patient subsequently underwent a right salpingo-oophorectomy. Pathological examination revealed a mature cystic teratoma and coexistent adenomatoid tumor. The two tumors were separate and no transitional features were recognized histologically. To our knowledge, no previous report of coexistence of these two tumors has been reported. Both tumors are benign and completely excised; therefore no adverse consequences are expected.


2021 ◽  
pp. 65-66
Author(s):  
Sweta Krishnan ◽  
Aishwerya Singh

Introduction: Mature cystic teratomas or dermoid cysts are benign “tumors” which arise from more than one germ cell layer. These occur most commonly in the ovaries. Urinary bladder is an extremely rare site. Only few cases of urinary bladder dermoid cysts have been documented in the literature. Case report: We present a rare case in which a 29-year-old female patient presented with hematuria, passage of hairs in urine and painful micturition. Urinary bladder dermoid cyst along with vesicular calculus was diagnosed on imaging and cystoscopy and conrmed after surgery by histopathological examination. Conclusion: Bladder dermoids mimic bladder calculus and neoplastic mass lesion both clinically and radiologically. Correct diagnosis can be achieved by multimodality imaging, cystoscopy and conrmed on histopathology.


2019 ◽  
Vol 27 (9) ◽  
pp. 757-759
Author(s):  
Sira laohathai

We report a case of isolated traumatic rupture of the azygous vein. A 33-year-old female suffered blunt chest injury from the airbag explosion in a car accident. Initial examination revealed decreased breath sounds in the right chest. Computed tomography showed a massive right hemothorax without evidence of rib fracture or great vessel injury. An emergency exploratory thoracotomy was performed due to massive hemothorax with unstable vital signs. A laceration in the anterior wall of the azygos vein was identified. Bleeding was controlled by double ligation at the injury site. The patient was discharged on postoperative day 7 without any sequelae.


2020 ◽  
Vol 8 (2) ◽  
pp. e001113
Author(s):  
Vassiliki Tsioli ◽  
Evgenia Flouraki ◽  
Irene Mavraki ◽  
Christoforos Venieris ◽  
Theodora Zacharopoulou

A 10-year-old neutered male domestic shorthair cat was referred with a 2-week history of dyspnoea and anorexia following injury in a car accident. Thoracic radiography and ultrasonography revealed a diaphragmatic hernia. A midline coeliotomy revealed a centrally located hernia ventral to the caudal vena cava. Hernia reduction required incision of the hernia ring. Displaced organs included the duodenum; jejunum; ascending and transverse colon; and right, caudate and quadrate liver lobes. After reduction of the abdominal organs, a torsion of the right medial and quadrate liver lobes was identified. Lobectomy was performed followed by herniorrhaphy. The cat had an uneventful recovery and was clinically normal on re-examination 1, 6, 12 and 24 months following the surgery.


Author(s):  
Reshma Sattar ◽  
Vishwaraj Ratha ◽  
Suresh Bapu R. Kandallu ◽  
Sunil Kapilavayi ◽  
Nishanth Sampath ◽  
...  

2021 ◽  
Vol 55 (8) ◽  
Author(s):  
Annete Nabila ◽  
Ni Putu Mira Sumarta ◽  
Okky Prasetio

Angiofibromas are highly vascular, locally aggressive but histologically benign tumors. A 40-year-old woman complaint of pedunculated mass in the right gingiva of the posterior region since 7 months earlier. Surgical excisional biopsy under general anesthesia was performed. Histopathological examination showed an angiofibroma. Angiofibromas are localized in the superficial soft tissue and the gingiva could have a similar clinical appearance as an epulis. Definitive diagnosis was determined through histopathological analysis.


2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Kaori Momota ◽  
Toshihiko Nishisho ◽  
Ryo Miyagi ◽  
Shunichi Toki ◽  
Kazuta Yamashita ◽  
...  

Chondromas are benign cartilaginous tumors that occur very rarely in the spine. Moreover, chondromas of the extraskeletal origin are also very rare. In this case report, we describe an extremely rare case of chondroma arising from the ligamentum flavum in the cervical spine. A 67-year-old man presented to our clinic with acute-onset spastic quadriparesis. We performed emergent magnetic resonance imaging and found an epidural mass in the right ligamentum flavum at C4-C5. The acute-onset presentation was suspicious for intraligamentous hematoma in the ligamentum flavum at this level. We performed emergency decompression surgery and en bloc removal of the epidural mass with the right C4 and C5 lamina. The lesion had the appearance of cartilaginous tissue rather than hematoma. Based on the histological investigation, the final diagnosis was intraligamentous chondroma of the cervical spine. The quadriparesis improved postoperatively, as did the results of manual muscle testing in the affected area, and he was able to resume walking independently with a cane. At the one-year follow-up, the manual muscle testing results were almost normal. Surgeons should keep in mind the possibility of benign tumors including chondroma of the cervical spine when a patient presents with acute-onset quadriparesis.


Sign in / Sign up

Export Citation Format

Share Document