scholarly journals Large renal leiomyoma: A multidisciplinary approach to diagnosis

2021 ◽  
Vol 15 (8) ◽  
pp. 18-26
Author(s):  
Sotiris Chaniotakis ◽  
Yi Yang ◽  
Tulsi Patel ◽  
James Banks
Keyword(s):  
Differential Diagnosis ◽  
Multidisciplinary Approach ◽  
Abdominal Mass ◽  
Unknown Origin ◽  
Final Diagnosis ◽  
Imaging Features ◽  
Computed Tomographic ◽  
Abdominal Masses ◽  
Additional Testing ◽  
Palpable Abdominal Mass

We report the case of a 45-year-old woman who presented with a large palpable abdominal mass. Initial sonographic and computed tomographic studies prompted a differential diagnosis of retroperitoneal or renal sarcoma, leiomyoma, and lipid-poor angiomyolipoma. A final diagnosis of renal leiomyoma was reached based on a consensus among radiology, surgery and pathology. In addition to reviewing the features of this entity, this case demonstrates the process of developing a working diagnosis, narrowing the differential as additional testing is performed and establishing a final diagnosis with interdepartmental coordination. Despite the rarity of this condition, the ability to recognize and apply imaging features to differentiate between abdominal masses of unknown origin is important for clinicians and researchers.

Gastrointestinal Basidiobolomycosis: An Emerging, and A Confusing, Disease in Children (A Multicenter Experience)

2017 ◽  
Vol 28 (02) ◽  
pp. 194-199 ◽  
Author(s):  
Mervat Saleem ◽  
Mayssa Saeedd ◽  
Mohamed Eissa ◽  
Khalid Shreef
Keyword(s):  
Systematic Review ◽  
Differential Diagnosis ◽  
Inflammatory Markers ◽  
Abdominal Mass ◽  
Final Diagnosis ◽  
Prolonged Treatment ◽  
Laboratory Findings ◽  
Abdominal Masses ◽  
Diagnostic Confusion ◽  
High Index Of Suspicion

Introduction Gastrointestinal basidiobolomycosis (GIB) is an emerging fungal infection in children that leads to diagnostic confusion. Aim Our study aim was twofold: a systematic review of published literature and an update of some Saudi Arabia hospital series to analyze their as well as our own experience in diagnosis and management of GIB. Material and Methods This clinical study included 18 children whose final diagnosis was GIB. The patients, who ranged in age from 5 to 10 years, were admitted between November 2009 and November 2015 with vague abdominal pains with or without abdominal masses for further investigation. Results Abdominal pain was the most common presenting symptom (94.4%) followed by constipation and abdominal mass (83.3 and 77.8%, respectively); fever was present in only 22.2% of the cases. Elevated inflammatory markers and eosinophilia (94.4%) appeared as prominent laboratory findings. Conclusion We conclude that diagnosing GIB in children requires a high index of suspicion, awareness, and consideration of its possibility in the differential diagnosis in patients with abdominal masses and eosinophilia, particularly in areas where it is endemic. Increased awareness of this clinical entity, early surgical resection of the infected tissue, and prolonged treatment with itraconazole offer the best chance for curing the disease.

The human Bosniak model applied to a cat with renal cystadenoma

2015 ◽  
Vol 43 (01) ◽  
pp. 45-49
Author(s):  
F. Del Chicca ◽  
M. Ruetten ◽  
B. Gerber ◽  
P. Baloi
Keyword(s):  
Weight Loss ◽  
Differential Diagnosis ◽  
Needle Biopsy ◽  
Left Kidney ◽  
Abdominal Ultrasound ◽  
Imaging Features ◽  
Bosniak Classification ◽  
Core Needle ◽  
Computed Tomographic ◽  
Malignant Lesions

SummaryA 13-year-old domestic shorthair cat was presented with weight loss and azotemia. Abdominal ultrasound revealed a large cystic spaceoccupying lesion with multiple septae in the left kidney. A core needle biopsy yielded a renal cystadenoma originating from the epithelial cells. This report describes the clinical, ultrasonographic and computed tomographic features and the growth progression of a renal cystadenoma. We describe the first attempt to apply the human Bosniak classification to a cat with renal cystic neoplasia to differentiate between benign and malignant lesions. Cystadenoma should be a differential diagnosis in cases of renal cystic space-occupying lesions. Other differentials, imaging features to differentiate benign and malignant lesions and the risk of malignant transformation will be discussed.

scholarly journals L’Ambulatorio protetto: visitare ai tempi del Covid-19

QUADERNI ACP ◽  
2021 ◽  
Vol 28 (4) ◽  
pp. 173
Author(s):  
Davide Ursi ◽  
Cristina Scozzafava ◽  
Sara Immacolata Orsini ◽  
Andrea Apicella
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Histological Analysis ◽  
Abdominal Mass ◽  
Sudden Onset ◽  
Lymphatic Malformation ◽  
Surgical Removal ◽  
Lymphatic Malformations ◽  
Cystic Structure ◽  
Abdominal Masses

A 3-months baby comes to our emergency department for an abdominal mass of elastic consistency that suddenly appeared for a week and grown exponentially in the last few days. Blood examinations identify a septic state of the child, and the emergency CT recognizes the abdominal mass’s cystic structure. The surgical removal and the histological analysis will confirm the diagnosis of Infected Common Macrocystic Lymphatic Malformation. This case allows us to remember to pediatricians the main features of Cystic Lymphatic Malformations that should always be considered during the differential diagnosis of abdominal masses of sudden onset in an infant.

scholarly journals Mesenteric Hydatid Cyst

2018 ◽  
Vol 8 (2) ◽  
pp. 43-46
Author(s):  
Bikash Kumar Singh
Keyword(s):  
Abdominal Mass ◽  
Cystic Teratoma ◽  
Initial Step ◽  
Final Diagnosis ◽  
Duplication Cyst ◽  
Urachal Cyst ◽  
Main Role ◽  
Imaging Features ◽  
Cystic Lesions ◽  
Cystic Abdominal Mass

The aim of this article is to make radiologists and clinicians familial with the spectrum of cystic lesions in the abdomen. Mesenteric and omental cystic lesions are uncommon. One should be familiar with them as well as with other conditions that manifest as cysts. Initial step in diagnosing a cystic abdominal mass is to localize the organ of origin. Differential diagnosis includes enteric duplication cyst, enteric cyst, mesothelial cyst, non pancreatic pseudocyst, cystic mesothelioma, cystic teratoma, and urachal cyst. There is significant overlap in imaging features of abdominal cysts, which often require histological correlation to establish a final diagnosis. The main role of imaging is to document the nature of the abdominal mass and its origin.

Abdominal Pain and Abdominal Mass

2018 ◽  
Author(s):  
Blake D. Babcock ◽  
Alexander E. Poor ◽  
Mohammad F. Shaikh ◽  
Wilbur B. Bowne
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Physical Examination ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Gastroesophageal Junction ◽  
Percutaneous Biopsy ◽  
Clinical History ◽  
Diagnostic Process ◽  
Abdominal Masses

Acute abdominal pain and abdominal mass are intimately connected; therefore, the diagnostic process for evaluating abdominal pain and abdominal masses is largely the same and has been preserved since ancient times. The primary goals in the management of patients with abdominal pain and/or abdominal mass are to establish a differential diagnosis by obtaining a clinical history, to refine the differential diagnosis with a physical examination and appropriate studies, and to determine the role of operative intervention in the treatment or refinement of the working diagnosis. This review describes the process of diagnosing abdominal pain, including taking a clinical history and performing a physical examination. Investigative studies, including laboratory tests, imaging, and pathology are reviewed. Management, including surgical treatment, is discussed. Tables describe intraperitoneal and extraperitoneal causes of acute abdominal pain, frequency of specific diagnoses in patients with acute abdominal pain, and common abdominal signs and findings noted on physical examination. Figures show abdominal pain in specific locations, a data sheet, the differential diagnosis of an abdominal mass by quadrant or region, characteristic patterns of abdominal pain, acute appendicitis with associated appendicolith, bilateral adrenal masses, adrenocortical carcinoma, retroperitoneal leiomyosarcoma, pancreatic mass, a sagittal ultrasonogram of the pancreas, ultrasonograms of the liver, a dark and well circumscribed abdominal mass, gastroesophageal junction adenocarcinoma, and percutaneous biopsy of a large abdominal mass. An algorithm outlines the assessment of acute abdominal pain and abdominal mass. This review contains 14 figures, 5 tables, and 143 references.

ABDOMINAL MASSES IN THE NEWBORN INFANT

PEDIATRICS ◽  
1958 ◽  
Vol 21 (4) ◽  
pp. 596-604
Author(s):  
Luther A. Longino ◽  
Lester W. Martin
Keyword(s):  
Newborn Infant ◽  
Older Patients ◽  
Surgical Intervention ◽  
Abdominal Mass ◽  
Final Diagnosis ◽  
Multicystic Kidney ◽  
Abdominal Masses ◽  
Renal Origin ◽  
Early Surgical Intervention ◽  
Made In

Information concerning 32 infants with abdominal masses noted during the first day of life is presented. The most common mass was a hypoplastic, multicystic kidney which was the final diagnosis in 13 of 32 cases. The mass proved to be a malignant tumor in four instances (an incidence of 13%). Preoperative intravenous urogram should be made in every instance, even the obvious hydrometrocolpos may present a marked secondary hydronephrosis. In the other cases, one can rarely be certain that the mass is not of renal origin. Of the 30 infants undergoing surgery, there were three deaths, either from the surgery or in the immediate postoperative period—a mortality rate of 10%. The presence of an abdominal mass in the newborn infant, the same as for older patients, constitutes an indication for early surgical intervention. Delay on the basis that the baby is too small or too young cannot be justified.

Diagnostic Utility of Abdominal Ultrasonography for Routine Staging at Diagnosis of Skeletal OSA in Dogs

2013 ◽  
Vol 49 (4) ◽  
pp. 243-245 ◽  
Author(s):  
Mandy Wallace ◽  
Laura Selmic ◽  
Stephen J. Withrow
Keyword(s):  
Soft Tissue ◽  
Physical Examination ◽  
Abdominal Mass ◽  
Diagnostic Utility ◽  
Fine Needle Aspirate ◽  
Abdominal Ultrasonography ◽  
Fine Needle ◽  
Abdominal Masses ◽  
Palpable Abdominal Mass ◽  
Initial Staging

The rate of soft tissue metastases and the importance of abdominal ultrasonography in initial staging of canine skeletal osteosarcoma (OSA) are not known. The purpose of this study was to determine whether abdominal ultrasonography should be performed routinely at initial diagnosis of skeletal OSA or if certain abnormal physical examination or diagnostic findings would provide greater indication to perform ultrasonography. Eighty dogs with OSA that had an abdominal ultrasonogram performed at diagnosis were included. Abnormal findings were present in 36 of 80 dogs. Twenty-three abnormalities were evaluated with either fine-needle aspirate or biopsy and 19 were benign. None of the ultrasonograms revealed abdominal OSA metastases; however, 4 of the 80 ultrasonograms (5%) revealed another primary neoplasia. Further, 2 of the 9 cases that received an ultrasonogram due to a palpable abdominal mass were diagnosed with another primary neoplasia compared with only 1 of the 49 cases that received an ultrasonogram for routine staging. Abdominal ultrasonography as a part of staging is unlikely to reveal metastases from OSA and may not be a useful routine staging tool; however, in certain populations of dogs, such as those with palpable abdominal masses, abdominal ultrasonography may reveal abnormalities that may influence treatment decisions.

scholarly journals Genital tuberculosis mimic as a genital malignancy in post menopausal women

2021 ◽  
Vol 10 (3) ◽  
pp. 1195
Author(s):  
Monalisa Mahajan
Keyword(s):  
Histopathological Examination ◽  
Abdominal Mass ◽  
Pelvic Mass ◽  
Final Diagnosis ◽  
Ovarian Malignancy ◽  
Genital Tuberculosis ◽  
Menopausal Women ◽  
Post Menopausal ◽  
High Level ◽  
Palpable Abdominal Mass

Genital tuberculosis tends to be an indolent infection and the disease may not manifest for year after initial seeding. The most common presentation reported in general population are pelvic pain, postmenopausal bleeding, ascites, abdominal mass, ovarian mass. The diagnosis is made by histopathological examination. Surgery is indicated as presence of abdominal pelvic mass with severe pain. Preoperative diagnosis of genital tuberculosis is often difficult because of confusion with ovarian malignancy. A 60 years old women present with weight loss, palpable abdominal mass with ascites, prominent bilateral ovaries and increase level of CA125. Pelvic malignancy was initially suspected but a diagnosis of tuberculosis was made following postoperative peritoneal wash biopsy. Patient managed with surgical laparotomy under a provisional diagnosis of ovarian malignancy but the final diagnosis was genital tuberculosis followed by anti tubercular regimen. Genital tuberculosis with high level of CA125 mimicking ovarian carcinoma. 

Abdominal Pain and Abdominal Mass

2020 ◽  
Author(s):  
Madison M. Crutcher ◽  
Darshak S. Thosani ◽  
Mohammad F. Shaikh ◽  
Wilbur B. Bowne
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Physical Examination ◽  
Acute Abdominal Pain ◽  
Abdominal Mass ◽  
Gastroesophageal Junction ◽  
Percutaneous Biopsy ◽  
Clinical History ◽  
Diagnostic Process ◽  
Abdominal Masses

Acute abdominal pain and abdominal mass are intimately connected; therefore, the diagnostic process for evaluating abdominal pain and abdominal masses is largely the same and has been preserved since ancient times. The primary goals in the management of patients with abdominal pain and/or abdominal mass are to establish a differential diagnosis by obtaining a clinical history, to refine the differential diagnosis with a physical examination and appropriate studies, and to determine the role of operative intervention in the treatment or refinement of the working diagnosis. This review describes the process of diagnosing abdominal pain, including taking a clinical history and performing a physical examination. Investigative studies, including laboratory tests, imaging, and pathology are reviewed. Management, including surgical treatment, is discussed. Tables describe intraperitoneal and extraperitoneal causes of acute abdominal pain, frequency of specific diagnoses in patients with acute abdominal pain, and common abdominal signs and findings noted on physical examination. Figures show abdominal pain in specific locations, a data sheet, the differential diagnosis of an abdominal mass by quadrant or region, characteristic patterns of abdominal pain, acute appendicitis with associated appendicolith, bilateral adrenal masses, adrenocortical carcinoma, retroperitoneal leiomyosarcoma, pancreatic mass, a sagittal ultrasonogram of the pancreas, ultrasonograms of the liver, a dark and well circumscribed abdominal mass, gastroesophageal junction adenocarcinoma, and percutaneous biopsy of a large abdominal mass. An algorithm outlines the assessment of acute abdominal pain and abdominal mass. This review contains 16 figures, 5 tables, and 164 references. Keywords:  anatomy, swellings, inflammatory, opioid, palpatation, PET, COVID 19

scholarly journals Largest pheochromocytoma reported in Canada: A case study and literature review

2014 ◽  
Vol 8 (5-6) ◽  
pp. 374 ◽  
Author(s):  
Druvtej Ambati ◽  
Kunal Jana ◽  
Trustin Domes
Keyword(s):  
Differential Diagnosis ◽  
Literature Review ◽  
Current Literature ◽  
Case Reports ◽  
Abdominal Mass ◽  
Screening Tests ◽  
Retroperitoneal Mass ◽  
Palpable Abdominal Mass ◽  
Rule Out

Most giant pheochromocytomas do not present with classic symptoms, as documented by published case reports. Given this, clinicians have to consider a wide differential diagnosis for any retroperitoneal mass and perform screening tests to rule out a pheochromocytoma. We describe the largest pheochromocytoma reported in Canada, where the patient presented with a palpable abdominal mass and dyspnea. The 19 × 18 × 12-cm right retroperitoneal mass was biochemically active and was radiologically and pathologically consistent with a giant pheochromocytoma. We present this case and review the relevant current literature.

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