scholarly journals Recurrent tracheal tumor with a critical airway requiring ‘Y’ stent – unique presentation of tuberculosis

Author(s):  
Venugopal Jaganathan ◽  
Santhakumar Subramanian ◽  
Deepak T Hari

Tracheal tumor is a rare entity. Tracheal tumor may be a primary tracheal tumor or secondary to invasion from a mediastinal tumor (or a lymph node). These tumors are prone to cause critical airway obstruction which may require urgent care. Tuberculosis is one of the common differential diagnoses of mediastinal lymphadenopathy in TB endemic countries, though isolated tuberculous mediastinal lymphadenopathy without a lung involvement is rare. We report an extremely rare case of isolated paratracheal lymphadenitis due to tuberculosis, eroding the trachea and presented a lower tracheal tumor, which recurred again after complete debulking. Finally, the disease required a ‘Y’ stent placement, to stabilize the airway following the second recanalization. We discuss the incidence, differential diagnosis, and the bronchoscopic, interventional aspects of this entity.

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
N. Srikant ◽  
Shweta Yellapurkar ◽  
Karen Boaz ◽  
Mohan Baliga ◽  
Nidhi Manaktala ◽  
...  

Polycystic (dysgenetic) disease of the salivary glands is a rare entity that has only recently been described in the literature. The disease is more commonly seen in females and majority of the cases have presented as bilateral parotid gland swellings. This case presenting in a 21-year-old male is the first of this unusual entity involving solely the minor salivary gland on the lower lip. This case report highlights the importance for the clinician to be aware of this differential diagnosis, when treating an innocuous lesion like a mucocele.


Author(s):  
Ranjan Agrawal ◽  
Prashant Bhardwaj ◽  
Abhinav Srivastava

ABSTRACT Schwannomas or neurilemmomas are benign, encapsulated tumor arising from nerve sheath cells. Intracranial Schwannomas are most common with rare occurrence in the extracranial region. It rarely occurs in the floor of the mouth with very few cases reported. We present a rare case report of Schwannoma of the floor of the mouth, thereby highlighting the consideration of this rare entity as one of the differential diagnosis in cases who present to us with swelling of the floor of the mouth and also the importance of immunohistochemistry in coming to the diagnosis. How to cite this article Srivastava A, Mohan C, Bhardwaj P, Agrawal R. Intraoral Schwannoma: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(1):20-22.


Author(s):  
Chandre Gowda Bendiganahalli Venkate Gowda ◽  
Rakshita R. Kamath

<p class="abstract">Independently arising acrochordon of the external auditory canal is a rare entity with only one reported case in literature. We present here the second such case. A 54-yr old lady presented to our outpatient department with complains of aural fullness and reduced hearing in right ear for 2 weeks. Clinical examination showed a pedunculated polypoidal growth in the external auditory canal. Excisional biopsy and histopathology revealed an acrochordon. Following the procedure, patient was free of symptoms and all structures of the right ear were normal. In the head and neck region, acrochordons have only but once been reported in the external auditory canal and hence should be considered as a differential diagnosis in the masses of this region. Resection must be done for confirmation of diagnosis, differentiation from neoplasia and alleviation of symptoms when associated.  </p>


Author(s):  
Levent Cankorkmaz ◽  
Mehmet Haydar Atalar ◽  
İsmail Şalk ◽  
Gökhan Köyoğlu

Abdominoscrotal hydrocele is a rare entity and first described by Dupuytren in 1834. Its etiology is still unclear. Rare complications are hydroureter/hydronephrosis, testicular flattening and malignant mesothelioma of tunica vaginalis associated with intraabdominal testis in an abdominoscrotal hydrocele. Herein we report a 7-month-old boy with bilateral abdominoscrotal hydrocele with secondary bilateral hydronephrosis due to contiguous pressure. Bilateral hydrocelectomies were performed. The postoperative course was uneventful without complication. Six month after the operation the renal ultrasound was normal. This entity, although unusual, should be considered in the differential diagnosis of a lower abdominal mass in children, as well as a cause of hydronephrosis. After surgical removal, healing is usually complete, including regression of the hydronephrosis.


2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
H. Kuriry ◽  
R. Alenezi ◽  
A. Alghamdi ◽  
A. M. Swied

Tuberculosis as a cause of obstructive jaundice is a rare entity with only a few cases reported in the literature. Patients with this condition usually present with a protracted illness, jaundice, and weight loss, which may be confused with malignancies. We are reporting unusual case of isolated enlarged tuberculous lymph node compressing the common bile duct in the retropancreatic region and causing obstructive jaundice in an immunocompetent patient which to the best of our knowledge is the first case of isolated retropancreatic tuberculous lymphadenitis in Saudi Arabia.


Author(s):  
Sanjay Singh ◽  
Atul Seth ◽  
Ipsita Basu

Cervical tuberculosis is a rare entity with only limited number of case reports in the literature. A 53 year old, P1, post-menopausal housewife presented with history of one episode of post-menopausal bleeding and whitish discharge per vaginum. Speculum examination revealed an ulceroproliferative cervical growth. Clinically she was diagnosed to have carcinoma cervix. However, cervical biopsy confirmed the diagnosis of cervical tuberculosis. She was treated with anti-tubercular drugs for six months and has been disease free for the last two years. This case emphasizes the fact that though cervical tuberculosis is rare, it should be considered in the differential diagnosis of carcinoma cervix.


2018 ◽  
Vol 142 (11) ◽  
pp. 1341-1346 ◽  
Author(s):  
Anamarija M. Perry ◽  
Sarah M. Choi

Kikuchi-Fujimoto disease (KFD) is a rare entity characterized by subacute necrotizing lymphadenopathy and frequently associated with fever. Young adults of Asian ancestry are most commonly affected, but it has been reported worldwide. Despite many studies in the literature, the cause of KFD remains uncertain. Histologically, KFD is characterized by paracortical lymph node expansion with patchy, well-circumscribed areas of necrosis showing abundant karyorrhectic nuclear debris and absence of neutrophils and eosinophils. Three evolving histologic patterns—proliferative, necrotizing, and xanthomatous—have been recognized. By immunohistochemistry, histiocytes in KFD are positive for myeloperoxidase. There is a marked predominance of T cells in the lesions (with mostly CD8-positive cells) with very few B cells. The differential diagnosis of KFD includes infectious lymphadenitis, autoimmune lymphadenopathy (primarily systemic lupus erythematosus), and lymphoma. Clinicians and pathologists are poorly familiar with this entity, which frequently causes significant diagnostic challenges.


2011 ◽  
Vol 2 (1) ◽  
pp. 73-75
Author(s):  
GA Raviraj ◽  
Thomas Rony ◽  
GA Dhanraj ◽  
Vishal US Rao

ABSTRACT This report elaborates a rare case of infraorbital nerve Schwannoma in an 8-year-old boy who presented with the recurrent progressively increasing swelling over the right cheek following initial treatment. The mass was excised surgically via a facial approach. Infraorbital nerve sheath tumors occurring in the pediatric age are rare and can be often mistaken for infectious causes in this age group. Surgery remains the mainstay of treatment in these tumors. Early diagnosis and prompt surgical treatment can serve to minimize the treatment related morbidity arising from multiple interventions while avoiding undue apprehension. Pediatric infraorbital schwannomas, although a rare entity, should be considered in the differential diagnosis of long standing pediatric facial swellings.


2020 ◽  
Vol 8 ◽  
pp. 232470962093342
Author(s):  
Chienhsiu Huang

Kikuchi-Fujimoto disease is an uncommon lymphohistiocytic disorder that frequently presents with acute or subacute clinical disease course. Cervical lymphadenopathy is the most common involved lymph node. Very rare cases of pathologic diagnosis of Kikuchi-Fujimoto disease with bilateral pleural effusion and multiple mediastinal lymphadenopathies have been reported in the literature. In this article, we report the case of a 60-year-old male presented with bilateral pleural effusion and multiple mediastinal lymphadenopathies. He received video-assisted thoracoscopic surgery of the right pleura and thoracoscopic excision of the mediastinal lymph node. The pathologic findings from the lymph node and pleura were compatible with Kikuchi-Fujimoto disease. He was treated with oral hydroxychloroquine and oral prednisolone. A computed tomography scan of the chest 4 months later showed regressive mediastinal lymphadenopathy and bilateral pleural effusion. Our case is a first reported case of Kikuchi-Fujimoto disease diagnosis by the pathology of the lymph node and pleura in the literature. Results from our case suggest that Kikuchi-Fujimoto disease should be included in the differential diagnosis of bilateral pleural effusion and multiple mediastinal lymphadenopathies.


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