Back bugged: A case of sacral hydatid cyst

ABSTRACTHydatid cyst of bone constitutes only 0.5 - 2% of all hydatidoses. The thoracic spine is the most common site of spinal hydatidoses. Primary hydatid cyst of the sacral spinal canal is rare. A 23-year-old gentleman had back pain fi ve years ago. At that time he was evaluated and found to have a small cyst in S1 spinal canal, which was presumed to be a benign Tarlov’s cyst; and no treatment was off ered. He continued to have back pain and also developed sciatica on the right side. Neurological examination presently revealed right S1 radiculopathy. Magnetic resonance imaging (MRI) showed a large multiloculated cystic lesion extending from L5 to S2 spinal canal with bone erosion, both anteriorly and posteriorly. He underwent L5 to S2 laminectomy and excision of multiple cysts. The whole cyst was excised and cavity irrigated with sterilized formalin. A laparoscope was introduced in the cavity to look for extension into the pelvis and to confirm complete excision. Postoperatively, the patient received albendazole for two months. At 16 months follow-up the patient was asymptomatic. Hydatid cyst of sacrum is rare and can be missed at initial presentation. If the patient with a cystic lesion of sacral continues to have symptoms the diagnosis should be revaluated and prompt treatment should be off ered.

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The Challenges of Treating Lipoblastoma in the Sublingual Space – A Case Report

Annals of Dentistry ◽

10.22452/adum.vol28no8 ◽

2021 ◽

Vol 28 ◽

pp. 47-51

Author(s):

Sujesh Sreedharan ◽

Palasuntharam Shanmuhasuntharam

Keyword(s):

Anterior Margin ◽

Sublingual Gland ◽

Resonance Imaging ◽

Mylohyoid Muscle ◽

Complete Excision ◽

Close Proximity ◽

Magnetic Resonance Imaging Mri ◽

The Right

The presence of lobulated tumour arising from immature adipose tissue is called lipoblastoma when occurring as localised or discrete lesion, and lipoblastomatosis when spread diffusely. The purpose of this case study is to report a case of an 18 – year old man who presented with lipoblastoma in the left sublingual space which was found to be in close proximity with the left sublingual gland. Magnetic resonance imaging (MRI) was taken and showed the tumour was confined within the sublingual space and no penetration was noted inferiorly through the mylohyoid muscle. Tumour dimension measured clinically was 3 cm x 2 cm x 2 cm and the anterior margin of the tumour crossed the midline and entered into the right sublingual space. Complete excision with sparing of neurovascular bundle was performed under general anaesthesia. Follow-up of 2 months showed complete remission of the lesion without any complications.

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Dumb-Bell Shaped Hydatid Cyst in the Parotid Gland – A Rare Presentation

TAJ Journal of Teachers Association ◽

10.3329/taj.v30i1.39128 ◽

2018 ◽

Vol 30 (1) ◽

pp. 73-77

Author(s):

Subrata Ghosh ◽

Milon Kumar Chowdhury ◽

Md Enamul Haque ◽

Md Mahmudul Haque ◽

Mahmud Ali ◽

...

Keyword(s):

Parotid Gland ◽

Hydatid Cyst ◽

Cystic Lesion ◽

Rare Presentation ◽

Cyst Excision ◽

Parotid Region ◽

Tropical Areas ◽

Primary Hydatid Cyst ◽

The Right ◽

Human Echinococcosis

Human echinococcosis is a zoonotic infection caused by the tapeworm of the genus Echinococcus and transmitted by dog and other canine animals. It is a serious problem in tropical areas and is seen in many parts of Bangladesh. In children lungs are the most common site of infection, whereas in adults liver is infected most frequently. Primary hydatid cyst of the parotid gland is extremely rare, even in the endemic areas and very few cases are reported in parotid gland The disease is prevalent in most part of the world, though it is most extensive in the sheep and cattle raising areas. FNAC is contraindicated in suspected hydatid cyst cases due to risk of hypersensitivity reaction and additional precaution of intact cyst excision is mandatory in such cases to prevent recurrence and anaphylaxis reaction. A 30 year old female patient presented with gradually increasing painless large smooth cystic swelling of the right parotid region with trismus. CT scan showed a huge dumb bell shaped cystic lesion in the superficial and deep lobe of the parotid gland that is compatible with hydatid cyst. The parotid tumor was surgically removed by midline mandibulotomy approach. Pathological study of the cystic lesion confirmed hydatid disease of the parotid gland.TAJ 2017; 30(1): 73-77

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Lower back pain with sciatic disorder following L5 dermatome caused by herpes zoster infection

Orthopedic Reviews ◽

10.4081/or.2015.6046 ◽

2015 ◽

Vol 7 (3) ◽

Cited By ~ 2

Author(s):

Roslind Karolina Hackenberg ◽

Arnd Von den Driesch ◽

Dietmar Pierre König

Keyword(s):

Back Pain ◽

Herpes Zoster ◽

Lower Back Pain ◽

Pain Treatment ◽

Acute Onset ◽

Mri Scan ◽

Lower Back ◽

Acyclovir Treatment ◽

Magnetic Resonance Imaging Mri ◽

The Right

We report the case of a 62-year-old patient with lower back pain radiating into the right leg accompanied by numbness. The pain had an acute onset and was resistant to conservative pain treatment. A magnetic resonance imaging (MRI) scan of the lumbar spine showed no degenerative discovertebral lesions, but a swelling of the nerve root supplying the affected dermatome. For pain treatment the patient received lumbar epidural infiltrations. During this treatment the patient suddenly developed a skin rash with grouped vesicular blisters on an erythematous ground. After the diagnosis of a lumbar herpes zoster and an acyclovir treatment, the patient could be discharged in an ameliorated condition. This case demonstrates the importance to consider rare causes of lumbosciatic pain and disorders and to acknowledge unspecific changes in a MRI scan.

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Unusual intramuscular locations as a first presentation of hydatid cyst disease in children: a report of two cases

BMC Pediatrics ◽

10.1186/s12887-021-02843-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Ruba A. Khasawneh ◽

Ziyad M. Mohaidat ◽

Rawand A. Khasawneh ◽

Sohaib B. Zoghoul ◽

Yousef M. Henawi

Keyword(s):

Hydatid Cyst ◽

Hydatid Disease ◽

Rectus Femoris ◽

Mri Imaging ◽

Palpable Lump ◽

First Case ◽

Endemic Areas ◽

Wbc Count ◽

The Right

Abstract Background Hydatid disease is an endemic disease in many countries of the world including the Middle East. It mainly affects the liver and lungs. Intramuscular hydatid disease is rarely reported in children. Such uncommon localization of hydatid cyst may pose difficulties in the clinical and radiological diagnosis; hence affecting patient’s management and outcome even in endemic areas. Case presentation We herein describe intramuscular hydatid cysts in 2 different children. The first case is a 5-year-old boy who presented with a painless palpable lump over the right lumbar paraspinal region. His history was remarkable for sheep contact. His laboratory results revealed a mild increase in white blood cell (WBC) count and C-reactive protein. The lesion showed typical features of a hydatid cyst on ultrasound. Further imaging including ultrasound of the abdomen and CT of the chest, abdomen, and pelvis showed infestation of the liver and lung as well. The lesions were resected surgically without complications. The patient received Albendazole preoperatively and after surgery for 3 months. No evidence of recurrence was seen during follow-up. The second case is a 6-year-old girl who presented with an incidental palpable lump in her left thigh during her hospital admission for recurrent meningitis. Ultrasound and MRI imaging were performed demonstrating a unilocular cystic lesion in the left proximal rectus femoris muscle. A provisional diagnosis of hematoma vs. myxoma was given. Biopsy was performed and yielded blood products only. The lesion was resected surgically with a postoperative diagnosis of hydatid cyst. Blood tests performed afterward showed a positive titer for Echinococcus. The patient received Albendazole for 3 months. No evidence of recurrence was seen during follow-up. Conclusions Despite its rarity; skeletal muscle hydatid cyst should always be considered in the differential diagnosis of cystic muscle lesions in children in endemic areas even if imaging studies did not show any of the typical signs. This will improve patient outcome by preventing unnecessary cystic puncture which might lead to serious complications, such as anaphylaxis and local dissemination.

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A RARE CASE OF A DISCAL CYST FOLLOWING PERCUTANEOUS ENDOSCOPIC LUMBAR DISCECTOMY VIAA TRANSFORAMINALAPPROACH

10.36106/ijsr/4703707 ◽

2021 ◽

pp. 23-24

Author(s):

Srinu Gugulothu ◽

Bhaskar Jana ◽

Sudheer Suggala

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Cystic Lesion ◽

Low Back ◽

Transforaminal Approach ◽

Endoscopic Discectomy ◽

Rare Lesion ◽

Magnetic Resonance Imaging Mri ◽

Endoscopic Lumbar Discectomy ◽

Disc Level

Adiscal cyst is a rare lesion that causes low back pain and radiculopathy of the lower extremities. There are several reports of discal cysts occurring after surgery, but data are limited on their occurrence after percutaneous endoscopic discectomy (PED). A21-year-old man with disc herniation at the L4-L5 disc level underwent PED via a transforaminal approach. The immediate postoperative course was uneventful and his symptoms were relieved. Six weeks after surgery, low back pain and mild pain in the left thigh recurred. Magnetic resonance imaging (MRI) revealed a cystic lesion adjacent to the left side of the L4-L5 intervertebral disc. Conservative treatment was ineffective, so we reoperated using PED with the same approach. Pain improved and MRI revealed disappearance of the cystic lesion. When symptoms relapse after PED, it is necessary to consider the occurrence of a cyst. Endoscopic Minimally Invasive Surgery

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Diagnosis of Primary Hydatid Cyst of Thyroid Gland: A Case Report

BioMolecular Concepts ◽

10.1515/bmc-2019-0013 ◽

2019 ◽

Vol 10 (1) ◽

pp. 106-110 ◽

Cited By ~ 1

Author(s):

Mohsen Eshraghi ◽

Ladan Shahmoradi ◽

Mahdiieh Ghoddoosi ◽

Seyed Jafar Adnani Sadati

Keyword(s):

Thyroid Gland ◽

Hydatid Cyst ◽

Cystic Lesion ◽

Needle Aspiration ◽

Left Lobe ◽

Fine Needle ◽

Nodular Hyperplasia ◽

Left Lobectomy ◽

Primary Hydatid Cyst ◽

Thoracic And Abdominal

AbstractA 34-year-old female patient was presented to the general surgery clinic of the hospital complaining of a growing tangible swelling in her neck. In physical examination, the patient had two palpable soft nodules in the left lobe of the thyroid which hadn’t invaded the surrounding tissues. The function of thyroid gland was normal and fine needle aspiration (FNA) result reported it benign. The patient went through a left lobectomy and isthmectomy. The histopathology report concluded a nodular hyperplasia and a Hydatid cyst. After surgery, the patient was examined searching for any other organs cyst, but there were no cystic lesion in the cranial, thoracic and abdominal cavities. Accordingly, the case was a primary thyroid hydatid cyst, which is rare, even in endemic regions like Iran.

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

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-019-1030-8 ◽

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.

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Hip pain and its correlation with cam morphology in young skiers—a minimum of 5 years follow-up

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-020-01952-8 ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Josefin Abrahamson ◽

Pall Jónasson ◽

Mikael Sansone ◽

Anna Swärd Aminoff ◽

Carl Todd ◽

...

Keyword(s):

Morphological Changes ◽

Hip Pain ◽

Activity Level ◽

Conflicting Evidence ◽

Magnetic Resonance Imaging Mri ◽

The Right ◽

Α Angle ◽

Cam Morphology ◽

Elite Skiers

Abstract Background There is conflicting evidence regarding the association between cam morphological changes and hip pain, and it remains unclear who with cam morphology will develop hip pain and who will not. This study aimed to investigate the correlation between cam morphology, hip pain, and activity level at a 5-year follow-up in young Alpine and Mogul skiers. Method All students (n = 76) at Åre Ski National Sports High School were invited and accepted participation in this prospective study at baseline. Magnetic resonance imaging (MRI) of both hips was conducted to evaluate the presence of cam morphology (α-angle ≥ 55°) and its size alongside the reporting of hip pain, type, and frequency of training by the Back and hip questionnaire, at baseline. After 5 years, the skiers were invited to complete a shortened version of the same questionnaire. Results A total of 60 skiers (80%) completed the follow-up questionnaire, of which 53 had concomitant MRI data. Cam morphology was present in 25 skiers (47.2%, 39 hips). Hip pain at baseline and at follow-up was reported in 17 (28.3%) and 22 (36.7%) skiers, respectively. No correlations were found between the activity level, the frequency, and the size of cam morphology and hip pain, except for the right hip α-angle at 1 o’clock and hip pain in skiers with cam morphology at baseline (rs = 0.49; P = 0.03) and at follow-up (rs = 0.47; P = 0.04). A total of 73.3% skiers had retired, of which 48% reported this was due to injuries. Conclusion Hip pain was not shown to be correlated, or had a low correlation, with activity level and the presence and size of cam morphology in young skiers on a 5-year follow-up. Based on these results, cam morphology or activity level did not affect hip pain to develop during 5 years of follow-up in young skiers. Furthermore, this study highlights that almost 75% of young elite skiers had retired from their elite career with almost 50% reporting that this was due to injuries sustained from skiing.

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Is the Recurrence of Fibroma of the Tendon Sheath Underestimated? An Instructive Case Report and a Review of the Literature

Case Reports in Orthopedics ◽

10.1155/2020/5357329 ◽

2020 ◽

Vol 2020 ◽

pp. 1-4

Author(s):

E. Lüdke ◽

G. Kohut ◽

H. C. Bäcker ◽

M. Maniglio

Keyword(s):

Scientific Literature ◽

Healthy Woman ◽

Tendon Sheath ◽

Gadolinium Enhancement ◽

Complete Excision ◽

History Of ◽

Initial Outcome ◽

The Right ◽

Instructive Case

We report a case of a 21-year-old healthy woman with a history of a painful growing mass in the palm of the right hand, with a trigger finger phenomenon. The mass was surgically entirely excised, and the histological findings of the tumor were those of a fibroma of the tendon sheath (FTS) starting from the flexor tendons. Although the initial outcome was good, the patient experienced the same symptoms at the same location 4.5 years later. The MRI demonstrated a 50×10×5 mm mass of low intensity on T1-weighted images and high intensity on T2-weighted images and gadolinium enhancement. A second complete excision of the tumor was performed by the same senior surgeon, and the histology confirmed the recurrence of the FTS. We also reviewed the scientific literature about FTS in the hand. Most recent studies show a low rate or no recurrence at all. We hypothesize that a lot of recurrences are missed because of a short follow-up and that the recurrence rate may be higher than thought.

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White matter volume changes in people who develop psychosis

The British Journal of Psychiatry ◽

10.1192/bjp.bp.107.043463 ◽

2008 ◽

Vol 193 (3) ◽

pp. 210-215 ◽

Cited By ~ 71

Author(s):

Mark Walterfang ◽

Philip K. McGuire ◽

Alison R. Yung ◽

Lisa J. Phillips ◽

Dennis Velakoulis ◽

...

Keyword(s):

White Matter ◽

Grey Matter ◽

White Matter Volume ◽

Volume Changes ◽

Matter Volume ◽

Original Group ◽

Magnetic Resonance Imaging Mri ◽

Longitudinal Comparison ◽

The Right

BackgroundGrey matter changes have been described in individuals who are pre- and peri-psychotic, but it is unclear if these changes are accompanied by changes in white matter structures.AimsTo determine whether changes in white matter occur prior to and with the transition to psychosis in individuals who are pre-psychotic who had previously demonstrated grey matter reductions in frontotemporal regions.MethodWe used magnetic resonance imaging (MRI) to examine regional white matter volume in 75 people with prodromal symptoms. A subset of the original group (n=21) were rescanned at 12–18 months to determine white matter volume changes. Participants were retrospectively categorised according to whether they had or had not developed psychosis at follow-up.ResultsComparison of the baseline MRI data from these two subgroups revealed that individuals who later developed psychosis had larger volumes of white matter in the frontal lobe, particularly in the left hemisphere. Longitudinal comparison of data in individuals who developed psychosis revealed a reduction in white matter volume in the region of the left fronto-occipital fasciculus. Participants who had not developed psychosis showed no reductions in white matter volume but increases in a region subjacent to the right inferior parietal lobule.DiscussionThe reduction in volume of white matter near the left fronto-occipital fasciculus may reflect a change in this tract in association with the onset of frank psychosis.

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