scholarly journals Broad Ligament Fibroid Mimicking as Ovarian Tumor on Ultrasonography and Computed Tomography Scan

2013 ◽  
Vol 3 ◽  
pp. 8 ◽  
Author(s):  
Dayananda Kumar Rajanna ◽  
Vaibhav Pandey ◽  
Sujit Janardhan ◽  
Sujatha N Datti
Keyword(s):  
Adnexal Mass ◽  
Histopathological Examination ◽  
Broad Ligament ◽  
Ovarian Neoplasm ◽  
Cystic Degeneration ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Computed Tomographic ◽  
Contrast Enhanced ◽  
Tomography Scan

Giant fibroids are known to arise from the uterus, and very rarely from the broad ligament. Large fibroids often undergo hyaline, cystic, and at times, red degeneration. In the present case, cystic degeneration with intervening septations in an adnexal mass raised the suspicion of ovarian neoplasm as the ovaries were not seen as separate from the lesion. The ultrasonographic and contrast-enhanced computed tomographic findings of this case were characteristic of ovarian neoplasm. The differential diagnosis included rare possibility of giant fibroid with cystic degeneration. The diagnosis was confirmed on histopathological examination. The patient underwent excision of the broad ligament fibroid, hysterectomy, and bilateral salpingo-oophorectomy. Magnetic resonance imaging has a role in the diagnosis of such lesions.

scholarly journals Cystic Meningiomas: Report of Four Cases

2019 ◽  
Vol 4 (5) ◽  
Keyword(s):  
Histopathological Examination ◽  
Clinical History ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Imaging Studies ◽  
Total Removal ◽  
Cystic Meningioma ◽  
Cystic Component ◽  
Tomography Scan ◽  
Cystic Meningiomas

Although intra cranial meningiomas are usually solid tumors, some are associated with confusing cysts. So, computed tomography scan and conventional magnetic resonance imaging may not easily differentiate these lesions from other tumors frequently associated with cystic or necrotic component as gliomas or metastasis. We report four cases of cystic meningioma in which the diagnosis was not suspected preoperatively because of short clinical history and rapid neurological deterioration. However, a cystic component on imaging studies confused the diagnosis of meningioma with other cyst lesions. Although some authors report that hemorrhage is rare in meningioma, one of our cases was associated with hemorrhage and was histologically grade I meningioma. Total removal of cystic meningioma was our goal and histopathological examination was important to establish the diagnosis after surgery

scholarly journals Plunging ranula in children: case report and literature review

2016 ◽  
Vol 8 (4) ◽  
Author(s):  
Veronica Carlini ◽  
Valeria Calcaterra ◽  
Noemi Pasqua ◽  
Marinella Guazzotti ◽  
Mario Fusillo ◽  
...  
Keyword(s):  
Literature Review ◽  
Histopathological Examination ◽  
Radical Excision ◽  
Sublingual Gland ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Submandibular Region ◽  
Cervical Approach ◽  
Uncommon Condition ◽  
Tomography Scan

Few cases of plunging ranulas (PRs) occur during childhood and the lesions are frequently misdiagnosed. Here, a PR in a child is reported along with a literature review. A seven-year-old female complaining of swelling in the midline neck, left-submandibular region, was evaluated. No oral cavity or major salivary glands abnormalities were detected. On palpation, a soft, painless, and fluid-containing mass was observed. The suspicion PR was performed by ultrasound. The diagnosis was confirmed with a histopathological examination. The lesion was removed with a cervical approach, without recurrence. PR is an uncommon condition in children under 10 years of age. Differential diagnosis depends on clinical examination and ultrasonography. A computed tomography-scan and magnetic resonance imaging can be performed if the diagnosis remains uncertain. In pediatrics, the key to success of the treatment may rely on the radical excision of the cyst and sublingual gland, via an intraoral or submandibular approach.

scholarly journals Utero-ovarian ligament fibroid-an unusual location of extrauterine fibroids

2020 ◽  
Vol 9 (12) ◽  
pp. 5187
Author(s):  
Arunima Saini ◽  
Meenakshi Gothwal ◽  
Pratibha Singh ◽  
Garima Yadav
Keyword(s):  
Rare Case ◽  
Chronic Pelvic Pain ◽  
Imaging Techniques ◽  
Broad Ligament ◽  
Ovarian Mass ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Rare Case Report ◽  
Magnetic Resonance Imaging Mri ◽  
Tomography Scan

Utero-ovarian ligament fibroids are among the rarest sites for extrauterine leiomyomas. Broad ligament fibroids are relatively common. They can be either asymptomatic or present with chronic pelvic pain and pressure symptoms. They can be confused with an ovarian mass, broad ligament cyst or a pedunculated fibroid. There are high chances of missing it clinically. Ultrasonography, magnetic resonance imaging (MRI) and computed tomography scan are the imaging techniques used to diagnose such conditions, MRI being the most accurate in ruling out other broad ligament masses with suspected ovarian, tubal or isolated broad ligament cyst. Here is a rare case report of a pedunculated extrauterine leiomyoma with its origin in the utero-ovarian ligament.

scholarly journals Sjögren’s syndrome with nervous system injury combined with pulmonary and osseous cryptococcosis: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Liping Xu ◽  
Xinwei Song ◽  
Yan Zhang ◽  
Na Lin ◽  
Ji-An Wang
Keyword(s):  
Computed Tomography ◽  
Nervous System ◽  
Sjögren’S Syndrome ◽  
Sjögren's Syndrome ◽  
Sjogren’S Syndrome ◽  
Sjogren's Syndrome ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Tomography Scan ◽  
Sjögren‘S Syndrome

Abstract Background Sjögren’s syndrome is a common autoimmune disease that can involve the nervous system, but rarely both the central and peripheral. Long-term use of high-dose corticosteroids and immunosuppressants are the main risk factors for Cryptococcus infection in patients with Sjögren’s syndrome, of which pulmonary infection is the most common, while multiple bone infections are rare. Case presentation A 46-year-old Chinese woman with a 2-year history of Sjögren’s syndrome presented to our hospital with numbness of limbs, shortness of breath, and weakness. Blood immunochemistry showed that antinuclear antibody (1:640), anti-Sjögren’s syndrome-A antibodies, and anti-centromere antibodies were strongly positive. Cranial magnetic resonance imaging revealed multiple demyelinating lesions in the white matter of bilateral cerebral hemispheres. Electromyography indicated serious peripheral nerve injury, especially in lower limbs. Computed tomography scan of lumbar vertebral displayed multiple high-density shadows, and the corresponding vertebrae on magnetic resonance imaging showed abnormal low signal intensity on T1 and T2 sequences. Positron emission tomography–computed tomography showed multiple lesions with high 18F-fluorodeoxyglucose uptake in lung and vertebral bodies. Both lung and bone biopsies suggested Cryptococcus infection, with the diagnosis of Sjögren’s syndrome with nervous system injury combined pulmonary and osseous cryptococcosis. She took a reduced dose of prednisone about 10 mg/day, terminated mycophenolate mofetil, and began to take immunoglobulin of 0.4 g/kg/day intravenously for 5 days, fluconazole (400 mg/day) for 6 months. Within 3 weeks, her chest radiography showed a marked improvement, and 3 months later, the pulmonary lesions disappeared on her computed tomography scan. Conclusions This case exhibits an extremely rare condition of neural involvement in Sjögren’s syndrome combined with pulmonary and osseous cryptococcosis. This report also highlights the crucial role of detailed clinical examination, serologic markers, and biopsy in avoiding misdiagnosis. Currently, there is no guideline for this situation; in this case, we controlled the disease successfully with antifungal drugs and adequate gamma globulin, followed by an appropriate dose of corticosteroids.

Psychogenic stuttering: A case and review

2016 ◽  
Vol 33 (S1) ◽  
pp. S386-S387 ◽  
Author(s):  
A. Almada ◽  
R. Simões ◽  
M. Constante ◽  
P. Casquinha ◽  
M.J. Heitor
Keyword(s):  
Social Life ◽  
Sudden Change ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Motor Abilities ◽  
Negative Results ◽  
The Social ◽  
Competing Interest ◽  
Work Up ◽  
Tomography Scan

IntroductionStuttering is a speech disorder characterized by involuntary repetition, prolongation or cessation of a sound. This dysfluency may be developmental or acquired. Acquired dysfluency can be classified as neurogenic or psychogenic.ObjectivesThis case report aims to describe and discuss a case of psychogenic stuttering, providing an updated review on this disorder.MethodsIn and outpatient interviews were performed by Neurology and Psychiatry. Investigation to exclude organic causes included lab exams, electrocardiogram, electroencephalography, computed tomography scan and magnetic resonance imaging. A literature review in Science Direct database, with the keywords “psychogenic stuttering”, was also conducted.ResultsA 63-year-old man was admitted to the Beatriz Ângelo Hospital with an acute stuttering. Speech was characterized by the repetition of initial or stressed syllables, little affected by reading out loud or singing. Comprehension, syntaxes and semantic were not compromised, as weren’t sensory and motor abilities. During admission, stuttering characteristics changed. Multiple somatic complaints and stress prior to the onset and bizarre secondary behaviors were also detected. Work-up didn’t show an organic etiology for that sudden change. An iatrogenic etiology was considered, as sertraline and topiramate were started for depression 1 month before. However, the stuttering pattern, the negative results, the psychological and the social life events suggested a psychogenic etiology.ConclusionsPsychogenic stuttering finds its origin in psychological or emotional problems. It is best classified as a conversion reaction. The differential diagnosis between psychogenic and neurological stuttering can be challenging.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Tuberculosis of the Gallbladder: An uncommon Case Report

2021 ◽  
Vol 15 (2) ◽  
pp. 106-107
Author(s):  
Swapan Kumar Biswas ◽  
Saiful Islam Khan ◽  
Muhammad Mofazzal Hossain
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Preoperative Diagnosis ◽  
Histopathological Examination ◽  
Open Cholecystectomy ◽  
Chronic Cholecystitis ◽  
Computed Tomography Scan ◽  
Endemic Region ◽  
Uncommon Case ◽  
Tomography Scan

Isolated gall bladder tuberculosis (GBTB) is exceedingly rare even in an endemic region and is usually found as a GB mass in association with cholelithiasis. Confirmed preoperative diagnosis is very difficult, and most cases are diagnosed after cholecystectomy. We present a case of a 45-years-old woman who came with symptoms of chronic cholecystitis. Computed tomography scan revealed intraluminal gallbladder mass and cholelithiasis. The patient underwent open cholecystectomy and GBTB was diagnosed after histopathological examination. Histopathological examination should be done after all cholecystectomy operations. Faridpur Med. Coll. J. 2020;15(2): 106-107

Renal pseudoaneurysm after blunt trauma in a 10-year-old girl: A case report

2020 ◽  
pp. 039156031989615
Author(s):  
Simone Sforza ◽  
Giorgio Persano ◽  
Chiara Cini ◽  
Idanna Sforzi ◽  
Antonio Andrea Grosso ◽  
...  
Keyword(s):  
Renal Trauma ◽  
Angiographic Embolization ◽  
Computed Tomography Scan ◽  
Contrast Enhanced ◽  
Traumatic Pseudoaneurysm ◽  
Post Traumatic ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography ◽  
Tomography Scan

Introduction: Renal trauma is a relevant cause of morbidity in children older than 1 year. Most patients are currently managed conservatively, even in case of high-grade traumas; nevertheless, harmful complications may occur even in hemodynamically stable patients. We present a case of grade IV blunt renal trauma complicated by post-traumatic pseudoaneurysm. Case description: A 10-year-old girl was referred to our institution for grade IV trauma of the right kidney. During observation she had persistent hematuria that caused anemia. A second contrast-enhanced computed tomography scan revealed a posttraumatic pseudoaneurysm that was successfully treated by angiographic embolization. Conclusions: Although extremely rare after blunt renal trauma, post-traumatic renal pseudoaneurysm may cause severe blood loss and anemia, and angioembolization is therefore indicated. This condition should be suspected and move physicians to investigate further.

scholarly journals Adnexal mass: a clinicopathological study at a tertiary care centre in Assam, India

2019 ◽  
Vol 8 (4) ◽  
pp. 1457
Author(s):  
Mukut Jyoti Das ◽  
Pranay Phukan
Keyword(s):  
Clinical Examination ◽  
Adnexal Mass ◽  
Histopathological Examination ◽  
Color Doppler ◽  
Tertiary Care ◽  
Broad Ligament ◽  
Reproductive Age ◽  
Transvaginal Sonography ◽  
Age Group ◽  
Adnexal Masses

Background: An adnexal mass may be found in females of all ages with significantly variable prevalence, but more common among women of reproductive age. Adnexal masses pose a special dilemma to the attending gynaecologist because the diagnosis is often difficult and differential diagnosis is vast. Clinical examination is the first step in evaluation of patients with adnexal mass. Pelvic masses which are undetected or overlooked on physical examination can be identified by Ultrasonography. The aims and objectives of the study were to: to find out different types of adnexal pathology clinically, correlation of clinical finding with histopathology, correlation of ultrasonography finding with histopathology.Methods: The present study was carried in the Department of Obstetrics and Gynecology, Assam medical college and hospital, Dibrugarh from 1st July 2017 to 30th June 2018. This study was a hospital based observational study which included 145 patients of adnexal mass attending the GOPD who required admission and operative intervention. All cases underwent an abdominal ultrasound examination with color Doppler. Transvaginal sonography was done wherever feasible. Following surgery, specimens were sent for histopathological examination and the reports were correlated with pre-operative clinical and ultrasonography findings.Results: The most common site of origin of adnexal mass was ovary (92.41%) followed by fallopian tube (6.20%) and broad ligament (1.39%). Majority (79.31%) were non neoplastic or benign adnexal masses. All cases of adnexal malignancy were of ovarian origin. The sensitivity and specificity of clinical examination for diagnosis and discriminating benign and malignant ovarian neoplasms were 70% and 86.6% and that of ultrasonography was 86.67% and 96.65% respectively.Conclusions: Adnexal mass in reproductive age group were mostly non neoplastic and benign, whereas malignancy was mostly seen in peri and post-menopausal age group. Ultrasonography is a useful adjunct to clinical examination for diagnosis and proper management of patients with adnexal mass in low resource setup.

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