scholarly journals Giant Renal Angiomyolipoma: Unusual Cause of Huge Abdominal Mass

2013 ◽  
Vol 3 ◽  
pp. 56 ◽  
Author(s):  
Rajesh Taneja ◽  
Dig Vijay Singh
Keyword(s):  
Abdominal Mass ◽  
Left Kidney ◽  
Histochemical Staining ◽  
Renal Angiomyolipoma ◽  
Abdominal Girth ◽  
Surgical Specimen ◽  
Contrast Enhanced ◽  
Giant Tumor ◽  
Cect Scan ◽  
Enhanced Computed Tomography

We present the imaging and histopathological characteristics of a giant renal angiomyolipoma (AML) in a 49-year-old female patient, who presented with bloating sensation in the abdomen and a steadily increasing abdominal girth for about 3 years. Contrast enhanced computed tomography (CECT) scan films of abdomen revealed that a large fat containing tumor had replaced the left kidney while displacing the rest of the abdominal contents toward the other side of the midline. Intraoperatively the left kidney was completely replaced by a fat containing tumor. The recovered surgical specimen measured 39 cm × 25 cm × 9 cm and weighed 7500 g. Histopathological investigation with immuno-histochemical staining of the specimen with hydroxy beta-methylbutyric acid-45 confirmed this lesion as AML. CECT scan of the head did not show any lesion suggestive of tuberous sclerosis. The giant tumor of the present case is the heaviest AML in both syndromic and sporadic categories and largest by dimensions as sporadic AML ever reported in the literature.

scholarly journals Gigantic kidney tumour presenting with weight gain

2019 ◽  
Vol 6 (11) ◽  
pp. 4181
Author(s):  
Balaji Chandhirasekar ◽  
Sushanto Neogi ◽  
Manu Vats ◽  
Vineet Kumar Pandey
Keyword(s):  
Computed Tomography ◽  
Renal Mass ◽  
Left Kidney ◽  
Papillary Renal Cell Carcinoma ◽  
En Bloc ◽  
Kidney Tumour ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Open Nephrectomy ◽  
Contrast Enhanced Computed Tomography

A 61 years obese gentleman presented early with gain of weight and lump in the left side of abdomen for 15 days. On contrast enhanced computed tomography (CECT) of abdomen, a giant renal mass arising from left kidney. Patient underwent open nephrectomy, surgically removed en bloc of 12.5 kg weight largest renal mass. Histopathology showed papillary renal cell carcinoma. The postoperative period was uneventful.

scholarly journals Symptomatic Imperforate Hymen in Early Infancy: A Case Report

2020 ◽  
Vol 58 (226) ◽  
Author(s):  
Geha Raj Dahal ◽  
Subash Phuyal ◽  
Pooja Agrawal
Keyword(s):  
Rare Case ◽  
Abdominal Mass ◽  
Pelvic Mass ◽  
Primary Amenorrhea ◽  
Vaginal Opening ◽  
Imperforate Hymen ◽  
Contrast Enhanced ◽  
Abdominal Examination ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Imperforate hymen, though a congenital anomaly, usually presents late in puberty as lowerabdominal pain, primary amenorrhea, and cyclical pain. Blood collects in vagina and uterus,proximal to imperforate hymen leading to their distention. Its presentation at infancy is a rare entity.We report such a rare case of symptomatic imperforate hymen in infancy, who presented with acuteretention of urine, chills and rigor. Abdominal examination revealed an intra-abdominal mass in thelower abdomen and pelvis with the absence of vaginal opening on perineal examination. Contrast enhanced computed tomography abdomen showed large abdominopelvic cystic lesion posterior tothe urinary bladder and anterior to the rectum consistent with a highly distended vagina. She wasmanaged by the incision of the imperforate hymen and drainage of the pus. A high index of suspicionis necessary whenever a female infant presents with abdomino-pelvic mass with symptoms of feveror urinary retention.

scholarly journals Atypical Presentation of IgA Nephropathy Mimicking Acute Pyelonephritis

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Stamatis Karakonstantis ◽  
Despoina Galani ◽  
Dafni Korela ◽  
Sofia Pitsigavdaki ◽  
Ifigeneia Kassotaki ◽  
...  
Keyword(s):  
Red Blood Cells ◽  
Iga Nephropathy ◽  
Acute Pyelonephritis ◽  
Blood Cells ◽  
Clinical Presentation ◽  
Left Kidney ◽  
Flank Pain ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Background. IgA glomerulonephritis may present with hematuria, flank pain, and fever. This clinical presentation may be easily confused with acute pyelonephritis.Case Report. We present the case of a 25-year-old female with a typical clinical presentation for acute pyelonephritis (high fever, left flank pain, left costovertebral angle tenderness, hematuria, elevated inflammatory markers, and a hypoenhancing region in the left kidney on contrast-enhanced computed tomography). However, urine and blood cultures were both negative, the serum creatinine was elevated, and the urinalysis revealed significant proteinuria and dysmorphic red blood cells. A kidney biopsy confirmed a diagnosis of IgA nephropathy. She was treated with a combination of lisinopril and methylprednisolone, with good response.Conclusion. Gross hematuria, especially in the absence of pyuria or bacteriuria, should raise the suspicion for underlying IgA nephropathy, even if the rest of the clinical presentation is typical for a urinary tract infection. The presence of significant proteinuria, red blood cell casts, and dysmorphic red blood cells are useful clues suggesting glomerular disease.

Synchronous Renal Dedifferentiated Liposarcoma and Retroperitoneal Well-Differentiated Liposarcoma: A Case Report With Literature Review

2020 ◽  
pp. 106689692098168
Author(s):  
Ling Nie ◽  
Xueqin Chen ◽  
Jing Gong ◽  
Mengni Zhang ◽  
Miao Xu ◽  
...  
Keyword(s):  
Left Kidney ◽  
Final Diagnosis ◽  
Dedifferentiated Liposarcoma ◽  
Pathological Examination ◽  
Retroperitoneal Mass ◽  
Mdm2 Gene ◽  
Contrast Enhanced ◽  
High Grade Sarcoma ◽  
Well Differentiated ◽  
Enhanced Computed Tomography

Liposarcoma is the most common soft tissue malignancy and usually occurs in the retroperitoneum or the extremities but rarely in the kidney. In this article, we report a case of a 71-year-old female patient who presented with abdominal lump and left flank pain for 1 month. An abdominal contrast-enhanced computed tomography scan demonstrated a 12 cm × 7 cm solid mass arising from the upper pole of left kidney and another 8 cm × 6 cm low-density retroperitoneal mass with fat density. Radical nephrectomy of the left kidney and resection of the retroperitoneal mass were performed. Surprisingly, pathological examination revealed a high-grade sarcoma (with minor lipomatous component) in the left kidney and a retroperitoneal well-differentiated liposarcoma. MDM2 gene amplification was identified by fluorescence in situ hybridization in both tumors, supporting final diagnosis of dedifferentiated liposarcoma of the kidney and well-differentiated liposarcoma of the retroperitoneum.

scholarly journals A case of Giant Renal Angiomyolipoma in Tuberous Sclerosis Complex

2018 ◽  
Vol 5 (10) ◽  
pp. 3422
Author(s):  
Kanumury Ramesh ◽  
Paruchuri Naga Manvi
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Tuberous Sclerosis ◽  
Male Patient ◽  
Tuberous Sclerosis Complex ◽  
Renal Angiomyolipoma ◽  
Contrast Enhanced ◽  
Renal Hamartoma ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

ABSTRACT:Angiomyolipomas also referred to as renal hamartoma is a benign lesion.They are either sporadic or associated with syndromes like tuberous sclerosis. Here we present a case of 58yrs old male patient, who presented with left sided abdominal pain for 1month.On examination over face Adenoma Sebaceum was present.Ultrasound abdomen and contrast enhanced computed tomography showed bilateral renal angiomyolipoma with aneurysm over left side.On plain computed tomography of head subependymal calcifications were present.Left Nephrectomy was done and histopathology revealed Angiomyolipoma.

scholarly journals Ganglioneuroblastoma with Extensive Vascular Encasement: A Case Report

2013 ◽  
Vol 2 (2) ◽  
pp. 72-75
Author(s):  
A Juneja ◽  
A Thakral ◽  
DA Thakral ◽  
Hiralal
Keyword(s):  
Abdominal Mass ◽  
Age Group ◽  
Retroperitoneal Mass ◽  
Ultrasound Guided ◽  
Contrast Enhanced ◽  
Histopathologic Diagnosis ◽  
Paediatric Age ◽  
Sympathetic Nervous ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Ganglioneuroblastoma is a tumor of the sympathetic nervous system in paediatric age group that is intermediate in behavior between ganglioneuroma and neuroblastoma. We present a case of a 3 year old girl who presented with a large long standing abdominal mass. Ultrasonographic features were suggestive of large retroperitoneal mass with calcific foci & extensive vascular encasement consistent with neurogenic tumor. Contrast enhanced computed tomography (CT) performed for staging confirmed these findings while histopathologic diagnosis of ganglioneuroblastoma was achieved by ultrasound guided biopsy. While vascular encasement is known in ganglioneuroblastoma, the scale of vascular encasement in this case is extensive. Nepalese Journal of Radiology; Vol. 2; Issue 2; July-Dec. 2012; 72-75 DOI: http://dx.doi.org/10.3126/njr.v2i2.7690

scholarly journals A Multinodular Mass of Abdominal Splenosis: Case Report of Uncommon Images of a Rare Disease

Diagnostics ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 111 ◽  
Author(s):  
Hiroyuki Matsubayashi ◽  
Etsuro Bando ◽  
Hiroyasu Kagawa ◽  
Keiko Sasaki ◽  
Hirotoshi Ishiwatari ◽  
...  
Keyword(s):  
Rare Disease ◽  
Traffic Accident ◽  
Abdominal Mass ◽  
Needle Aspiration ◽  
Splenic Trauma ◽  
Contrast Enhanced ◽  
Multiple Round ◽  
History Of ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Splenosis is a rare disease which typically forms single or multiple round masses. A 45-year-old male was referred for investigation of an abdominal mass. He had a history of splenic injury from a traffic accident at age 19. Contrast-enhanced computed tomography showed a well-enhanced, multi-nodular mass lesion, 3.5 cm in size, located below the stomach. An endoscopic ultrasound-guided fine needle aspiration biopsy (EUS-FNAB) for the mass was inconclusive. A surgery was performed, and pathology of the resected mass confirmed splenosis. Clinicians must bear in mind the possibility of occurrence of splenosis after splenic trauma and its image variations.

scholarly journals Case Report: Transcatheter Arterial Embolization for the Initial Management of Intra-Abdominal Hemorrhage From a Hepatic Tumor in a Cat

2021 ◽  
Vol 8 ◽  
Author(s):  
Yuta Kawamura ◽  
Hiroki Itou ◽  
Akitomo Kida ◽  
Hiroki Sunkawa ◽  
Kenji Kawamura
Keyword(s):  
Transcatheter Arterial Embolization ◽  
Abdominal Mass ◽  
Abdominal Cavity ◽  
Good Condition ◽  
Arterial Embolization ◽  
Caudate Lobe ◽  
Abdominal Ultrasonography ◽  
Abdominal Bleeding ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography

An 8-year-old Ragdoll cat was admitted to our hospital after its owner noticed sudden lethargy. Abdominal ultrasonography showed a large amount of blood in the abdominal cavity, and the cat was diagnosed as having hemorrhagic shock caused by the rupture of an intra-abdominal mass. Blood transfusion was performed on the 1st day of hospitalization. On the 2nd day, contrast-enhanced computed tomography (CT) was performed, and hemorrhage from a mass originating in the caudate lobe of the liver was noted. Transcatheter arterial embolization (TAE) was performed to stop the bleeding from the mass using Gelpart to embolize the feeding artery. The following day, fever and elevation of liver enzyme levels were observed, but these subsided within a few days. At discharge 5 days after TAE, no fluid was found in the peritoneal cavity, and no further intra-abdominal bleeding occurred. Sixty-six days after TAE, we were able to perform resection surgery with the cat in good condition. A partial response was observed on CT performed before surgery. Histopathology revealed cholangiocellular adenoma. The cat was doing well as of postoperative day 549. This case indicates that TAE may be effective for initial hemostasis and stabilization of conditions in animals with tumor-induced hemorrhage.

scholarly journals Comparison of thyroid gland involvement in contrast enhanced computed tomography of the neck and histopathology and the necessity of thyroidectomy in patients with laryngeal and hypo pharyngeal cancer

2019 ◽  
Vol 5 (5) ◽  
pp. 1335
Author(s):  
Mohamed Abdul Kathar M. ◽  
Rajiv Michael ◽  
Aparna Shyam
Keyword(s):  
Computed Tomography ◽  
Thyroid Gland ◽  
Ct Scan ◽  
Total Laryngectomy ◽  
Histopathological Analysis ◽  
Contrast Enhanced ◽  
Cartilage Erosion ◽  
Cect Scan ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

<p class="abstract"><strong>Background:</strong> The aim of this study is to assess the thyroid gland involvement in the preoperative contrast enhanced computed tomography (CECT) of neck with histopathology (HPE) in determining the indications for ipsilateral thyroidectomy in patients undergoing total laryngectomy in laryngeal and hypopharyngeal cancers.</p><p class="abstract"><strong>Methods:</strong> Forty patients diagnosed clinically with stage 3 laryngeal and hypopharyngeal cancer were subjected to CECT of neck. Patients with cartilage erosion and extra laryngeal spread on CECT (T3, T4a) were routinely taken for total laryngectomy, partial pharyngectomy and hemi thyroidectomy. Specimens were sent for histopathological analysis and which was compared with preoperative CECT scan.  </p><p class="abstract"><strong>Results:</strong> Of the forty cases, only four patients had thyroid gland involvement in CECT scan and 2 of the 40 had thyroid gland involvement in histopathology. Of the four patients where the CT scan which showed infiltration of the thyroid gland, none had thyroid gland involvement in histopathology. In two patients where thyroid gland was involved in histopathology, CT scan failed to pick up the thyroid gland involvement. Those two patients with histologically proven thyroid gland involvement identify as transglottic malignancy with cartilage erosion and extra laryngeal spread.</p><p class="abstract"><strong>Conclusions:</strong> Our study concludes that an ipsilateral hemi-thyroidectomy is probably still indicated in transglottic cancer with cartilage invasion and/or extra laryngeal spread.</p>

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