Scoliosis secondary to osteoid osteoma: A case report of delayed diagnosis and 5-year follow-up

Background. Chilaiditi syndrome is a phenomenon where there is an interposition of the colon between the liver and the abdominal wall leading to clinical symptoms. This is distinct from Chilaiditi sign for which there is radiographic evidence of the interposition, but is asymptomatic. Case Presentation. Here, we present the case of a patient who, despite having clinical symptoms for a decade, had a delayed diagnosis presumably due to the interposition being intermittent and episodic. Conclusions. This case highlights the fact that Chilaiditi syndrome may be intermittent and episodic in nature. This raises an interesting question of whether previous case reports, which describe complete resolution of the syndrome after nonsurgical intervention, are perhaps just capturing periods of resolution that may have occurred spontaneously. Because the syndrome may be intermittent with spontaneous resolution and then recurrence, patients should have episodic follow-up after nonsurgical intervention.

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Severe pacemaker pocket infection during the COVID-19 pandemic, transvenous lead removal

The Journal of Infection in Developing Countries ◽

10.3855/jidc.15225 ◽

2021 ◽

Vol 15 (09) ◽

pp. 1277-1280

Author(s):

Milos Dusan Babic ◽

Lazar Angelkov ◽

Milosav Tomovic ◽

Mihailo Jovicic ◽

Darko Boljevic ◽

...

Keyword(s):

Case Report ◽

Delayed Diagnosis ◽

Lead Removal ◽

Pacemaker Lead ◽

Cardiac Device ◽

Delayed Treatment ◽

Pocket Infection ◽

Endocardial Lead ◽

Lead Endocarditis

Introduction: The estimated infection rate after permanent endocardial lead implantation is between 1% and 2%. Pacemaker lead endocarditis is treated with total removal of the infected device and proper antibiotics. In this case report, we present a patient with delayed diagnosis and treatment due to the COVID-19 outbreak. Case Report: An 88-year-old, pacemaker dependent woman with diagnosed pacemaker pocket infection was admitted to the University Cardiovascular institute. The patient had a prolonged follow-up time due to the COVID-19 outbreak. She missed her routine checkup and came to her local hospital when the generator had already protruded completely, to the point where she held it in her own hand. Transthoracic echocardiogram showed possible vegetations on the lead. Transesophageal echocardiography was not performed due to the COVID-19 pandemic. On the day after the admission the patient underwent transvenous removal of the pacemaker lead using a 9 French gauge rotational extraction sheathe (Cook Medical). The extracted lead was covered in a thin layer of vegetations. Further follow-ups showed good recovery with no complications. Conclusions: A case showing delayed treatment of pacemaker pocket infection, due to delayed follow-up time during the COVID-19 pandemic. This patient underwent successful transvenous removal of the infected pacemaker lead, along with adequate antibiotic therapy, which has proven to be the most effective method of treating cardiac device-related endocarditis.

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Six-stage revision surgery of a triple periprosthetic joint infection due to a delayed diagnosis of a bilateral psoas abscess: a case report

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2021.0033 ◽

2021 ◽

Author(s):

C Lucero ◽

F Díaz-Dilernia ◽

F Comba ◽

G Zanotti ◽

F Piccaluga ◽

...

Keyword(s):

Case Report ◽

Revision Surgery ◽

Periprosthetic Joint Infection ◽

Daily Living ◽

Psoas Abscess ◽

Joint Infection ◽

Delayed Diagnosis ◽

Left Knee ◽

Complex Scenario

Case We present a case of a 70-year-old woman with simultaneous periprosthetic joint infection (PJI) of both hips and left knee due to a bilateral psoas abscess. The patient underwent debridement and implants removal with the consequent reimplantation in a sequential six-stage revision surgery. At four years of follow-up and in spite of the patient’s comorbidities and current PJI presentation, she maintains full activities of daily living without restrictions. Conclusion Accurate and early diagnosis of a psoas abscess is crucial. This case report provides experience of a complex scenario, the decision-making involved and the outcomes of an underdiagnosed complication.

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Osteoid Osteoma of Mandible as an Uncommon Site: A Case Report

Case Reports in Clinical Practice ◽

10.18502/crcp.v6i1.5951 ◽

2021 ◽

Author(s):

Hedieh Moradi Tabriz ◽

Elham Nazar ◽

Arezo Eftekhar Javadi

Keyword(s):

Case Report ◽

Bone Formation ◽

Osteoid Osteoma ◽

Patient Management ◽

Thick Layer ◽

Congenital Deafness ◽

Woven Bone ◽

Proper Diagnosis ◽

Excisional Surgery

Osteoid osteoma is a benign bone-forming tumor. Besides, it is small and painful, consisting of osteoid and woven bone, and surrounded by a thick layer of reactive bone formation. The tumor is self-limited or needs to be removed by surgery. This report describes a 16-year-old male with congenital deafness who presented with a right mandibular swelling initiated 2 years ago. The patient underwent excisional surgery. Histological examinations revealed a benign bone-forming tumor, compatible with osteoid osteoma. Radiologic and histologic correlation confirmed the diagnosis. Base on the diagnosis, the patient received no more treatment. After 4 years of close follow-up examinations, no recurrence was observed in the patient. Osteoid osteoma is often confused with numerous other entities in uncommon sites. Thus, imaging and histologic correlations are required. Proper diagnosis is necessary for further patient management in this respect.

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Gorlin syndrome: Importance of clinical signs and danger of delayed diagnosis - A case report with eight years follow-up

Archives of Clinical and Experimental Surgery (ACES) ◽

10.5455/aces.20140108034044 ◽

2015 ◽

Vol 4 (1) ◽

pp. 49

Author(s):

Erica deAvila ◽

Rafael deMolon ◽

Mario Gabrielli ◽

Eduardo HochuliVieira ◽

Marisa Gabrielli

Keyword(s):

Case Report ◽

Delayed Diagnosis ◽

Clinical Signs ◽

Gorlin Syndrome

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Delayed diagnosis of traumatic posterior hip dislocation in a 6-year-old girl with 6 years follow up: a case report

International Surgery Journal ◽

10.18203/2349-2902.isj20174526 ◽

2017 ◽

Vol 4 (10) ◽

pp. 3511

Author(s):

Paa Kwesi Baidoo ◽

Boniface Adegah

Keyword(s):

Case Report ◽

Femoral Head ◽

Avascular Necrosis ◽

Delayed Diagnosis ◽

Hip Dislocation ◽

Traumatic Hip Dislocation ◽

Left Posterior ◽

Posterior Hip Dislocation

Though uncommon, cases of traumatic hip dislocation have been reported in children worldwide. Averagely, it is recommended that the acceptable duration for reduction after such dislocations is about 6 hours. Even with that there is about 5% documented chance of developing avascular necrosis of the head of the femur. The incidence of avascular necrosis increases with delayed relocation of the femoral head. We report a case involving a 6-year-old girl with a 2-week delayed diagnosis of a left posterior hip dislocation that was reduced and followed up for 6 years.

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Delayed Diagnosis and Treatment of Traumatic Testicular Dislocation: A Case Report and Literature Review

Frontiers in Surgery ◽

10.3389/fsurg.2021.721192 ◽

2021 ◽

Vol 8 ◽

Author(s):

Qihua Wang ◽

Rami W. A. Alshayyah ◽

Hang Lv ◽

Yang Yu ◽

Xinyu Liu ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Rare Complication ◽

Delayed Diagnosis ◽

Testicular Atrophy ◽

Urethral Reconstruction ◽

The Right ◽

Urethral Rupture ◽

Testicular Dislocation

Traumatic testicular dislocation is a rare complication secondary to different kinds of accidents. A 61-year-old man, who was injured by wall collapse and was diagnosed as pelvic fracture and posterior urethral rupture 5 months ago, came to the urologic department to seek urethral reconstruction. However, thorough physical examination and imaging examination confirmed a round mass in the right inguinal region and an empty right scrotum, which support diagnosis of testicular dislocation. The patient did not take the initiative to complain about that because he thought the right testis had been destroyed by the accident already. So the patient underwent fiber cystourethroscopy, urethral reconstruction, and orchiopexy. No testicular atrophy was confirmed at follow-up. We reviewed previous reports about traumatic testicular dislocation and analyzed the cause of delayed diagnosis.

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Arthroscopic Excision of Delayed Diagnosed Intra-articular Osteoid Osteoma of the Elbow: A Case Report

Clinics in Shoulder and Elbow ◽

10.5397/cise.2018.21.3.162 ◽

2018 ◽

Vol 21 (3) ◽

pp. 162-168

Author(s):

Sam Guk Park ◽

Duk Seop Shin ◽

Joon Hyuk Choi ◽

Ho Dong Na ◽

Jae Woo Park

Keyword(s):

Case Report ◽

Osteoid Osteoma ◽

Full Range ◽

Delayed Diagnosis ◽

Radiographic Evaluation ◽

Complete Relief ◽

Arthroscopic Excision ◽

Prolonged Pain ◽

The Right ◽

Limited Motion

An intra-articular osteoid osteoma is a very rare cause of elbow pain, and its diagnosis and treatment remain challenging. Delayed diagnosis may lead to arthritic change of the joint. In this study, the authors present the occurrence of intra-articular osteoid osteoma in the right elbow of a 15-year-old male patient who presented with prolonged pain and limited motion owing to delayed diagnosis. After confirming the nidus of osteoid osteoma from radiographic evaluation, the lesion was completely removed arthroscopically. The patient presented a complete relief of symptoms and full range of motion. This is the first domestic report of successful arthroscopic treatment of an intra-articular osteoid osteoma of the elbow.

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Arthroscopic excision of intra-articular sub-periosteal osteoid osteoma of elbow: a case report

SICOT-J ◽

10.1051/sicotj/2018021 ◽

2018 ◽

Vol 4 ◽

pp. 25 ◽

Cited By ~ 2

Author(s):

Tarun Goyal ◽

Naveen Pandita ◽

Souvik Paul

Keyword(s):

Case Report ◽

Pain Relief ◽

Osteoid Osteoma ◽

Inflammatory Arthritis ◽

Unique Case ◽

Plain Radiographs ◽

Arthroscopic Excision

We are presenting a unique case of a sub-periosteal osteoid osteoma involving coronoid fossa in a 25-year-old male. He was symptomatic for 2 years and his presentation mimicked mono-articular inflammatory arthritis. His plain radiographs were normal and the computed tomogram confirmed features of a sub-periosteal osteoid osteoma. He was treated with arthroscopic excision of the lesion. Pain relief was noticed immediately after the surgery and maintained at latest follow up of 1 year.

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A Rare Case of an Osteoid Osteoma of the Rib Treated under Computed Tomography Guidance: A Case Report and Review of the Literature

Case Reports in Oncology ◽

10.1159/000441835 ◽

2015 ◽

Vol 8 (3) ◽

pp. 509-514 ◽

Cited By ~ 3

Author(s):

Sakiko Mizuno ◽

Ukei Anazawa ◽

Hiraku Hotta ◽

Naofumi Asano ◽

Michiro Susa ◽

...

Keyword(s):

Computed Tomography ◽

Case Report ◽

Local Recurrence ◽

Osteoid Osteoma ◽

Rare Case ◽

Review Of The Literature ◽

Skeletal Tissue ◽

Minimal Invasiveness ◽

Computed Tomography Guidance

Osteoid osteoma (OO) usually occurs in the extremities of young adults. The tumor can arise in any part of the skeletal tissue; however, it is rarely found in the rib, with limited reports to date. In this report, we present a rare case of OO arising in the rib, which was successfully treated under computed tomography guidance with minimal invasiveness. At the final follow-up after 4 years, no local recurrence was observed.

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