scholarly journals LINFAGIOMA QUÍSTICO DE EPIPLÓN COMO CAUSA DE ABDOMEN AGUDO PEDIÁTRICO. ACTUALIZACIÓN DEL TRATAMIENTO: REPORTE DE CASO.

2021 ◽  
Vol 32 (1) ◽  
pp. s5-s6
Author(s):  
Galo Fabián García ◽  
Gerardo Mauricio Siavichay ◽  
Andrea Priscila Guillermo ◽  
Luis Fernando García ◽  
Danny Renán García
Keyword(s):  
Acute Abdomen ◽  
Peritoneal Fluid ◽  
Exploratory Laparotomy ◽  
Greater Omentum ◽  
Cystic Tumor ◽  
Polymorphonuclear Cells ◽  
Complete Excision ◽  
Abdominal Masses ◽  
One Year

Introduction Mesenteric lymphagioma is a rare, benign, congenital cystic tumor of the lymphatic vessels, which occurs in 2-5% of cases at the abdominal level (75% cervical, 20% axillary), which occurs more frequently during the childhood. It occurs with an incidence of 1: 250,000 during childhood (60% cases before one year of age), the ratio of women to men is 2: 1. They are located mainly in the subperitoneal space, in the mesentery (59% - 68%), omentum (20% - 27%) and retroperitoneum (12% - 14%). This should be suspected as a differential diagnosis of acute abdomen and pediatric abdominal masses. Its complete excision with negative microscopic margins is the treatment of choice, either by conventional means by exploratory laparotomy or by other less invasive techniques such as laparoscopy. Case description A 6-year-old boy presented with abdominal pain and peritonism. Physical exam: positive rebound sign. Paraclinical: leukocytosis, neutrophilia. Ultrasound shows abundant free fluid in the abdomen and pelvis. Patient undergoes an exploratory laparotomy, finding a multicystic mass dependent on the greater omentum, a sample of peritoneal fluid is taken for cytochemical, bacteriological, culture and histopathology. Complete excision of the cyst plus partial omentectomy and incidental appendectomy is performed. Patient with favorable evolution tolerates diet at 24 hours with progression from liquid to soft, undergoes antibiotic treatment for 48 days based on cefazolin (suspended due to negative culture at 48 hours and negative BARR), with hospital discharge on the fourth day. Result of fibrin-filled peritoneal fluid, transudate and negative histopathology for malignancy. Histopathology report: Macroscopic: irregular tissue fragment measuring 10 x 6 cm, greyish-yellow, cystic areas measuring 1.5 and 4 cm; When cut, it drains mucinous material, the rest of the irregular yellowish areas. Microscopic: fibrofatty tissue with congestive vessels and mixed inflammatory infiltrate (lymphocytes and polymorphonuclear cells), compatible with cystic lymphagioma (Fig. 3). Immunohistochemistry positive for marker D 2-40. Patient with follow-up at 7 days; In months 1, 3, 6 and year with favorable evolution, a control ultrasound was performed at the sixth month and at one year without evidence of recurrence. Conclusion: Mesenteric cystic lymphagioma can present with symptoms of acute abdomen. Complete resection is the treatment of choice, minimally invasive procedures are currently performed with favorable results in children, ultrasound is sufficient for long-term follow-up.

scholarly journals Reporte de Caso Clínico: Linfangioma quístico de epiplón

2021 ◽  
Vol 13 (1) ◽  
pp. 51-55
Author(s):  
Galo Fabián García Ordóñez ◽  
Andrea Priscila Guillermo Cornejo ◽  
Luis Fernando García Ordóñez ◽  
Danny Renán García Ordóñez ◽  
Gerardo Mauricio Siavichay Romero
Keyword(s):  
Acute Abdomen ◽  
Exploratory Laparotomy ◽  
Cystic Mass ◽  
Cystic Lymphangioma ◽  
Greater Omentum ◽  
Cystic Tumor ◽  
Free Fluid ◽  
Low Grade ◽  
Abdominal Masses

BACKGROUND: Mesenteric lymphangioma is a rare, benign congenital cystic tumor of the lym-phatic vessels, which occurs in less than 5% pf the cases at the abdomen. They appear most often during childhood. This tumor should be considered as a differential diagnosis of acute abdomen and other abdominal masses. CASE REPORT: A 6-year-old boy presented with abdominal pain and peritonism. He presented a low-grade fever, a positive rebound sign, as well as leukocytosis and neutrophilia. Ultrasono-graphy showed abundant free fluid in abdomen and pelvis. EVOLUTION: Exploratory laparotomy was performed, finding a cystic mass dependent on the greater omentum, this mass was resected. Histopathology was negative for malignancy and compatible with cystic lymphangioma, immunohistochemistry was positive for D2-40 marker. The patient evolved favorably without surgical complications and without evidence of recurrence up to one year of follow-up. CONCLUSION: Mesenteric cystic lymphangioma can present with symptoms of acute abdomen, it can also have a chronic evolution. Complete resection is the treatment of choice, currently minimally invasive procedures are performed with favorable results. Ultrasound is useful for long-term follow-up.

scholarly journals Intermammary pilonidal sinus: rare location of a common condition

2020 ◽  
Vol 8 (1) ◽  
pp. 385
Author(s):  
Gayatri A. Deshpande ◽  
Raj N. Gajbhiye ◽  
Bhupesh Tirpude ◽  
Hemant Bhanarkar ◽  
Vikrant Akulwar ◽  
...  
Keyword(s):  
Pilonidal Sinus ◽  
Primary Closure ◽  
Histopathological Examination ◽  
Skin Surface ◽  
Sinus Tract ◽  
Complete Excision ◽  
Rare Location ◽  
Keloid Formation ◽  
One Year

Pilonidal sinus in the intermammary region is a rare location of an inflammatory condition commonly occurring in the natal cleft. It is typically characterised by a pus and hair containing cavity in the skin lined by granulation tissue connecting the skin surface. A 22 year-old female presented with chronically discharging sinuses in the intermammary region with recurrent abscess formation for one year duration. Although a rare location, clinical diagnosis of pilonidal sinus was made. Complete excision of sinus tract with abscess cavity with primary closure was performed under general anaesthesia. Histopathological examination confirmed pilonidal sinus. On follow up, the scar was healthy with no keloid formation. Pilonidal sinus may rarely occur in intermammary region. Complete excision and primary closure is the mainstay treatment.

scholarly journals Acute abdomen due to an infected urachal cyst in a 5-year-old female: case report

2019 ◽  
Vol 2019 (5) ◽  
Author(s):  
Aghyad Kudra Danial ◽  
Ahmad Sankari Tarabishi ◽  
Ahmad Aldakhil ◽  
Ayham Alzahran ◽  
Omar Najjar ◽  
...  
Keyword(s):  
Acute Abdomen ◽  
Clinical Presentation ◽  
Exploratory Laparotomy ◽  
Urachal Cyst ◽  
Complete Excision ◽  
Development Stages ◽  
Patent Urachus ◽  
Female Case ◽  
Urachal Sinus ◽  
Umbilical Ligament

Abstract The urachus is an embryonic tube that connects the upper portion of the bladder to the umbilicus, and obliterates normally during embryonic development stages forming the median umbilical ligament. Incomplete obliteration of this tube results in many anomalies such as congenital patent urachus, umbilical urachal sinus, vesicourachal diverticulum and urachal cyst. We report in this case a 5-year-old female presented to the Emergency, complaining of generalized abdominal pain, fever, vomiting, and constipation with no umbilical discharge. The clinical presentation accompanied by radiology investigations suggested a case of acute abdomen. We performed an exploratory laparotomy and found a mass above the bladder connected to the umbilicus; we excised the mass and sent a specimen to pathology that confirmed Urachal cyst. Urachal cyst is usually asymptomatic unless it is complicated; depending on our case, we recommend surgical management by complete excision for complicated urachal cyst.

Lipomas of the larynx and hypopharynx: a review of the literature with the addition of three new cases

1995 ◽  
Vol 109 (4) ◽  
pp. 353-357 ◽  
Author(s):  
Bruce M. Wenig
Keyword(s):  
Polypoid Lesion ◽  
Pyriform Sinus ◽  
Review Of The Literature ◽  
Complete Excision ◽  
The Third ◽  
Mesenchymal Neoplasms ◽  
One Year ◽  
Initial Resection ◽  
Supraglottic Larynx

AbstractLipomas of the larynx and hypopharynx are uncommon mesenchymal neoplasms. This report discusses the clinical and pathological features of three cases of laryngeal and hypopharyngeal lipomas. Two of the cases occurred in females and one in a male. The ages of the patients were 28, 51 and 51 years respectively. Two of the cases involved the supraglottic larynx (left arytenoid and left vestibular fold); the third involved the pyriform sinus. Symptoms included airway obstruction. dysphagia, throat discomfort, a sensation of excessive secretions in the throat and an increase in snoring. The complaints occurred over periods ranging from several months to one year in duration. Clinically, a polypoid lesion described as yellow in appearance was seen. Histologically. the tumours were composed of mature adipocytes without evidence of pleomorphism, lipoblasts or infiltrative growth. Surgery was the treatment of choice and included simple but complete excision in two of the cases. In these two cases, surgery proved curative with follow-up periods of 11 and seven years, respectively. In one case. the initial tumour was removed in pieces. This lesion recurred 15 years after the initial resection and was totally excised at that time. This patient has been free of tumour for more than five years.

scholarly journals Intracranial Capillary Hemangioma – a Case Report and Literature Review

2021 ◽  
Author(s):  
Aimee Goel ◽  
Hadleigh Cuthbert ◽  
Jooly Joseph ◽  
Erminia Albanese
Keyword(s):  
Literature Review ◽  
Soft Tissues ◽  
Capillary Hemangioma ◽  
En Bloc ◽  
Complete Excision ◽  
Case Presentation ◽  
Tentorial Meningioma ◽  
The Central Nervous System ◽  
One Year

Abstract BackgroundCapillary hemangiomas of the central nervous system are exceedingly rare. These are benign tumour-like lesions that usually occur in the skin and soft tissues of mainly children. We report the case of an extra-axial capillary hemangioma mimicking a tentorial meningioma.Case presentationA 46-year old female patient presented with headaches. Imaging revealed an avidly enhancing tentorial lesion with a wide dural base, features suggestive of a meningioma. Intra-operatively, an extra-axial heavily vascular tumour was found and was radically resected en bloc. Histology revealed thin-walled capillary-sized vessels arranged in closely packed lobules, and a diagnosis of capillary hemangioma was made. At one year follow up, the patient was asymptomatic and no tumour recurrence was noted.ConclusionsA literature review showed that capillary hemangiomas may be misdiagnosed as other extra-axial dural-based lesions such as meningiomas, schwannomas, hemangiopericytomas and inflammatory granulomatous lesions. Diagnosis should be considered especially in radiologically atypical cases. Complete excision is curative. Stereotactic radiosurgery on its own or in conjunction with surgery also achieves good results while partial excision or biopsy alone often leads to recurrence.

scholarly journals Incarcerated recurrent inguinal hernia as a cause of secondary torsion of the greater omentum: a rare case report and literature review

2019 ◽  
Vol 47 (11) ◽  
pp. 5867-5872
Author(s):  
Qian Yang ◽  
Yunhan Gao
Keyword(s):  
Inguinal Hernia ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Greater Omentum ◽  
Recurrent Inguinal Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Abdominal Disease ◽  
Rare Case Report ◽  
Low Incidence

Torsion of the greater omentum is a rare condition with a low incidence. However, secondary torsion of the greater omentum caused by an incarcerated recurrent inguinal hernia is extremely rare. Such torsion is fairly difficult to diagnose preoperatively because the symptoms are not typical and can mimic those of other causes of acute abdominal disease. If only the incarcerated inguinal hernia is treated, associated torsion of the greater omentum may be missed. We herein report a case of secondary torsion of the greater omentum caused by an incarcerated recurrent inguinal hernia. Exploratory laparotomy was performed because the preoperative computed tomography findings suggested torsion of the greater omentum. The diagnosis of torsion of the greater omentum was confirmed intraoperatively. The patient developed no recurrence throughout the 5-year follow-up.

scholarly journals Coblator-Assisted Endoscopic Transnasal Resection of a Large Nasopharyngeal Pleomorphic Adenoma

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Jonathan Bowman ◽  
Anu Daudia ◽  
Neil Sahasrabudhe ◽  
Antonio Belloso
Keyword(s):  
Pleomorphic Adenoma ◽  
English Language ◽  
Nasal Congestion ◽  
Invasive Technique ◽  
Transnasal Approach ◽  
Complete Excision ◽  
Benign Pathology ◽  
Endoscopic Transnasal Approach ◽  
One Year

Background. Pleomorphic adenomas occurring in the adult nasopharynx are rare, with our literature search identifying only 11 previous English-language reports. We document the unusual case of a large nasopharyngeal pleomorphic adenoma that was resected using radiofrequency coblation via an endoscopic transnasal approach. Methods. A 39-year-old male presented with worsening nasal congestion, intermittent otalgia, and a progressive change in voice. Flexible nasendoscopy showed a large homogeneous mass occupying the postnasal space, and computed tomography confirmed a 28 × 31 × 22 mm nasopharyngeal tumour. The biopsy-proven benign tumour was locally dissected using a coblator-assisted transnasal approach. Results. Histology confirmed complete excision of a myoepithelial-rich pleomorphic adenoma. The patient was symptom-free postoperatively, and no signs of recurrence were seen at one-year follow-up. Conclusions. This is a useful addition to the existing literature on surgical procedures used to treat benign pathology in the nasopharynx. The minimally invasive technique was well tolerated and had favourable patient outcomes.

scholarly journals Isolated lingual cysticerscosis: a rare case report

2020 ◽  
Vol 6 (12) ◽  
pp. 523
Author(s):  
Pradeep Rajbhandari ◽  
Bijaya Kumar Shrestha ◽  
Roshani Shrestha
Keyword(s):  
Histopathological Examination ◽  
Taenia Solium ◽  
Muscular Activity ◽  
Accidental Ingestion ◽  
Diagnostic Dilemma ◽  
Complete Excision ◽  
Rare Case Report ◽  
Subcutaneous Tissues ◽  
One Year

<p class="abstract">Taenia solium completes its life cycle in two hosts. Generally, cysticercosis results from accidental ingestion of the eggs of taenia solium through faeco‐oral contamination or autoinfection cysticercosis is commonly found in muscular and subcutaneous tissues. Central nervous system and eye are commonly affected. Despite abundant intermuscular tissue in oral cavity, it is uncommon site for cysticercosis because of high muscular activity and metabolic rate of oral tissues. We present a case of a 21-year-old male, presented with painless solitary swelling in the ventral aspect of tip of tongue at the centre. Excision of the swelling was done followed by histopathological examination. The histopathological examination revealed cysticercosis cellulosae in tongue musculature. Histopathological picture showed cysticercus larva surrounded by a double layered membrane. The patient was given albendazole 200 mg TDS for 30 days. One-year follow-up showed no signs of recurrence. Lingual cysticercosis usually presents as diagnostic dilemma. Complete excision along with histopathological examination is diagnostic. Infestation in this region is relatively mild as compared to ocular or neurocysticercosis. However, the patients should be examined thoroughly and followed up for possible concurrent ophthalmologic and neurologic involvements as well.  </p>

1848: Revolix 70 Watt 2 Micron Continuous Wave Laser Vaporesection of the Prostate. Preliminary Results After a One Year Follow-Up

2007 ◽  
Vol 177 (4S) ◽  
pp. 614-614
Author(s):  
Thorsten Bach ◽  
Thomas R.W. Herrmann ◽  
Roman Ganzer ◽  
Andreas J. Gross
Keyword(s):  
Continuous Wave ◽  
Continuous Wave Laser ◽  
Preliminary Results ◽  
Wave Laser ◽  
One Year

337: Monarc™ Transobturator Sling for the Treatment of Stress Urinary Incontinence: A Prospective, Multi­Center Study with One Year Follow-Up

2006 ◽  
Vol 175 (4S) ◽  
pp. 110-110 ◽  
Author(s):  
Robert D. Moore ◽  
John Miklos ◽  
L. Dean Knoll ◽  
Mary Dupont ◽  
Mickey Karram ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Transobturator Sling ◽  
One Year
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