scholarly journals Referred Pulpal Pain with Atypical Features in an Endodontically Treated Tooth due to Learned Phenomenon

2014 ◽  
Vol 4 (1) ◽  
pp. 60-62
Author(s):  
AR Vivekananda Pai ◽  
Rachit Jain
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Previous Treatment ◽  
Endodontic Treatment ◽  
Diagnostic Dilemma ◽  
Retrospective Diagnosis ◽  
Atypical Features ◽  
Endodontically Treated Tooth

ABSTRACT Pulpal pain does not refer to an endodontically treated tooth. Nevertheless, such a potential may exist based on a learned phenomenon due to previous treatment experiences but is rarely reported. Further, it is seldom reported to occur with atypical features. This case report is on a patient who was presented with pain in endodontically treated lower first molar (36) and recommended to undergo retreatment. However, endodontic treatment in 26 relieved the pain showing occurrence of referred pulpal pain in 36. But due to atypical referral and unknown endodontic status in 36, only uneventful follow-up confirmed the retrospective diagnosis of referred pulpal pain in 36. Pulpal pain can refer to an endodontically treated tooth based on learned phenomenon. Such a referral can also occur with atypical features and pose a diagnostic dilemma. Therefore, referred pulpal pain should be considered in the differential diagnosis of pain in an endodontically treated tooth. How to cite this article Pai ARV, Vikram M, Jain R. Referred Pulpal Pain with Atypical Features in an Endodontically Treated Tooth due to Learned Phenomenon. J Contemp Dent 2014;4(1): 60-62.

Rapid growth of myxoid leiomyosarcoma of the vulva during pregnancy: a case report

2004 ◽  
Vol 14 (1) ◽  
pp. 172-175 ◽  
Author(s):  
A. R. Di Gilio ◽  
G. Cormio ◽  
L. Resta ◽  
C. Carriero ◽  
V. Loizzi ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Smooth Muscle ◽  
Case Report ◽  
Lymph Node ◽  
Cesarean Section ◽  
Recurrent Disease ◽  
Node Dissection ◽  
Smooth Muscle Tumors ◽  
Vulvar Mass

Smooth muscle tumors arising in the vulva are rare. Leiomyosarcoma is the most common variant of vulvar sarcoma, and very few cases have been reported during pregnancy. A 36-year-old woman presented with a progressively enlarging vulvar mass during pregnancy, diagnosed as a Bartholin's gland cyst. The lesion was resected at 38 weeks of gestation during cesarean section and diagnosis of myxoid leiomyosarcoma of the vulva was made. Six weeks later the patients were referred to our center and submitted to wide vulvar excision with groin lymph node dissection that revealed the presence of a small residual focus of leiomyosarcoma. At 30 months of follow-up the patient was well without any sign of recurrent disease. Leiomyosarcoma should be included in the differential diagnosis of vulvar masses; progressively enlarging vulvar lesion should be biopsied even during pregnancy. Leiomyosarcoma should be considered in the differential diagnosis of vulvar mass.

scholarly journals Pneumatosis Intestinalis: A Case Report and Approach to Management

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Sean Donovan ◽  
Joseph Cernigliaro ◽  
Nancy Dawson
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Bowel Wall ◽  
Surgical Intervention ◽  
Wide Spectrum ◽  
Pneumatosis Intestinalis ◽  
Rapid Evaluation ◽  
Thought Process ◽  
Diagnostic Dilemma ◽  
Clinical Scenarios

Pneumatosis intestinalis (PI), defined as gas within the bowel wall, is an uncommon radiographic sign which can represent a wide spectrum of diseases and a variety of underlying diagnoses. Because its etiology can vary greatly, management of PI ranges from surgical intervention to outpatient observation (see, Greenstein et al. (2007), Morris et al. (2008), and Peter et al. (2003)). Since PI is infrequently encountered, clinicians may be unfamiliar with its diagnosis and management; this unfamiliarity, combined with the potential necessity for urgent intervention, may place the clinician confronted with PI in a precarious medical scenario. We present a case of pneumatosis intestinalis in a patient who posed a particularly challenging diagnostic dilemma for the primary team. Furthermore, we explore the differential diagnosis prior to revealing the intervention offered to our patient; our concise yet inclusive differential and thought process for rapid evaluation may be of benefit to clinicians presented with similar clinical scenarios.

scholarly journals Laparoscopic Resection of a Giant Dedifferentiated Primary Retroperitoneal Mucinous Cystadenoma (PRMC) in a Young Woman: A Case Report and Literature Review

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Wu L ◽  
Li X ◽  
Li J ◽  
Lai Y
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Benign Tumor ◽  
Laparoscopic Resection ◽  
Abdominal Cavity ◽  
Mucinous Cystadenoma ◽  
Rare Benign Tumor ◽  
Primary Retroperitoneal

Background: PRMC is a very rare benign tumor of the abdominal cavity that usually occurs in women, and PRMC demonstrate no specific findings on CT. There are many reports on the differential diagnosis and discussion of PRMC imaging, but there are few reports on the treatment of dedifferentiated PRMC using laparoscopic resection and postoperative follow-up.

scholarly journals Gastroblastoma in Adulthood—A Rarity among Rare Cancers—A Case Report and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Giovanni Centonze ◽  
Alessandro Mangogna ◽  
Tiziana Salviato ◽  
Beatrice Belmonte ◽  
Laura Cattaneo ◽  
...  
Keyword(s):  
Young Adults ◽  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Approach ◽  
Review Of The Literature ◽  
Adult Age ◽  
Rare Cancers ◽  
Mesenchymal Neoplasm ◽  
Worse Prognosis

Gastroblastoma (GB) is a rare gastric epithelial-mesenchymal neoplasm, first described by Miettinen et al. So far, all reported cases described the tumor in children or young adults, and similarities with other childhood blastomas have been postulated. We report a case of GB in a 43-year-old patient with long follow up and no recurrence up to 100 months after surgery. So far, this is the second case of GB occurring in the adult age >40-year-old. Hence, GB should be considered in the differential diagnosis of microscopically comparable conditions in adults carrying a worse prognosis and different clinical approach.

scholarly journals Delayed Recovery from General Anaesthesia: A Post-operative Diagnostic Dilemma and Implications of ICU Management of Serotonin Toxicity. Case report

2015 ◽  
Vol 1 (4) ◽  
pp. 174-178
Author(s):  
Asha Naik ◽  
Cristobal Rincon-Aznar
Keyword(s):  
Methylene Blue ◽  
Differential Diagnosis ◽  
Case Report ◽  
Serotonin Syndrome ◽  
Unknown Etiology ◽  
Diagnostic Dilemma ◽  
Neurological Signs ◽  
Delayed Recovery ◽  
Icu Management ◽  
Serotonin Toxicity

Abstract We report a case of delayed recovery from general anesthesia following a routine parathyroidectomy. Our objectives are to describe the process of establishing a differential diagnosis and subsequent management of a patient presenting with atypical neurological signs from an unknown etiology and to increase awareness about the potential for serotonin syndrome and neurotoxicity due to known interactions between methylene blue and selective serotoninnoradrenaline re-uptake inhibitors. ICU management of Serotonin Toxicity is briefly described.

Breast Vasculitis Presenting as a Tumor-Like Lesion. A Case Report

2005 ◽  
Vol 91 (4) ◽  
pp. 366-368 ◽  
Author(s):  
Fausto Famà ◽  
Arnaud Piquard ◽  
Francesco Fedele ◽  
Maria Antonietta Gioffrè Florio
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Clinical Characteristics ◽  
Systemic Vasculitis ◽  
Carcinoma Of The Breast ◽  
Common Location ◽  
Inflammatory Carcinoma ◽  
Assessment And Treatment ◽  
Cancerous Lesions

Breast vasculitis presenting as a tumor-like lesion is rare. The differential diagnosis in these cases can be extremely difficult but is very important for treatment and follow-up. We report the case of a 80-year-old woman who was admitted to our service with a lesion resembling an inflammatory carcinoma of the breast. We discuss the pathological and clinical characteristics, the presentation, assessment and treatment of this case and its resolution. Few reports in the literature have addressed the possible occurrence of systemic vasculitis mimicking cancerous lesions. The most common location of such lesions was shown to be the breast in one review. Although rare, such manifestations can be effectively recognized and treated.

scholarly journals Case Report: Recurrent Left Posterior Fascicular Ventricular Tachycardia in a Newborn

2021 ◽  
Vol 9 ◽  
Author(s):  
Lu Zhao ◽  
Lin Wu ◽  
Qu-ming Zhao ◽  
Xue-cun Liang
Keyword(s):  
Differential Diagnosis ◽  
Ventricular Tachycardia ◽  
Case Report ◽  
First Year ◽  
Age Group ◽  
Basic Principles ◽  
Left Posterior ◽  
Proper Diagnosis ◽  
First Year Of Life

Left posterior fascicular ventricular tachycardia (LPFVT) is extremely rare in neonates. We described a 17-day-old girl with LPFVT who was initially misdiagnosed as supraventricular tachycardia (SVT). Eventually, she was successfully treated by amiodarone infusion followed by oral amiodarone with propranolol for 9 months, and LPFVT spontaneously resolved after a 1-year follow-up. This case report illustrated the basic principles and caveats in differential diagnosis of LPFVT in the neonatal age group. With proper diagnosis and therapy, neonatal LPFVT might regress in the first year of life.

scholarly journals Wilson’s Disease with Superimposed Autoimmune Features: A Case Report

2017 ◽  
Vol 5 (1-2) ◽  
pp. 72-74
Author(s):  
Md Wahiduzzaman Mazumder ◽  
ASM Bazlul Karim ◽  
Nazma Begum ◽  
Md Nurullah ◽  
Lina Florance Karmoker
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Autoimmune Hepatitis ◽  
Wilson’S Disease ◽  
Combined Therapy ◽  
Paediatric Population ◽  
Wilson's Disease ◽  
Girl Child ◽  
Early Benefit

The association of Wilson’s disease (WD) with autoimmune hepatitis (AIH) has rarely been documented. The difficulties in differential diagnosis of WD and AIH have seen specially in the paediatric population. Children with WD specially in younger ones, may have clinical features indistinguishable from autoimmune hepatitis. We report a case of 8-year old girl child who presented with jaundice, anaemia, leg oedema and arthritis. Ultimately the patient was diagnosed as a case of WD with AIH after meticulous investigation. Treatment was started with prednisolone, d-penicillamine and subsequently prednisolone was tapered with addition of azathioprine. D-penicillamine was stopped, with clinical and biochemical improvement and zinc was added to continue life-long. Follow up after 8 months of initial treatment she was non anaemic and non-icteric. Her leg oedema and arthritis also subsided. Liver biochemistry returned to normal level. It is important therefore to recommend strongly a thorough screening for AIH in patients with initial diagnosis of WD and also screening for WD for patients presenting with AIH. So a combined therapy may be of early benefit. Ibrahim Card Med J 2015; 5 (1&2): 72-74

scholarly journals A symptomatic cyamella in the popliteus tendon causing snapping knee: a case report and literature review

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Shouwen Su ◽  
Yunxiang Lu ◽  
Yuxian Chen ◽  
Zhiyong Li
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Popliteus Tendon ◽  
Case Presentation ◽  
Sesamoid Bones ◽  
Snapping Knee ◽  
Popliteus Muscle

Abstract Background Cyamella,the sesamoid bones of the popliteus muscle, are rare in humans. Snapping knee is an uncommon problem which can be difficult to diagnose. Case presentation In this case, we report a 24-year-old male with snapping knee caused by symptomatic cyamella in the popliteus tendon. A large cyamella was identified upon surgery and was removed. Postoperatively, the patient had immediate relief of preoperative symptoms, and there were no signs of recurrence after 1 years of follow-up. Conclusions Although not previously suggested, symptomatic cyamella in the popliteus tendon should be considered as part of the differential diagnosis of the snapping knee.

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