scholarly journals A Rare Case of Primary Synovial Chondromatosis of the Ankle

2016 ◽  
Vol 3 (1) ◽  
pp. 53-55 ◽  
Author(s):  
Viswanathan Chathoth ◽  
Sriram Sankaranarayanan
Keyword(s):  
Ankle Joint ◽  
Male Patient ◽  
Rare Case ◽  
Synovial Chondromatosis ◽  
Loose Body ◽  
Asia Pacific ◽  
X Rays ◽  
Synovial Lining ◽  
Loose Bodies ◽  
History Of

ABSTRACT Synovial chondromatosis is a condition where the synovial lining of joints, tendons, or bursa undergoes metaplasia into cartilaginous loose bodies. Primary synovial chondromatosis of the ankle joint is very rare and less commonly reported in literature. We report a case of primary synovial chondromatosis of the ankle that we encountered in our clinic. A 33-year-old male patient presented with a history of multiple swellings around his right ankle joint, along with dull aching pain. Both the clinical examination and X-rays were suggestive of primary synovial chondromatosis of the ankle. We performed an open loose body removal and synovectomy of the ankle. Histopathology confirmed the diagnosis of primary synovial chondromatosis. We report this case owing to its rarity of presentation. How to cite this article Chathoth V, Sankaranarayanan S. A Rare Case of Primary Synovial Chondromatosis of the Ankle. J Foot Ankle Surg (Asia-Pacific) 2016;3(1):53-55.

scholarly journals Synovial Chondromatosis in the Metacarpophalangeal Joint

2018 ◽  
Vol 4 ◽  
pp. 2513826X1775111
Author(s):  
Casey Thorburn ◽  
John Hopkins ◽  
Donald Cook ◽  
Shane Seal
Keyword(s):  
Metacarpophalangeal Joint ◽  
Synovial Chondromatosis ◽  
Joint Effusion ◽  
High Signal ◽  
X Rays ◽  
Surgical Exploration ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Relative Scarcity ◽  
Firm Mass

Synovial chondromatosis (SC) is a benign proliferative metaplasia of joint synovium into cartilaginous tissue. The relative scarcity of presentation in the wrist or hands contributes to the difficulties in accurately diagnosing and obtaining the necessary treatment for SC. We present a 43-year-old man with a 10-month history of stiffness and decreased range of motion of his right first metacarpophalangeal (MCP) joint. On examination, a firm mass was palpated surrounding his MCP joint. X-rays showed only a joint effusion. Subsequent magnetic resonance imaging (MRI) showed an effusion, high signal intensity joint distension, and small erosions. Surgical exploration and complete synovectomy with excision of loose bodies was performed. The pathological diagnosis, based on the clinical examination as well as MRI, was consistent with that of tenosynovial chondromatosis. This case illustrates surgical exploration and pathological investigations may be necessary for SC diagnosis. The literature was reviewed for greater understanding of SC’s presentation, diagnosis, and treatment.

scholarly journals Intratracheal myiasis followed by tracheal-esophageal fistula: report of a rare case and literature review

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Wendi Huang ◽  
Chao Zeng ◽  
Weidong Song ◽  
Ping Xu
Keyword(s):  
Literature Review ◽  
Clinical Features ◽  
Male Patient ◽  
Stent Placement ◽  
Rare Case ◽  
Healthcare Providers ◽  
Living Environment ◽  
Esophageal Fistula ◽  
Case Presentation ◽  
History Of

Abstract Background To enhance awareness of the clinical features and prevention of endotracheal myiasis. Case presentation A case of intratracheal myiasis is reported. A 61-year-old male patient with a history of laryngectomy was admitted to hospital due to tracheostomal hemorrhage of 3 h duration. Intratracheal myiasis was confirmed by bronchoscopy, and the patient underwent bronchoscopic intervention, which was complicated by a tracheal-esophageal fistula and resolved by endotracheal stenting. Twenty months after stent placement, the fistula had not healed. Conclusion Intratracheal myiasis has serious complications and is difficult to treat. For post-tracheostomy patients, healthcare providers and caregivers should pay attention to the care and monitoring of wounds and maintenance of a tidy, clean living environment to prevent intratracheal myiasis.

Mediastinal tuberculosis in a 10-month-old child

2001 ◽  
Vol 115 (2) ◽  
pp. 161-163 ◽  
Author(s):  
Aftab Ahmed ◽  
Showkat Mirza ◽  
Michael P. Rothera
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Rare Case ◽  
Mediastinal Mass ◽  
Histological Analysis ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Mediastinal Lymphadenopathy ◽  
X Rays ◽  
History Of

We report a rare case of mediastinal tuberculosis in a child who presented as a possible inhaled foreign body. A 10-month-old girl was admitted with a five-month history of cough, wheeze and problematic feeding, thought initially to be due to asthma. A clinical deterioration and subsequent X-rays suggested an inhaled foreign body. However, at direct laryngotracheobronchoscopy no foreign body was found and subsequent investigations revealed a subcarinal mediastinal mass. She underwent a thoracotomy and excision of the mass, the histological analysis of which revealed it to be of tuberculous origin. When a patient presents with symtoms of upper airway obstruction which are highly suggestive of a foreign body, other causes such as mediastinal tuberculosis must be borne in mind when no foreign body can be found. Although rare, cases of tuberculosis are apparently increasing and the otolaryngolgoist must be aware of its various manifestations and submit specimens for appropriate analysis. We also briefly review mediastinal lymphadenopathy due to tuberculosis.

Synovial Chondromatosis of the Foot and Ankle

2008 ◽  
Vol 29 (3) ◽  
pp. 312-317 ◽  
Author(s):  
Daniel D. Galat ◽  
Duncan B. Ackerman ◽  
Daniel Spoon ◽  
Norman S. Turner ◽  
Thomas C. Shives
Keyword(s):  
Malignant Transformation ◽  
Surgical Excision ◽  
Synovial Chondromatosis ◽  
Loose Body ◽  
Normal Function ◽  
Low Grade ◽  
Foot And Ankle ◽  
Loose Bodies ◽  
Benign Condition ◽  
Institutional Review

Background: Synovial chondromatosis (SC) is a benign condition where the synovial lining of joints, bursae, or tendon sheaths undergoes metaplasia and ultimately forms cartilaginous loose bodies. Synovial chondromatosis of the foot and ankle is exceedingly rare, and outcomes following surgical excision are largely unknown. Materials and Methods: An Institutional Review Board-approved retrospective review of our institution's surgical database from 1970 to 2006 revealed 8 patients with SC of the foot and/or ankle confirmed by pathology. Results: Eight patients (4 female and 4 male) presented with pain, locking, or stiffness. Average age at presentation was 37 (range, 19 to 60) years. Average followup was 9.5 (range, 1 to 31) years. Six patients had involvement of the ankle, and two, the midfoot. Four patients underwent ankle synovectomy with loose body removal, and were pain-free at last followup. One patient underwent excision and midfoot arthrodesis for severe midfoot destruction. Three patients ultimately underwent below knee amputation, one for multiple recurrences and two for malignant transformation to low-grade chondrosarcoma. Conclusion: To our knowledge, this is the largest reported series of patients with SC of the foot and ankle. In half the patients, synovectomy with excision of loose bodies resulted in pain free return to normal function, without recurrence, at last followup. However, recurrence occurred in 3 (37.5%) of 8 patients with subsequent malignant transformation to low-grade chondrosarcoma occurring in 2 patients.

scholarly journals Intra- and extracapsular synovial chondromatosis of the temporomandibular joint: Rare case and review of the literature

2018 ◽  
Vol 6 ◽  
pp. 2050313X1877530 ◽  
Author(s):  
Henrik Holtmann ◽  
Thomas Böttinger ◽  
Norbert R Kübler ◽  
Daman D Singh ◽  
Christoph K Sproll ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Rare Case ◽  
Unusual Case ◽  
Synovial Chondromatosis ◽  
Benign Disease ◽  
Malignant Diseases ◽  
Review Of The Literature ◽  
Loose Bodies ◽  
Radiographic Findings ◽  
The Right

Synovial chondromatosis is a benign disease which most commonly appears in large joints and only rarely affects the temporomandibular joint. The diagnosis is quite difficult due to the fact that a large swelling in the preauricular area and the radiographic findings may be misdiagnosed as other benign or malignant diseases. We report an unusual case of intra- and extracapsular chondromatosis of 25 osteochondral loose bodies in the right temporomandibular joint.

scholarly journals CK-MB Elevation in Mild Hypothermia: What We Did and We Should Have Done

2021 ◽  
Vol 9 ◽  
pp. 232470962199533
Author(s):  
Khalid Sawalha ◽  
Krishna Vedala ◽  
Eddie Liu
Keyword(s):  
Creatine Kinase ◽  
Medical History ◽  
Male Patient ◽  
Rare Case ◽  
Mild Hypothermia ◽  
Past Medical History ◽  
Elevated Creatine Kinase ◽  
Cardiac Symptoms ◽  
History Of

An 88-year-old male patient with a past medical history of hypertension and gastroesophageal disease presented with nausea, vomiting, and hypothermia. He was admitted for further testing, which revealed elevated creatine kinase and its MB isoenzyme (CK-MB) and troponin with no significant electrocardiogram changes. He denied cardiac symptoms or any previous cardiac history. The patient was treated with fluids and antibiotics in which improvement in his symptoms was noted. In this article, we share this rare case of hypothermia associated with elevation of CK-MB.

scholarly journals A Rare Case of Extra-Gonadal Oestrogen-Secreting Choriocarcinoma in a Male

2021 ◽  
Author(s):  
Yuxuan Zhou
Keyword(s):  
Weight Loss ◽  
Male Patient ◽  
Rare Case ◽  
Tumour Progression ◽  
Shortness Of Breath ◽  
History Of ◽  
Deteriorating Patient

This report describes a rare case of an extra-gonadal oestrogen-secreting tumour in a male patient. An otherwise healthy 60-year-old man presented to our hospital with a 3-month history of shortness of breath and weight loss. Blood panels and histology supported the diagnosis of an oestrogen-secreting choriocarcinoma. Unfortunately, the patient died soon after his diagnosis. The highlighting features of this case are: (1) the difficulty of confirming a diagnosis in a rapidly deteriorating patient; (2) the rarity of oestrogen-secreting extra-gonadal tumours in males; and (3) the aggressive rate of tumour progression seen on sequential imaging.

scholarly journals A RARE CASE OF SPACE OCCUPYING LESION OF BRAINSTEM IN AN ELDERLY MALE PATIENT

2018 ◽  
Vol 4 (4) ◽  
pp. 39-41
Author(s):  
Jayanth S S ◽  
Ambali A P ◽  
M S Mulimani
Keyword(s):  
Cerebellar Ataxia ◽  
Male Patient ◽  
Neurological Examination ◽  
Rare Case ◽  
Imaging Technique ◽  
The Body ◽  
Elderly Male ◽  
Mri Brain ◽  
History Of ◽  
Fast Field

An elderly male patient aged 65 presented to us with history of swaying towards left side of the body since 1 month with normal higher mental functions and neurological examination suggestive of cerebellar ataxia. MRI Brain plus contrast was suggestive of  an irregular, ill-defined heterogeneous enhancing lesion with few necrotic areas within and few foci of blooming on FFE (Fast Field Echo imaging technique) with significant perilesional oedema involving right thalamus and brainstem showing Choline peak on MR Spectroscopy.Keywords: Neurological examination; Cerebellar ataxia; MRI brain; FFE.

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