Angiokeratoma circumscriptum naeviforme: A case report of a rare disease

AbstractSplenosis is a rare disease, which is often discovered incidentally years after surgical procedures on the spleen or traumatic splenic lesions. Through injury of the splenic capsule, splenic cells are able to spread and autoimplant in a fashion similar to the process of metastatic cancer. Here we present the case of a 62-year-old female patient with a palpable tumor of the lower abdomen. Her medical history was unremarkable, except for splenectomy after traumatic splenic lesion in her childhood. Clinical examination and diagnostic imaging raised the suspicion of advanced ovarian cancer, which was further substantiated by the typical presentation of adnexal masses and disseminated peritoneal metastases during the following staging laparotomy. Surprisingly, we also found peritoneal implants macroscopically similar to splenic tissue. Microscopic examination of tissue specimens by intrasurgical frozen section confirmed the diagnosis of intra-abdominal splenosis. The patient then underwent cytoreductive surgery with complete resection of all cancer manifestations, sparing the remaining foci of splenosis to avoid further morbidity. This case demonstrates the rare coincidence of intra-abdominal carcinoma and splenosis, which could lead to intraoperative difficulties by misinterpreting benign splenic tissue. Therefore, splenosis should be considered in patients with medical history of splenic lesions and further diagnostic imaging like Tc-99m-tagged heat-damaged RBC scan could be used for presurgical distinguishing between tumor spread in the abdominal cavity and disseminated splenosis. The presented case report should not only raise awareness for the rare disease splenosis, but also emphasize the need to consider the possibility of simultaneous incidence of benign and malignant intra-abdominal lesions, as to our knowledge this is the first published case of simultaneous peritoneal carcinomatosis and splenosis.

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Treatment of middle aortic syndrome with thoraco-abdominal aortic bypass grafting assisted by endoscope in adult

Perfusion ◽

10.1177/0267659120986773 ◽

2021 ◽

pp. 026765912098677

Author(s):

Chuntian Li ◽

Xin Mao ◽

Xu Zhao ◽

Guiqing Liu ◽

Gang Xu ◽

...

Keyword(s):

Case Report ◽

Effective Treatment ◽

Rare Disease ◽

Abdominal Aorta ◽

Surgical Approach ◽

Endoscopic Technique ◽

Bypass Grafting ◽

Middle Aortic Syndrome ◽

Aortic Bypass ◽

Abdominal Aortic

Middle aortic syndrome (MAS) is a rare disease characterized by distal thoracic aorta or abdominal aorta coarctation, and thoraco-abdominal aortic bypass grafting is an effective treatment for this condition. However, significant trauma is associated with the conventional surgical approach. We report a 26-year-old woman with MAS who presented with hypertension and needed thoraco-abdominal bypass grafting. In this operation, we adopted the endoscopic technique to improve the conventional surgical approach (reduce the incision). This case report shows that it is safe and feasible to use an endoscopic technique to reduce the trauma during this kind of operation, and provides a reference for similar treatments.

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Meconium periorchitis: A case report and literature review

Canadian Urological Association Journal ◽

10.5489/cuaj.316 ◽

2013 ◽

Vol 7 (7-8) ◽

pp. 495 ◽

Cited By ~ 15

Author(s):

Ammar Hameed Alanbuki ◽

Ashwith Bandi ◽

Nick Blackford

Keyword(s):

Case Report ◽

Literature Review ◽

Rare Disease ◽

Relevant Literature ◽

Plain Film ◽

Meconium Peritonitis ◽

Histological Features ◽

Abdominal Plain Film ◽

Scrotal Ultrasound

Meconium periorchitis (MPO) is an uncommon entity associated with healed meconium peritonitis. The typical presentation is a soft hydrocele at birth which becomes harder in weeks as the meconium calcifies. A lack of awareness of this rare disease may lead to unnecessary surgery of scrotal masses. It can resolve spontaneously without compromising the testicle. Scrotal ultrasound is the mainstay of imaging and abdominal plain film is less sensitive but can help in the diagnosis. We report a case of a meconium periorchitis and discuss its radiological and histological features. We also review the relevant literature.

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An Uncommon Presentation of Myasthenia Gravis with Thymoma - A Case Report and Review of Literature

Journal of Medicine ◽

10.3329/jom.v13i1.10087 ◽

1970 ◽

Vol 13 (1) ◽

pp. 109-114

Author(s):

MA Hannan ◽

Mohammad Sayeed Hassan ◽

Ayesha Begum ◽

AKM Nurul Kabir

Keyword(s):

Case Report ◽

Neuromuscular Junction ◽

Myasthenia Gravis ◽

Diurnal Variation ◽

Rare Disease ◽

Liquid Food ◽

Review Of Literature ◽

Upper Arm ◽

Uncommon Presentation ◽

Incorrect Diagnosis

Myasthenia Gravis (MG) is a rare disease of neuromuscular junction which typically presents with fatigable weakness of cranial and limb muscles. But patient may present with vague symptoms which may mislead physicians to an incorrect diagnosis. We are reporting a 45 year old cobbler presented with the complaints of lack of energy, aching pain in shoulder, back, upper arm and difficulty in swallowing of both solid and liquid food without any diurnal variation for two and half years. He was ultimately diagnosed as a case of MG and thymectomy revealed thymoma. DOI: http://dx.doi.org/10.3329/jom.v13i1.10087 JOM 2012; 13(1): 109-114

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Posttraumatic Intramuscular Nodular Fasciitis in a 7-Year-Old Boy: Case Report and Review of the Literature

Surgical Case Reports ◽

10.31487/j.scr.2021.06.06 ◽

2021 ◽

pp. 1-4

Author(s):

Markus Denzinger ◽

Sandra Steininger ◽

Niels Zorger ◽

Patricia Reis Wolfertstetter ◽

...

Keyword(s):

Case Report ◽

Rare Disease ◽

Complete Resection ◽

Primary Resection ◽

Histopathological Diagnosis ◽

Nodular Fasciitis ◽

Pectoralis Muscle ◽

Conservative Approach ◽

Review Of The Literature

Nodular fasciitis is a rare disease, and its diagnosis is difficult. We present a case report of a seven-year-old child with progredient swelling of the left pectoralis muscle three weeks after trauma. After histopathological diagnosis, we performed complete resection. Normally, a conservative approach with regular follow-up is regarded as appropriate since nodular fasciitis does have the capability to regress spontaneously. Since recent publications indicate the possibility of malignant transformation, the complete primary resection also has to be discussed as therapy of choice.

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Cervical thymoma

Sao Paulo Medical Journal ◽

10.1590/s1516-31801999000300008 ◽

1999 ◽

Vol 117 (3) ◽

pp. 132-135 ◽

Cited By ~ 4

Author(s):

Abrão Rapoport ◽

Claudiane Ferreira Dias ◽

João Paulo Aché de Freitas ◽

Ricardo Pires de Souza

Keyword(s):

Case Report ◽

Thyroid Gland ◽

Rare Disease ◽

Female Patient ◽

Thallium 201 ◽

Accurate Diagnosis ◽

Nuclear Resonance ◽

Histological Findings ◽

History Of ◽

Iodine 131

CONTEXT: Cervical thymoma is a primitive thymic neoplasia. It is very rare. This disease presents higher incidence in female patients in their 4th to 6th decade of life. We present a case report of a cervical thymoma CASE REPORT: 54-year-old female patient, caucasian, with no history of morbidity, presenting a left cervical nodule close to the thyroid gland. During the 30 months of investigation a left cervical nodule grew progressively next to the thyroid while the patient showed no symptoms, making accurate diagnosis difficult. Tests on her thyroid function did not show changes, nor were there changes in any subsidiary tests. The diagnosis of the disease was made intra-operatively through total thyroid individualization. The results were confirmed by the histological findings from the ressected material. Cervical thymoma is a very rare disease, with difficult preoperatory diagnosis. Some additional study methods which are employed today are thallium 201, technetium 99 and iodine 131 scintigraphy, magnetic nuclear resonance and especially histopathological findings and classification.

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A 13-year-old Female with Bardet- Biedl Syndrome - A Case Report

Bangladesh Journal of Medicine ◽

10.3329/bjmed.v26i1.25651 ◽

2015 ◽

Vol 26 (1) ◽

pp. 31-34

Author(s):

Syed Nesar Ahmed ◽

Md Abu Shahin ◽

Romal Chowdhury ◽

Alamgir Mustak Ahammad ◽

Md Nahiduzzaman Shazzad ◽

...

Keyword(s):

Case Report ◽

Retinitis Pigmentosa ◽

Rare Disease ◽

Clinical Features ◽

Night Blindness ◽

Learning Difficulties ◽

Laboratory Findings ◽

Bardet Biedl Syndrome

Bardet Biedl syndrome is a rare disease. A case report is presented here where a 13 years old girl presented with obesity, night blindness, learning difficulties and polydactyly. Obesity and night blindness started from since childhood. Her milestones of development were normal but having some learning difficulties. Her parents are healthy as well as her siblings. On examination she looks apathy, extreme obese, having polydactyly and retinitis pigmentosa and high B.P. On laboratory findings there is only dyslipidaemia. On the basis of clinical features she was diagnosed as a case of Bardet-Biedl syndrome.Bangladesh J Medicine Jan 2015; 26 (1) : 31-34

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Intestinal lymphangiectasia: case report

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20194139 ◽

2019 ◽

Vol 6 (5) ◽

pp. 1678

Author(s):

Reham Mohmmad Aljohnei ◽

Hawazen Yousef Abdullah Alani

Keyword(s):

Case Report ◽

Rare Disease ◽

Present Report ◽

Abdominal Distention ◽

Intestinal Lymphangiectasia ◽

Peripheral Edema ◽

Long Duration ◽

White Spots ◽

Intestinal Lymphatics ◽

History Of

Primary intestinal lymphangiectasia (PIL) was first described by Waldmann et al, in 1961. PIL is a rare disease with several hundred reported cases. It is rarely reported in adults because it is presumably a congenital disorder and when present in adults it typically produces a long duration of manifestation such as diarrhea, abdominal distention from ascites, and peripheral edema. This disorder is characterized by markedly dilated intestinal lymphatics, hypoproteinemia, generalized edema, lymphocytopenia hypogammaglobinemia, and immunologic anomalies. The loss of protein into the from dilated intestinal lymphatics leads to the development of hypoproteinemia in these patients and its demonstration is important in the diagnosis of intestinal lymphangiectasia. The disease can be secondary to congenital, secondary or idiopathic defects in the formation of the lymphatic ducts. In the present report, we describe a case of 15 years old female presented to our hospital with history of generalized edema, bilateral hand spasm, and diarrhea. Endoscopy of the patient revealed White spots (dilated lacteals), white nodules, and submucosal elevations were observed. Changes suggestive of the disease includes White villi and/or spots (dilated lacteals), white nodules, and submucosal elevations are observed. Xanthomata’s plaques are often visualized, there are no specific treatments for patients with PIL. treatment of patients with primary intestinal lymphangiectasia involves control of symptoms with the use of dietary, pharmaceutical, and behavioral modifications.

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