Unilateral Obturator Hernia in Elderly Male: A Case Presentation

OBTURATOR HERNIA is a rare condition of pelvic hernia in which abdominal contents protrude through the obturator canal. This condition can lead to bowel obstruction with relatively high mortality and morbidity due to bowel ischemia/gangrene. Most commonly presents in elderly thin females. It is primarily asymptomatic unless there is compression of the obturator nerve. Therefore, obturator hernia in the differential diagnosis of intestinal obstruction of unknown origin. Computed tomography is the modality of choice for preoperative diagnosis as obturator hernia. Sometimes mistakenly diagnosed as femoral or inguinal hernia on Ultrasonography. Its early diagnosis is challenging since the signs and symptoms are non-specific make a preoperative diagnosis difficult. We present a case of obturator hernia in an 81-year-old male with a known prostate carcinoma who presented with a painless soft swelling in the medial aspect of the right upper thigh and a negative Howship-Romberg sign.

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Tubocutaneous Fistula

Case Reports in Obstetrics and Gynecology ◽

10.1155/2015/104360 ◽

2015 ◽

Vol 2015 ◽

pp. 1-2

Author(s):

Krishnaveni Nayini ◽

Clive Gie

Keyword(s):

Early Diagnosis ◽

Pelvic Inflammatory Disease ◽

Inflammatory Disease ◽

Fistulous Tract ◽

Rare Condition ◽

Diagnosis And Treatment ◽

Case Presentation ◽

Child Birth ◽

The Right

Introduction. Tubocutaneous fistula is a very rare condition; most cases described in the literature are secondary to endometriosis, tuberculosis, and complications of child birth and gynecological operations.Case Presentation. We report a case of 40-year-old woman who presented with tubocutaneous fistula secondary to pelvic inflammatory disease which was diagnosed in the setting of persistent discharging wound in the right groin.Conclusion. Tubocutaneous fistula is a rare condition. Salpingectomy and resection of fistulous tract is the treatment of choice as is treating the underlying cause. Early diagnosis and treatment of these patients are essential for avoiding long term complications.

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Encephalocraniocutaneous lipomatosis: A case report with review of literature

The Neuroradiology Journal ◽

10.1177/1971400917693638 ◽

2017 ◽

Vol 30 (6) ◽

pp. 578-582 ◽

Cited By ~ 2

Author(s):

Shaista Siddiqui ◽

Shazia Naaz ◽

Mehtab Ahmad ◽

Zafar Ahmad Khan ◽

Shagufta Wahab ◽

...

Keyword(s):

Unknown Origin ◽

Signs And Symptoms ◽

Intracranial Lipoma ◽

Lateral Canthus ◽

Skin Tag ◽

Encephalocraniocutaneous Lipomatosis ◽

Neurocutaneous Syndrome ◽

The Right ◽

The Brain ◽

Limbal Dermoid

Encephalocraniocutaneous lipomatosis (ECCL) or Haberland syndrome is an uncommon sporadic neurocutaneous syndrome of unknown origin. The rarity and common ignorance of the condition often makes diagnosis difficult. The hallmark of this syndrome is the triad of skin, ocular and central nervous system (CNS) involvement and includes a long list of combination of conditions. Herein we report a case of a 5-month-old male child who presented to our centre with complaint of seizure. The patient had various cutaneous and ocular stigmatas of the disease in the form of patchy alopecia of the scalp, right-sided limbal dermoid and a nodular skin tag near the lateral canthus of the right eye. MRI of the brain was conducted which revealed intracranial lipoma and arachnoid cyst. The constellation of signs and symptoms along with the skin, ocular and CNS findings led to the diagnosis of ECCL.

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TUBERCULOUS BRAINSTEM ABSCESS

Neurosurgery ◽

10.1227/01.neu.0000356986.74982.2d ◽

2009 ◽

Vol 65 (6) ◽

pp. E1206-E1207 ◽

Cited By ~ 4

Author(s):

Yu-Gang Jiang ◽

Jing Chen ◽

Yong Peng

Keyword(s):

Early Recognition ◽

Rare Condition ◽

Poor Response ◽

Antituberculous Therapy ◽

Adequate Treatment ◽

Mortality And Morbidity ◽

Vulnerable Patients ◽

Tuberculous Abscess ◽

The Right ◽

Mass Lesions

Abstract OBJECTIVE Tuberculous brainstem abscess is a clinically rare condition with potentially high mortality and morbidity. We present this report to draw attention to the importance of early recognition and adequate treatment of tuberculous brainstem abscess. CLINICAL PRESENTATION A 24-year-old man complained of longstanding fever, headache, and weakness followed by development of progressive slurred speech and hemiparesis of the right extremities. Magnetic resonance imaging revealed a large thick-walled cystic lesion lying within the brainstem. INTERVENTION The patient demonstrated a remarkable clinical recovery after microsurgery combined with a course of antituberculous therapy. Microbiological and histological findings confirmed the diagnosis of a tuberculous abscess. CONCLUSION Despite its rarity, the tuberculous brainstem abscess must be considered in the differential diagnosis of cystic brainstem mass lesions in vulnerable patients. When confronted with progressing neurological deterioration and poor response to antituberculous therapy, stereotactic or microsurgical management should be considered. Microsurgical excision combined with a complete course of antituberculous therapy in our patient led to a good outcome.

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Isolated penile Fournier’s: a caveat

International Surgery Journal ◽

10.18203/2349-2902.isj20214024 ◽

2021 ◽

Vol 8 (10) ◽

pp. 3197

Author(s):

Theakarajan Rajendran ◽

Rajapriyan Paneerselvam ◽

Shikhar Verma ◽

Balasubramanian Gopal

Keyword(s):

Escherichia Coli ◽

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Rare Condition ◽

Significant Morbidity ◽

Split Skin Graft ◽

Elderly Male ◽

Mortality And Morbidity ◽

Split Skin

Isolated penile Fournier’s gangrene is a rare condition causing significant morbidity to the patients. It occurs due to urinary tract infection or trauma. We describe an elderly male who presented with blackish discoloration of the skin of the penis with fever. Examination revealed a necrotic patch over the shaft of the penis without any other foci of infection around the perineum. Penis was debrided, and the antibiogram showed Escherichia coli sensitive to amikacin. He received seven days of antibiotics, and the wound granulated well. A split skin graft was used to cover the wound to prevent contraction. This unusual presentation requires expeditious management to prevent mortality and morbidity.

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Tumor-induced osteomalacia: a case report

Journal of Medical Case Reports ◽

10.1186/s13256-021-03220-7 ◽

2022 ◽

Vol 16 (1) ◽

Author(s):

Khalid Aligail ◽

Joel A. Dave ◽

Ian Louis Ross

Keyword(s):

Bone Mineral Density ◽

Bone Mineral ◽

Serum Alkaline Phosphatase ◽

Rare Condition ◽

Fragility Fractures ◽

High Serum ◽

Mixed Ancestry ◽

Mineral Density ◽

Case Presentation ◽

The Right

Abstract Background Tumor-induced osteomalacia is a rare, acquired paraneoplastic syndrome, including hypophosphatemia, high serum alkaline phosphatase, reduced active vitamin D, suboptimal bone mineral density, bone pain, fragility fractures, and muscle weakness. Case presentation We report a case of 74–year–old male of mixed ancestry with hypophosphatemia resistant to treatment despite optimal compliance, associated with profound reduction of bone mineral density and multiple nontraumatic fractures, including bilateral rib fractures, lower-thoracic (T11, T12) vertebrae, and two fractures involving the surgical and anatomical neck of the right humerus. We discuss an approach to identifying the underlying cause of hypophosphatemia associated with fragility fractures, and options for management of this rare condition. Conclusion Although rare, tumor-induced osteomalacia can be diagnosed if a logical stepwise approach is implemented. Surgery could be curative if the tumor is properly located and is resectable.

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A Rare Case of Neonatal Complicated Appendicitis in a Child with Patau’s Syndrome

Case Reports in Pediatrics ◽

10.1155/2014/671706 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Valentina Pastore ◽

Fabio Bartoli

Keyword(s):

Mortality Rate ◽

Preoperative Diagnosis ◽

Rare Case ◽

Rare Condition ◽

Signs And Symptoms ◽

Complicated Appendicitis ◽

Older Children ◽

Fetal Period ◽

Vascular Insufficiency ◽

Perforated Appendix

Neonatal appendicitis is a rare condition with high mortality rate. Signs and symptoms are often nonspecific, imaging modalities are not always diagnostic, and preoperative diagnosis is difficult with subsequent delay and complications. Its pathophysiology may be different from appendicitis in older children and comorbidities can be found. We report a case of a female neonate with Patau’s syndrome, intestinal malrotation, and Fallot tetralogy in whom perforated appendix, probably occurring during fetal period due to vascular insufficiency, was found at laparotomy.

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Temporal glioblastoma presenting as catatonia

BMJ Case Reports ◽

10.1136/bcr-2017-224017 ◽

2019 ◽

Vol 12 (3) ◽

pp. e224017 ◽

Cited By ~ 1

Author(s):

Anouchka Franssen ◽

Pascal Sienaert

Keyword(s):

Glioblastoma Multiforme ◽

Brain Tumour ◽

Histological Examination ◽

Signs And Symptoms ◽

Mass Effect ◽

Brain Lesions ◽

Mri Scan ◽

Case Presentation ◽

Depressed State ◽

The Right

The objective of this article is to describe the possible association of catatonia and temporal brain lesions. This is a case presentation of a 57-year-old man presenting with depression, with catatonia secondary to a temporal glioblastoma. He was referred to hospital because for a sudden deterioration in depressed state. He was diagnosed with catatonia and treated successfully with lorazepam. During his admission, he became increasingly disinhibited, and an MRI scan revealed an intracranial mass in the right temporal lobe, with uncal herniation and a mass effect. Surgical resection of the entire tumour was successful. Histological examination revealed a glioblastoma multiforme requiring additional chemoradiotherapy. Postoperatively, catatonic signs and symptoms were not detectable. A postsurgical frontal syndrome with disinhibition and logorrhoea was present and gradually normalised over the course of several weeks. Catatonia can be the presenting symptom of a temporal brain tumour, and should therefore prompt the physician to a thorough medical investigation.

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An Undiagnosed Case of Hypothalamic Hamartoma with a Rare Presentation

Case Reports in Medicine ◽

10.1155/2017/2432315 ◽

2017 ◽

Vol 2017 ◽

pp. 1-5

Author(s):

Shervin Badihian ◽

Saeideh Bahrani ◽

Nasim Tabrizi ◽

Houshang Moein ◽

Mohammad Zare ◽

...

Keyword(s):

Rare Condition ◽

Signs And Symptoms ◽

Hypothalamic Hamartoma ◽

Eeg Monitoring ◽

Partial Seizures ◽

Complex Partial Seizures ◽

Rare Presentation ◽

Case Presentation ◽

Tonic Spasm ◽

Video Eeg

Background. Hypothalamic hamartomas (HHs) are rare tumor-like malformations that may present with complex partial seizures refractory to anticonvulsants in adulthood. The condition may be misdiagnosed because of rarity. Case Presentation. We report a 25-year-old man with complaint of seizures presented by falling, tonic spasm of limbs, oral automatism, vocalization, and hypermotor activities. His seizures started at the age of one month and presented as eye deviation and upper limbs myoclonic jerk, followed by frequent seizures with variable frequency. The patient had delayed developmental milestones and was mentally retarded. He was hospitalized and underwent video-EEG monitoring and neuroimaging, and the diagnosis of HH was made. The patient became candidate for surgery after that. Conclusion. In this case, the underlying etiology of seizures was diagnosed after 25 years. HH is a rare condition and neurologists may encounter very small number of these cases during their practice. Therefore, they should consider it in patients who present with suspected signs and symptoms.

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CBCT Evaluation in a Growing Patient With Mandibular Asymmetry Treated With Rapid Palatal Expander and Frankel-III. Case Report.

10.21203/rs.3.rs-606741/v1 ◽

2021 ◽

Author(s):

Monica Macrì ◽

Fabiola Rendina ◽

Giada Perrella ◽

Felice Festa

Keyword(s):

Rare Condition ◽

Cone Beam ◽

Case Presentation ◽

Mandibular Growth ◽

Mandibular Asymmetry ◽

Compensation Mechanisms ◽

Significant Regression ◽

The Right ◽

Fränkel Iii ◽

Cephalometric Measurements

Abstract BackgroundThis study aims to evaluate the development and the compensation mechanisms of the mandibular asymmetry in a growing patient, using Cone Beam Computed Tomography (CBCT). In this case, the menton was deviated on the right, an extremely rare condition, which may be the consequence of a disorder in the mandibular growth. Case presentationThe patient was treated with Rapid Palatal Expander (RPE) and Fränkel Functional Regulator III (FR-3). The initial CBCT was acquired at the beginning of therapy, when patient was 8 years old (y.o), the final CBCT was acquired at the end of the treatment, when patient was 12 y.o. Patient’s CBCT was performed with the head oriented according to the Natural Head Position (NHP); the NHP is a physiological and reproducible posture defined for morphological analysis.The 3D image of the cranium was oriented in the Dolphin software according to NHP posture; the cephalometric measurements were performed in frontal, laterolateral right and left, posteroanterior and submentovertex views in the aforementioned software. The therapy lasted 3.8 years and ended with a significant regression of the mandibular asymmetry from moderate grade (4.2 mm) to slight grade (1.3 mm). Conclusion The left hemi-mandible has grown more than right side, in accordance with the literature, which affirm that in case of deviation of the menton greater than 4 mm, the bone volume increases on the nondeviated side.

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Complete Cubonavicular Coalition Associated with Midfoot Osteoarthritis

Case Reports in Orthopedics ◽

10.1155/2020/8850768 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Anne Kummer ◽

Eric Dugert ◽

Mouas Jammal

Keyword(s):

Incidental Finding ◽

Young Patients ◽

Rare Condition ◽

Additional Stress ◽

Fibrous Band ◽

Case Presentation ◽

Achilles Tendinosis ◽

The Right ◽

Radiological Studies ◽

Arthritic Changes

Introduction. Cubonavicular coalitions represent a relatively rare condition with less than forty cases described in the literature, the majority of which are fibrocartilaginous. To our knowledge, cubonavicular osseous coalition associated with osteoarthritis of the midfoot has never been described. Case Presentation. We present the case of a 26-year-old man with bilateral Achilles tendinosis, in whom radiological studies show an incidental finding of a complete osseous cubonavicular coalition, as well as a partial osseous cubo-third cuneiform coalition and a fibrous band between the first and second cuneiforms of the right foot, associated with arthritic changes of the tarsometatarsal joint. A nonosseous calcaneocubonavicular coalition was found on the left foot. These multiples coalitions were asymptomatic in this case. Discussion. Cubonavicular coalition, even asymptomatic, can cause midfoot osteoarthritis in young patients. We may therefore suspect that the immobility of the cubonavicular joint causes additional stress on the midfoot.

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