scholarly journals A Rare Presentation of Radicular Cyst: A Case Report and Review of Literature

2021 ◽  
Author(s):  
Rohan Jagtap ◽  
Nick Shuff ◽  
Maram Bawazir ◽  
Michelle Garrido ◽  
Indraneel Bhattacharyya ◽  
...  
Keyword(s):  
Case Report ◽  
Histopathological Diagnosis ◽  
Dystrophic Calcification ◽  
Radicular Cyst ◽  
Periapical Lesion ◽  
Rare Presentation ◽  
Radiographic Appearance ◽  
Periapical Lesions ◽  
Cellular Debris ◽  
The Right

The radicular cyst is the most common inflammatory odontogenic cyst in the jaws. It is a periapical lesion associated with non-vital teeth in the tooth-bearing regions of the jaws with a slight male predilection. A radicular cyst is typically asymptomatic, but if large or secondarily infected may cause swelling. The usual radiographic appearance of a radicular cyst is that of a periapical radiolucent lesion. This case report documents a rare case of 61-year-old male with a mixed-density periapical lesion diagnosed as a radicular cyst. The lesion presented as a well-defined, expansile, space occupying, corticated, sclerotic, hydraulic, unilocular, mixed density lesion, associated with the right mandibular second premolar that was predominantly radiolucent with scattered foci of radiopacities. Microscopic examination revealed fragments of lining epithelium along with small fragments of inflamed fibrous connective tissue, aggregates of necrotic cellular debris, and bacterial colonies intermixed with foci of dystrophic calcifications. The histopathological diagnosis was a radicular cyst with dystrophic calcification. Although rare, this entity should be considered in the differential diagnosis of mixed-density periapical lesions. Complete history and proper diagnosis is important in this type of rare cases as treatment varies between a radicular cyst and other odontogenic neoplasms.

scholarly journals Cone Beam Computed Tomography Evaluation of the Diagnosis, Treatment Planning, and Long-Term Followup of Large Periapical Lesions Treated by Endodontic Surgery: Two Case Reports

2013 ◽  
Vol 2013 ◽  
pp. 1-12
Author(s):  
Vijay Shekhar ◽  
K. Shashikala
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Treatment Planning ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Histopathological Diagnosis ◽  
Periapical Lesions ◽  
Endodontic Surgery ◽  
Anterior Teeth

The aim of this case report is to present two cases where cone beam computed tomography (CBCT) was used for the diagnosis, treatment planning, and followup of large periapical lesions in relation to maxillary anterior teeth treated by endodontic surgery. Periapical disease may be detected sooner using CBCT, and their true size, extent, nature, and position can be assessed. It allows clinician to select the most relevant views of the area of interest resulting in improved detection of periapical lesions. CBCT scan may provide a better, more accurate, and faster method to differentially diagnose a solid (granuloma) from a fluid-filled lesion or cavity (cyst). In the present case report, endodontic treatment was performed for both the cases followed by endodontic surgery. Biopsy was done to establish the confirmatory histopathological diagnosis of the periapical lesions. Long-term assessment of the periapical healing following surgery was done in all the three dimensions using CBCT and was found to be more accurate than IOPA radiography. It was concluded that CBCT was a useful modality in making the diagnosis and treatment plan and assessing the outcome of endodontic surgery for large periapical lesions.

scholarly journals Primary nasal tuberculosis: A case report

2013 ◽  
Vol 70 (8) ◽  
pp. 778-780 ◽  
Author(s):  
Jasmina Stojanovic ◽  
Branislav Belic ◽  
Slobodanka Mitrovic ◽  
Predrag Stankovic ◽  
Stevan Stojanovic ◽  
...  
Keyword(s):  
Case Report ◽  
Inflammatory Process ◽  
Normal Skin ◽  
Difficulty Level ◽  
Histopathological Diagnosis ◽  
Reference Ranges ◽  
Major Health Problem ◽  
Antituberculosis Therapy ◽  
Bacteria And Fungi ◽  
The Right

Introduction. During the past two decades, tuberculosis (TBC) both pulmonary and extrapulmonary, has emerged to be a major health problem. Nasal tuberculosis is a specific inflammatory process which is, in most cases, joined by the inflammation of neck lymph nodes. Case report. Thirty-yearold man presented with shortness of breath through the nose and periodical headaches. Clinical examination showed signs of chronic rhinitis, with slight granular changes of nasal septal mucosa. Laboratory analyses were within the reference ranges. Nasal and throat swabs for bacteria and fungi were normal. Skin allergy testing to standard inhalatory allergens was positive. Computer rhinomanometry showed increased nasal resistance at medium difficulty level, on the right. Radiography of paranasal sinuses indicated chronic polysinusitis on the right. Anti-allergy therapy was prescribed. The patient came for checkup after a month with subjective deterioration and a neck tumefact on the right. Nasal endoscopy revealed the presence of dark red infiltrates with the 3 mm diameter on nasal septal mucosa, dominantly on the right, with small greyish nodules. This findings indicated a potential specific nasal inflammatory process. In the upper jugulodigastric area, on the left, painless tumefact 3 x 5 cm in size was palpated, it was mobile comparing to supra- and infrastructure, with unaltered skin above. The definite diagnosis was established on the basis of the results of nasal mucosa biopsy. After histopathological diagnosis was obtained, we started with antituberculosis therapy at once. Conclusion. Due to actual trends of TBC incidences, otolaryngologist should have in mind nasal TBC, when granulomatose lesions are found in nose.

scholarly journals Porcelain gall bladder: a case report

2018 ◽  
Vol 5 (5) ◽  
pp. 1978
Author(s):  
Sowmya Murugesan ◽  
Chandru R. ◽  
Ramya Ramakrishnan ◽  
Rajiv Raj ◽  
Kishore Kumar G.
Keyword(s):  
Case Report ◽  
High Risk ◽  
Gall Bladder ◽  
Chronic Cholecystitis ◽  
Histopathological Diagnosis ◽  
Dystrophic Calcification ◽  
Rare Entity ◽  
Prophylactic Cholecystectomy ◽  
X Ray ◽  
Risk Of Malignancy

Porcelain gall bladder is a rare entity and a morphological variant of chronic cholecystitis. Dystrophic calcification along with inflammatory scarring of the wall gives the porcelain nature to the gall bladder. Patients are mostly asymptomatic and incidentally diagnosed on X-ray, ultrasound or CT abdomen. In the early stages they can be a surprise as only a histopathological diagnosis. Prophylactic cholecystectomy is recommended in view of high risk of malignancy.

scholarly journals Non-surgical management of periapical lesions with triple antibiotic paste: A case reports

2020 ◽  
Vol 2 ◽  
pp. 120-123
Author(s):  
Munish Singla ◽  
Iyana Garg ◽  
Vandana Goyal ◽  
Harleen Kaur ◽  
Litik Mittal
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Root Canal ◽  
Case Reports ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Periapical Lesion ◽  
Present Case Report ◽  
Periapical Lesions ◽  
Triple Antibiotic Paste

Sterilization of root canal space is foremost for the success of the endodontic treatment which is usually carried out with intracanal irrigants and medicaments. Triple antibiotic paste (metronidazole, ciprofloxacin, and minocycline) is used to achieve sterilization and healing of periradicular area. In the present case report, the triple antibiotic paste was used for non-surgical management of periapical lesion for 3 weeks. After 3 weeks, the tooth became asymptomatic that was then obturated. Hence, it is confirmed that conventional root canal treatment, along with intracanal medicaments (triple antibiotic paste), can non-surgically manage the periapical lesions and further promotes healing.

An incidental dense bone island: A review of potential medical and orthodontic implications of dense bone islands and case report

2020 ◽  
Vol 47 (3) ◽  
pp. 251-256 ◽  
Author(s):  
Paula Mairead Sinnott ◽  
Samantha Hodges
Keyword(s):  
Case Report ◽  
Incidental Finding ◽  
Root Tip ◽  
Alveolar Process ◽  
Lateral Aspect ◽  
Radiographic Appearance ◽  
Space Closure ◽  
Bone Island ◽  
The Right ◽  
The Impact

Dense bone islands (DBIs) are usually asymptomatic and do not require any treatment. This case report presents a DBI of an unusual presentation, which was an incidental finding on a radiograph of a 15-year-old orthodontic patient. The DBI lesion was 24 mm in size, occupying at least 50% of the alveolar process between the upper right canine and lateral incisor, extending up the lateral aspect of the anterior margin of the right nasal fossa. Generally, DBIs are 2–3 mm in size and more commonly found in the mandible in the molar and premolar region. This article further discusses the impact of DBIs on orthodontic treatment such as difficulty with achieving space closure and adequate root tip or torque. We also examine the potential medical implications of DBIs. This is clinically important, especially if multiple DBIs, or osteomas which have a similar radiographic appearance to DBIs, are found in a patient as they may be associated with adenomatous intestinal polyps, which, if not treated, have a 100% chance of becoming malignant transformation

scholarly journals Lumbar Vertebrae and Epidural Space Metastases of Choriocarcinoma: A Case Report

2020 ◽  
Author(s):  
Lin Liu ◽  
Yini Zhang ◽  
Wei Zhang ◽  
Zhi Zhao ◽  
Zhengwei Li
Keyword(s):  
Case Report ◽  
Epidural Space ◽  
Lumbar Vertebrae ◽  
Endovascular Embolization ◽  
Lower Limbs ◽  
Histopathological Diagnosis ◽  
Aged Woman ◽  
Β Hcg ◽  
The Right ◽  
Surgery Department

Abstract Background: Choriocarcinoma is a rare and highly malignant tumor. It is characterized by the production of large amounts of human chorionic gonadotropin (HCG). The lumbar vertebrae and epidural space metastases of choriocarcinoma are extremely rare. This is a rare case report of a middle-aged woman with metastatic choriocarcinoma in the lumbar vertebrae, epidural space.Case presentation: The present case report describes a 42-year-old Chinese female patient who was admitted to the spine surgery department of The Second Afflicted Hospital of Dalian Medical University with signs of low back pain for ten days, weakness in both lower limbs and dysuria for four days in 2019. Magnetic resonance imaging revealed an inhomogeneous nodular lesion in the anterior epidural space from L3 to L4 and an abnormal signal in the L4 vertebral body. The patient underwent emergency surgery on the first day of admission for quick onset of paraplegia and dysuria. But the operation was stopped because of heavy bleeding. Five days later, she underwent endovascular embolization of the left and the right L4 lumbar segmental arteries, and after that, the hypervascular mass was subtotally removed. The histopathological diagnosis was choriocarcinoma. Then the patient received chemotherapy. But there was no apparent improvement in the neurological statement after chemotherapy. The patient’s outcome is death.Conclusions: This case suggests that choriocarcinoma should be borne in mind when observing a spinal extraosseous extension lesion with elevated β-HCG in a woman of child-bearing age.

scholarly journals Subconjunctival Mass as Rare Presentation of Even Rarer Intraocular Medulloepithelioma: A Case Report

2020 ◽  
Vol 59 (233) ◽  
Author(s):  
Santosh Chaudhary ◽  
Vinayak Regmi ◽  
Sangeeta Shah ◽  
Purbesh Adhikari
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Ct Scan ◽  
Histopathological Examination ◽  
Ciliary Epithelium ◽  
Embryonal Tumor ◽  
Rare Presentation ◽  
Tender Mass ◽  
The Right ◽  
Pars Plicata

Medulloepithelioma is a rare childhood embryonal tumor arising from the non-pigmented ciliary epithelium of the pars plicata. We report a case of an 11-year-old male who presented with painless loss of vision of the right eye for the last three years and progressively increasing mass on the superior aspect of the globe for the last three months. On ocular examination, a firm, non-tender mass of 4cm x 3cm was noted in the superior aspect of the globe. CT-Scan of the orbit was suggestive of a foreign body with a haemorrhage or infection. The patient underwent enucleation with minimal manipulation. Histopathological examination of the enucleated globe revealed medulloepithelioma. The intraocular medulloepithelioma presentation is often late and masquerading, which may lead to extraocular extension and metastasis and ultimately unfavorable prognosis.

scholarly journals Management of Infected Radicular Cyst by Marsupialization

2013 ◽  
Vol 4 (3) ◽  
pp. 214-216 ◽  
Author(s):  
Mridula Trehan ◽  
Prateek Agarwal ◽  
Abhishek Vashistha
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Surgical Management ◽  
Body Region ◽  
Entire Body ◽  
Cystic Lesions ◽  
Radicular Cyst ◽  
Periapical Lesions

ABSTRACT Cystic lesions are frequent in the oral cavity. They are defined as a pathologic cavity with or without fluid or semifluid material. Radicular cysts are the most common odontogenic cystic lesions of inflammatory origin affecting the jaws. They are most commonly found at the apices of the involved teeth. This case report presents the successful surgical management of large infected radicular cyst involving entire body region of right side of mandible. We illustrate the possibility of healing of cystic periapical lesions with conservation of vital structures. How to cite this article Agarwal P, Sharma S, Trehan M, Vashistha A. Management of Infected Radicular Cyst by Marsupialization. World J Dent 2013;4(3):214-216.

scholarly journals Terrible triad elbow with tricep avulsion: diagnostic challenge and treatment dilemma: case report

2021 ◽  
Vol 7 (3) ◽  
pp. 671
Author(s):  
Jeetendra Prakash Katariya ◽  
Anup Milind Khatri ◽  
Ashish Kumar
Keyword(s):  
Case Report ◽  
Traffic Accident ◽  
Locking Plate ◽  
Suture Anchor ◽  
Road Traffic ◽  
Terrible Triad ◽  
Diagnostic Challenge ◽  
Rare Presentation ◽  
The Right ◽  
Time Of Presentation

<p class="abstract">Triceps Avulsion with terrible triad of elbow is a rare presentation and often missed at the time of presentation. The aim of this case report is to identify triceps avulsion in patients with terrible triad elbow and help in its management and post-operative mobilization protocol. We report a case of 40-year male, a case of road traffic accident with right elbow terrible triad injury with triceps avulsion. The radial head was fixed with 2.5 mm locking plate and screws and suture anchor was used for triceps avulsion. Elbow mobilization was started at 2 weeks post-operatively. In patients with terrible triad injuries, diagnosis of triceps avulsion is very challenging because of swelling, pain and difficult to examine triceps for extension power. It is important to know this type of presentation of triceps avulsion with terrible triad to address the diagnostic pathway in the right direction and to treat them promptly. Missing triceps avulsion in complex injuries may hamper post-operative elbow range of movements in form of extension lag or triceps weakness.</p>

Ameloblastoma: Presentación de un caso [Ameloblastoma: Case report]

2020 ◽  
Vol 42 (02) ◽  
Author(s):  
Alfredo Obando ◽  
Rolando Reyna
Keyword(s):  
Case Report ◽  
Intimate Relationship ◽  
Histopathological Diagnosis ◽  
Caudal Portion ◽  
The Right ◽  
Mass Dependent

Resumen <br />Se presenta el caso de una paciente con tumoración indolora en región mandibular derecha, de 5 años de evolución asociado a halitosis. La tomografía muestra masa dependiente de la porción derecha del cuerpo de la mandíbula, así como de su ángulo y rama derecha. La lesión se observa multilobulada, con zonas quísticas y septos, algunos de estos finos. También se reconoce compromiso de la apófisis coronoide derecha y zonas de aspecto sólido que presentan realce heterogéneo de leve a moderado, que se ubican en la porción más caudal de la lesión y en íntima relación con el segundo molar inferior derecho. El diagnóstico histopatológico es un ameloblastoma follicular.<br /><br />Abstract <br />The tomography shows a mass dependent on the right portion of the jaw’s body, as well as its right angle and branch. The lesion is multilobed, with cystic areas and septa, some of these fines. Commitment of the right coronoid apophysis is also recognized and areas of solid aspect that have heterogeneous and mild-moderate enhancement that are located in the most caudal portion of the lesion and in intimate relationship with the second lower right molar. The histopathological diagnosis is an folicular ameloblastoma.<br /><br />

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