A rare presentation of abdominal pain as cloacal cyst: A case report

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Fakhr-o-sadat Anaraki ◽  
◽  
Mehdi Tavallaei ◽  
Hasti Zarfeshani ◽  
◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Surgical Excision ◽  
Tailgut Cyst ◽  
Congenital Disease ◽  
Rare Presentation ◽  
Complete Excision ◽  
Retrorectal Space ◽  
Midline Laparotomy ◽  
Complete Surgical Excision

Retrorectal hamartoma or tailgut cyst is an uncommon congenital disease of presacral and retrorectal space and is embryologically part of some forms of enteric cysts. The rarity of this disease leads to difficulty in diagnosis and surgical management. Complete surgical excision is the treatment of choice for tailgut cysts. We present a case of a 40-year-old man, who presented to us with abdominal pain for four months, which had become more prominent while defecation and after eating. Abdominal computed tomography demonstrated a cyst in the lower interperitoneal cavity. Surgical complete excision of the mass was done with midline laparotomy. Histopathology confirmed cloacal cyst.

Tailgut Cyst (Retrorectal Hamartoma): Report of a Pediatric Case

2007 ◽  
Vol 10 (4) ◽  
pp. 325-327 ◽  
Author(s):  
M. Laura Galluzzo ◽  
Marcela Bailez ◽  
Aixa Reusmann ◽  
Roberto Gonzalez ◽  
M.T.G. de Dávila
Keyword(s):  
Fibrous Tissue ◽  
Surgical Excision ◽  
Lumbar Pain ◽  
Presacral Space ◽  
Tailgut Cyst ◽  
Concomitant Disease ◽  
Complete Excision ◽  
Retrorectal Space ◽  
Congenital Lesion ◽  
Complete Surgical Excision

Tailgut cyst (TGC) is an uncommon congenital lesion, located in the retrorectal/presacral space. We report a 12-year-old girl with lumbar pain and a retrorectal mass. She had mental retardation, hypothyroidism, didelphus uterus, sacrum vertebrae, and coccyx agenesis, without chromosomic anomalies. Three surgeries were performed for the complete excision of the tumor. Microscopically, the mass consisted of cystic spaces lined by a wide variety of epithelia and a stroma composed of fibrous tissue containing bundles of smooth muscle fibers. According to these findings, the diagnosis was TGC. This is a rare congenital lesion that usually presents as a multiloculated cyst in the retrorectal space of young women; TGC requires complete surgical excision to prevent recurrences, infections, and malignant transformation. This case was unique because of the association of TGC with other malformative features and concomitant disease in a pediatric patient.

scholarly journals Omental Lymphangioma in Adults—Rare Presentation Report of a Case

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
T. Narayana Rao ◽  
T. Parvathi ◽  
A. Suvarchala
Keyword(s):  
Case Report ◽  
Histopathological Examination ◽  
Benign Lesion ◽  
Surgical Excision ◽  
Histological Findings ◽  
Rare Presentation ◽  
Complete Excision ◽  
Complete Surgical Excision ◽  
Biopsy Report

Lymphangioma is an uncommon benign lesion that usually occurs during childhood. Its occurrence in adults is rare. Its presentation in the abdomen is even rare. This case report describes a case of omental lymphangioma presented as retroperitoneal lump. Subsequent imaging, operative, and histological findings revealed omental lymphangioma. Laparotomy done under general anesthesia, a 10 × 12 cm cystic swelling arising from omentum, identified complete excision of the cyst done and send the specimen for histopathological examination. Biopsy report came as omental lymphangioma. Complete surgical excision is the treatment of choice. Prognosis is excellent and recurrence rate is very low if resection is complete. During two years of followup no recurrence was detected. Omental lymphangioma is very rare presentation among abdominal lymphangiomas specifically in adults. Complete excision is the treatment of choice. Long-term followup is required to detect recurrence.

Schwannoma of Oropharynx: A Rare Presentation

2013 ◽  
Vol 5 (2) ◽  
pp. 14-16
Author(s):  
Hemantkumar Onkar Nemade ◽  
Subbalaxmi Atmaram Jaiswal ◽  
Vidhyadhar Rudrappa Borade
Keyword(s):  
Neck Region ◽  
Cost Effective ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Rare Presentation ◽  
Myelinated Nerve ◽  
Complete Excision ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing

ABSTRACT Schwannomas are slow growing, encapsulated, solitary, benign tumors. They can arise from any myelinated nerve as they are tumors of neural sheath Schwann cells. Schwannoma seen in head and neck region are most commonly found in tongue, floor of mouth but rarely in oropharynx and tonsils. They are usually asymptomatic and rarely undergo malignant transformation. Schwannomas are considered radioresistant and recure less frequently after complete excision. Hence, complete surgical excision is treatment of choice. We are presenting a case of elderly female with oropharyngeal schwannoma completely extirpated transorally by dissection method by cold instruments. Due to rarity of presentation the surgical approach to this lesion is not well established. Following surgery the raw area created was well epithelized and patient relieved symptoms without significant morbidity. We conclude that this is a cost-effective and simple approach for management of other similar cases in future.

scholarly journals Anterior abdominal wall spindle cell tumour - atypical fibrous histiocytoma: a rare presentation

2018 ◽  
Vol 5 (10) ◽  
pp. 3450
Author(s):  
Shubham . ◽  
Ashokan Ravi ◽  
Haridarshan S. J.
Keyword(s):  
Fibrous Histiocytoma ◽  
Malignant Lesion ◽  
Surgical Excision ◽  
Rare Presentation ◽  
Complete Excision ◽  
Clear Cut ◽  
Pleomorphic Sarcoma ◽  
Complete Surgical Excision ◽  
Spindle Cell Tumour ◽  
Morphological Patterns

Atypical fibrous histiocytoma is a rare and a distinct variant of cutaneous fibrous histiocytoma which can be misdiagnosed as sarcoma. It is mainly composed of a mixture of fibroblastic and histiocytic cells, especially found in the skin (dermatofibroma), particularly in the limbs. It is quite uncommon and is difficult to distinguish from a malignant lesion. Due to the lack of clear cut predictive morphological patterns and due to the suspicion of malignancy, complete surgical excision is recommended. Provided that atypical fibrous histiocytoma is treated by complete excision, a benign outcome is to be expected in most cases. However, like the cellular and aneurysmal variants of fibrous histiocytoma, atypical fibrous histiocytoma shows a higher tendency to recur locally than ordinary fibrous histiocytoma and may rarely metastasize. Lesions with floridly atypical features represent potential pitfalls for overinterpretation as pleomorphic sarcoma, which would appear to be inappropriate in most cases. Due to its rarity and uncertainty, we report a case of atypical fibrous histiocytoma and discuss its presentation, nature, types and treatment with reference to a brief review of literature.

scholarly journals Three cases of branchial fistula in one family: a rare presentation

2019 ◽  
Vol 5 (5) ◽  
pp. 1425
Author(s):  
Rupa Mehta ◽  
Jyoti Ranjan Das ◽  
Nitin M. Nagarkar
Keyword(s):  
Family History ◽  
Correct Diagnosis ◽  
Surgical Excision ◽  
Internal Opening ◽  
Rare Presentation ◽  
Complete Excision ◽  
Complete Surgical Excision ◽  
Branchial Cleft Anomalies ◽  
Branchial Cleft ◽  
Branchial Fistula

<p>Branchial cleft anomalies comprise approximately 30% of congenital neck mass and present as cyst, sinus or fistula. They occur due to disturbance in the maturation of the branchial apparatus during fetal development. They are congenital lesions usually present in childhood, but they are usually diagnosed in later childhood or early adulthood because of enlargement or infection. Branchial cleft fistulae are usually diagnosed earlier than cysts. Correct diagnosis leads to proper management. Complete surgical excision is the treatment of choice. Second branchial cleft and pouch anomalies are commonest amongst all branchial cleft lesions, but complete second branchial cleft anomalies with external and internal opening is rare. Branchial anomalies with family history are also very rare. Here we present a case report of complete branchial fistula with family history which was managed by complete excision of fistula through transcervical and transoral approaches. 3 members of one family in 2 generations presented with branchial apparatus anomalies (father and his two children, elder son and younger daughter). All of them were having branchial fistula on right side of neck since birth.</p>

Schwannoma of Oropharynx: A Rare Presentation

2013 ◽  
Vol 5 (2) ◽  
pp. 104-106
Author(s):  
Hemantkumar Onkar Nemade ◽  
Subbalaxmi Atmaram Jaiswal ◽  
Vidhyadhar Rudrappa Borade
Keyword(s):  
Neck Region ◽  
Cost Effective ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Rare Presentation ◽  
Myelinated Nerve ◽  
Complete Excision ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing

ABSTRACT Schwannomas are slow growing, encapsulated, solitary, benign tumors. They can arise from any myelinated nerve as they are tumors of neural sheath Schwann cells. Schwannoma seen in head and neck region are most commonly found in tongue, floor of mouth but rarely in oropharynx and tonsils. They are usually asymptomatic and rarely undergo malignant transformation. Schwannomas are considered radioresistant and recure less frequently after complete excision. Hence, complete surgical excision is treatment of choice. We are presenting a case of elderly female with oropharyngeal schwannoma completely extirpated transorally by dissection method by cold instruments. Due to rarity of presentation the surgical approach to this lesion is not well established. Following surgery the raw area created was well epithelized and patient relieved symptoms without significant morbidity. We conclude that this is a cost-effective and simple approach for management of other similar cases in future. How to cite this article Nemade HO, Jaiswal SA, Borade VR. Schwannoma of Oropharynx: A Rare Presentation. Int J Otorhinolaryngol Clin 2013;5(2):104-106.

scholarly journals A case of successful surgical management of primary retroperitoneal mucinous cystadenoma

2020 ◽  
Vol 2020 (3) ◽  
Author(s):  
Zeeshan Afzal ◽  
Weronika Stupalkowska ◽  
Maria B Mahler-Araujo ◽  
David Bowden ◽  
Richard J Davies
Keyword(s):  
Iliac Fossa ◽  
Mucinous Cystadenoma ◽  
Surgical Excision ◽  
Mass Effect ◽  
Rare Tumour ◽  
Left Iliac Fossa ◽  
Female Population ◽  
Midline Laparotomy ◽  
Complete Surgical Excision ◽  
Primary Retroperitoneal

Abstract Primary retroperitoneal mucinous cystadenoma (PRMC) is a rare tumour. It was first reported in 1965, and since then, less than 100 cases have been reported. It is cystic in nature and most commonly affects the female population. It becomes symptomatic in later stages due to its mass effect, making the diagnosis challenging in its early asymptomatic stage. We report a case of a 32-year-old female who presented with abdominal pain and a mass in left iliac fossa. Diagnostic imaging revealed a large cystic lesion in retroperitoneum. A midline laparotomy was performed, and a complete surgical excision was accomplished without any spillage. Surgical histology confirmed the diagnosis of PRMC. The patient was discharged on postoperative day 2. There was no evidence of tumour recurrence on repeat imaging at 90-day follow-up. Surgical approach, with complete resection and without any spillage, remains the most effective and appropriate treatment for this tumour.

scholarly journals Juvenile Nasopharyngeal Angiofibroma - Excision Through Lateral Rhinotomy and Sublabial Approach - A Case Report

1970 ◽  
Vol 20 (1) ◽  
pp. 78-81
Author(s):  
NK Sinha ◽  
MH Rashid ◽  
MM Shaheen ◽  
DC Talukder ◽  
MAY Fakir ◽  
...  
Keyword(s):  
Surgical Excision ◽  
Complete Removal ◽  
Definitive Treatment ◽  
Surgical Approaches ◽  
Complete Excision ◽  
Nasopharyngeal Angiofibroma ◽  
Male Adolescents ◽  
Large Size ◽  
Complete Surgical Excision ◽  
Sublabial Approach

Juvenile angiofibroma is a rare hypervascular, locally aggressive benign tumour which is exclusively found in the nose and paranasal sinuses of male adolescents. The definitive treatment for this tumour is complete surgical excision. Different surgical approaches are used for complete excision. Most recent development is excision of the tumour using endoscopes. But in certain cases with large size and different extensions, open transfacial approaches are the choice for complete removal and for less operative bleeding, which are the main challenges for surgical excision of this tumour. DOI: http://dx.doi.org/10.3329/jdmc.v20i1.8587 J Dhaka Med Coll. 2011; 20(1) :78-81

scholarly journals Orbital Schwannoma

2020 ◽  
Vol 81 (04) ◽  
pp. 376-380
Author(s):  
Mark B. Chaskes ◽  
Mindy R. Rabinowitz
Keyword(s):  
Surgical Excision ◽  
Treatment Goals ◽  
Resonance Imaging ◽  
Recurrence Rates ◽  
Complete Excision ◽  
Representative Case ◽  
Presenting Symptoms ◽  
Complete Surgical Excision ◽  
Imaging Characteristics ◽  
Magnetic Resonance Imaging Mri

AbstractOrbital schwannomas are rare neoplasms of the orbit. The presenting symptoms are often nonspecific. Classic imaging characteristics seen on magnetic resonance imaging (MRI) and orbital ultrasound can be useful to help aid in the diagnosis of orbital schwannoma. When diagnosed, the goal of treatment is complete surgical excision. The location of the tumor within the orbit dictates which surgical approach would provide the best exposure. When complete excision is achieved, recurrence rates are very low.This article addresses the etiology, patient population, presentation, natural history, and differential diagnosis of orbital schwannomas. Imaging characteristics and histopathologic subtypes are reviewed. Treatment goals, approaches, and specialties involved in the management of these patients is discussed. Finally, a representative case is presented.

A MODIFIED PERIUNGUAL APPROACH FOR TREATMENT OF SUBUNGUAL GLOMUS TUMOUR

Hand Surgery ◽  
2007 ◽  
Vol 12 (03) ◽  
pp. 217-221 ◽  
Author(s):  
S. T. Fong ◽  
Y. L. Lam ◽  
Y. C. So
Keyword(s):  
Surgical Excision ◽  
Glomus Tumour ◽  
Complete Excision ◽  
Nail Bed ◽  
Peripheral Lesion ◽  
Nail Deformity ◽  
Complete Surgical Excision ◽  
Central Lesions

Subungal glomus tumours are uncommon; the only treatment is complete surgical excision. Transungual approach is often preferred; however, secondary nail deformity may occur. Lateral periungual approach is used to avoid this complication, but this approach provides limited exposure and is used for peripheral lesion only. We describe a modified periungual approach which can be applied to central lesions. This approach can provide adequate exposure for complete excision of the subungual tumour while avoiding incision of the nail bed.

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