scholarly journals A confluence of rarities: post sedation neuroexcitation following adrenal perineurioma resection

2021 ◽  
Vol 8 (1) ◽  
pp. 40
Author(s):  
Vivek Somasundaram ◽  
Matthew C. Hernandez ◽  
Blake A. Ebner ◽  
Andrew L. Folpe ◽  
Joaquin J. Garcia ◽  
...  
Keyword(s):  
Case Report ◽  
Adrenal Mass ◽  
Clinical Spectrum ◽  
First Case ◽  
Adrenal Masses

Adrenal masses are frequently discovered incidentally and warrant further workup to explore the etiology of the mass. We present the case of a patient who had an incidentally discovered nonfunctional adrenal mass, which was determined to be a perineurioma. This is the first case report, to our knowledge of a perineurioma occurring in this location. Additionally, we report an episode of post sedation excitation, or “propofol frenzy” in the same patient to add to the clinical spectrum of presentation of this phenomenon.

scholarly journals Acquired smooth muscle hamartoma: A case report on the lower extremity with hidrosis

2019 ◽  
Vol 7 ◽  
pp. 2050313X1989383
Author(s):  
Malika A Ladha ◽  
Todd Remington
Keyword(s):  
Smooth Muscle ◽  
Case Report ◽  
Lower Extremity ◽  
Smooth Muscle Cells ◽  
English Literature ◽  
Surgical Excision ◽  
Muscle Cells ◽  
Clinical Spectrum ◽  
Rare Entity ◽  
First Case

Smooth muscle hamartomas are benign dermal proliferations of smooth muscle cells. Smooth muscle hamartomas are sub-divided into congenital or acquired; the latter is a rare entity with less than 20 cases being reported in the English literature. Most often asymptomatic, acquired smooth muscle hamartomas follow an indolent course. Treatment in the form of surgical excision can be utilized for symptomatic or cosmetic purposes. Here, we report the first case of an acquired smooth muscle hamartomas of the shin which also uniquely presented with hidrosis. This case highlights the varied clinical spectrum of acquired smooth muscle hamartomas.

scholarly journals Catecholaminergic Crisis After a Bleeding Complication of COVID-19 Infection: A Case Report

2021 ◽  
Vol 12 ◽  
Author(s):  
Angel Rebollo-Román ◽  
Maria R. Alhambra-Expósito ◽  
Yiraldine Herrera-Martínez ◽  
F. Leiva-Cepas ◽  
Carlos Alzas ◽  
...  
Keyword(s):  
Case Report ◽  
Severe Acute Respiratory Syndrome ◽  
Medical Treatment ◽  
Bleeding Complication ◽  
Adrenal Mass ◽  
Symptom Control ◽  
Clinical Manifestations ◽  
First Case ◽  
Thrombotic Complications

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) presents in some cases with hemostatic and thrombotic complications. Pheochromocytomas are unusual, though potentially lethal tumors. Herein we describe the first case of hemorrhage in a pheochromocytoma related to SARS-CoV-2 infection. A 62-year-old man consulted for syncope, fever, and palpitations. He was diagnosed with SARS-CoV-2 pneumonia and presented with a hemorrhage in a previously unknown adrenal mass, which resulted in a catecholaminergic crisis. Medical treatment and surgery were required for symptom control and stabilization. We hereby alert clinicians to watch for additional/unreported clinical manifestations in COVID-19 infection.

scholarly journals Case Report: Diabetes in Chinese Bloom Syndrome

2021 ◽  
Vol 12 ◽  
Author(s):  
Mingqun Deng ◽  
Miao Yu ◽  
Ruizhi Jiajue ◽  
Kai Feng ◽  
Xinhua Xiao
Keyword(s):  
Case Report ◽  
Chinese Population ◽  
Autosomal Recessive ◽  
Molecular Mechanisms ◽  
Autosomal Recessive Disorder ◽  
Bloom Syndrome ◽  
Clinical Spectrum ◽  
Sequence Variant ◽  
First Case ◽  
Helicase Gene

Bloom syndrome (BS) is a rare autosomal recessive disorder that causes several endocrine abnormalities. So far, only one BS pedigree, without diabetes, has been reported in the Chinese population. We presented the first case of BS with diabetes in the Chinese population and explored the clinical spectrum associated with endocrine. Possible molecular mechanisms were also investigated. Our study indicated that BS may be one rare cause of diabetes in the Chinese population. We also found a new pathogenic sequence variant in BLM (BLM RecQ like helicase gene)(NM_000057.4) c.692T>G, which may expand the spectrum of BLM variants.

scholarly journals A De Novo Xp11.23 Duplication in a Girl with a Severe Phenotype: Expanding the Clinical Spectrum

2017 ◽  
Vol 07 (02) ◽  
pp. 074-077
Author(s):  
Pinar Arican ◽  
Dilek Cavusoglu ◽  
Pinar Gencpinar ◽  
Berk Ozyilmaz ◽  
Taha Ozdemir ◽  
...  
Keyword(s):  
Case Report ◽  
Intellectual Disability ◽  
Synovial Sarcoma ◽  
De Novo ◽  
Clinical Spectrum ◽  
Global Developmental Delay ◽  
Speech Delay ◽  
Severe Phenotype ◽  
First Case ◽  
Duplication Syndrome

AbstractThe Xp11.22–p11.23 duplication syndrome was described in 2009 by Giorda et al and is characterized by intellectual disability, speech delay, and electroencephalography anomalies. We report a case of a 23-month-old girl who presented with epilepsy and global developmental delay and who had a small duplication at Xp11.23. The case we present here is the first case showing the clinical features of Xp11.22–p11.23 duplication syndrome only involving synovial sarcoma, X breakpoint (SSX) genes: SSX1, SSX3, SSX4, and SSX9. This case report contributes to an expanding clinical spectrum of Xp11.22–p11.23 duplication syndrome.

scholarly journals Bilateral Adrenal Incidentalomas: A Case Report and Review of Diagnostic Challenges

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Anders L. Carlson ◽  
Annis M. Marney ◽  
Scott R. Anderson ◽  
Matthew P. Gilbert
Keyword(s):  
Case Report ◽  
Genetic Testing ◽  
Adrenal Mass ◽  
Diagnostic Approach ◽  
Diagnostic Strategy ◽  
Adrenal Incidentalomas ◽  
Von Hippel Lindau ◽  
Additional Testing ◽  
Adrenal Masses ◽  
Von Hippel Lindau Syndrome

Incidentally discovered adrenal masses (incidentalomas) are common and present challenges both in diagnosis and management. When incidentally discovered adrenal masses are bilateral, a refined diagnostic approach is warranted since bilateral disease is more likely to be pathologic. We review a case of a 34-year-old man with incidentally discovered bilateral adrenal nodules. A comprehensive diagnostic strategy led to the diagnosis of bilateral pheochromocytoma caused by von Hippel-Lindau syndrome. He was successfully treated with bilateral laparoscopic adrenalectomy and has recovered well. While the initial diagnostic approach is similar to the unilateral incidentaloma, additional testing and/or genetic testing should be considered in the case of the bilateral adrenal mass.

Myofibrosarcoma of the Adrenal Gland

2005 ◽  
Vol 71 (3) ◽  
pp. 191-193
Author(s):  
S.A. Mclaughlin ◽  
T.M. Schmitt ◽  
K.L. Huguet ◽  
D.M. Menke ◽  
J.H. Nguyen
Keyword(s):  
Adrenal Gland ◽  
Adrenal Mass ◽  
Soft Tissues ◽  
Malignant Tumors ◽  
Low Grade ◽  
En Bloc ◽  
First Case ◽  
Pathologic Features ◽  
Adrenal Masses ◽  
The Right

Adrenal masses have varying presentations. Most commonly, adrenal masses are discovered incidentally on CT or MRI during an evaluation for an unrelated complaint. Although the majority of these are nonfunctional cortical adenomas, hormonally active tumors and adrenocortical carcinoma must also be considered in the differential diagnosis. Rarely, retroperitoneal tumors may mimic an adrenal mass. We report a case of a 49-year-old man with anemia and weight loss who was found to have a large retroperitoneal mass arising from the adrenal gland. Surgical treatment involved en bloc resection of the right kidney, adrenal gland, segments 7 and 8 of the liver, and a portion of the right hemidiaphragm. Final pathology revealed a low-grade myofibrosarcoma. We believe that this is the first case report of a myofibrosarcoma of the adrenal gland. Myofibrosarcomas are rare malignant tumors composed of myofibroblasts that arise from the deep soft tissues. These tumors have a predilection for the head and neck, trunk, or extremities. Myofibrosarcomas can be differentiated from other sarcomas by immunohistochemical staining and pathologic features. We will briefly discuss the workup of an adrenal mass and focus on the diagnosis of myofibrosarcoma.

Adrenal Lymphoma: Case Report and Review of Literature

2010 ◽  
Vol 2 (1) ◽  
pp. 39-43 ◽  
Author(s):  
Jaya Bhanu Kanwar
Keyword(s):  
Weight Loss ◽  
Adrenal Insufficiency ◽  
Adrenal Mass ◽  
Serum Lactate ◽  
Normal Serum ◽  
Serum Lactate Dehydrogenase ◽  
Chop Regimen ◽  
First Case ◽  
Adrenal Lymphoma ◽  
Adrenal Masses

ABSTRACT Adrenal lymphoma is a rare diagnosis in subject presenting with bilateral adrenal masses. Adrenal insufficiency is a common complication of this disease. Most cases of primary adrenal lymphoma (PAL) present with adrenal insufficiency and huge bilateral adrenal masses. These are very aggressive tumors with poor prognosis. We, hereby, report two subjects of adrenal lymphoma presenting with bilateral adrenal masses. First case is a 50 years old male presented with features of adrenal insufficiency like anorexia, weight loss, nausea, vomiting, and generalized hyperpigmentation. Routine investigations revealed hyponatremia, normal serum K; serum lactate dehydrogenase was moderately elevated. Primary adrenal insufficiency was confirmed by low basal and cosyntrophin stimulated cortisol. CT abdomen revealed huge bilateral heterogeneous enlargement of adrenal glands. Lymphoma was confirmed by histopathology and immunohistochemistry, diagnosis of PAL was made after further staging. He was treated with Rituximab-CHOP regimen. Second case, 50 years old lady presented with fever, anorexia, weight loss. She had generalized lymphadenopathy. On imaging found to have bilateral adrenal mass, and histopathology from lymph node, breast mass and adrenal mass was suggestive of non-Hodgkin's lymphoma.

Primary Adrenal Glomus Tumor: The First Case Report

2021 ◽  
pp. 1-4
Author(s):  
Yuqi Hu ◽  
Xianglei He ◽  
Qi Zhang ◽  
Dahong Zhang ◽  
Ming Zhao
Keyword(s):  
Case Report ◽  
Adrenal Gland ◽  
Adrenal Mass ◽  
Glomus Tumor ◽  
Left Adrenal Gland ◽  
Unique Case ◽  
Primary Tumors ◽  
First Case ◽  
Tomography Scan

We report a unique case of a 25-year-old man who was incidentally identified to have a mass in the left adrenal gland region by computerized tomography scan. The image revealed a 1.8 × 1.6 cm, well-defined adrenal mass with moderately homogeneous enhancement. The mass was laparoscopically completely removed, and the diagnosis of a solid variant glomus tumor of the adrenal gland was rendered. There were no histologic features indicating atypia or malignance and no primary tumors anywhere else. The patient was free of disease at the 6-month follow-up. To our knowledge, this is the first case of primary adrenal glomus tumor described in the literature.

scholarly journals Chronic Disseminated Histoplasmosis in an Immunocompetent Man Presented as Bilateral Adrenal Masses with Partial Adrenocortical Insufficiency - A Rare Condition

2012 ◽  
Vol 29 (4) ◽  
pp. 235-240
Author(s):  
ABM Sarwar E Alam ◽  
Z Hasan ◽  
MAI Khan ◽  
MA Zulkifl ◽  
ATM Samdani ◽  
...  
Keyword(s):  
Adrenal Mass ◽  
Plasma Cortisol ◽  
Histoplasma Capsulatum ◽  
Rare Condition ◽  
Maximum Temperature ◽  
Low Grade ◽  
Acth Stimulation ◽  
Ct Guided ◽  
First Case ◽  
Adrenal Masses

Bilateral adrenal masses caused by histoplasmosis is a rare condition. To our knowledge this is the first case report of   bilateral adrenal enlargement by histoplasmosis in  Bangladesh. We report a case of 75 years old man who presented with  low grade fever, night sweating, anorexia and progressive  weight loss for 9 months prior to admission in Square Hospital. Clinical profile was unremarkable apart from low   grade fever (with maximum temperature recorded up to 101ºF) and low blood pressure with significant postural  drop. Plasma cortisol (morning and evening) and glucose were normal but short ACTH stimulation test revealed low   plasma cortisol response. Abdominal ultrasound gave a definite clue of left adrenal mass which was later found as bilateral adrenal masses of significant size by abdominal CT scan. Initially Gomori’s Methenamine Silver (GMS) stain of CT guided FNAC of the left adrenal mass showed small budding yeast morphologically consistent with histoplasmosis. A second CT guided FNAC of both adrenal masses also showed similar findings which was finally confirmed by fungus culture as Histoplasma capsulatum. The patient was then treated with injection amphotericin-B followed by oral itraconazole and fludrocortisone and he responded well DOI: http://dx.doi.org/10.3329/jbcps.v29i4.11345 J Bangladesh Coll Phys Surg 2011; 29: 235-240

The first case report of Pembrolizumab inducing thyroiditis and hypophysitis

2020 ◽  
Author(s):  
Rahman Maraqa Sima Abdel ◽  
Robert McMahon ◽  
Anusha Pinjala ◽  
Gastelum Alheli Arce ◽  
Mohsen Zena
Keyword(s):  
Case Report ◽  
First Case
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