scholarly journals Vascular pectoralis minor syndrome as an overlooked condition: A case report

2021 ◽  
Vol 67 (4) ◽  
pp. 538-541
Author(s):  
İlknur Aktaş ◽  
Ezgi Kaya ◽  
Pınar Akpınar ◽  
Feyza Ünlü Özkan ◽  
Ahmet Vural ◽  
...  

Thoracic outlet syndrome is characterized by pain, paresthesia, muscle weakness, and arterial/venous symptoms caused by compression of the neurovascular structures. Compression mainly occurs at three distinct areas in the thoracic outlet: the retropectoralis minor space, the costoclavicular space, and the interscalene triangle. As the symptoms of these three compression sites are very similar, it is difficult to pinpoint the location of the compression and the treatment methods are quite different. Ultrasound-guided diagnostic injections play an important role in the differential diagnosis. Herein, we report a 49-year-old female patient who was previously diagnosed with thoracic outlet syndrome and scheduled for decompression of cervical ribs, but cured by conservative methods after being diagnosed with pectoralis minor syndrome.

2016 ◽  
Author(s):  
Mark W Fugate ◽  
Julie A Freischlag

Thoracic outlet syndrome (TOS) is a condition caused by compression of the neurovascular structures leading to the arm passing through the thoracic outlet. The incidence of TOS is reported as 0.3 to 2% in the general population. There are three distinct types of TOS: neurogenic (95%), venous (4%), and arterial (1%). Treatment algorithms depend on the type of TOS. Arterial and venous TOS often present urgently with arterial or venous thrombosis, which is fairly easily identified by thorough history taking and a physical examination. Diagnosis is also aided by duplex ultrasonography. Restoration of arterial or venous flow can often be readily accomplished by thrombolysis. More important, however, is the diagnosis of the underlying structural component involved in the development of symptoms. Although statistically the most common, neurogenic TOS is often the most difficult to diagnose and treat. There are good data indicating that appropriately selected patients benefit from surgical therapy for neurogenic TOS as well. To prevent recurrence of symptoms, patients must undergo first rib resection and anterior scalenectomy, as well as resection of any rudimentary or cervical ribs. Regardless of the type of TOS encountered, proper therapy requires a thorough diagnostic evaluation and multimodal treatment. Keywords: thoracic outlet syndrome, arterial thoracic outlet syndrome, neurogenic thoracic outlet syndrome, venous thoracic outlet syndrome, TOS, effort thrombosis, thoracic outlet decompression


2007 ◽  
Vol 31 (2) ◽  
pp. 123-126 ◽  
Author(s):  
Nurcan Buduneli ◽  
Dilsah Cogulu ◽  
Levent Kardesler ◽  
Necil Kütükçüler

The purpose of this report is to describe dental findings and treatment of an 11-year old male patient and a 5-year old female patient, children of first cousins, suffering from severe benign congenital chronic familial neutropenia. This case report emphazises the importance of differential diagnosis of immunodeficiencies including congenital chronic familial neutropenia in the background of severe periodontal diseases and/or diffuse carious lesions in children.


Author(s):  
Janine Silva ◽  
Emily Calife ◽  
João Cabral ◽  
Hildemárzio Andrade ◽  
Ana Gonçalves

AbstractHemangioma is a benign neoplasm that may affect the vulva, and it can cause functional or emotional disability. This article reports the case of a 52-year-old female patient with a history of a genital ulcer for the past 3 years and who had undergone various treatments with creams and ointments. The patient was biopsied and diagnosed with vulvar hemangioma and was subsequently submitted to surgical excision of the lesion. We emphasize the importance of following the steps of the differential diagnosis and proceeding with a surgical approach only if necessary.


2013 ◽  
Vol 6 (1) ◽  
pp. 34-36
Author(s):  
Md Zahid Alam ◽  
AMB Safdar ◽  
Shabnam Jahan Hoque ◽  
Rownak Jahan Tamanna ◽  
Rowsan Ara ◽  
...  

Gitelman’s syndrome is an autosomal recessive disorder caused by a defect of the thiazide-sensitive sodium chloride co-transporter at the distal tubule, characterized by hypomagnesemia, hypokalemic alkalosis and hypocalciuria. We report a case of Gitlman’s syndrome in a 44 years old female patient who presented with generalized muscle weakness and carpal spasm and characteristic electrolyte abnormalities. This condition is sometimes confused with Bartter’s syndrome. DOI: http://dx.doi.org/10.3329/imcj.v6i1.14724 Ibrahim Med. Coll. J. 2012; 6(1): 34-36


Medicine ◽  
2019 ◽  
Vol 98 (11) ◽  
pp. e14778 ◽  
Author(s):  
Shuai Jiang ◽  
Hui Shen ◽  
Wei Qiang Tan ◽  
Hui Lu

2018 ◽  
Vol 26 (1) ◽  
pp. 76-78
Author(s):  
Soumyajit Das ◽  
Subhasish Mukherjee ◽  
Barun Sharma ◽  
Subash Tamang

Introduction Nuchal fibroma or collagenosis nuchae is a rare benign tumour. It is a slow growing neoplasia of unknown etiogenesis, asymptomatic and of variegated histology. They are more common in males but our case was a female patient. The presentation may mimic sarcoma at times. Case Report An unusual case of a very large neck mass in a 62 years old female patient is reported. The growth involved the dorso-cervical region over a period of approximately 8  years but remained asymptomatic. The mass was excised and post excision histopathology was reported as nuchal fibroma. Discussion The case reported is large compared to the usual size of nuchal fibroma. Association with diabetes mellitus and Gardner’s syndrome has been reported in literature. MRI is the imaging of choice to establish the differential diagnosis.


2019 ◽  
Vol 1 (1) ◽  
pp. 10-11
Author(s):  
Lechosław Paweł Chmielik ◽  
Barbara Pajda ◽  
Artur Niedzielski

At the floor of the  mouth, various types of pathological lesions may arise. Their diagnosis and differentiation are of significant clinical importance due to different course of the disease and treatment methods. This article presents a case of a 17-year-old female patient who has been diagnosed with a dermoid cyst by accident. Differential diagnosis due to a similar morphology of the  lesion involved mainly a ranula. A complete resection of the lesion was performed. Histopathological examination showed a dermoid cyst, which is a rare lesion in this location.


2015 ◽  
Vol 13 (2) ◽  
pp. 276-278 ◽  
Author(s):  
José Carlos Castelo Branco Ribeiro ◽  
Sabas Carlos Vieira ◽  
Benedito Borges da Silva ◽  
Lina Gomes dos Santos ◽  
Pedro Vítor Lopes Costa ◽  
...  

Female patient, 42-years-old, complaining of difficulty in urinating and swelling in the vulvar area for one year. Her gynecological examination showed extensive injury in the vulvar region and the biopsy done was inconclusive. The removal of the lesion was conducted. After the procedure, the patient remains free of recurrence for 15 months. This case highlights the need to consider angiomyxoma in the differential diagnosis for tumors of unknown cause in the vulvar region.


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