scholarly journals Laparoscopic approach to the treatment of inflammatory myofibroblastic tumor of the spleen, case report and literature review

2020 ◽  
Vol 1 (2) ◽  
pp. 143-148
Author(s):  
Nikola Grubor ◽  
Dragan Erić ◽  
Ivana Pavlović ◽  
Goran Tasić ◽  
Slavko Matić
Keyword(s):  
Case Report ◽  
Correct Diagnosis ◽  
Laparoscopic Approach ◽  
Rare Condition ◽  
Individual Case ◽  
Postoperative Recovery ◽  
Benign Tumors ◽  
Laboratory Findings ◽  
Invasive Approach ◽  
Preoperative Diagnostic

Introduction: Benign tumors of the spleen are a rare condition. Their pathogenesis and clinical presentation represent a diagnostic and surgical challenge in the sense of establishing the correct diagnosis and selecting the appropriate surgical approach. Case report: In our paper, we are presenting a 45-year-old female patient who was initially tested and examined because of nonspecific complaints manifesting as occasional pain in the left upper quadrant of the abdomen. The values of the laboratory findings were within the reference range and preoperative radiological diagnostics indicated the existence of a mass in the spleen which had the features of a tumor. Based on the preoperative diagnostic finding we decided to perform laparoscopic splenectomy. Postoperative recovery was without adverse events, and the patient has prescribed the necessary vaccination and antibiotic prophylaxis. Conclusion: Myofibroblastic tumor of the spleen represents, as far as its origin is concerned, a mystery, with its very limited and nonspecific presentation of symptoms, which is why each individual case must be approached seriously. Laparoscopy has a very important role in the treatment of this disease, bearing in mind all the advantages of a minimally invasive approach over open surgery.

scholarly journals Rete Middle Cerebral Artery Anomaly Presenting with a Large Intracerebral Hemorrhage: A Case Report

2021 ◽  
Author(s):  
Chandra Dev Sahu ◽  
Nishant Bhargava ◽  
Debabrata Sahana ◽  
Sanjeev Kumar
Keyword(s):  
Case Report ◽  
High Risk ◽  
Intracerebral Hemorrhage ◽  
Middle Cerebral Artery ◽  
Single Channel ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Haemorrhagic Stroke ◽  
Unilateral Involvement ◽  
Is Failure

AbstractRete MCA anomaly is extremely rare and has been seldomly discussed in literature. Embryologically MCA develops by fusion of multiple twigs which form a single channel. If there is failure to fuse a plexiform network of vessels persists known as rete MCA. This web like network of vessels is at high risk of haemorrhagic stroke and therefore for patients presenting incidentally correct diagnosis is paramount. Here we report a case of rete MCA anomaly in a 35-year-old gentle man who presented with a large haemorrhagic stroke in emergency. DSA showed unilateral involvement of proximal MCA, and otherwise normal intra-cranial vasculature. With this report we aim to correctly diagnose this rare condition and avoid misdiagnosis leading to unnecessary treatments.

Pregnancy-Preserving Laparoscopic Treatment of Acute Hemoperitoneum Following Lutein Cyst Rupture in Early Gestation

2019 ◽  
Vol 223 (02) ◽  
pp. 109-112
Author(s):  
Rafał Watrowski
Keyword(s):  
Case Report ◽  
Laparoscopic Approach ◽  
Postoperative Recovery ◽  
Absorbable Suture ◽  
Laparoscopic Treatment ◽  
Healthy Baby ◽  
Early Gestation ◽  
Cyst Rupture ◽  
Hemoglobin Drop ◽  
In Pregnancy

AbstractAcute hemoperitoneum (AHP) in early gestation is commonly treated via laparotomy. A ruptured corpus luteum (CL) cyst is a rare cause of AHP in pregnancy. This case report describes a 33-year-old, hemodynamically stable G2/P1 who presented at 5+5 gestational weeks with an acute abdomen due to ruptured CL cyst (7 cm). Emergent laparoscopy was performed. After evacuation of 1 L of hemoperitoneum, an atraumatic hemostasis was obtained without diathermy by use of hemostatic matrix (Floseal®). The ovary was reformed with an absorbable suture under preservation of CL. The postoperative recovery was uncomplicated. The hemoglobin drop was 2.8 g/dl. Further pregnancy course was uneventful. A healthy baby (2860 g) was delivered vaginally at 38+3 weeks of gestation. Conclusion Laparoscopic approach to AHP in early pregnancy is suitable. CL preservation is feasible by use of atraumatic hemostatics.

scholarly journals Should the laparoscopic approach be the norm for appendicectomy in the third trimester of pregnancy?

2019 ◽  
Vol 12 (4) ◽  
pp. e228192
Author(s):  
Hashviniya Sekar ◽  
Nisha Rajesh Thamaran ◽  
David Stoker ◽  
Sayantana Das ◽  
Wai Yoong
Keyword(s):  
Acute Appendicitis ◽  
Laparoscopic Approach ◽  
Postoperative Recovery ◽  
Laparoscopic Appendicectomy ◽  
Third Trimester ◽  
Invasive Approach ◽  
Suspected Appendicitis ◽  
The Third ◽  
Trocar Placement ◽  
Theoretical Risk

Our case describes a pregnant woman with acute appendicitis who presented in the third trimester and underwent a laparoscopic appendicectomy. She made a rapid postoperative recovery and the pregnancy was otherwise uncomplicated, ending with a spontaneous vaginal birth at 41 weeks. The diagnosis of acute appendicitis can be unclear in pregnancy. Difficulty in establishing diagnosis due to atypical presentation often leads to delay in surgery, resulting in significant maternal and fetal morbidity and mortality. Surgical intervention should be prompt in cases of suspected appendicitis and the laparoscopic approach is advocated in the first two trimesters. In the third trimester (after 28 weeks), laparotomy is often performed due to the size of the uterus and the theoretical risk of inadvertent perforation with trocar placement. More recently, several authors have described successful outcomes following laparoscopic appendicectomy after 28 weeks and with increasing reassuring data, we suggest that this minimally invasive approach should be considered in managing appendicitis in the third trimester.

Extramedullary myeloma in ectopic parathyroid adenoma: a case report

2020 ◽  
pp. 1-10
Author(s):  
Nagehan Ozdemir Barisik ◽  
Ozge Hande Gunes ◽  
Guven Yilmaz ◽  
Sevinc Hallac Keser ◽  
Aylin Ege Gul ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Case Report ◽  
Parathyroid Adenoma ◽  
Plasma Cells ◽  
Rare Condition ◽  
Mass Effect ◽  
Laboratory Findings ◽  
Ectopic Parathyroid Adenoma ◽  
Co Morbidity ◽  
Ectopic Parathyroid

Abstract Extramedullary myeloma, a subgroup of multiple myeloma, is a rare condition characterised by extra-skeletal infiltration of clonal plasma cells. Although parathyroid adenoma’s co-morbidity with multiple myeloma is common, extramedullary myeloma, an ectopic parathyroid adenoma has not been reported in the literature. This is the first study in literature that presents extramedullary myeloma that infiltrated ectopic parathyroid adenoma in the mediastinum after multiple myeloma treatment. In its course of relapse, the extramedullary myeloma created mass effect and no laboratory findings were present due to its non-secretory nature. Keywords: myeloma, metastasis, adenoma, parathyroid Continuous....

scholarly journals Grover’s disease in a patient with atopic dermatitis - a case report

2021 ◽  
Vol 74 (1-2) ◽  
pp. 33-37
Author(s):  
Sanja Jakovljevic ◽  
Ljuba Vujanovic ◽  
Dejan Ogorelica ◽  
Aleksandra Fejsa-Levakov ◽  
Jasmina Sekulic
Keyword(s):  
Case Report ◽  
Immunoglobulin E ◽  
Histopathological Examination ◽  
Correct Diagnosis ◽  
Elevated Serum ◽  
Clinical Manifestations ◽  
Skin Lesions ◽  
Complete Regression ◽  
Laboratory Findings ◽  
Topical Corticosteroids

Introduction. Grover?s disease is characterized by pruriginous polymorphic rash with a variable course and duration. Although the etiology is still unknown, the disease is often associated with other dermatoses, malignant diseases, use of certain medications, as well as immunosuppression. Case Report. We report a case of a 70-year-old male patient who was referred for examination to the Clinic of Dermatovenereology Diseases, Clinical Center of Vojvodina, due to a rash that lasted for nine months. The first lesions on the skin appeared around the nipples as exudative eczematous plaques. A few months later, identical lesions appeared on the lower legs. During treatment with systemic antihistamines and topical corticosteroids, there were episodes of transient improvements and re-exacerbations. In the meantime, erythematous brownish, round and oval papules appeared on the abdomen and the back, accompanied by intense itch. Laboratory findings revealed eosinophilia and elevated serum immunoglobulin E levels. A skin biopsy of the back lesion was performed and the histopathological examination confirmed the diagnosis of Grover?s disease. After the systemic treatment using corticosteroids and antihistamines, with gradual dose reduction and application of topical corticosteroids and emollients, complete regression of the skin lesions was achieved. Conclusion. Since the clinical manifestations of the disease may be nonspecific and discrete, dermatopathological analysis is of crucial importance in making the correct diagnosis. In patients with atopy, the treatment with systemic corticosteroids, antihistamines and topical agents may lead to regression of skin lesions with a significant improvement in the quality of life.

scholarly journals Multiple Jejunal Diverticulosis Complicated by Perforation: Case Report and a Brief Literature Review

2021 ◽  
Author(s):  
Luiz Carlos Benjamin do Carmo ◽  
Fábio Guilherme Campos ◽  
Renato Barreto ◽  
Diogo Fontes ◽  
Thiago Ibiapina ◽  
...  
Keyword(s):  
Case Report ◽  
Small Bowel ◽  
Initial Period ◽  
Intestinal Resection ◽  
Laparoscopic Approach ◽  
Rare Condition ◽  
Rare Entity ◽  
Acute Setting ◽  
Jejunal Diverticulosis ◽  
Adequate Management

Abstract Background Multiple small-bowel diverticulosis comprises a rare entity with probable underestimated incidence, and that may be the reason why it is sometimes overlooked when managing cases with peritonitis. Case report In the present paper, we report the case of a 76-year-old male presenting abdominal pain and fever in an acute setting. Computed tomography (CT) scans revealed jejunal thickening and numerous images of saccular addition that were interpreted as jejunoileal diverticulitis. After an initial period of clinical treatment, surgical management was indicated based on a worsening clinical picture and the presence of an extraluminal focus of gas detected in a subsequent CT scan. Through a laparoscopic approach, multiple small-bowel diverticula and a tamponade perforation were found. A segmental intestinal resection was performed, and the patient was discharged after a ten days. Conclusions Multiple jejunal diverticulosis is a rare condition that should be remembered in the setting of an acute abdomen. As it prevails among older patients, early diagnosis with radiological aid is crucial to establish the most adequate management, including intestinal resection, if necessary.

scholarly journals Ekbom Syndrome associated with Lewy Body Dementia: A case report

2020 ◽  
Vol 14 (1) ◽  
pp. 83-87
Author(s):  
Felippe José Pontes de Mendonça ◽  
Ivan Abdalla Teixeira ◽  
Valeska Marinho
Keyword(s):  
Case Report ◽  
Lewy Body ◽  
Psychiatric Symptoms ◽  
Neuropsychiatric Symptoms ◽  
Correct Diagnosis ◽  
Lewy Body Dementia ◽  
Rare Condition ◽  
Adequate Treatment ◽  
Thought Disorders ◽  
Ekbom Syndrome

ABSTRACT Ekbom Syndrome, also known as parasitosis delusion or psychogenic parasitosis, is a rare condition in which patients present with a fixed belief of being infested by parasites, vermin or small insects, along with tactile hallucinations (such as pruritus or sensations of the parasites crawling over or under the skin). The syndrome may occur idiopathically or be associated with other medical conditions and drug use. This case report describes the occurrence of Ekbom syndrome in a patient diagnosed with Lewy Body Dementia (LBD), a neurodegenerative disease that commonly presents with sensory perception and thought disorders and other neuropsychiatric symptoms. Although visual hallucination is considered a core diagnostic criterion, other modalities of psychiatric symptoms can also occur posing a further challenge for correct diagnosis. Proper recognition allows early diagnosis and adequate treatment, preventing hazardous antipsychotic use in these patients.

scholarly journals Laparoscopic Repair of Morgagni Hernia Combined with Right Hemicolectomy for Bleeding Ascending Colon Carcinoma Lodged within the Chest: A Case Report and Review of the Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Oluwatobi O Onafowokan ◽  
Kiran Khosa ◽  
Hugo Bonatti
Keyword(s):  
Colon Cancer ◽  
Case Report ◽  
Hernia Repair ◽  
Laparoscopic Hernia Repair ◽  
Laparoscopic Approach ◽  
Rare Condition ◽  
Right Hemicolectomy ◽  
Morgagni Hernia ◽  
The Right ◽  
Diaphragmatic Hernias

Background. Morgagni hernias are rare in adults and may be asymptomatic but, nevertheless, require surgical repair, with laparoscopy offering an excellent option. The colon dislodged into the chest through diaphragmatic hernias may be affected by various disorders, including malignancies. Case Report. A 70-year-old obese male presented with fatigue and shortness of breath. CT scan showed the right colon lodged in the chest through a Morgagni hernia. He was anaemic, and colonoscopy revealed a colon cancer. He underwent combined laparoscopic hernia repair with bioabsorbable mesh and right hemicolectomy. Recovery was uneventful, but the patient died 5 months later from chemotherapy-associated cardiac failure. Literature review revealed eight similar published cases, and including ours, there were seven Morgagni hernias, one traumatic hernia, and one Bochdalek hernia. Median age of the five men and four women was 66 (range 49-85) years. Surgical approach was thoracotomy (2), laparotomy (5), and laparoscopy (2). Conclusion. Outcome of the rare condition is determined by the course of the colon cancer. Hernia repair was successful in ours and all other published cases. A combined laparoscopic approach can be safely done.

scholarly journals Biopsy guided by dermoscopy in cutaneous pigmented lesion - Case report

2013 ◽  
Vol 88 (1) ◽  
pp. 125-127 ◽  
Author(s):  
Lislaine Bomm ◽  
Marcela Duarte Villela Benez ◽  
Juan Manuel Piñeiro Maceira ◽  
Isabel Cristina Brasil Succi ◽  
Maria de Fatima Guimarães Scotelaro
Keyword(s):  
Case Report ◽  
Early Stage ◽  
Correct Diagnosis ◽  
Benign Tumors ◽  
Melanocytic Lesion ◽  
Incisional Biopsy ◽  
Seborrheic Keratosis ◽  
Pigmented Lesion ◽  
Suspicious Area

It may be clinically difficult to differentiate early-stage melanoma from benign tumors, specially pigmented seborrheic keratosis. Dermoscopy can help; however, the findings are not always conclusive. Therefore, histopathology may be necessary for a correct diagnosis. We describe a melanocytic lesion with dubious clinic and dermoscopic findings. An incisional biopsy of a suspicious area, guided by dermoscopy, was performed to clarify the findings.

scholarly journals Antibody Negative Autoimmune Encephalitis: A Case Report

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Carolina Sequeira ◽  
Pedro Lopes
Keyword(s):  
Case Report ◽  
Correct Diagnosis ◽  
Specific Treatment ◽  
Autoimmune Encephalitis ◽  
Laboratory Findings ◽  
Negative Results ◽  
Imaging Results ◽  
Autoimmune Aetiology ◽  
The Brain ◽  
Infectious Encephalitis

Encephalitis is characterized by inflammation of the brain. Literature describes autoimmune as one of the most common aetiology of non-infectious encephalitis. Given the similarities in clinical, imagological and laboratory findings with viral encephalitis and due to the wide variety of clinical features, the diagnosis is rather challenging and therefore physicians need an increased clinical suspicion to make the correct diagnosis. We report a case of a 35-year-old male with no past medical history that presented with two episodes of autoimmune encephalitis in a 6-month period. Despite having the typical clinical presentation and imagological findings consistent with autoimmune encephalitis, this case had negative results for antibodies, which delayed the diagnosis. It is essential to highlight the importance of considering the hypothesis of autoimmune aetiology on the differential diagnosis of all patients presenting with clinical and magnetic resonance imaging results suggestive of probable encephalitis, regardless of the negative antibodies results. This case clearly depicts the difficulties of diagnosing and treating an autoimmune encephalitis. The main goal of this case report is to increase awareness towards early diagnosis to promptly implement a specific treatment that has proven to improve the outcome and prognosis.

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