scholarly journals A Rare Case of a Radicular Dens Invaginatus Associated with an Inflammatory Periapical Cyst

2021 ◽  
Author(s):  
Helder Fernandesde Oliveira ◽  
Brunno Santos DE Freitas Silva ◽  
Rogerio Ribeiro Paiva ◽  
Carolina Cintra Gomes ◽  
Orlando Aguirre Guedes
Keyword(s):  
Histopathological Examination ◽  
Mineral Trioxide Aggregate ◽  
Colour Change ◽  
Rare Condition ◽  
Endodontic Infection ◽  
Distal Surface ◽  
Diagnostic Hypothesis ◽  
Tridimensional Reconstruction ◽  
Periapical Cyst ◽  
Dens Invaginatus

Radicular Dens Invaginatus (RDI) represent a rare form of dens invaginatus which develops in the root of the tooth after the crown development is completed that can sometimes cause complex pathological conditions that are difficult to diagnose. This case report describes a case of a RDI associated with an inflammatory periapical cyst. A 17-year-old female complained of mobility in tooth 22. The tooth showed gyroversion and colour change and no evidence of caries or root fracture. Axial slices and tridimensional reconstruction of the cone-beam computed tomography revealed the presence of a RDI on the distal surface of the root that extended from cervical to the apical third. The diagnostic hypothesis was symptomatic infectious apical periodontitis, and conventional root canal treatment was performed. Subsequently, it was opted for a complementary surgical approach, which involved an aspiration puncture bulletin with a collection of yellow-citrus liquid, periapical curettage, apicectomy, retro-preparation and retrofilling with Mineral Trioxide Aggregate (MTA). Histopathological examination revealed was inflammatory periapical cyst. After 3-years, repair of the area was evident. Surgical management of this rare condition can be favourable for resolving endodontic infection related to this dental anomoly.

scholarly journals Fetus in fetu: two case reports from North African country

2021 ◽  
Vol 69 (1) ◽  
Author(s):  
Moutaz Ragab ◽  
Omar Nagy Abdelhakeem ◽  
Omar Mansour ◽  
Mai Gad ◽  
Hesham Anwar Hussein
Keyword(s):  
Histopathological Examination ◽  
Case Reports ◽  
Abdominal Mass ◽  
Mature Teratoma ◽  
Surgical Techniques ◽  
Rare Condition ◽  
Mass Effect ◽  
Fetus In Fetu ◽  
Vascular Connection ◽  
First Case

Abstract Background Fetus in fetu is a rare congenital anomaly. The exact etiology is unclear; one of the mostly accepted theories is the occurrence of an embryological insult occurring in a diamniotic monochorionic twin leading to asymmetrical division of the blastocyst mass. Commonly, they present in the infancy with clinical picture related to their mass effect. About 80% of cases are in the abdomen retroperitoneally. Case presentation We present two cases of this rare condition. The first case was for a 10-year-old girl that presented with anemia and abdominal mass, while the second case was for a 4-month-old boy that was diagnosed antenatally by ultrasound. Both cases had vertebrae, recognizable fetal organs, and skin coverage. Both had a distinct sac. The second case had a vascular connection with the host arising from the superior mesenteric artery. Both cases were intra-abdominal and showed normal levels of alpha-fetoprotein. Histopathological examination revealed elements from the three germ layers without any evidence of immature cells ruling out teratoma as a differential diagnosis. Conclusions Owing to its rarity, fetus in fetu requires a high degree of suspicion and meticulous surgical techniques to avoid either injury of the adjacent vital structures or bleeding from the main blood supply connection to the host. It should be differentiated from mature teratoma.

scholarly journals AB0945 CONTRIBUTION OF MICROBIOLOGICAL AND ANATOMOPATHOLOGICAL EXAMINATIONS IN THE DIAGNOSIS OF SPONTANEOUS PYOGENIC SPONDYLODISCITIS IN ADULTS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1771.3-1771
Author(s):  
I. Mahmoud ◽  
M. Moalla ◽  
A. Ben Tekaya ◽  
S. Bouden ◽  
R. Tekaya ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Klebsiella Oxytoca ◽  
Rare Condition ◽  
Blood Cultures ◽  
X Rays ◽  
Skin Sample ◽  
Bacteriological Study ◽  
Non Invasive ◽  
Pyogenic Spondylodiscitis ◽  
Serious Infection

Background:Pyogenic spondylodiscitis (SPD) is a serious infection of an intervertebral disc and/or adjacent vertebrae, that remains a topical problem in rheumatological practice. Early diagnosis and treatment are the only guarantees of a favorable outcome. Clinicians must strive to isolate the responsible bacteria in order to adapt the treatment, and thus reduce the risk of resistance and complications due to SPD itself, but also to the multiplication of probabilistic treatments.Objectives:Our aim was to study the contribution of the different microbiological and anatomopathological examinations in the diagnosis of pyogenic SPD.Methods:It was a descriptive study in a single rheumatology department. Data were collected retrospectively from observations of patients hospitalized in the past 20 years who have been diagnosed with pyogenic SPD. We excluded cases of tuberculous and brucellar SPD from our study because of their completely different histological and microbiological profiles.Results:Twenty-two cases of pyogenic SPD were collected (14M/ 8F). The mean age of the population was 55.9 years [29,80]. A bacteriological survey including at least one cytobacteriological examination of the urine (CBEU), chest X-rays and blood cultures allowed the identification of the bacteria in 16 cases (73%). The most common site were bacteria was identified was blood culture in 7 cases, skin sample and urine collection in 2 cases each. Disco-vertebral puncture and biopsy (DVPB) was performed in 19 patients when there was no bacteria identification and/or when diagnosis of infectious SPD persisted doubtful. On histopathological examination, were described: an infiltrate and/or inflammatory changes without specificity signs in 7 patients and an appearance of chronic pyogenic SPD very likely in 12 patients. Bacteriological study of DVPB fluid or paravertebral abscesses sample helped to isolate bacteria in 4 patients. DVPB or abscesses puncture were contributing by histological and/or bacteriological examination in 12 patients (63%).Infecting bacteria was identified in 14 patients (64%). Gram-negative bacilli (GNB) and staphylococcus aureus were the most frequent germs (7 cases each) including 2 cases of co-infection. GNBs were represented by: Escherichia Coli and Enterobacter Cloacae in 2 cases each, Proteus Mirabilis, Serratia Marcescens and Klebsiella oxytoca in 1 case each. Clostridium clostridioforme and Lactococcus cremoris were isolated in 1 case each. For patients whose etiological investigation remained negative, SPD diagnosis was retained based on imaging (MRI) guided by anamnestic, clinico-biological and histopathological arguments.Conclusion:SPD is a rare condition that needs to be treated rapidly. Once the diagnosis is suspected, bacteria must be isolated before starting any antibiotic therapy. Simple and non-invasive exams as blood cultures, CBUE and chest rays, should be undertaken first. In fact, these simple exams allowed a germ identification in 73% cases in our study. If doubt persist, DVPB could be contributive to the diagnosis.References:NoneDisclosure of Interests:None declared

Intravenous lobular capillary haemangioma presenting as neck discomfort associated with neck anteflexion

2021 ◽  
Vol 14 (1) ◽  
pp. e237529
Author(s):  
Kotaro Ikeda ◽  
Toshihisa Ichiba ◽  
Kazunori Seo ◽  
Yuji Okazaki
Keyword(s):  
Histopathological Examination ◽  
Rare Condition ◽  
Pyogenic Granuloma ◽  
Capillary Haemangioma ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Clinical Presentations ◽  
Enhanced Ct ◽  
Left Neck ◽  
Left Subclavian Vein

Lobular capillary haemangioma, also known as pyogenic granuloma, is a benign vascular tumour that usually originates in the skin and mucosal membrane. It sometimes derives from the lumen of a vein and the clinical presentations are various and non-specific. A 72-year-old woman complained of a sensation of pressure in her left neck for 1 month when cooking. Her left cephalic vein was enlarged with no signs of oedema, and cervical ultrasound revealed a space-occupying lesion in the left subclavian vein. Contrast-enhanced CT and MRI revealed an intravascular tumour. This tumour was removed with operation, and histopathological examination revealed intravascular capillary haemangioma. Intravascular lobular capillary haemangioma is a rare condition that occurs in the veins of the neck and upper extremities. Intravascular tumours could cause a unique symptom, such as neck discomfort associated with neck anteflexion.

Segmental absence of intestinal musculature in an extremely low birthweight preterm infant

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
Joana Matias ◽  
Maria Cabral ◽  
Luísa Carmona ◽  
Margarida Cabral ◽  
João Franco
Keyword(s):  
Intestinal Perforation ◽  
Low Birthweight ◽  
Histopathological Examination ◽  
Muscularis Propria ◽  
Rare Condition ◽  
Emergency Laparotomy ◽  
Distended Bowel ◽  
Very Low Birthweight Infants ◽  
Intestinal Musculature ◽  
Extremely Low Birthweight

Abstract Background The segmental absence of intestinal musculature is a rare clinical entity, usually manifested in the neonatal period. It is more frequent in preterm infants, particularly in very low birthweight infants. Typically, there are intestinal perforation or intestinal obstruction symptoms. Case presentation The authors report a case of a 30-week-gestational age extremely low birthweight newborn who presented, on the fourth day of life, with a progressively acute abdomen and radiological findings suggestive of intestinal perforation. An emergency laparotomy with segmental ileal resection was performed; intestinal perforation was not confirmed. The histopathological examination of the resected distended bowel revealed an area of severe hypoplastic muscularis propria (with remaining layers intact). Conclusion Preoperative diagnosis of segmental absence of intestinal musculature is extremely difficult; its definitive diagnosis relies solely on the histopathological examination. The clinicians and pathologists should be aware of this rare condition, the treatment and prognosis of which differs from the more common necrotising enterocolitis.

scholarly journals Tuberculosis osteomyelitis of the tibia mimicking Brodie abscess: A case report and review of the literature

2019 ◽  
Vol 7 ◽  
pp. 2050313X1986945
Author(s):  
Abdülkadir Sari ◽  
Yaşar Mahsut Dinçel ◽  
Ibrahim Halil Erdogdu ◽  
Hakan Sezgin Sayıner ◽  
Ismail Agir ◽  
...  
Keyword(s):  
Polymerase Chain Reaction ◽  
Clinical Laboratory ◽  
Histopathological Examination ◽  
Bone Destruction ◽  
Rare Condition ◽  
Chain Reaction ◽  
Laboratory Findings ◽  
Radiographic Appearance ◽  
Brodie’S Abscess ◽  
Polymerase Chain

Background: Tuberculosis osteomyelitis is rarely seen in the diaphyseal bones. It may be confused with Brodie’s abscess due to similar clinical, radiological and laboratory findings. Late diagnosis of the disease causes bone destruction. Tuberculosis osteomyelitis of the bone is a rare condition caused by the Mycobacterium tuberculosis. Its incidence has increased in Western countries in recent years due to HIV infection, increasing elderly population and emerging resistant strains. The slow progress of tuberculous osteomyelitis, due to lack of significant elevations in the laboratory values and changes in the radiographic appearance, often leads to confusion with the subtypes of subacute osteomyelitis, defined as Brodie’s abscess. These two low-virulence clinical cases often lead to delays in diagnosis and progressive bone destruction. Case presentation: We report a 65-year-old male patient who presented to our clinic with pain, swelling and sensitivity in the left leg. Diagnosed with infection in the tibia, the patient had undergone antibiotherapy. However, the patient’s symptoms were not resolved and we performed bone curettage and cementation. M. tuberculosis-specific DNA was detected by real-time polymerase chain reaction and the M. tuberculosis complex was produced from the perioperative samples. Conclusion: In conclusion, histopathological examination and polymerase chain reaction are essential before surgery of subacute and chronic osteomyelitis with atypical clinical, laboratory and radiological findings for early diagnosis and accurate treatment.

scholarly journals Tuberculosis: A Common Infection with Rare Presentation, Isolated Sellar Tuberculoma with Panhypopituitarism

2019 ◽  
Vol 10 (02) ◽  
pp. 327-330 ◽  
Author(s):  
Vivek Mahesh Agrawal ◽  
Pramod Janardhan Giri
Keyword(s):  
Pituitary Adenoma ◽  
Transsphenoidal Surgery ◽  
Rare Case ◽  
Nerve Palsy ◽  
Histopathological Examination ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Endoscopic Transsphenoidal Surgery ◽  
Rare Presentation ◽  
Common Infection

ABSTRACTIsolated sellar tuberculoma is a very rare condition and usually presents with headache and decreased vision. It can present with panhypopituitarism with 3rd nerve palsy. Tuberculoma mimics pituitary adenoma clinically as well as radiologically and requires endoscopic transsphenoidal surgery and histopathological examination for the final diagnosis. We present a rare case of a 40-year-old female presented with headache, decreased vision, and unilateral 3rd nerve palsy with panhypopituitarism.

Primary nasopharyngeal tuberculosis in a patient with the complaint of snoring

2002 ◽  
Vol 116 (4) ◽  
pp. 301-303 ◽  
Author(s):  
Bülent Aktan ◽  
Erol SelimoĞlu ◽  
Harun Üçüncü ◽  
Yavuz Sütbeyaz
Keyword(s):  
Tuberculin Skin Test ◽  
Skin Test ◽  
Histopathological Examination ◽  
Cervical Lymphadenopathy ◽  
Rare Condition ◽  
Endoscopic Examination ◽  
Nasal Discharge ◽  
Common Presentation ◽  
Mucosal Oedema ◽  
Tuberculosis Therapy

Isolated nasopharyngeal tuberculosis is a rare condition, even in endemic tuberculosis areas. The most common presentation of nasopharyngeal tuberculosis is with a cervical lymphadenopathy followed by nasal discharge or obstruction.Here we present a 58-year-old patient with nasopharyngeal tuberculosis whose only complaint was snoring. Her oropharyngeal and anterior rhinoscopic examination was normal. On endoscopic examination, mucosal oedema and hyperaemia of the nasopharynx was observed. There was no cervical lymphadenopathy. The tuberculin skin test was positive and histopathological examination of the biopsy taken from posterior nasopharyngeal wall supported the diagnosis of tuberculosis. After anti-tuberculosis therapy, the snoring stopped and the nasopharyngeal examination was normal.

scholarly journals The importance of histopathology in the diagnosis of isolated renal sarcoidosis: a case report

2018 ◽  
Vol 40 (3) ◽  
pp. 291-295
Author(s):  
João Onofre Trindade Filho ◽  
Kaline Daniele de Souza Amaro ◽  
Allana Desirée Teixeira de Oliveira ◽  
Cecília Neta Alves Pegado Gomes ◽  
Hermann Ferreira Costa ◽  
...  
Keyword(s):  
Case Report ◽  
Medical Records ◽  
Clinical Laboratory ◽  
Histopathological Examination ◽  
Laboratory Data ◽  
Rare Condition ◽  
Unknown Etiology ◽  
Renal Manifestation ◽  
Systemic Inflammatory Disease ◽  
Rule Out

ABSTRACT Introduction: Sarcoidosis is a systemic inflammatory disease of unknown etiology, characterized by the presence of non-caseating granulomas in several organs; renal impairment alone is a rare condition. When it affects the kidneys, the most prevalent manifestations are hypercalcemia and hypercalciuria. This paper aims to address the topic of renal sarcoidosis, by means of a case report, and reinstate the importance of histopathology in its diagnosis. Methods: The data came from an observational clinical study with a qualitative approach, through an interview with the renal sarcoidosis patient and data from her medical records. Case report: Patient D.M.S., 50 years old, Caucasian, presented with reddish eyes and body pains lasting for fifteen days as first manifestations of the disease. Upon kidney ultrasound scan, we found renal parenchymal nephropathy. Serial renal function and metabolic tests reported anemia and progressive urea and creatinine changes, as well as hypercalcemia and hypercalciuria, confirming acute kidney failure (AKF). A histopathological examination suggested the diagnosis, which was confirmed by clinical, laboratory and histopathological data. There was therapeutic resolution after steroid therapy. Discussion: The symptomatology of sarcoidosis is diverse and often non-specific. Renal manifestation, which usually occurs after organ involvement, is present in less than 5% of patients, and about 1% to 2% of these patients may develop AKF. Conclusions: The use of histopathology together with clinical and laboratory data to diagnose isolated renal sarcoidosis, rule out other etiologies and introduce early treatment is of paramount importance.

scholarly journals A Rare Case of Radicular Dens in Dente diagnosed by Clinical, Radiographic, Tomographic, and Histopathological Examinations

2017 ◽  
Vol 6 (1) ◽  
pp. 39-43
Author(s):  
Fabricio K de Carvalho ◽  
Ana PD Moreno ◽  
Jorge E León ◽  
Eduardo P Zanella ◽  
Alexandra M de Queiroz ◽  
...  
Keyword(s):  
Rare Case ◽  
Histopathological Examination ◽  
Treatment Plan ◽  
Final Diagnosis ◽  
Radiographic Examination ◽  
Supernumerary Tooth ◽  
Dental Anomaly ◽  
Dens In Dente ◽  
Tomography Scan ◽  
Dens Invaginatus

ABSTRACT Dens invaginatus is a dental anomaly caused by an invagination of enamel that affects in most of the cases the crown of the tooth. The treatment depends on the degree of invagination and morphological involvement. This report describes a dental anomaly affecting the permanent lower lateral incisor of a 13-year-old patient, which resulted in swelling, pain, and dental impaction. The initial radiographic examination suggested a gemination, a fusion with a supernumerary tooth or a dens invaginatus extending to the root. For more accurate diagnosis and treatment plan of this anomaly, computed tomography scan was performed, which revealed the presence of enamel in the root. Due to pain and the impossibility of performing an orthodontic traction, the treatment of choice in this case was dental extraction. The final diagnosis was confirmed by histopathological examination and revealed the rare occurrence of a radicular dens invaginatus. How to cite this article Moreno APD, de Carvalho FK, de Queiroz AM, León JE, Zanella EP, De Rossi A. A Rare Case of Radicular Dens in Dente diagnosed by Clinical, Radiographic, Tomographic, and Histopathological Examinations. Int J Experiment Dent Sci 2017;6(1):39-43.

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