scholarly journals A Case of Solid Pseudopapillary Neoplasm Spontaneously Ruptured Into the Duodenum: Case Report

2019 ◽  
Vol 103 (9-10) ◽  
pp. 461-467
Author(s):  
Seiji Natsume ◽  
Yoshiki Senda ◽  
Tsuyoshi Sano ◽  
Seiji Ito ◽  
Koji Komori ◽  
...  

There have been no reports of ruptured solid pseudopapillary neoplasm (SPN) into adjacent organs. A 22-year-old female was referred to our hospital for treatment of a pancreatic head tumor. Computed tomography (CT) examination at our hospital showed a 5-cm tumor containing air, although CT at a previous hospital revealed an 8-cm tumor without air. Thus, a spontaneous rupture of the tumor into the duodenum was suspected. Subtotal stomach preserving pancreaticoduodenectomy with combined resection of the portal vein was performed. Contrast radiography of resected specimen showed the medium injected into the tumor leaking out from the 2nd portion of the duodenum. Histologically, the patient was diagnosed as SPN. Microscopic invasion to the portal vein and duodenum were also confirmed. She did not experience any postoperative complications and has remained well without any signs of recurrence during 2 years of follow-up. Although there have been 14 studies reporting ruptured SPN, this is the first report of SPN that spontaneously ruptured into the duodenum. An extremely rare case of SPN of the pancreatic head that spontaneously ruptured into the duodenum was reported.

2015 ◽  
Vol 8 (3) ◽  
pp. 509-514 ◽  
Author(s):  
Sakiko Mizuno ◽  
Ukei Anazawa ◽  
Hiraku Hotta ◽  
Naofumi Asano ◽  
Michiro Susa ◽  
...  

Osteoid osteoma (OO) usually occurs in the extremities of young adults. The tumor can arise in any part of the skeletal tissue; however, it is rarely found in the rib, with limited reports to date. In this report, we present a rare case of OO arising in the rib, which was successfully treated under computed tomography guidance with minimal invasiveness. At the final follow-up after 4 years, no local recurrence was observed.


2010 ◽  
Vol 55 (No. 5) ◽  
pp. 253-257 ◽  
Author(s):  
S. Park ◽  
J. Park ◽  
JM Kim ◽  
JH Kim ◽  
J. Son ◽  
...  

A ten-month old, male Black and Tan Coonhound dog was referred with ocular bleeding due to gunshot injury. His mental state was normal. A computed tomography revealed that the bullet was planted in the left cranium. It was presumed that the trajectory of the bullet penetrated from the right medial angle of the eye to the orbit, and changed its track to caudo-dorsal by penetrating the cranium, ending up at the left cranium. The bullet was removed by lateral rostrotentorial craniectomy. No complications were observed during a one-year follow-up except the blindness in the right eye. This is a rare case of gunshot-induced traumatic brain injury featuring a bullet which went through the orbit into the cranium. The damaged frontal lobe seemed to show no neurological signs at the time of first examination in this case. In conclusion, a less aggressive surgical approach is recommended to remove bullets when they are accessible.


2017 ◽  
Vol 4 (2) ◽  
pp. 780 ◽  
Author(s):  
Hua-Feng Jiang ◽  
Xiao-Jiang Ying

Liposarcoma is a common soft tissue sarcoma. However, its occurrence in pancreas or stomach is extremely rare. In the present study, a rare case of a 55-year-old female with sclerosing liposarcoma in pancreas and stomach is presented.  Ultrasound, magnetic resonance imaging and computed tomography examinations were performed, which revealed a pancreatic mass. Subsequently, the patient underwent surgical resection of the tail of the pancreas and spleen and partial resection of stomach following the identification of a second mass. After surgery, the patient received no adjuvant treatment. Subsequent to 3 years of clinical follow up, the patient remains alive without recurrence or distant metastasis so far. As far as we know, this is the first reported case of sclerosing liposarcoma involving pancreas and stomach.


2019 ◽  
Vol 21 (10) ◽  
pp. 798-800 ◽  
Author(s):  
Zhijun Zhang ◽  
Qinghong Ke ◽  
Weiliang Xia ◽  
Xiuming Zhang ◽  
Yan Shen ◽  
...  

Background: Hemolymphangioma is a rare benign tumor. To the best of our knowledge, there were only 10 reports of this tumor of the pancreas until March 2018. Case Report: Here, we reported a large invasive hemolymphangioma of the pancreas in a young woman with a complaint of abdominal distension and an epigastric mass about 3 weeks. She was found to have a huge multilocular cystic tumor at the neck and body of pancreas on computed tomography. She was eventually diagnosed with hemolymphangioma of the pancreas after operation. After 2 years of follow-up, there was no signs of recurrence. Conclusion: From our case and literature, we can conclude that hemolymphangioma of the pancreas is uncommon benign tumor, and it is hard to make an accurate diagnosis preoperatively. Radical surgical resection should be performed whenever possible. The prognosis of this disease seems good.


2021 ◽  
pp. 014556132110002
Author(s):  
Soňa Šikolová ◽  
Dagmar Hošnová ◽  
Klára Perceová ◽  
Michal Bartoš ◽  
Vít Kruntorád ◽  
...  

Bonebridge (BB) is the first active implantation system for bone conduction that is placed fully under the skin. Experience suggests that BB is characterized by low incidence of postoperative complications. This case report presents a rare case of a 16-year-old girl with incidence of emphysema occurring over the implant 1 year after operation. We performed a computed tomography scan that showed pockets of gas above the floating mass transducer so we provided the revision surgery and sealed the artificial opening with fat from the earlobe and fibrin glue. Since that time, no air has collected in the retroauricular area and the implant has been fully functional.


2008 ◽  
Vol 53 (No. 8) ◽  
pp. 452-455 ◽  
Author(s):  
J. Park ◽  
K.R. Cho ◽  
B.C. Sutradhar ◽  
D. Chang ◽  
S.H. Choi ◽  
...  

Congenitally deformed tibia-fibulas of both hind limbs were diagnosed in a four-month-old, female, domestic shorthair cat that was unable to bear weight and whose movement was painful on both stifle and hock joints. Bleeding was observed repeatedly from the wound made by deformed tibias at the cranial sides of hock joints where the bones were exposed. Radiography and computed tomography revealed a corn-shaped tibia and bow shaped fibula which extended cranio-distally without formation of the hock joints. Femoro-tarsal arthrodesis was successfully executed on both hind legs after exclusion of the deformed and pliable tibia-fibulas. Follow-up radiography showed that bone fusions had gradually improved and were without complications. Postoperatively, the cat was capable of walking on the corrected hind legs and running on the movement of hip joints. To the authors’ knowledge, this is the 1st reported case of femoro-tarsal arthrodesis in a cat. In this case, femoro-tarsal arthrodesis resulted in a satisfactory outcome for congenitally deformed tibia-fibulas in cat.


2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Amresh Kumar Singh ◽  
Rungmei S. K. Marak ◽  
Anand Kumar Maurya ◽  
Manaswini Das ◽  
Vijaya Lakshmi Nag ◽  
...  

Nontuberculous mycobacteria (NTMs) are ubiquitous and are being increasingly reported as human opportunistic infection. Cutaneous infection caused by mixed NTM is extremely rare. We encountered the case of a 46-year-old female, who presented with multiple discharging sinuses over the lower anterior abdominal wall (over a previous appendectomy scar) for the past 2 years. Microscopy and culture of the pus discharge were done to isolate and identify the etiological agent. Finally, GenoType Mycobacterium CM/AS assay proved it to be a mixed infection caused byMycobacterium szulgaiandM. intermedium. The patient was advised a combination of rifampicin 600 mg once daily, ethambutol 600 mg once daily, and clarithromycin 500 mg twice daily to be taken along with periodic follow-up based upon clinical response as well as microbiological response. We emphasize that infections by NTM must be considered in the etiology of nonhealing wounds or sinuses, especially at postsurgical sites.


2016 ◽  
Vol 29 (05) ◽  
pp. 433-438
Author(s):  
John Culvenor ◽  
Craig Bailey ◽  
Alen Lai

SummaryObjective: To quantitatively evaluate the change of the coxofemoral joints using computed tomography and distraction index in a cat with hip dysplasia treated by juvenile pubic symphysiodesis.Study Design: Case report.Animal: Eighteen-week-old female entire Maine Coon cat.Results: Juvenile pubic symphysiodesis resulted in changes in the distraction index, acetabular angle, dorsal acetabular rim angle, dorsal acetabular sector angle, and clinical improvement at the six month follow-up. No intra-operative or postoperative complications were recorded.Conclusions: Juvenile pubic symphysiodesis performed at 18 weeks of age resulted in improvement in hip joint conformation and hip laxity in a dysplastic cat.Clinical relevance: Juvenile pubic symphysiodesis may be a promising treatment for feline hip dysplasia and is a safe and technically simple procedure to perform. Further investigations are warranted.


2014 ◽  
Vol 7 ◽  
pp. CCRep.S13079 ◽  
Author(s):  
Kathryn Boyce ◽  
William Campbell ◽  
Mark Taylor

This is a rare case report of acute pancreatitis secondary to a massive incarcerated paraoesophageal hernia. The pathogenesis resulted from obstruction of the distal pancreatic duct after displacement of the pancreatic head and body into the thorax as part of a Type IV paraoesophageal hernia. Although this condition is rare, the patient made steady progress following laparotomy and open repair of hernia. She made a good recovery after prompt therapy, therefore, this report can be a guide to the diagnosis and treatment of similar conditions.


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