scholarly journals Adult Gastric Bronchogenic Cyst With Elevated Tumor Marker in Containing Fluid: A Case Report and Literature Review

2020 ◽  
Vol 104 (1-2) ◽  
pp. 58-64
Author(s):  
Jixuan Duan ◽  
Sheng Yan ◽  
Qiyi Zhang ◽  
Jingjin Wu ◽  
Yu Du ◽  
...  
Keyword(s):  
Case Report ◽  
Alimentary Tract ◽  
Bronchogenic Cyst ◽  
Abdominal Mass ◽  
Ciliated Epithelium ◽  
Pathologic Examination ◽  
High Concentration ◽  
Case Presentation ◽  
Elevated Tumor Marker ◽  
Cystic Masses

Introduction: Duplication cysts are rare malformations that exist in the alimentary tract, and the mucosa of gastric bronchogenic cyst lined by pseudostratified columnar ciliated epithelium (PCCE) is even more rare. We reviewed related literatures to depict this unique abnormality. Case presentation: Herein we report an abdominal mass that was found incidentally in a 52-year-old female. The biochemical test of contents revealed a high concentration of tumor markers unusually. A laparoscopic surgery was undertaken to remove the lesion. The cyst was found to originate from the stomach but did not show any anatomic communication with the stomach lumen. Pathologic examination confirmed the mucosa was lined by PCCE. Conclusion: The symptoms and radiologic presentations of GDC are nonspecific. It should be distinguished with other abdominal cystic masses. Surgery is advised in respective of malignancy.

scholarly journals Giant Intrapericardial Bronchogenic Cyst Associated with Congestive Heart Failure and Atrial Fibrillation:  A Case Report

2020 ◽  
Author(s):  
Javier Maldonado ◽  
German Molina ◽  
Francisco M- Rincón T ◽  
Lina M. Acosta Buitrago ◽  
Carlos J- Perez Rivera
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Congestive Heart Failure ◽  
Differential Diagnosis ◽  
Case Report ◽  
Bronchogenic Cyst ◽  
De Novo ◽  
Pathological Findings ◽  
Case Presentation ◽  
Bronchogenic Cysts

Abstract Background: Large intracardiac bronchogenic cysts are rare mediastinal masses, however they must always be considered in the differential diagnosis of heart failure. Case Presentation: We present a 60-year-old female patient with de novo atrial fibrillation and heart failure, resulting from an incidental large intrapericardial mass. The patient underwent successful surgical resection, with pathological findings confirming a bronchogenic cyst.Conclusions: Large bronchogenic cysts located intrapericardially are very rare, however they should be included in the differential diagnosis of patients presenting with atrial fibrillation and heart failure.

scholarly journals A mass in the upper abdomen derived from Talaromyces marneffei infected lymphadenopathy: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Xue Chen ◽  
Lin Jia ◽  
Yongfeng Wu ◽  
Jing Chang ◽  
Tong Zhang ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Case Report ◽  
Abdominal Mass ◽  
Case Presentation ◽  
Talaromyces Marneffei ◽  
Immunodeficiency Virus ◽  
Upper Abdominal ◽  
Upper Abdomen ◽  
Next Generation Sequencing Ngs ◽  
Generation Sequencing

Abstract Background An upper abdominal mass without tenderness often indicates a benign or malignant tumor once liver or spleen hyperplasia has been excluded. A lymphadenopathic mass from Talaromyces marneffei infection is rare. Case presentation We report the case of a 29-year-old human immunodeficiency virus (HIV) infected man who presented with an upper abdominal mass and without any symptoms related with infection. Histopathology and next-generation sequencing (NGS) following biopsy of the mass confirmed T. marneffei-infected lymphadenopathy, and the patient was successfully treated with amphotericin B and itraconazole. Conclusions This case report suggests that potential fungal infection should be considered during the diagnostic workup of a mass in clinical practice.

scholarly journals Prenatal diagnosis of megaduodenum using ultrasound: a case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kaihui Zeng ◽  
Dongmei Li ◽  
Yao Zhang ◽  
Chengcheng Cao ◽  
Ruobing Bai ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Prenatal Diagnosis ◽  
Amniotic Fluid ◽  
Ultrasound Examination ◽  
Cystic Mass ◽  
Developmental Defect ◽  
Case Presentation ◽  
Amniotic Fluid Volume ◽  
Cystic Masses

Abstract Background Congenital megaduodenum is a rare disorder; however, its prenatal diagnosis has not been reported previously. We report the case of an abdominal cystic mass in a fetus that was later diagnosed as megaduodenum. Case presentation An abdominal cystic mass was found during ultrasonography of a fetus at 11 weeks of gestation. The mass progressively enlarged with gestation. The amniotic fluid volume decreased and then returned to normal. During the last prenatal ultrasound examination, the mass was observed communicating with the stomach; therefore, duodenal dilation was suspected. Finally, the patient was diagnosed with megaduodenum caused by a developmental defect in the nerve plexus. Conclusions Congenital megaduodenum is a differential diagnosis of massive fetal abdominal cystic masses. Ultrasound examinations of such masses communicating with the stomach may help determine the diagnosis.

scholarly journals Colonic duplication presenting as a huge abdominal mass in an adult female

2019 ◽  
Vol 34 (11) ◽  
pp. 1995-1998 ◽  
Author(s):  
Kung-Chuan Cheng ◽  
Sheung-Fat Ko ◽  
Ko-Chao Lee
Keyword(s):  
Alimentary Tract ◽  
Abdominal Mass ◽  
Young Female ◽  
Wall Thickening ◽  
Intermittent Fever ◽  
Case Presentation ◽  
Colonic Duplication ◽  
Recommended Treatment ◽  
Bowel Wall Thickening ◽  
Left Abdomen

Abstract Introduction Duplications of the alimentary tract are a rare congenital malformation. Most of the cases are symptomatic and diagnosed before 2 years of age. Here, we report a young female presented with a huge abdominal mass, and colonic duplication was confirmed during laparotomy. Case presentation A 29-year-old female had chronic constipation treated with laxative agents. She presented to the emergency room with abdominal cramping for 3 days, accompanied with intermittent fever and vomiting. A huge movable abdominal mass was noted during physical examination. Computerized tomography showed a long segmental dilated bowel lumen with stool impaction and bowel wall thickening of the dilated lumen in the left abdomen, highly suggestive of a long tubular colon duplication. The patient underwent subtotal colectomy. Specimen subsequently confirmed the diagnosis for colonic duplication from cecum to sigmoid colon, and the duplicated colon was found on the antimesenteric side of the native colon. She had a stable postoperative course and was discharged 9 days later. Discussion Duplications of the alimentary tract are a rare congenital anomaly. Colonic duplication is an even more unusual malformation of this type. It can be classified into cystic or tubular type according to the gross morphology and may or may not be associated with other congenital anomalies. Most common presentation includes abdominal distention, refractory constipation, and bowel obstruction like many other colorectal conditions. Thus, its indistinct symptoms make it difficult to be diagnosed preoperatively. The recommended treatment is surgical resection of the duplicated lumen along with the attached native colon.

scholarly journals Clinical and imaging findings of walled-off pancreatic necrosis misdiagnosed as an intra-abdominal neoplasia in a Schnauzer dog: A case report

2021 ◽  
Vol 66 (No. 1) ◽  
pp. 32-39
Author(s):  
J Kim ◽  
J Ko ◽  
H Yoon ◽  
H Kim ◽  
J Hwang ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Case Report ◽  
Soft Tissue ◽  
Pancreatic Necrosis ◽  
Abdominal Mass ◽  
Imaging Findings ◽  
Diagnostic Modality ◽  
Surgical Exploration ◽  
Cystic Masses

A 10-year-old Schnauzer presented with a 1-month history of vomiting, anorexia, and abdominal pain, and a recently detected intra-abdominal mass. The round, soft-tissue opacity masses identified on the radiography in the left mid-abdomen were confirmed as multifocal, cystic masses via ultrasonography. The necrotic masses mimicked an intra-abdominal neoplasia on the initial imaging examinations. The computed tomography (CT) clearly showed encapsulated masses with a necrotic fluid arising from the left limb of the pancreas and extending to the peripancreatic, paracolic, and perigastric regions. Based on the multimodal imaging, surgical exploration, and histopathology, the mass was diagnosed as a walled-off pancreatic necrosis (WOPN). CT is an effective diagnostic modality for diagnosing acute pancreatitis in WOPN.

scholarly journals Auto-amputated ovary- rare cause of intestinal obstruction in a neonate: A case report

2021 ◽  
Vol 10 ◽  
pp. 18
Author(s):  
Naeem Liaqat ◽  
Raja Muhammad Imran ◽  
Anies Mahomed
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Intestinal Obstruction ◽  
Pressure Effect ◽  
Abdominal Mass ◽  
Ovarian Cysts ◽  
Unusual Complication ◽  
Case Presentation ◽  
Direct Pressure

Background: Congenital ovarian cysts rarely auto amputate. An unusual complication of this event is secondary intestinal obstruction. The mechanism may be consequent to a direct pressure effect or to adhesions induced by the cyst. Case Presentation: A neonate presented with an abdominal mass and intestinal obstruction. On exploration, she had a mass hanging over the small intestine and one ovary was absent. Mass was excised and it turned out to be an auto-amputated ovary Conclusion: Although it is a rare pathology in neonates, surgeons must suspect it, particularly if an ovary is absent.

scholarly journals Ileo-colonic tubular duplication with distal sigmoid colon stenosis in a neonate: A case report

2020 ◽  
Vol 9 ◽  
pp. 11
Author(s):  
Raghunath BV ◽  
Veerabhadra Radhakrishnan ◽  
Varsha Jinnenahalli Srinivas ◽  
Janaki Raghavan ◽  
Prasad Nagadevanahalli Ashokkumar ◽  
...  
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Alimentary Tract ◽  
Duplication Cyst ◽  
Successful Management ◽  
Case Presentation ◽  
Novel Technique ◽  
Management Challenge ◽  
Distal Sigmoid ◽  
Colon Stenosis

Background: Though the duplication cysts presenting with intestinal obstruction are not uncommon in neonates, tubular duplications may pose a significant diagnostic and management challenge. Case Presentation: We present the successful management of a neonate presenting with intestinal obstruction. The diagnosis of ileocolonic tubular duplication cyst was made intra-operatively. The cyst was managed with a novel technique. Conclusion: Tubular duplications of the alimentary tract rarely encounter in neonates. The surgeons should improvise the surgical technique to manage such anomalies.

scholarly journals A non-secretory malignant insulinoma: a case report

2019 ◽  
Vol 6 (3) ◽  
pp. 3093-3095
Author(s):  
Mohammad Zarei ◽  
Majid Dastras ◽  
Mostafa Roshanravan
Keyword(s):  
Case Report ◽  
Surgical Management ◽  
Rare Case ◽  
Abdominal Mass ◽  
Patient Treatment ◽  
Surgical Operation ◽  
Case Presentation ◽  
Malignant Insulinoma ◽  
Old Persian

Introduction: We report a rare case of non-insulin secreting malignant insulinoma of the pancreas and discuss its medical and surgical management. Case Presentation: Our patient was a 62- year-old Persian female. Over the previous year, she had developed increased abdominal mass, dizziness, weakness, and fatigue. After surgical operation, chemotherapy was given to the patient. Treatment with cisplatin and etoposide was commenced in a 4-month course. Conclusion: As a result, chemotherapy showed an important role in the management of insulinoma.

scholarly journals Is orchiectomy avoidable in testicular tuberculosis mimicking malignancy? A case report

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Youssef Kharbach ◽  
Youssef Retal ◽  
Abdelhak Khallouk
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Family History ◽  
Physical Examination ◽  
Testicular Cancer ◽  
Testicular Tumor ◽  
Pathologic Examination ◽  
Case Presentation ◽  
Scrotal Swelling ◽  
Firm Mass

Abstract Background Isolated testicular tuberculosis (TB) is extremely uncommon. It has non-specific presentation; thus, diagnosis is challenging and is often discovered on pathology examination after orchiectomy. Case presentation We report herein the case of a 73-year-old male, with no significant medical or family history, who presented with left scrotal swelling, physical examination revealed a left testicular firm mass measuring 3 cm and ultrasound was suggestive of testicular tumor. Left inguinal orchiectomy was performed and the pathologic examination revealed testicular TB. The presentation was typically mimicking a testicular cancer with no evocative evidence of TB; this can lead to a dilemma and highlights the need to consider TB in differential diagnosis of testicular tumor, especially in areas endemic for the disease. Conclusions The aim of our presentation is to argue if orchiectomy was avoidable. It also illustrates the probable hematogenous or lymphatic spread of Mtb to the testicle.

scholarly journals Giant pedunculated hepatic hemangioma necessitating surgical excision in a neonate: A case report

2020 ◽  
Vol 9 ◽  
pp. 15
Author(s):  
Abdulrahman Almuawi ◽  
Mohammed Daboos ◽  
Ramakrishna Prasad
Keyword(s):  
Case Report ◽  
Abdominal Mass ◽  
Surgical Excision ◽  
Bowel Function ◽  
Mass Effect ◽  
Postoperative Recovery ◽  
Hepatic Hemangioma ◽  
Respiratory Compromise ◽  
Case Presentation ◽  
Giant Hepatic Hemangioma

Background: Hepatic hemangioma (HH) is the most common hepatic tumor in small infants. It rarely presents during the neonatal period. Fetal giant hepatic hemangiomas tend to result in hydrops fetalis and cardiac failure due to cardiovascular overload. The purpose of this case report is to demonstrate the importance of pre and postnatal diagnosis of liver hemangioma with unusual presentation in neonatal life with huge mass causing respiratory compromise, and bowel compression. Case Presentation: We present a rare case of giant pedunculated hepatic hemangioma, diagnosed prenatally as a huge intra-abdominal mass. Patient developed respiratory distress due to large abdominal mass, thrombocytopenia, anemia and bowel compression thus necessitated surgical excision. Postoperative recovery was uneventful. Conclusion: Giant hepatic hemangioma may become fatal due to a huge mass effect on respiration and bowel function, along with associated thrombocytopenia and anemia. Adequate monitoring and support are mandatory in such cases and surgical excision at times becomes lifesaving.

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