scholarly journals A Tragical Paediatric Case History of Intraorbital and Intracranial Epithelioid Hemangioendothelioma

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
K. Aniba ◽  
M. Laghmari ◽  
M. Lmejjati ◽  
H. Ghannane ◽  
S. Ait Benali
Keyword(s):  
Ct Scan ◽  
Case History ◽  
Epithelioid Hemangioendothelioma ◽  
Interesting Case ◽  
Temporal Fossa ◽  
Paediatric Case ◽  
Neuroradiologic Imaging ◽  
History Of ◽  
The Right ◽  
Subfrontal Approach

Epithelioid hemangioendothelioma (EHE) is a rare tumor of intermediate malignancy. We report a case of intracranial and intraorbitar EHE. A 3-year-old girl presented with a 3-month history of progressive left exophthalmia. Neuroradiologic imaging (CT scan and MRI) showed an intraorbitar process with an intense enhancement extending to temporal fossa, ethmoidal bone, nasal fossa, maxillary sinus, and cavernous sinus. The angiogram was normal. The tumor was operated through subfrontal approach but only a partial resection was performed. The histological diagnosis was epithelioid hemangioendothelioma. The patient was neurologically intact 2 months after surgery without exophtalmia. However 4 months after surgery he displayed a fall of the right eye vision with intense headache. Control CT scan showed persistence of important tumoral residue. Epithelioid hemangioendothelioma is a hemorrhagic tumor. Total removal must be possible. Otherwise, we recommend a complementary chemoradiotherapy and close followup. We propose this interesting case history of a tragical evolution of EHE in contradiction with what has already been reported.

scholarly journals Ileo-caecal Tuberculosis Associated with Hepatic Involvement - A Case Report

1970 ◽  
Vol 20 (1) ◽  
pp. 60-63
Author(s):  
SMK Nahar Begum ◽  
M Azizul Hoque ◽  
K Khalilur Rahmen ◽  
AK Pramanik ◽  
S Shafiqul Alam
Keyword(s):  
Weight Loss ◽  
Case Report ◽  
Case History ◽  
Interesting Case ◽  
Hepatic Involvement ◽  
History Of ◽  
The Right

This is the case history of a 36 year old male who presented with fever, diarrhoea, weight loss with tenderness in the right hypochondrium and right ileac region. This was finally diagnosed as an interesting case of ileo-caecal tuberculosis with associated hepatic involvement.   doi: 10.3329/taj.v20i1.3093 TAJ 2007; 20(1): 60-63

scholarly journals Resection of a colonic mass following trauma: a diagnostic dilemma

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Paul Burchard ◽  
Alan A Thomay
Keyword(s):  
Ct Scan ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Symptomatic Improvement ◽  
Diagnostic Dilemma ◽  
Vehicle Accident ◽  
Abdomen Ct ◽  
History Of ◽  
Mitotic Figures ◽  
The Right

Abstract A 53-year-old Caucasian male presented with a 2-week history of abdominal distension, pain, nausea and lethargy. His symptoms began 1 day after an all-terrain vehicle accident during which he suffered blunt-force trauma to his mid-right abdomen. CT scan demonstrated abnormal thickening of the ascending colon and terminal ilium with surrounding inflammation within the retroperitoneum and colonic mesentery. Given his likely mechanism and symptomatic improvement, he was initially managed conservatively. However, he was readmitted with recurrence of symptoms, and a repeat CT scan demonstrated no interval improvement. An exploratory laparotomy was performed and a firm, fixed mass of the right-colon and colonic mesentery was found. Final histopathology of the mass revealed a diffuse lymphoid infiltrate with numerous mitotic figures and apoptotic cells. Immunohistochemical staining was positive for CD45, CD20, CD10, and BCL-6 and negative for CD3, TdT, and BCL-2, indicating a diagnosis of Burkitt lymphoma.

scholarly journals Incarcerated Lumbar Hernia Complicated by Retroperitoneal Pseudoaneurysm 50 Years after Resection and Radiation Therapy of a Sarcoma

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Oluwatobi Onafowokan ◽  
Dabanjan Bandyopadhyay ◽  
Dale Johnson ◽  
Hugo J. R. Bonatti
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Ct Scan ◽  
Late Complication ◽  
Abdominal Hernia ◽  
Emergency Laparotomy ◽  
Incisional Hernias ◽  
History Of ◽  
The Right

Background. Lumbar hernias are rare abdominal hernias. Surgery is the only treatment option but remains challenging. Posterior incisional hernias are even rarer especially with incarceration of intra-abdominal contents.Case Presentation. A 68-year old female presented with a 3-day history of worsening acute abdominal pain and distension, with multiple episodes of emesis. A CT scan indicated a large incarcerated posterolateral abdominal hernia. The patient had a history of resection of a sarcoma on her back as a child and also received chemotherapy and radiation. During emergency laparoscopy, a hemorrhagic small bowel segment incarcerated in the hernia was reduced and resected, and the distended small bowel was decompressed. An elective hernia repair was scheduled. After temporary clinical improvement, the patient again developed abdominal pain, distention, and emesis. During emergency laparotomy, a large hematoma in the right flank was found and partially evacuated. The right colon was mobilized out of the hernia and the duodenum was kocherized. A20×20cm BIO-A mesh was placed on top of the Gerota fascia and cranially tucked under liver segment VI. Anteriorly, the mesh was fixated with absorbable tacks. The duodenum and colon were placed into the mesh pocket. A postoperative CT scan identified a 2 cm pseudoaneurysm of a side branch of a lumbar artery, and the bleeding source was embolized. The postoperative course was complicated byClostridium difficile-associated colitis, but ultimately, the patient recovered fully. At 6-month follow-up, there was no evidence for a recurrent hernia.Discussion. There is a paucity of literature concerning lumbar incisional hernias. Repair with bioabsorbable mesh seems feasible, but longer follow-up is necessary as the mesh was placed in an unusual fashion due to the retroperitoneal hematoma. The exact cause of the hemorrhage is unclear and may have been caused during the initial incarceration, during surgery, or may be a late complication of her previous radiation.

The Sweating Anomaly in Cluster Headache: Further Observations on the Underlying Mechanism

Cephalalgia ◽  
1987 ◽  
Vol 7 (1) ◽  
pp. 77-81 ◽  
Author(s):  
Ottar Sjaastad ◽  
Rolf Salvesen ◽  
F Antonaci
Keyword(s):  
Cluster Headache ◽  
Underlying Mechanism ◽  
Interesting Case ◽  
Test Results ◽  
Sympathetic Dysfunction ◽  
Typical History ◽  
History Of ◽  
Heating Test ◽  
The Right ◽  
Autonomic Test

We describe a patient with a typical history of cluster headache for more than 18 years. During the first approximately 10 years of his disease, the pain was right-sided, and pupillometric and evaporimetric measurements indicated a sympathetic deficiency on this same side. However, for the next >6 years, his pain was consistently left-sided, although the signs of sympathetic dysfunction still were more marked on the right side. This was also true for the findings obtained during the interictal period and for the heating test performed within an attack. The implications of this interesting case are discussed. The view that two separate lines of symptom production lead to the pain and the autonomic phenomena seems to be supported by this case history. The cluster headache syndrome may also be a bilateral disorder, with only the weight of balance pointing one way or the other. Finally, the autonomic test results of this patient could reflect an autonomic “scar” in the previous headache side.

scholarly journals Localized Asymmetry in Human Dental Crown Form—an Interesting Case

2018 ◽  
Vol 17 (1) ◽  
pp. 18-23 ◽  
Author(s):  
John Wetherell ◽  
Tracey Winning ◽  
Grant Townsend
Keyword(s):  
Root Formation ◽  
Interesting Case ◽  
Normal Range ◽  
History Of ◽  
Tooth Germs ◽  
The Right ◽  
Range Of Variation ◽  
Lower Molar ◽  
Or History ◽  
Crown Form

A case of a 20-year-old female is described in which the premolars and molars on the right side of the arch display altered crown proportions and altered occlusal morphology. There is no evidence of an orofacial congenital disorder or history of trauma. It is argued that the asymmetrical expression of crown form does not fall within the normal range of variation but has resulted from a localized disruption in cellular function within the developing tooth germs, probably upsetting the folding of the internal enamel epithelia. This has produced crowns that have rounded cuspal outlines and reduced intercuspal distances. Superimposed space constraints in the mandible may have also led to compression of the lower molar crowns mesiodistally and affected their root formation.

scholarly journals An Interesting Case Report of Frontal Sinus Keratocyst

2019 ◽  
Vol 9 (1) ◽  
pp. 100
Author(s):  
Alireza Mohebbi ◽  
Mohammad Aghajanpour
Keyword(s):  
Case Report ◽  
Surgical Resection ◽  
Frontal Sinus ◽  
Interesting Case ◽  
Ophthalmological Examination ◽  
Eyelid Edema ◽  
Complete Surgical Resection ◽  
Orbital Wall ◽  
History Of ◽  
The Right

Purpose: To report an unusual case of frontal sinus keratocyst. Case Report: A 31 year old woman presented with a history of swollen right eye and visual field impairment. The ophthalmological examination revealed right superior eyelid edema and some degrees of proptosis. CT scan with iodine injection evidenced the opacification of the right frontal sinus with superior orbital wall lysis. Complete endoscopic surgical resection of a mass containing foul smelling keratin material was performed via Draf type III. The patient became symptomatic after 6 years. Imaging studies showed neo- osteogenesis in the far lateral end of right frontal sinus. Frontal trephination was done and the remnant of keratocyst was removed and the septum interfacing the cell and the right frontal sinus was walled down entirely. Conclusion: Although frontal sinus keratocyst is benign but can spread to the surrounding structures leading to several complications. Therefore, complete surgical resection is necessary to avoid recurrence.

scholarly journals Metallic embolus to the brain in a patient with mechanical heart valves: an extremely rare complication

2019 ◽  
Vol 12 (8) ◽  
pp. e230653 ◽  
Author(s):  
Shazib Sagheer ◽  
Abu Baker Sheikh ◽  
Jon J Hallstrom ◽  
Veena Raizada
Keyword(s):  
Ct Scan ◽  
Heart Valves ◽  
Rare Complication ◽  
Replacement Surgery ◽  
Mechanical Valves ◽  
Rheumatic Valve Disease ◽  
History Of ◽  
The Right ◽  
The Brain ◽  
Paroxysmal Positional Vertigo

A 46-year-old man with a medical history of rheumatic valve disease underwent mitral and aortic valve replacements with On-X and CarboMedics Top Hat supra-annular mechanical valves, respectively. Seven months after the valve replacement surgery, the patient presented with dizziness. A CT scan of the brain was done as part of a thorough workup of dizziness. The CT scan revealed a small metallic density in the M2 branch of the right middle cerebral artery. The metallic density was believed to be a metallic embolus that originated from the mechanical valves or the suturing material, that is, Cor-Knot fastener. Although in our case, the dizziness was believed to be the result of benign paroxysmal positional vertigo, through this case, we aim to highlight this extremely rare structural complication of mechanical valves. This complication can have serious and potentially fatal consequences such as embolic component-related stroke or another organ infarction.

scholarly journals “Unusual brain stone”: heavily calcified primary neoplasm with some features suggestive of angiocentric glioma

2015 ◽  
Vol 123 (5) ◽  
pp. 1256-1260 ◽  
Author(s):  
Jahangir Sajjad ◽  
Chandrasekaran Kaliaperumal ◽  
Niamh Bermingham ◽  
Charles Marks ◽  
Catherine Keohane
Keyword(s):  
Ct Scan ◽  
Neurological Deficits ◽  
Parietal Region ◽  
History Of ◽  
Angiocentric Glioma ◽  
Primary Neoplasm ◽  
History Of Epilepsy ◽  
The Right ◽  
Visual Blurring ◽  
Excised Tissue

This 40-year-old man presented with a 5-month history of progressive right-sided headache associated with visual blurring. He also had a history of epilepsy but had been seizure free with medication for the past 10 years. An initial CT scan of his brain performed 16 years previously had revealed a small area of calcification in the right parietal region. In the current presentation, he had a left-sided homonymous hemianopia but no other neurological deficits. A CT scan of his brain showed a much larger calcified, partly cystic lesion in the right parietal region. Because he was symptomatic, the lesion was excised and the cyst was drained. Histological examination of the excised tissue showed an unusual primary tumor that was difficult to classify but had some features of angiocentric glioma. The heavy calcification, mixed-density cell population, and regions with features of angiocentric glioma were most unusual. The patient remained asymptomatic 5 years after surgery, and follow-up scans did not show recurrence.

Incidence and clinical significance of iliac vein compression

Vascular ◽  
2014 ◽  
Vol 23 (4) ◽  
pp. 337-343 ◽  
Author(s):  
M Nazzal ◽  
M El-Fedaly ◽  
V Kazan ◽  
W Qu ◽  
AW Renno ◽  
...  
Keyword(s):  
Ct Scan ◽  
Clinical Symptoms ◽  
Iliac Vein ◽  
Adjacent Segment ◽  
Common Iliac Vein ◽  
Chi Square ◽  
Vein Thrombosis ◽  
History Of ◽  
The Right ◽  
Deep Vein

Objectives To determine the frequency of left common iliac vein (CIV) compression by the right common iliac artery (CIA) based on CT scan images. Methods CT scan images were reviewed and the diameter of CIV was measured at the area of minimal diameter and compared to the distal adjacent segment and the contralateral CIV at the same level. Medical records were reviewed for symptoms, deep vein thrombosis (DVT) and risk factors that might be associated with DVT. Data were analyzed with SPSS program using both Chi square and t test. A p < 0.05 was considered statistically significant. Linear regression (R2) was used to evaluate correlation. Results A total of 300 complete records were reviewed. The mean age was 51.89 years, with 126 (42%) males. Comparison between the two groups (>70% vs <70%) showed similar clinical factors such as history of DVT, surgery, immobilization, malignancy, limb trauma, pregnancy, obesity, CHF, and smoking. There were more females with CIV compression of 70% or more than males (19.5% vs 11.1% P < .049). Conclusion Diameter stenosis more than 70% was present in 30.6% of cases with higher incidence in females. The presence of stenosis was not associated with the presence of clinical symptoms.

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