scholarly journals Dermoid Cyst of the Pancreas: A Report of an Unusual Case and a Review of the Literature

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Aynur Albayrak ◽  
Umran Yildirim ◽  
Metin Aydin
Keyword(s):  
Computed Tomography ◽  
Dermoid Cyst ◽  
Preoperative Diagnosis ◽  
Unusual Case ◽  
Epigastric Pain ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Histopathologic Evaluation ◽  
Cystic Pancreatic Lesions ◽  
Rare Diagnosis

Pancreatic dermoid cysts are a rare entity. Preoperative diagnosis is difficult. The diagnosis is generally taking intraoperative. A 20-year-old female presented with epigastric pain without nausea, vomiting, diarrhea, fever, jaundice, and weight loss of one-month duration. Ultrasonography and computed tomography showed a smooth borders, solid, hyperechoic tumor within midline abdomen, without any connection to the stomach or spleen. At surgery, the entire mass was excised off of the head and inferior part of pancreas. Histopathologic evaluation revealed the rare diagnosis of a dermoid cyst. The diagnosis is difficult preoperatively in evaluating cystic pancreatic lesions by imaging. Therefore, we want to summarize the literature on this rare entity knowledge.

A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

2016 ◽  
Vol 19 (1) ◽  
pp. 028
Author(s):  
Shengjun Wu ◽  
Peng Teng ◽  
Yiming Ni ◽  
Renyuan Li
Keyword(s):  
Computed Tomography ◽  
Heart Transplantation ◽  
Coronary Sinus ◽  
Unusual Case ◽  
Superior Vena ◽  
Vena Cava ◽  
Final Diagnosis ◽  
Rare Entity ◽  
First Case ◽  
Enhanced Computed Tomography

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

scholarly journals Bilateral Obturator Hernia Diagnosed by Computed Tomography: A Case Report with Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Sanjay M. Khaladkar ◽  
Anubhav Kamal ◽  
Sahil Garg ◽  
Vigyat Kamal
Keyword(s):  
Computed Tomography ◽  
Preoperative Diagnosis ◽  
Bowel Ischemia ◽  
Obturator Hernia ◽  
Morbidity And Mortality ◽  
Abdominal Hernia ◽  
Review Of The Literature ◽  
Diagnostic Challenge ◽  
Rare Form ◽  
Thigh Region

Obturator hernia is a rare form of abdominal hernia and a diagnostic challenge. It is commonly seen in elderly thin females. Its diagnosis is often delayed with resultant increased morbidity and mortality due to bowel ischemia/gangrene. It is mistakenly diagnosed as femoral or inguinal hernia on USG. Computed tomography is diagnostic and is a valuable tool for preoperative diagnosis. This report presents a case of 70-year-old thin female presenting with intestinal obstruction due to left sided obstructed obturator hernia. USG showed small bowel obstruction and an obstructed left sided femoral hernia. CT scan of abdomen and pelvis with inguinal and upper thigh region disclosed left sided obturator hernia. It also detected clinically occult right sided obturator hernia. Early diagnosis and surgical treatment contribute greatly in reducing the morbidity and mortality rate.

scholarly journals Carcinosarcoma of the Gallbladder with Chondrosarcomatous Differentiation and Intracytoplasmic Eosinophilic Hyaline Globules (Thanatosomes): A Report of a Case and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Jumana A. Alratroot ◽  
Amani A. Joudeh ◽  
Samir S. Amr
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Lymph Nodes ◽  
Ct Scan ◽  
Unusual Case ◽  
Distal Gastrectomy ◽  
Malignant Cells ◽  
Review Of The Literature ◽  
Hyaline Globules ◽  
Transverse Colectomy

A 52-year-old woman presented with abdominal pain and vomiting. Computed tomography (CT) scan of the abdomen revealed a huge exophytic gallbladder mass displacing or invading the surrounding structures. The patient underwent radical cholecystectomy, transverse colectomy, distal gastrectomy, and liver bed resection. Histologically, the tumor showed both carcinomatous and sarcomatous components, with prominent chondrosarcomatous differentiation. In addition, several malignant cells showed intracytoplasmic eosinophilic hyaline globules (Thanatosomes). The tumor showed metastatic deposits to the omentum, the liver, and the peripancreatic lymph nodes. We report this unusual case and present a review of all cases of carcinosarcoma of the gallbladder with chondrosarcomatous differentiation.

scholarly journals Strangulated lumber hernias in adults: A case report and review of the literature

2016 ◽  
Vol 98 (8) ◽  
pp. e160-e161 ◽  
Author(s):  
I Ka ◽  
ML Gueye ◽  
O Thiam ◽  
LG Akpo ◽  
AO Toure
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Preoperative Diagnosis ◽  
Rare Condition ◽  
Lumbar Hernia ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Management Guideline ◽  
Therapeutic Modalities ◽  
Specific Management

Strangulated lumbar hernia is a very rare condition, with no more than 30 cases reported in the literature so far. Therefore, there is no specific management guideline and the diagnosis remains difficult. By reporting the case of a Senegalese male patient who had a preoperative diagnosis of strangulated lumbar hernia, we aim to discuss the diagnosis and therapeutic modalities of this rare entity, which is often misdiagnosed.

scholarly journals Acardius Acephalic Monster

2011 ◽  
Vol 3 (3) ◽  
pp. 141-142
Author(s):  
Anuradha Kakani ◽  
D Shrivastava ◽  
Asha Arora
Keyword(s):  
Postmenopausal Woman ◽  
Dermoid Cyst ◽  
Coming Out ◽  
Vaginal Hysterectomy ◽  
Unusual Case ◽  
Reproductive Age ◽  
Age Group ◽  
Rare Entity ◽  
Reproductive Age Group ◽  
In Pregnancy

ABSTRACT Dermoid cyst in postmenopausal women is a rare entity. It is seen most commonly in young reproductive age group. It constitutes about 10 to 20% of all ovarian tumors in pregnancy. Chance of malignancy is about 1-2%, torsion is common. Here, we have presented an unusual case of dermoid cyst in a postmenopausal woman who presented with complaints which were not directly related to the cyst. A 16-week mass per abdomen was not bothering the patient at all, rather she presented in the OPD with a mass coming out per vaginum, which was a third degree uterocervical descent. Patient was posted for vaginal hysterectomy and the cyst was removed perabdominally.

Laryngolith

2009 ◽  
Vol 123 (2) ◽  
Author(s):  
A H Hegab
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Interesting Case ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Computed Tomography Scan ◽  
Unique Case ◽  
The Past ◽  
Tomography Scan ◽  
Biochemical Examination

AbstractObjective:To report an extremely rare and interesting case of a woman who developed a laryngeal stone.Case report:A 44-year-old woman was referred to our ENT clinic complaining of dyspnoea and stridor. She had been treated for chest problems for approximately 30 years. On examination, she had a large, spiky, subglottic lesion compromising the airway. A laryngeal computed tomography scan and histopathological and biochemical examination showed the lesion to be a calcium phosphate stone. Review of the literature from the past 50 years, using several search engines, revealed no similar cases.Conclusion:To the author's knowledge, this is a unique case of a stone that developed in the subglottis. This rare entity was the cause of long-standing chest problems unresponsive to medical treatment. The patient recovered completely from all her symptoms after removal of the laryngolith.

Isolated Congenital round Window Absence

2002 ◽  
Vol 111 (9) ◽  
pp. 799-801 ◽  
Author(s):  
Christian Martin ◽  
Stéphane Tringali ◽  
Jean-François Pouget ◽  
Pierre Bertholon ◽  
Jean-Michel Prades
Keyword(s):  
Computed Tomography ◽  
Conductive Hearing Loss ◽  
Round Window ◽  
Virtual Endoscopy ◽  
Rare Entity ◽  
Computed Tomography Scan ◽  
High Resolution Computed Tomography ◽  
Conductive Hearing ◽  
Rare Diagnosis ◽  
Tomography Scan

Absence of the round window as a congenital defect is a rare entity that causes a conductive hearing loss. To the best of our knowledge, isolated and nonsyndromal round window absence has only been reported 3 times; the diagnoses were made during surgery. We are reporting on another case that was diagnosed before operation by virtual endoscopy of the middle ear during a high-resolution computed tomography scan. Although this new technique requires further validation, it may be an alternative to surgery as a means of confirming this rare diagnosis.

Aorto-iliac aneurysm infected by Brucella: distinctive presentation patterns of a rare entity

Vascular ◽  
2013 ◽  
Vol 21 (5) ◽  
pp. 307-315 ◽  
Author(s):  
S K Kakkos ◽  
S Papadoulas ◽  
G Lampropoulos ◽  
M Marangos ◽  
C Kalogeropoulou ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Preoperative Diagnosis ◽  
Graft Infection ◽  
Rare Entity ◽  
Iliac Aneurysm ◽  
Review Of The Literature ◽  
Lack Of Information ◽  
Aneurysm Repair ◽  
Infrarenal Abdominal Aorta

There is currently a lack of information on presentation patterns and the appropriate investigation and treatment of aortic brucellosis. Herein a case affecting the iliac component of an aorto-iliac aneurysm, managed successfully with in situ graft repair, is reported. A review of the literature identified 25 cases, with the infrarenal abdominal aorta (65%) followed by the ascending thoracic aorta (23%) being mostly affected; only our case involved the iliacs. Aortic brucellosis affected mostly older men, caused pain more often than fever (in 73% and 57%, respectively), and involved frequently the spine or the aortic valve ( n = 14, 56%). Preoperative diagnosis was made more often in the presence of fever (67% versus 18% in afebrile patients, P = 0.021). In situ aneurysm repair in the form of open (54%) or endovascular (8%) grafting was mostly performed. Mortality was 12% and graft infection was 13% at two years. In conclusion, aortic brucellosis has unique presentation patterns, usually affecting an abnormal or aneurysmal aorta and/or due to a contiguous spinal or aortic valve infection. Acute symptomatology with pain and/or fever occurs very often and should raise suspicion for aortic infection. Despite the seriousness of aortic involvement, mortality and reinfection rates are within acceptable levels.

Papillary Endothelial Hyperplasia of the Adrenal Gland: Report of a Case and Review of the Literature

2008 ◽  
Vol 74 (9) ◽  
pp. 813-816 ◽  
Author(s):  
Constantinos Constantinou ◽  
David Sheldon
Keyword(s):  
Computed Tomography ◽  
Adrenal Gland ◽  
Adrenal Mass ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Comprehensive Review ◽  
Common Features ◽  
Papillary Endothelial Hyperplasia ◽  
Pathologic Analysis

Papillary endothelial hyperplasia (PEH) is a benign vascular proliferative process most frequently seen in the skin and integument, but may involve any of the visceral organs. It is a rare entity, with less than 30 cases of visceral PEH described in the literature. Adrenal papillary endothelial hyperplasia is an exceedingly rare process and is the basis of this review. A 66-year-old female was referred for evaluation of an asymptomatic 6 cm right adrenal mass. Computed tomography indicated that the lesion was solid and hypervascular. After appropriate workup, the patient underwent laparoscopic adrenalectomy. The pathologic analysis was consistent with adrenal PEH. The patient recovered without incident and is doing well at 1 year follow-up. A review of the world's literature on papillary endothelial hyperplasia (PEH), and in particular adrenal PEH, yields five previous reports of this entity, and no comprehensive review. A compilation of the now six patients with adrenal PEH reveals several common features: five of six patients were female and mean age was 64 years. The disease radiologically mimics adrenal cortical carcinoma mandating a surgical oncological technique. Pathologic differentiation from angiosarcoma can be a difficult task requiring evaluation by an experienced pathologist.

Isolated unilateral hypoglossal nerve palsy secondary to an atlantooccipital joint juxtafacet synovial cyst

2009 ◽  
Vol 10 (3) ◽  
pp. 234-239 ◽  
Author(s):  
Mohamed Samy Elhammady ◽  
Hamad Farhat ◽  
Mohammad Ali Aziz-Sultan ◽  
Jacques J. Morcos
Keyword(s):  
Preoperative Diagnosis ◽  
Nerve Palsy ◽  
Hypoglossal Nerve ◽  
Synovial Cyst ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Hypoglossal Nerve Palsy ◽  
The Third ◽  
Atlantooccipital Joint ◽  
Hypoglossal Schwannoma

Juxtafacet cysts of the atlantooccipital joint that present with isolated hypoglossal nerve palsy are rare and may mimic more common pathological entities. The authors report on the third such case in the literature and discuss the differential diagnosis, imaging hallmarks, preoperative recognition, and surgical management of this lesion, and provide a review of the literature. The authors discuss their experience with the treatment of a 67-year-old woman who presented with an isolated hypoglossal nerve palsy caused by a nonenhancing cystic septated lesion abutting the lateral medulla just medial to the left hypoglossal canal. The lesion was presumed to be a necrotic hypoglossal schwannoma or epidermoid tumor. Intradural surgical exploration failed to demonstrate an intradural lesion, but confirmed the presence of an extradural mass caudal to the hypoglossal nerve. Extradural exploration revealed a synovial cyst of the atlantooccipital joint, which was then resected. Postoperatively, the patient developed worsening dysphagia and hoarseness. Failure to recognize this rare entity preoperatively resulted in unnecessary intradural exploration and cranial nerve morbidity. In retrospect, the preoperative diagnosis of this lesion was suggested by lack of central enhancement, absence of dumbbell formation and the presence of erosive synovial changes. Regardless, the extreme rarity of this lesion at this location will always make its recognition challenging.

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