scholarly journals Uncommon Presentation of a Benign Nasopharyngeal Mass in an Adolescent: Comprehensive Review of Pediatric Nasopharyngeal Masses

2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Victor M. Duarte ◽  
Yuan F. Liu ◽  
Nina L. Shapiro
Keyword(s):  
Single Case ◽  
Pediatric Population ◽  
Tertiary Care ◽  
Adolescent Male ◽  
Comprehensive Review ◽  
Uncommon Presentation ◽  
Nasopharyngeal Mass ◽  
Tertiary Care Institution ◽  
High Index Of Suspicion ◽  
Nasopharyngeal Masses

Nasopharyngeal masses in the pediatric population are quite rare, and the majority of these are benign. In adolescent boys, there should be a high index of suspicion for juvenile nasopharyngeal angiofibromas. When malignant, the most common lesions encountered are rhabdomyosarcomas, carcinomas, and lymphomas. We report a single case from a tertiary care institution of an adolescent male with an unusual presentation of a benign nasopharyngeal mass and provide a comprehensive review of pediatric nasopharyngeal masses. Whenever possible, radiographic imaging should be obtained, in addition to biopsy, to assist in the diagnosis of pediatric nasopharyngeal masses.

scholarly journals Leiomyosarcoma of the Inferior Vena Cava - An Experience from a Tertiary Care Centre in South India

2021 ◽  
Vol 8 (24) ◽  
pp. 2023-2028
Author(s):  
Aleena Elizabeth Andrews ◽  
Juvaina Puthiyakam ◽  
Naufal Perumpalath ◽  
Devarajan Ellezhuthil
Keyword(s):  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Single Case ◽  
Tertiary Care ◽  
Vena Cava ◽  
Tertiary Care Centre ◽  
Rare Tumour ◽  
Medical College ◽  
Tertiary Centre ◽  
High Index Of Suspicion

BACKGROUND Leiomyosarcomas (LMS) of inferior vena cava (IVC) are rare smooth muscle sarcomas with less than 300 cases described in the literature. Leiomyosarcoma of IVC is, often detected late in the course due to its indolent manifestation. This study intends to discuss the experiences and challenges in diagnosing this rare entity primarily by radiological imaging in a tertiary centre in India. METHODS This is a retrospective analysis of computed tomography (CT) and ultrasound findings in 6 cases of leiomyosarcoma of inferior vena cava who were referred for multidetector computer tomography (MDCT) scan in the Department of Radiodiagnosis of Government Medical College Calicut over the past 7 years by the treating physician. The patients were identified using a prospectively maintained database. RESULTS In this study, there were six patients diagnosed as leiomyosarcoma of IVC, age ranging from 35 and 64 years (mean 47.8 years, SD 10.7) with 4 (66.6 %) females and 2 (33.33 %) males. The mean size of the tumour at the time of diagnosis was 8.4 cm. The segment of IVC most commonly involved was middle segment in 5 patients (83.3 %). In this series, only a single case had tumour entirely confined within the lumen of inferior vena cava without extraluminal extension. Two out of six cases (16.66 %) had lung metastasis at the time of diagnosis. Two cases without metastasis or significant infiltration to adjacent organs were amenable to resection. CONCLUSIONS Leiomyosarcoma of IVC is a rare tumour, often detected late in the course due to its indolent manifestation. High index of suspicion may help in the early diagnosis of so that early treatment can begin and improve the clinical outcome. KEYWORDS Leiomyosarcoma, Inferior Vena Cava, Mesenchymal Neoplasms

scholarly journals Deep Cerebral Venous Thrombosis—A Clinicoradiological Study

2021 ◽  
Author(s):  
Sujana Gogineni ◽  
Dhananjay Gupta ◽  
R. Pradeep ◽  
Anish Mehta ◽  
Mahendra Javali ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Care Center ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Arterial Occlusion ◽  
Venous System ◽  
Common Risk Factor ◽  
Imaging Characteristics ◽  
Deep Cerebral Venous Thrombosis ◽  
High Index Of Suspicion

AbstractStroke is a common neurological emergency. Almost 80% of strokes are due to arterial occlusion. Venous thrombosis comprises less than 1–2% of all strokes. Involvement of the deep cerebral venous system is still rare and accounts for about 10.9% of all cerebral venous thromboses (CVT). CVT diagnosis is often delayed or missed, because of its variable clinical manifestations. We retrospectively (2015–18) and prospectively (2018–20) reviewed all the cases of CVT in a tertiary care center in south India. Out of a total of 52 CVT cases, 12 were due to the involvement of deep cerebral venous system. Their clinical presentation, imaging characteristics, and outcomes were assessed. The most frequent presentation was headache followed by seizures. Hyperhomocysteinemia was the most common risk factor noted. Imaging characteristics were variable, and a high index of suspicion was required for early diagnosis. All patients had favorable outcome in our study, and except one, all were treated conservatively.

scholarly journals Profile and outcome of pediatric intussusception: a 5-year experience in a tertiary care center

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Aqeela J. Madan ◽  
Fayza Haider ◽  
Saeed Alhindi
Keyword(s):  
Seasonal Variation ◽  
Success Rate ◽  
Pediatric Population ◽  
Care Center ◽  
Tertiary Care ◽  
Operative Intervention ◽  
Secondary Outcome ◽  
Lead Point ◽  
Pneumatic Reduction ◽  
Tertiary Center

Abstract Background Intussusception is the most frequent cause of bowel obstruction in infants and toddlers; idiopathic intussusception occurs predominantly under the age of 3 and is rare after the age of 6 years; the highest incidence occurs in infants between 4 and 9 months; the gold standard for treatment of intussusception is non-operative reduction. This research will tackle the problem of pediatric intussusception in our center which is the largest tertiary center in our region. The primary outcome is to study the profile of intussusception; the secondary outcome is to assess the success rate of pneumatic reduction in the center’s pediatric population as well as to study the seasonal variation if present. Results During the study period, eighty-six (N=86) cases were identified, from which 10 cases were recurrent intussusception. Seventy-six (N=76) cases were included from the study period. N=68 (89%) were less than 3 years of age, and only N=2 (3%) were above 6 years. Seasonal variation was not significant; N=69 (91%) patients had successful pneumatic reduction under fluoroscopy while thirteen patients N=13 (17%) needed operative intervention. Conclusion Ileocolic intussusception is one of the most common pediatric surgical emergencies that can be successfully managed non-operatively in our institute; 89% of the cases were below 3 years of age, and no seasonal variation was demonstrated. Operative intervention was required in 13 cases with the main reason being lead point. The fact that the pediatric surgeon performs the reduction might have contributed to a high success rate reaching 91% in our center. This study provides a valuable opportunity for future regional data comparisons and pooled data analyses.

Intraorbital Abscess: A Rare Cause of Orbit Compression

FACE ◽  
2021 ◽  
pp. 273250162110050
Author(s):  
Samuel Ruiz ◽  
Rizal Lim
Keyword(s):  
Pediatric Population ◽  
Rare Complication ◽  
Disease Process ◽  
Rare Condition ◽  
External Drainage ◽  
Direct Extension ◽  
Life Threatening ◽  
History Of ◽  
High Index Of Suspicion ◽  
Prompt Diagnosis

Introduction: Intraorbital abscess is a rare complication of rhinosinusitis that affects most commonly the pediatric population. It is thought to be caused by direct extension or venous spread of infections from contiguous sites and can lead to life-threatening complications, like permanent visual loss and cerebral abscesses. Objectives: Intraorbital abscess is a rare condition that requires prompt diagnosis and treatment to avoid serious complications. Our objectives are to provide an overview of this rare disease process and its management including our successful treatment experience. Case Description: We present a 2 case report of a 13-year-old pediatric male and a 66-year-old male with history of chronic sinusitis who presented with a right intraorbital abscess successfully treated with external drainage with decompression of the orbit. Conclusion: When intraorbital abscess is encountered, a high index of suspicion is needed to allow prompt and accurate diagnosis for this infrequent condition. Timely surgical drainage of the abscess is needed to prevent the development of fatal complications.

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