scholarly journals A Colourachal-Cutaneous Fistula: A Report of an Unusual Case

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Mohamed Mourad Gargouri ◽  
Rami Boulma ◽  
Ahmed Sallemi ◽  
Mohamed Chlif ◽  
Zouhaier Fitouri ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Unusual Case ◽  
Surgical Excision ◽  
Cutaneous Fistula ◽  
En Bloc ◽  
Incomplete Closure ◽  
Uncommon Complication

Urachal anomalies are rare affections due to incomplete closure of urachus during foetal period. Colo-urachal-cutaneous fistula is an uncommon complication of urachal anomalies. Only three cases have been reported so far in the literature. Herein, we report a new case in a 51-year-old patient presenting with umbilical feculent discharge lasting for 4 weeks. Diagnosis was made by computed tomography. After en bloc total surgical excision followup was uneventful.

scholarly journals Maxillary odontogenic myxoma presenting mainly on nasal manifestation: a unique CT appearance of ‘floating’ tooth

2020 ◽  
Vol 7 (1) ◽  
pp. 163
Author(s):  
Najlaa Raihana Juhari ◽  
Chong Aun Wee
Keyword(s):  
Computed Tomography ◽  
Oral Cavity ◽  
Aggressive Behavior ◽  
Maxillary Sinus ◽  
Unusual Case ◽  
Surgical Excision ◽  
Lytic Lesion ◽  
Malignant Neoplasms ◽  
Odontogenic Myxoma ◽  
Radiographic Appearance

<p class="abstract">An odontogenic myxoma is a benign odontogenic tumor with locally aggressive behavior. It is relatively rare in the oral cavity. The diagnosis poses a challenge because its features overlap with those of other benign and malignant neoplasms. We present an unusual case of odontogenic myxoma with involvement of the maxilla extending to the maxillary sinus in a 17-year-old lady. A unique computed tomography (CT) appearance revealed a well circumscribed lytic lesion arising from the left maxilla causing expansion and thinning of the maxillary cortex. There is a discernible tooth with adjacent amorphous calcification in a round formation noted within the lesion. Biopsy revealed an odontogenic myxoma. The patient however did not undergo surgical excision as was not consented at the time of this write ups. This paper highlights the unique radiographic appearance of the pathology that has not been reported so far as well as to discuss its clinical significance.  </p>

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.

Parotid Duct Sialolithiasis in a Dog

2007 ◽  
Vol 43 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Brian J. Trumpatori ◽  
Kyleigh Geissler ◽  
Kyle G. Mathews
Keyword(s):  
Computed Tomography ◽  
Inflammatory Infiltrate ◽  
Surgical Excision ◽  
Histological Evaluation ◽  
Parotid Duct ◽  
Facial Swelling ◽  
History Of ◽  
Mixed Inflammatory Infiltrate ◽  
Glandular Atrophy ◽  
English Bulldog

Computed tomography was used to evaluate a 7-year-old English bulldog with a history of facial swelling and to aid in the diagnosis of parotid duct sialolithiasis. Removal of the sialolith with repair of the duct was not possible because of ductal fibrosis. Histological evaluation revealed glandular atrophy and fibrosis with lymphoplasmacytic inflammation. The parotid duct was ulcerated and fibrotic, with a mixed inflammatory infiltrate. Surgical excision of the parotid duct and salivary gland was curative.

Unusual case of malignant pleural mesothelioma

2021 ◽  
Vol 14 (7) ◽  
pp. e243803
Author(s):  
Timothy Johanan Rajaratnam ◽  
Jurgen Herre
Keyword(s):  
Computed Tomography ◽  
Unusual Case ◽  
Ct Scans ◽  
Pleural Mesothelioma ◽  
Pleural Effusions ◽  
Multidisciplinary Team Meeting ◽  
Distal Oesophagus ◽  
Medical Thoracoscopy ◽  
Supportive Management ◽  
Progressive Dysphagia

We present the case of a 65-year-old woman who presented with progressive dysphagia and was diagnosed with achalasia. She subsequently developed bilateral chylous pleural effusions, with no cause identified despite extensive investigations (including computed tomography (CT) scans, gastroscopy and medical thoracoscopy (MT)) and review at a dedicated pleural multidisciplinary team meeting.Despite optimal supportive management she deteriorated and was admitted to the intensive care unit, where she passed away due to sepsis and respiratory failure 10 months after initial presentation. A postmortem returned a diagnosis of epithelioid mesothelioma, encasing the carina, distal oesophagus and coeliac axis.Mesothelioma only very rarely presents with either chylous effusions or achalasia. Additionally while MT normally conveys excellent sensitivity for pleural malignancy, it was insufficient here. This case highlights how an unusually located mesothelioma can produce an unusual clinical picture. It also suggests a role for early video-assisted thoracoscopy to aid diagnosis.

PP - A MASSIVE RADIOPAQUE LESION IN THE POSTERIOR MANDIBLE: A REPORT OF AN UNUSUAL CASE AND RELATED COMPUTED TOMOGRAPHY FINDINGS

2017 ◽  
Vol 123 (2) ◽  
pp. e55-e56
Author(s):  
VIVIAN NARANA RIBEIRO EL ACHKAR ◽  
MÔNICA GHISLAINE OLIVEIRA ALVES ◽  
LAIS MORANDINI CARVALHO ◽  
SÉRGIO LUCIO PEREIRA DE CASTRO LOPES ◽  
JANETE DIAS ALMEIDA ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Unusual Case

Microsurgical Resection of a Solitary Spinal Epidural Cavernous Angioma: 3-Dimensional Operative Video

2018 ◽  
Vol 16 (2) ◽  
pp. E47-E47
Author(s):  
Guilherme H W Ceccato ◽  
Lucélio Henning ◽  
Julyana L Prado ◽  
Marcio S Rassi ◽  
Luis A B Borba
Keyword(s):  
Vascular Malformations ◽  
Surgical Excision ◽  
Cavernous Angioma ◽  
Neurophysiological Monitoring ◽  
Ethical Standards ◽  
Patient Identification ◽  
Research Committee ◽  
En Bloc ◽  
3 Dimensional ◽  
Spinal Epidural

Abstract Solitary spinal epidural cavernous angiomas are rare vascular malformations. Surgical excision is the treatment of choice, as these lesions tend to grow or bleed at some point. In this 3-dimensional, narrated video, we present the case of a 61-year-old male who presented with progressive pain in the right paravertebral region secondary to an epidural cavernous angioma located at the T6/T7 level. Under intraoperative neurophysiological monitoring, a laminectomy between T5 and T7 was performed. A reddish, well delimited, and highly vascularized epidural mass was identified and dissected from the adjacent dura and nerve root, and an en bloc total resection was achieved. The patient was discharged neurologically intact on postoperative day 4, presenting a remarkable improvement of his pain at 2-month follow-up. Total excision of these lesions is possible in most of cases, remaining the standard treatment, with minimum complications.  All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. All data related to patient identification were removed from this surgical video and manuscript, with no need of a written informed consent.

scholarly journals Pott’s disease with extensive bilateral psoas abscesses in a Nigerian woman: an unusual case

2020 ◽  
Vol 32 (3) ◽  
pp. 168-175
Author(s):  
Nneka Iloanusi
Keyword(s):  
Computed Tomography ◽  
Unusual Case ◽  
Surgical Drainage ◽  
Optimal Outcome ◽  
Ultrasound Guided ◽  
Pott’S Disease ◽  
Tb Treatment ◽  
Nigerian Woman ◽  
History Of ◽  
Abscess Wall

Bilateral psoas abscesses are uncommon in Pott’s disease. We describe a 28-year-old Nigerian woman with a 2-year history of constitutional symptoms and a 1-year history of bilateral paravertebral masses. She had received anti-tuberculosis (TB) treatment in an interrupted manner. A computed tomography (CT) scan revealed T10–T12 spondylitis, wedge collapse and extensive bilateral psoas abscesses. Histology of the abscess wall was definitively diagnosed as soft tissue TB, and special staining for acid-fast bacilli was positive. She was successfully treated with anti-TB therapy and ultrasound-guided surgical drainage of 6 L of abscess fluid. Complicated cases of Pott’s disease may require multi-disciplinary interventions for optimal outcome.

scholarly journals Schwannoma of the Submandibular Gland

2020 ◽  
Vol 28 (1) ◽  
pp. 80-83
Author(s):  
Dechu Muddaiah ◽  
Srinivas Venkatarangaiah ◽  
Prashanth V ◽  
Mohammed Adil Hussain M
Keyword(s):  
Submandibular Gland ◽  
Unusual Case ◽  
Surgical Excision ◽  
Good Prognosis ◽  
Total Excision ◽  
Rare Form ◽  
Neurogenic Tumour ◽  
Mesenchymal Tumours ◽  
Submandibular Gland Excision ◽  
Histopathologic Features

Introduction Mesenchymal tumours of submandibular gland are extremely rare. Schwannoma of the salivary glands is a particularly rare form of an extracranial neurogenic tumour.  Case Report Here, we present an unusual case of schwannoma of submandibular gland in a 16 year old girl, who underwent total excision of mass with submandibular gland excision with no cranial nerve deficits. The details of the histopathologic features are present .   Discussion Schwannoma of the salivary gland is a particularly rare form of an extracranial neurogenic tumour. Our case indicates good prognosis in a case of submandibular gland schwannoma after surgical excision.

scholarly journals An unusual case of genital filariasis of the testicular tunics in an Italian patient

2021 ◽  
Vol 41 (3) ◽  
pp. 186-189
Author(s):  
Alessia Fassari ◽  
Andrea Polistena ◽  
Giorgio De Toma ◽  
Enrico Fiori
Keyword(s):  
Medical Treatment ◽  
Adult Worm ◽  
Clinical Examination ◽  
Unusual Case ◽  
Surgical Excision ◽  
Singular Case ◽  
Short Term ◽  
Italian Patient ◽  
Immigrant Patient ◽  
Endemic Areas

At least 27 million men present with urogenital manifestations of genital filariasis (GF). Although there is a large burden of GF in residents in endemic regions, infection in short-term travellers and in non-endemic areas is rare. We report the case of a 75-year-old Italian man referred to our institution for a testicular discomfort. Clinical examination and ultrasound detected a mass of 40×18 mm in the scrotum without signs of varicocele, hydrocele and testicular or epididymal abnormalities. After ineffective medical treatment, the patient underwent surgical excision. Histology demonstrated filarial granuloma with thick cuticles pathognomonic of an adult worm in the testicular tunics. Surgery has a fundamental role in localized cases of GF to remove nematodes from the fibrotic nodules. The present manuscript describes a singular case of GF observed in Italy in a non-immigrant patient with evidence of remnants of an adult worm in the testicular tunics. SIMILAR CASES PUBLISHED: 11

scholarly journals Osteosarcoma of the hard palate in a dog ˗ case report

2021 ◽  
Vol 73 (1) ◽  
pp. 207-213
Author(s):  
B.L. Silveira ◽  
G.D. Cassali ◽  
T.C.M. Lopes
Keyword(s):  
Computed Tomography ◽  
Hard Palate ◽  
Bone Cancer ◽  
Metronomic Chemotherapy ◽  
Surgical Excision ◽  
Well Being ◽  
Conventional Chemotherapy ◽  
Primary Bone ◽  
Firm Mass

ABSTRACT The osteosarcoma (OSA) is the most diagnosed primary bone cancer in canine patients. This work reports a case of a canine, six years old, mongrel, female, intact, with an OSA in the hard palate. Physical examination detected a firm mass in the palate. Thoracic radiographs, hematological and biochemical exams, histopathological exams and computed tomography were requested. A chondroblastic OSA was diagnosed and the tumor was characterized by immunohistochemistry. There was never evidence of metastasis in this case. The treatment consisted of the combination of conventional chemotherapy, metronomic chemotherapy, and palliative care, aiming at greater survival and well-being of the patient since surgical excision was not possible due to the location and extension of the tumor. Osteogenic sarcomas of the hard palate are rarely seen and described in the literature. In this article we present a characterization of the osteosarcoma with uncommon localization in the hard palate.

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