scholarly journals A Huge Cystic Retroperitoneal Lymphangioma Presenting with Back Pain

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Mahir Gachabayov ◽  
Kubach Kubachev ◽  
Elbrus Abdullaev ◽  
Valentin Babyshin ◽  
Dmitriy Neronov ◽  
...  
Keyword(s):  
Back Pain ◽  
Rare Disease ◽  
Female Patient ◽  
Clinical Presentation ◽  
Cystic Mass ◽  
Abdominal Distention ◽  
Abdominal Tumors ◽  
Rare Location ◽  
History Of ◽  
Retroperitoneal Lymphangioma

Retroperitoneal lymphangioma is a rare location and type of benign abdominal tumors. The clinical presentation of this rare disease is nonspecific, ranging from abdominal distention to sepsis. Here we present a 73-year-old female patient with 3-month history of back pain. USG and CT revealed a huge cystic mass which was surgically excised and appeared to be lymphangioma on histopathology.

scholarly journals Cervical thymoma

1999 ◽  
Vol 117 (3) ◽  
pp. 132-135 ◽  
Author(s):  
Abrão Rapoport ◽  
Claudiane Ferreira Dias ◽  
João Paulo Aché de Freitas ◽  
Ricardo Pires de Souza
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Rare Disease ◽  
Female Patient ◽  
Thallium 201 ◽  
Accurate Diagnosis ◽  
Nuclear Resonance ◽  
Histological Findings ◽  
History Of ◽  
Iodine 131

CONTEXT: Cervical thymoma is a primitive thymic neoplasia. It is very rare. This disease presents higher incidence in female patients in their 4th to 6th decade of life. We present a case report of a cervical thymoma CASE REPORT: 54-year-old female patient, caucasian, with no history of morbidity, presenting a left cervical nodule close to the thyroid gland. During the 30 months of investigation a left cervical nodule grew progressively next to the thyroid while the patient showed no symptoms, making accurate diagnosis difficult. Tests on her thyroid function did not show changes, nor were there changes in any subsidiary tests. The diagnosis of the disease was made intra-operatively through total thyroid individualization. The results were confirmed by the histological findings from the ressected material. Cervical thymoma is a very rare disease, with difficult preoperatory diagnosis. Some additional study methods which are employed today are thallium 201, technetium 99 and iodine 131 scintigraphy, magnetic nuclear resonance and especially histopathological findings and classification.

scholarly journals Intestinal lymphangiectasia: case report

2019 ◽  
Vol 6 (5) ◽  
pp. 1678
Author(s):  
Reham Mohmmad Aljohnei ◽  
Hawazen Yousef Abdullah Alani
Keyword(s):  
Case Report ◽  
Rare Disease ◽  
Present Report ◽  
Abdominal Distention ◽  
Intestinal Lymphangiectasia ◽  
Peripheral Edema ◽  
Long Duration ◽  
White Spots ◽  
Intestinal Lymphatics ◽  
History Of

Primary intestinal lymphangiectasia (PIL) was first described by Waldmann et al, in 1961. PIL is a rare disease with several hundred reported cases. It is rarely reported in adults because it is presumably a congenital disorder and when present in adults it typically produces a long duration of manifestation such as diarrhea, abdominal distention from ascites, and peripheral edema. This disorder is characterized by markedly dilated intestinal lymphatics, hypoproteinemia, generalized edema, lymphocytopenia hypogammaglobinemia, and immunologic anomalies. The loss of protein into the from dilated intestinal lymphatics leads to the development of hypoproteinemia in these patients and its demonstration is important in the diagnosis of intestinal lymphangiectasia. The disease can be secondary to congenital, secondary or idiopathic defects in the formation of the lymphatic ducts. In the present report, we describe a case of 15 years old female presented to our hospital with history of generalized edema, bilateral hand spasm, and diarrhea. Endoscopy of the patient revealed White spots (dilated lacteals), white nodules, and submucosal elevations were observed. Changes suggestive of the disease includes White villi and/or spots (dilated lacteals), white nodules, and submucosal elevations are observed. Xanthomata’s plaques are often visualized, there are no specific treatments for patients with PIL. treatment of patients with primary intestinal lymphangiectasia involves control of symptoms with the use of dietary, pharmaceutical, and behavioral modifications.

scholarly journals Primary aspergilloma and subacute invasive aspergillosis in two AIDS patients

2009 ◽  
Vol 51 (1) ◽  
pp. 49-52 ◽  
Author(s):  
Roberto Martinez ◽  
Gleusa de Castro ◽  
Alcyone A. Machado ◽  
Maria Janete Moya
Keyword(s):  
Invasive Aspergillosis ◽  
Female Patient ◽  
Antifungal Therapy ◽  
Clinical Presentation ◽  
Brain Lesions ◽  
Antifungal Treatment ◽  
Lung Involvement ◽  
Aids Patients ◽  
History Of ◽  
Cd4 Lymphocyte

Although uncommon, invasive aspergillosis in the setting of AIDS is important because of its peculiar clinical presentation and high lethality. This report examines two AIDS patients with a history of severe cellular immunosuppression and previous neutropenia, who developed subacute invasive aspergillosis. One female patient developed primary lung aspergilloma, with dissemination to the mediastinum, vertebrae, and spine, which was fatal despite antifungal treatment. The second patient, who had multiple cavitary brain lesions, and eye and lung involvement, recovered following voriconazole and itraconazole, and drugs for increasing neutrophil and CD4+ lymphocyte levels. These cases demonstrate the importance of Aspergillus infections following neutropenia in AIDS patients, and emphasize the need for early and effective antifungal therapy.

Supratentorial Arachnoid Cyst Located in the Brain Parenchyma: Case Report

Neurosurgery ◽  
2011 ◽  
Vol 68 (1) ◽  
pp. E258-E262 ◽  
Author(s):  
Kyung-Jae. Park ◽  
Shin-Hyuk. Kang ◽  
Yang-Seok. Chae ◽  
Yong-Gu. Chung
Keyword(s):  
Frontal Lobe ◽  
Arachnoid Cyst ◽  
Clinical Presentation ◽  
Brain Parenchyma ◽  
Cystic Mass ◽  
Clear Fluid ◽  
Computed Tomographic ◽  
History Of ◽  
The Right ◽  
The Brain

abstract BACKGROUND AND IMPORTANCE: Arachnoid cysts have not been reported to be located within the brain parenchyma. We present a case of an arachnoid cyst that was contained entirely within the right frontal lobe devoid of communication with the subarachnoid space and ventricle. CLINICAL PRESENTATION: A 65-year-old woman presented with a 1-year history of progressive headache and nausea. Computed tomographic and magnetic resonance imagining scans showed a well-defined, nonenhancing mass measuring 5 × 5 × 3.5 cm in the right frontal lobe. The mass appeared to be contained entirely within the brain parenchyma. The patient underwent a right frontal craniotomy, at which time the cystic mass was identified in the brain parenchyma without any communication with the arachnoid space. The cyst contained a clear fluid, and its wall was excised. The fluid contents demonstrated a composition similar to that of normal cerebrospinal fluid. Histological and immunohistochemical examinations of the cyst wall were compatible with the diagnosis of an arachnoid cyst. Postoperatively, the symptoms of the patient resolved, and no recurrence was observed up to 6 months after removal. CONCLUSION: The present case showed an intraparenchymal arachnoid cyst arising in the frontal lobe. Although the etiology is not known, an arachnoid cyst should be included in the differential diagnosis of primary intracerebral cysts.

scholarly journals A rare case of retroperitoneal lymphangioma in a 74-year-old Chinese male

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Hui Jun Lim ◽  
Joey Wee-Shan Tan ◽  
Claramae Shulyn Chia ◽  
Chin-Ann Johnny Ong
Keyword(s):  
Rare Case ◽  
Iliac Fossa ◽  
Cystic Mass ◽  
Left Iliac Fossa ◽  
Surgical Exploration ◽  
History Of ◽  
Retroperitoneal Lymphangioma ◽  
Chinese Male ◽  
Tomography Scan ◽  
Firm Mass

Abstract Retroperitoneal lymphangioma is an uncommon and benign mesodermal tumour that arises from the retroperitoneal lymphatics. Notably, it is a rare occurrence in adults, where <200 adult retroperitoneal lymphangioma cases have been published in the literature. Additionally, retroperitoneal lymphangioma is often difficult to diagnose preoperatively and formal diagnosis is frequently determined following surgical exploration. Here, we describe a rare case of retroperitoneal lymphangioma in a 74-year-old man who presented with a 6-month history of intermittent fresh per rectal bleeding with an incidental non-tender left iliac fossa firm mass on examination. Computed tomography scan established a retroperitoneal cystic lesion abutting the aorta and left common iliac vessels. Surgical exploration revealed a large cystic mass and a clean plane of dissection was performed, where the mass was completely excised with all the key structures preserved. Histology was consistent with a retroperitoneal lymphangioma.

A lumbar canal cystic mass lesion in a man with a history of chronic lower back pain

2015 ◽  
Vol 36 (1) ◽  
pp. 103-106 ◽  
Author(s):  
Vanda Farahmand Torous ◽  
Natasha Darras
Keyword(s):  
Back Pain ◽  
Lower Back Pain ◽  
Cystic Mass ◽  
Mass Lesion ◽  
Chronic Lower Back Pain ◽  
Lower Back ◽  
History Of

scholarly journals Botriomicosis y strongyloidiasis intestinal en un paciente con infección por HTLV-1. Reporte de un caso.

2013 ◽  
Vol 13 (2) ◽  
pp. 74
Author(s):  
Oscar GUERRA AMAYA ◽  
Lely SOLARI ZERPA ◽  
Juan GUANIRA CARRANZA ◽  
Juan FERRUFINO LLACH ◽  
Juan ECHEVARRÍA ZARATE ◽  
...  
Keyword(s):  
Female Patient ◽  
Microscopic Examination ◽  
Clinical Presentation ◽  
Strongyloides Stercoralis ◽  
Elisa Test ◽  
Predisposing Factors ◽  
Foot Ulcers ◽  
History Of ◽  
Foot Tumor

We report a case of botryomycosis and intestinal strongyloidiasis in a patient with HTLV-1 infection. A 23 year-old female patient from Ayacucho, came with a history of a right foot tumor and chronic foot ulcers. The diagnosis of botryomycosis was established by biopsy of the lesion. Because the mild eosinophilia, a microscopic examination of stools was performed and Strongyloides stercoralis rhabditiform larva were found. HTLV-1 ELISA test, performed in order to discharge association with strongyloidiasis, was positive. The clinical presentation, physiopathology of the botryomycosis and the role of the HTLV-1 infection and strongyloidiasis as predisposing factors for botryomycosis are discussed. ( Rev Med Hered 2002; 13: 74-76 ).

scholarly journals Familial Acromegaly and Bilateral Asynchronous Pheochromocytomas in a Female Patient With a MAX Mutation: A Case Report

2021 ◽  
Vol 12 ◽  
Author(s):  
Elizaveta Mamedova ◽  
Evgeny Vasilyev ◽  
Vasily Petrov ◽  
Svetlana Buryakina ◽  
Anatoly Tiulpakov ◽  
...  
Keyword(s):  
Adrenal Gland ◽  
Medical History ◽  
Female Patient ◽  
Clinical Presentation ◽  
Left Adrenal Gland ◽  
Case Presentation ◽  
Whole Exome ◽  
History Of ◽  
The Right ◽  
Insight Into

BackgroundThere are very few cases of co-occurring pituitary adenoma (PA) and pheochromocytomas (PCC)/paragangliomas caused by MAX mutations. No cases of familial PA in patients with MAX mutations have been described to date.Case PresentationWe describe a 38-year-old female patient, presenting with clinical and biochemical features of acromegaly and PCC of the left adrenal gland. Whole-exome sequencing was performed [NextSeq550 (Illumina, San Diego, CA, USA)] identifying a nonsense mutation in the MAX gene (NM_002382) [c.223C>T (p.R75X)]. The patient had a medical history of PCC of the right adrenal gland diagnosed aged 21 years and prolactinoma diagnosed aged 25 years. Cabergoline treatment was effective in achieving remission of prolactinoma at age 33 years. The patient’s father who died at age 56 years of a heart attack had a medical history of PA and prominent acromegalic features, which supports the familial presentation of the disease.ConclusionThis clinical case gives an insight into the clinical presentation of familial PA and PCC probably associated with a MAX mutation.

MINIMALLY INVASIVE RESECTION OF INTRAMEDULLARY EPENDYMOMA

Neurosurgery ◽  
2009 ◽  
Vol 65 (6) ◽  
pp. E1203-E1204 ◽  
Author(s):  
Alfred T. Ogden ◽  
Richard G. Fessler
Keyword(s):  
Back Pain ◽  
High Risk ◽  
Minimally Invasive ◽  
Clinical Presentation ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Vehicle Accident ◽  
History Of

Abstract OBJECTIVE This report illustrates the adequacy of minimally invasive exposure for the resection of an intramedullary ependymoma. CLINICAL PRESENTATION The patient presented with a history of upper back pain, but a lesion was found during a workup for increased back pain after a motor vehicle accident. INTERVENTION The intramedullary ependymoma was approached using a muscle-splitting retractor and extended hemilaminar exposure. The tumor was removed using conventional techniques. CONCLUSION This minimally invasive exposure is adequate for selected intramedullary lesions and may be especially useful in patients with a high risk of postlaminectomy deformity.

Refractory Ascites as the Only Presenting Symptom of Chronic Calcified Constrictive Pericarditis: A Diagnostic Challenge

2014 ◽  
Vol 17 (1) ◽  
pp. 42
Author(s):  
Shi-Min Yuan
Keyword(s):  
Computed Tomography ◽  
Liver Cirrhosis ◽  
Female Patient ◽  
Constrictive Pericarditis ◽  
Delayed Diagnosis ◽  
Young Female ◽  
Refractory Ascites ◽  
Diagnostic Challenge ◽  
Massive Ascites ◽  
History Of

Extracardiac manifestations of constrictive pericarditis, such as massive ascites and liver cirrhosis, often cover the true situation and lead to a delayed diagnosis. A young female patient was referred to this hospital due to a 4-year history of refractory ascites as the only presenting symptom. A diagnosis of chronic calcified constrictive pericarditis was eventually established based on echocardiography, ultrasonography, and computed tomography. Cardiac catheterization was not performed. Pericardiectomy led to relief of her ascites. Refractory ascites warrants thorough investigation for constrictive pericarditis.

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