scholarly journals Hepatoid Adenocarcinoma of the Urachus

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Daniel Fernando Gallego ◽  
Carlos Muñoz ◽  
Carlos Andrés Jimenez ◽  
Edwin Carrascal

Hepatoid adenocarcinoma of the urachus is a rare condition. We present the case of a 51-year-old female who developed abdominal pain and hematuria. Pelvic magnetic resonance imaging (MRI) reported an urachal mass with invasion to the bladder that was resected by partial cystectomy. On light microscopy the tumor resembled liver architecture, with polygonal atypical cells in nest formation and trabecular structures. Immunochemistry was positive for alfa-fetoprotein (AFP) and serum AFP was elevated. Hepatoid adenocarcinomas have been reported in multiple organs, being most commonly found in the stomach and the ovaries. Bladder compromise has been rarely described in the literature, and it has been associated with poor prognosis, low remission rates, and early metastasis.

2019 ◽  
Vol 18 (4) ◽  
pp. 255-258
Author(s):  
Naureen Abdul Khalid ◽  
◽  
Nainal Shah ◽  

Spinal epidural haematoma is a rare condition, which may be due to trauma, surgery, epidural catheterisation or disorders of coagulation. We report a case of 60 year old lady who was on warfarin for Atrial fibrillation (AF) presented with history of non-traumatic sudden onset pain in both legs and difficulty in walking. Magnetic resonance imaging (MRI) spine demonstrated epidural haematoma which was treated conservatively. Another dilemma was anticoagulation for AF. We examine the options to manage such case.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Takeya Hara ◽  
Ai Miyoshi ◽  
Yuji Kamei ◽  
Nao Wakui ◽  
Akiko Fujishiro ◽  
...  

Uterine mesenchymal tumors other than leiomyosarcoma, carcinosarcoma, and endometrial stromal sarcomas are extremely uncommon. We describe a case of epithelioid angiosarcoma of the uterus and review previous literature on such rare tumors. A 48-year-old woman presented with a 1-year history of abdominal fullness and 10kg weight loss. Pelvic magnetic resonance imaging (MRI) revealed a huge (30×18cm) uterus accompanied by degeneration and necrosis. She underwent supracervical hysterectomy and right salpingo-oophorectomy. We postoperatively diagnosed the mass as an epithelioid angiosarcoma arising from a leiomyoma. Vasodilatation was observed within the range of 2 cm × several mm in the leiomyoma, and proliferation of atypical cells was observed covering the surface of the luminal side. The tumor showed a partly fine vascular structure and was associated with obvious nuclear atypia and mitotic figures. She received 6 courses of adjuvant chemotherapy with paclitaxel, epirubicin, and carboplatin, and there have been no signs of recurrence for 10 months.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Medine Kara ◽  
Oğuz Güçlü ◽  
Fevzi Sefa Dereköy ◽  
Mustafa Resorlu ◽  
Gürhan Adam

Background. Congenital absence of the submandibular gland (SMG) is a rare condition. Although complaints such as dry mouth, dental problems, or difficulty in swallowing may be seen, the subjects may also be asymptomatic. The absence of the SMG may be associated with hypertrophy of the contralateral SMG.Case Report. We report the case of a 44-year-old woman with incidentally detected left SMG aplasia, with contralateral SMG hypertrophy mimicking a mass, and the case of a 46-year-old woman with incidentally detected bilateral SMG aplasia, demonstrated by computerized tomography (CT) and magnetic resonance imaging (MRI).Conclusion. It is important for the clinician to know that this very rare abnormality may exist. When such a case is encountered, symptoms and findings should be reevaluated and, if necessary, conservative therapy should be initiated. The possibility of observing additional deformities should be kept in mind and an evaluation should be done for other cases in the family.


2006 ◽  
Vol 12 (1) ◽  
pp. 112-115 ◽  
Author(s):  
R A Linker ◽  
A Mohr ◽  
L Cepek ◽  
R Gold ◽  
H Prange

Hypothermia is a rare condition in multiple sclerosis (MS). We report on a patient with a longstanding secondary progressive MS and six episodes of recurring hypothermia down to 29.98C with associated hypotension, bradycardia, coagulopathy and electrolyte dysequilibrium. Magnetic resonance imaging (MRI) demonstrated severe involvement of the corpus callosum with an associated lesion in the right posterior thalamus. These findings may link hypothermia in MS with callosal and associated thalamic pathology to Shapiro’s syndrome, where agenesis of the corpus callosum and associated abnormalities are related to episodic spontaneous hypothermia. In MS, hypothermic episodes may be triggered by preceding infections, as shown in the present case.


2015 ◽  
Vol 9 (4) ◽  
pp. 424-427
Author(s):  
Alan Peres Valente ◽  
Paula da Cunha Pinho ◽  
Leandro Tavares Lucato

ABSTRACT Creutzfeldt-Jacob disease (CJD) is a rare condition caused by a pathogenic prion protein that evolves with rapidly progressive dementia and death. The clinical presentation may sometimes be misleading. Magnetic Resonance Imaging (MRI) aids diagnosis with patterns that can guide or confirm clinical hypotheses. Two cases of rapidly progressive dementia with ataxia, myoclonus and restricted diffusion on MRI in cortical/basal ganglia are presented to draw attention to CJD.


2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Spinelli M ◽  
◽  
Raio L ◽  
Vascone C ◽  
Meglio LD ◽  
...  

Rhombencephalosynapsis (RES) is a rare cerebellar malformation characterized by congenital fusion of the hemispheres and absence of the vermis. This condition is associated with developmental delay, seizures and involuntary head movements. Although the clinical and imaging aspect of this condition have been thoroughly investigated in the adult, prenatal diagnosis remains still a challenge in the modern Fetal-Maternal Medicine. Here we report our experience with 3 cases and review the current literature as well, focusing specifically on the obstetric imaging as well as on the prenatal diagnosis and management of this rare condition. RES should be considered in the differential diagnosis when absence of the vermis in the Posterior Fossa (PF) is suspected at prenatal Ultrasound Sonography (US), especially when ventriculomegaly or other Central Nervous System (CNS) anomalies are detected. A complete anatomical workup is necessary in these cases. Magnetic Resonance Imaging (MRI) remains to be the imaging modality of choice in confirming the diagnosis.


2019 ◽  
Vol 18 (1) ◽  
pp. 34-36
Author(s):  
Naureen Abdul Khalid ◽  
◽  
Nainal Shah ◽  

Spinal epidural haematoma is a rare condition, which may be due to trauma, surgery, epidural catheterisation or disorders of coagulation. We report a case of 60 year old lady who was on warfarin for Atrial fibrillation (AF) presented with history of non-traumatic sudden onset pain in both legs and difficulty in walking. Magnetic resonance imaging (MRI) spine demonstrated epidural haematoma which was treated conservatively. Another dilemma was anticoagulation for AF. We examine the options to manage such case.


2020 ◽  
Vol 11 ◽  
Author(s):  
Lei Qiao ◽  
Yanping Wei

Background: Familial idiopathic intracranial hypertension (FIIH) is a rare condition, the etiology of which is unclear.Aims: To describe two non-obese Chinese sisters who met the criteria of FIIH and to analyze the clinical features and prognosis of FIIH.Methods: The clinical course, treatment, and prognosis of these two patients were analyzed retrospectively. Meanwhile, all the literature of familial IIH (FIIH) was reviewed.Results: These two sisters presented with headaches and visual impairment in their mid-thirties. Magnetic resonance imaging (MRI) of the brain was unremarkable except for partial empty sella. No comorbidities or defined causes were detected. Headaches were partially relieved by dehydrated medicine, whereas the visual impairment persisted.Conclusion: In cases where patients present with headaches, empty sella are found on an MRI, and there is visual impairment with or without papilla edema, intracranial hypertension should be excluded. Furthermore, we should pay more attention to the relatives of those patients with increased intracranial hypertension.


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