scholarly journals Symmetric Lipomatosis Arising in the Tongue Presenting as Macroglossia and Articulatory Disorder

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Masanori Kudoh ◽  
Ken Omura ◽  
Arata Satsukawa ◽  
Koshi Matsumoto ◽  
Takahide Taguchi ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Speech Intelligibility ◽  
Rare Case ◽  
Rare Condition ◽  
Chronic Alcoholism ◽  
Diffuse Infiltration ◽  
Mature Adipose Tissue ◽  
Resected Tumor ◽  
History Of ◽  
Partial Glossectomy

Symmetric lipomatosis is definitively characterized by symmetric, tumorous lipomatous proliferation of adipose tissue that often develops in the head and neck, shoulders, and upper trunk. However, in the oral region, symmetric lipomatosis of the tongue (SLT) is an extremely rare condition related to generalized lipidosis that is often caused by chronic alcoholism. It is characterized by multiple symmetric lipomatous nodules and diffuse bilateral swelling located within the tongue. We report an extremely rare case of SLT arising in an 80-year-old man with a long history of alcoholic liver cirrhosis. He exhibited multiple soft nodular protrusions on the bilateral margin of the tongue presenting as macroglossia for years. Although MR imaging showed multiple fatty masses on both sides of the tongue, there was no elevated tumor mass on the bilateral margin. The patient underwent bilateral partial glossectomy under general anesthesia. Histopathologically, the resected tumor exhibited diffuse infiltration with mature adipose tissue lacking a fibrous capsule. Due to the lipidosis and the unusual presentation of multiple lesions, the lesion was ultimately diagnosed as SLT. At present, after surgery, the patient wears a full-denture and is in excellent condition, with no sign of recurrence, improved QOL, and recovery of masticatory, articulatory, and speech intelligibility functions.

scholarly journals A Rare Case of HHV-8 Associated Hemophagocytic Lymphohistiocytosis in a Stable HIV Patient

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Nonso Osakwe ◽  
Diane Johnson ◽  
Natalie Klein ◽  
Dalia Abdel Azim
Keyword(s):  
Hemophagocytic Lymphohistiocytosis ◽  
Rare Case ◽  
Viral Infections ◽  
Rare Condition ◽  
Lymph Node Biopsy ◽  
Castleman Disease ◽  
Human Herpes Virus 8 ◽  
Case Presentation ◽  
Multicentric Castleman Disease ◽  
History Of

Background. Hemophagocytic lymphohistiocytosis (HLH) is a rare condition associated with viral infections including HIV. Cases have been reported mainly in advanced HIV/AIDS. This is a rare case that reports HLH associated with human herpes virus-8 (HHV-8) associated multicentric Castleman disease in a stable HIV patient. Case Presentation. A 70-year-old Asian male patient with history of stable HIV on medications with CD 4 cell count above 200 presented with cough and fever and was initially treated for pneumonia as an outpatient. Persisting symptoms prompted presentation to the hospital. The patient was found to have anemia which persisted despite repeated transfusion of packed red cells. A bone marrow biopsy to investigate anemia revealed hemophagocytosis. A CT scan revealed multiple enlarged lymph nodes and hepatosplenomegaly. An excisional lymph node biopsy revealed HHV-8 associated multicentric Castleman disease. The patient deteriorated despite initiation of treatment. Conclusion. HLH can occur at any stage of HIV, rapid diagnosis to identify possible underlying reactive infectious etiology and prompt initiation of treatment is crucial to survival.

scholarly journals Self-Induced Traumatic Macroglossia: Case Report and Literature Review

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Abdullah A. Alarfaj ◽  
Ali R. AlHayek ◽  
Rashid Alghanim ◽  
Nasser A. Al-Jazan
Keyword(s):  
Endotracheal Intubation ◽  
Trisomy 21 ◽  
Rare Case ◽  
Rare Condition ◽  
Laryngeal Edema ◽  
Bite Block ◽  
Distress Symptoms ◽  
First Case ◽  
Tongue Swelling ◽  
History Of

Traumatic macroglossia is an extremely rare condition characterized by a sudden edematous swelling of the tongue due to trauma. We report a rare case of traumatic macroglossia in a 37-year-old male with known trisomy 21 and epilepsy who presented to the emergency room with a huge protruded tongue due to aggressive behavior and a history of multiple tongue tractions, leading to sudden severe tongue swelling without any respiratory distress symptoms. The examination was unremarkable; fixable nasolaryngoscopy relieved bilateral vocal cord movement, and there was no laryngeal edema. The patient was managed immediately by endotracheal intubation to secure the airway, and corticosteroids were used to diminish and stop the tongue swelling. We describe the clinical management for such patients, highlighting the different causes of traumatic macroglossia. A few cases have been reported in the literature, but this is the first case to report self-induced traumatic macroglossia in a seizure-free patient managed successfully by endotracheal intubation, corticosteroids, a bite block, and warm wet dressing.

BILATERAL GIANT ADRENAL MYELOLIPOMA: A RARE CASE OCCURRENCE

2021 ◽  
pp. 80-81
Author(s):  
Soumya Dey ◽  
S M Sarfaraj ◽  
Chhanda Datta
Keyword(s):  
Bone Marrow ◽  
Adipose Tissue ◽  
Abdominal Pain ◽  
Adrenal Gland ◽  
Rare Case ◽  
Adrenal Myelolipoma ◽  
Mature Adipose Tissue ◽  
Operative Complications ◽  
Post Operative Complications

Myelolipoma is a combined lesion involving mature adipose tissue and bone marrow elements. Adrenal gland is the commonest site of myelolipoma. Usually these lesions are asymptomatic, unilateral and small in size. Occasionally myelolipomas become enormous and symptomatic depending on the location. Here we describe a case of bilateral giant adrenal myelolipoma presenting with abdominal pain. The case was managed surgically without any post-operative complications.

scholarly journals Idiopathic pleural panniculitis with recurrent pleural effusion not associated with Weber-Christian disease

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 394-398 ◽  
Author(s):  
Paolo Laperuta ◽  
Filomena Napolitano ◽  
Rosa Maria Di Crescenzo ◽  
Pio Zeppa ◽  
Antonio Galderisi ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Pleural Effusion ◽  
Rare Case ◽  
Skin Lesions ◽  
Parietal Pleura ◽  
Fatty Tissue ◽  
Pleural Thickening ◽  
Multiple Biopsies ◽  
History Of ◽  
Recurrent Pleural Effusion

AbstractA 82-year-old patient with dyspnea and a recurrent history of pleural effusion was admitted into our unit. He performed a Chest computed tomography showing right pleural effusion. Video-assisted thoracoscopy (VATS) exploratory showed parietal pleural thickening of adipose tissue. The surgical procedure consisted, therefore, in the execution of multiple biopsies of the parietal pleura which appeared covered, on the whole surface, by islands of adipose tissue, without macroscopic pathological aspects. After the procedure was performed pleurodesis with talc. The definitive histological examination consisted of normal mesothelial cells surrounded by fatty tissue infiltrated by small lymphocytes in a patient without skin lesions or visceral or systemic signs of inflammatory involvement of the adipose tissue. We reported a rare case of idiopathic pleural panniculitis with recurrent pleural effusion not associated with Weber-Christian disease.

scholarly journals A Rare Case of Pregnancy Complicated by Bladder Exstrophy and Uterine Prolapse

2021 ◽  
Author(s):  
Leila Pourali ◽  
Hamidreza Ghorbani ◽  
Atiyeh Vatanchi ◽  
Sedigheh Ayati ◽  
Ghazal Ghasemi ◽  
...  
Keyword(s):  
Rare Case ◽  
Uterine Prolapse ◽  
Bladder Exstrophy ◽  
Perinatal Outcomes ◽  
Rare Condition ◽  
Labor Pain ◽  
Uterine Contractions ◽  
History Of ◽  
Emergent Cesarean Section

Uterine prolapse and bladder exstrophy (BE) during pregnancy is a rare condition. The aim of this study was to present a rare case of pregnancy complicated by both bladder exstrophy and uterine prolapse. A 39-year-old pregnant woman (gravida 2, para 1) presented to the maternity department at 39 weeks of gestation with labor pain. Physical examination showed regular uterine contractions; the cervix was completely out of the vaginal opening with dilatation of 3 cm and effacement of 30%. She had a history of multiple surgeries for correction of bladder exstrophy and also suffered from uterine prolapse. In active labor, abnormal fetal heart rate tracing happened, so an emergent cesarean section was planned, and a healthy neonate with the normal Apgar score was born. At regular follow-up until four months after delivery, there was no sign or symptom of uterine proplase. Multidisciplinary management of patients with BE and uterine prolapse may result in optimal perinatal outcomes. Uterine prolapse may disappear after delivery, even in the complicated case of bladder exstrophy.

scholarly journals Epehólyag-agenesia. Epekövességet utánzó ritka rendellenesség egy felnőtt nőben

2019 ◽  
Vol 160 (38) ◽  
pp. 1510-1513
Author(s):  
Călin Molnar ◽  
Tibor Sárközi ◽  
Cedric Kwizera ◽  
Marian Botoncea ◽  
Opriș Zeno ◽  
...  
Keyword(s):  
Rare Case ◽  
Medical Literature ◽  
Rare Condition ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Final Diagnosis ◽  
Biliary Colic ◽  
Caucasian Woman ◽  
Imaging Studies ◽  
History Of ◽  
Gallbladder Agenesis

Abstract: Gallbladder agenesis is a rare congenital malformation due to an embryological defect of the biliary system. In most cases it is asymptomatic, but it can also mimic biliary colic. We report the case of a 72-year-old Caucasian woman with a medical history of cardiovascular disease and hypercholesterolemia, under cholesterol-lowering and hypotensive treatment, who presented symptoms suggesting biliary colic. She underwent laparoscopic surgery that confirmed the final diagnosis. We present our approach in this rare case as well as a brief review of medical literature. The surgeon should decide intraoperatively whether to continue and search for a possible ectopic gallbladder or investigate further with imaging studies. Gallbladder agenesis is a rare condition that the surgeon must be aware of. In the cases of inconclusive or indirect signs of cholelithiasis, the best approach is complementary imaging investigations such as magnetic resonance cholangiopancreatography in order to avoid surgery. Orv Hetil. 2019; 160(38): 1510–1513.

Cystic Falcine Chondroma: Case Report and Review of the Literature

Neurosurgery ◽  
1991 ◽  
Vol 29 (6) ◽  
pp. 909-912 ◽  
Author(s):  
Karim Hadadian ◽  
Hossein Abtahii ◽  
Zahra T. Asil ◽  
Mohammad Rakhshan ◽  
Parvin Vessal
Keyword(s):  
Case Report ◽  
Microscopic Examination ◽  
Rare Case ◽  
Cystic Degeneration ◽  
Review Of The Literature ◽  
Resected Tumor ◽  
History Of

Abstract A rare case of falcine chondroma in a 25-year-old woman with an 8-year history of headache and a recent generalized seizure is presented. Microscopic examination of the resected tumor revealed that it was a falcine chondroma with chondrocytes and central cystic degeneration.

Laparoscopic Management of Phrenic Endometriosis

2011 ◽  
Vol 3 (4) ◽  
pp. 213-217
Author(s):  
Cassia Gisele Terrassani Silveira ◽  
Admir Agic ◽  
Markus Kleemann ◽  
Hartmut Merz ◽  
Daniela Hornung
Keyword(s):  
Rare Case ◽  
Bowel Resection ◽  
Rare Condition ◽  
Pulmonary Complications ◽  
Reproductive Age ◽  
Surgical Interventions ◽  
History Of ◽  
Laparoscopic Bowel Resection ◽  
Upper Abdominal ◽  
Extrapelvic Endometriosis

Introduction Extrapelvic endometriosis is a rare condition typically associated with variable symptomatology and complex diagnosis. Case report: Here, we report a rare case of phrenic endometriosis manifested insidiously in a woman of reproductive age after a prolonged history of endometriosis with several surgical interventions, including laparoscopic bowel resection a few months ago. The patient presented with menstrual-related, cyclical, right upper abdominal pain. Results Accurate surgical inspection during the laparoscopic procedure enabled the identification and full resection of a deep infiltrating endometriotic lesion growing from the peritoneum into the phrenic tissue, which was suspected by symptomatology. No pulmonary complications were detected before or after surgery except for a small right-sided pneumothorax, which did not require drainage and disappeared spontaneously after five days. Conclusions The rare case reported here emphasizes the importance of a very exact conversation with the patient before surgery, a systematic and accurate surgical exploration for the diagnosis, and the successful laparoscopic treatment of a symptomatic phrenic disease in a woman with a longstanding history of endometriosis.

scholarly journals A ruptured cornual pregnancy successfully managed in a patient with a history of oophorectomy and salpingectomy: A rare case report

2021 ◽  
Author(s):  
Marah Mansour ◽  
Amr Hamza ◽  
AlHomam AlMarzook ◽  
Ilda kanbour ◽  
Tamim Alsuliman ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Rare Condition ◽  
Cornual Pregnancy ◽  
Rare Case Report ◽  
History Of ◽  
Unstable Case ◽  
Ectopic Pregnancies

Cornual pregnancy is a rare condition that accounts for approximately 2-4% of ectopic pregnancies worldwide. Herein, we report an unstable case of a 32-year-old female with a history of oophorectomy, and salpingectomy who was admitted for a ruptured cornual pregnancy in the left cornu which was successfully managed by laparotomy.

scholarly journals A Rare Case of Multiple Epidermal Cyst Scrotum and Its Excision Under Spermatic Cord Block Obviating Spinal Or General Anaesthesia Need

2021 ◽  
Vol 2 (S1) ◽  
pp. 1-2
Author(s):  
Shruti Patel ◽  
Naveen Kumar
Keyword(s):  
Rare Case ◽  
Acne Vulgaris ◽  
Rare Condition ◽  
Vascular Supply ◽  
Epidermal Cyst ◽  
Complete Excision ◽  
The Past ◽  
Epithelial Cysts ◽  
The Face ◽  
History Of

Epidermal cysts are the most common epithelial cysts usually with non malignant potential. These occur commonly in hair- bearing areas mostly on the scalp, also on the face, neck, back, and scrotum. Etiology is usually unknown. It can be seen commonly in individuals with history of significant Acne vulgaris. Multiple sebaceous cysts over the scrotum is a rare condition. Only eight cases of multiple epidermal cysts in scrotum have been reported so far from India in the past literature. This condition is usually asymptomatic and painless. It may turn painful if gets infected and often may be associated with discharge of pus. We present a rare case of multiple epidermal cysts of scrotum in a 36 year old patient which was managed with complete excision of the cysts done under local anesthesia followed by primary closure with better outcome in cosmesis taking care of not to jeopardize the vascular supply to local flaps and testis.

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