scholarly journals Gigantomastia and Macroprolactinemia Responding to Cabergoline Treatment: A Case Report and Minireview of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Fatma Dilek Dellal ◽  
Didem Ozdemir ◽  
Cevdet Aydin ◽  
Gulfem Kaya ◽  
Reyhan Ersoy ◽  
...  
Keyword(s):  
Molecular Weight ◽  
Case Report ◽  
Medical Treatment ◽  
High Molecular Weight ◽  
Surgical Therapy ◽  
Surgical Approach ◽  
Breast Tissue ◽  
Surgical Intervention ◽  
Laboratory Examination ◽  
Inactive Molecule

Background. Macroprolactinemia is defined as predominance of high molecular weight prolactin forms in the circulation. Although macroprolactin is considered as a biologically inactive molecule, some authorities suggest treatment in symptomatic cases. Gigantomastia is defined as excess breast tissue and most cases in the literature were treated by surgical intervention.Case. A 44-year-old woman was admitted to our clinic with gigantomastia and galactorrhea. The patient had a demand for surgical therapy. In laboratory examination, she had hyperprolactinemia and macroprolactinemia. Pituitary imaging revealed 6 mm microadenoma in right side of the hypophysis. Since she was symptomatic, cabergolin treatment was started. Macroprolactin became negative, breast circumference decreased significantly, and galactorrhea resolved after treatment.Conclusion. Gigantomastia might be the presenting symptom in patients with macroprolactinemia. In these patients medical treatment with cabergoline may be used initially as an alternative to surgical approach.

scholarly journals Isolated Duodenal Crohn's Disease: A Case Report and a Review of the Surgical Management

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Faruk Karateke ◽  
Ebru Menekşe ◽  
Koray Das ◽  
Sefa Ozyazici ◽  
Pelin Demirtürk
Keyword(s):  
Crohn’S Disease ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Crohn's Disease ◽  
Medical Treatment ◽  
Immunosuppressive Therapy ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Surgical Options ◽  
Crohn’S Diseases

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.

scholarly journals Sphenochoanal Polyp - "The Forgotten Element?"

2021 ◽  
Vol 29 (2) ◽  
pp. 209-212
Author(s):  
Misbahul Haque ◽  
Subhrajit Das ◽  
Subrata Mukhopadhyay
Keyword(s):  
Case Report ◽  
Nasal Obstruction ◽  
Surgical Approach ◽  
Surgical Intervention ◽  
Complete Removal ◽  
Endoscopic Polypectomy ◽  
Complete Excision ◽  
Sphenochoanal Polyp

Introduction The occurrence of isolated spheno-choanal polyps are not very common and can be very well confused with antro-choanal polyps or adenoids in adolescents and children. Appropriate diagnosis and prompt surgical intervention are essential for its removal.   Case Report We report one such case of a 16 year old female who presented with complaints nasal obstruction and reduced hearing. Endoscopic polypectomy was done with complete removal of the polyp.   Discussion Sphenochoanal Polyp is often misdiagnosed and proper investigations are thus essential for its diagnosis. Surgical Approach is the mainstay form of treatment with complete excision of the polyp.

scholarly journals High Molecular Weight ACTH-Precursor Presence in a Metastatic Pancreatic Neuroendocrine Tumor Causing Severe Ectopic Cushing's Syndrome: A Case Report

2020 ◽  
Vol 11 ◽  
Author(s):  
Roopa Mehta ◽  
César Ernesto Lam-Chung ◽  
José Miguel Hinojosa-Amaya ◽  
Paola Roldán-Sarmiento ◽  
Maria Fernanda Guillen-Placencia ◽  
...  
Keyword(s):  
Molecular Weight ◽  
Case Report ◽  
Neuroendocrine Tumor ◽  
High Molecular Weight ◽  
Cushing’S Syndrome ◽  
Pancreatic Neuroendocrine Tumor ◽  
Cushing's Syndrome ◽  
Ectopic Cushing’S Syndrome

scholarly journals Necrotizing Fasciitis of the lower limbs

2012 ◽  
Vol 4 (1) ◽  
pp. 4 ◽  
Author(s):  
Paola Muggeo ◽  
Giampaolo Arcamone ◽  
Antonino Rizzo ◽  
Nicola Santoro
Keyword(s):  
Acute Lymphoblastic Leukemia ◽  
Soft Tissue ◽  
Medical Treatment ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Surgical Approach ◽  
Surgical Intervention ◽  
Lymphoblastic Leukemia ◽  
Tissue Infection ◽  
Lower Limbs

We report an uncommon ssevere soft-tissue infection of the thighs in a male child with acute lymphoblastic leukemia. Early and aggressive medical treatment and the conservative surgical approach were successful. Necrotizing fasciitis should be suspected in any soft-tissue infection until it can be definitely ruled out, since prompt deliver of medical and surgical intervention is essential.

scholarly journals Periapical healing by non-surgical intervention : A case report

2015 ◽  
Vol 7 (1) ◽  
pp. 42-44
Author(s):  
R Suma ◽  
Ravikumar Shukla ◽  
Neel Vijay Hiremath ◽  
Poonam Lalwani
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Surgical Intervention ◽  
Periapical Lesion ◽  
Canal System ◽  
Surgical Interventions ◽  
Hermetic Seal ◽  
Periapical Healing ◽  
Root Canal System ◽  
Oral Microbes

Abstract The rationale behind endodontics is to thoroughly disinfect the root canal system, and to provide hermetic seal which in turn ceases the progress of the periapical infection. Most of these periapical infections attributed directly or indirectly to oral microbes. Surgical interventions in larger periapical infection are sometimes accompanied by certain complications. Hence, non-surgical approach can be considered. This article presents non-surgical healing of a periapical lesion of endodontic origin associated with maxillary left central and lateral incisors, observed over a period of 6 months, using calcium hydroxide as an intracanal medicament. How to cite this article Shukla R, Hiremath NV, Lalwani P, Suma R. Periapical healing by non-surgical intervention: A case report. CODS J Dent 2015;7:42-44.

scholarly journals Giant Frontoethmoidal osteoma with orbital involvementa rare case report with review of literature

2017 ◽  
Vol 31 (4) ◽  
pp. 540-544
Author(s):  
Pankaj Gupta ◽  
Arvind Sharma ◽  
Jitendra Singh ◽  
Tarun Ojha
Keyword(s):  
Case Report ◽  
Eye Movement ◽  
Surgical Approach ◽  
Paranasal Sinuses ◽  
Rare Case ◽  
Surgical Intervention ◽  
Review Of Literature ◽  
Rare Case Report ◽  
Benign Tumours ◽  
Open Surgical Approach

Abstract Osteomas are benign tumours that involve paranasal sinuses more than other parts of body. Frontal sinus is most common while sphenoid is least one. They are usually asymptomatic and diagnosed incidentally on imaging for other reasons. Giant variety of frontoethmoid osteoma is very rare and only few cases are described in literature. Orbital involvement in giant frontoethmoid osteoma is even rarer. Due to threat to vision, this variety is an indication for surgical intervention followed by reconstruction of defect. As these tumours are very large, endoscopic approaches are less indicated and there is no clear consensus which open surgical approach is better. We are reporting such a rare case of giant frontoethmoid osteoma causing proptosis and restriction of eye movement that was treated with open surgical approach.

scholarly journals Laparoscopic Bipolar Coagulation of Hypogastric Artery in Postpartum Haemorrhage: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Enrico Panuccio ◽  
Eugenio Volpi ◽  
Annamaria Ferrero ◽  
Piero Sismondi
Keyword(s):  
Case Report ◽  
Medical Treatment ◽  
Vaginal Delivery ◽  
Maternal Morbidity ◽  
Postpartum Haemorrhage ◽  
Surgical Intervention ◽  
Hypogastric Artery ◽  
Bipolar Coagulation ◽  
Surgical Interventions ◽  
Maternal Morbidity And Mortality

Background. Postpartum haemorrhage (PPH) is a significant contributor to worldwide maternal morbidity and mortality. When PPH continues despite aggressive medical treatment, early consideration should be given to surgical intervention. Various surgical interventions may be used but conservative interventions are recommended primarily.Case. This case report describes laparoscopic coagulation of hypogastric artery technique in a patient with PPH.Conclusions. Laparoscopic ligature of the hypogastric artery for PPH treatment can be a valid alternative to laparotomy in patients with vaginal delivery.

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