scholarly journals Chronic Intussusception Associated with Malrotation in a Child: A Variation of Waugh’s Syndrome?

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Nick Zavras ◽  
Konstantinos Tsilikas ◽  
George Vaos
Keyword(s):  
Unusual Case ◽  
Clinical Presentation ◽  
Intestinal Malrotation ◽  
Rare Entity ◽  
Older Children ◽  
Radiological Findings ◽  
Uncommon Disease ◽  
Chronic Intussusception

Chronic intussusception is a relatively uncommon disease most commonly observed in older children. Waugh’s syndrome represents a rare entity characterized by intestinal malrotation and acute intussusception. We report a very unusual case of intestinal malrotation associated with chronic intussusception. Clinical presentation, radiological findings, and managing of this association are discussed in the light of the available literature.

scholarly journals Recurrent intussusception as a rare clinical manifestation of intestinal malrotation in children—a case report and review of literature

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Aditya Arvind Manekar ◽  
Narahari Janjala ◽  
Subrat Kumar Sahoo ◽  
Bikasha Bihary Tripathy ◽  
Manoj Kumar Mohanty
Keyword(s):  
Rare Case ◽  
Clinical Presentation ◽  
Intestinal Malrotation ◽  
Small Bowel Mesentery ◽  
Review Of Literature ◽  
Radiological Findings ◽  
Case Presentation ◽  
Rare Association ◽  
Chronic Intussusception ◽  
Recurrent Intussusception

Abstract Background Mobile caecum along with malfixed small bowel mesentery in malrotation is incriminated to cause intussusception in children. This dual association is very rare and is labeled as Waugh’s syndrome. This is often missed during conservative management of intussusception and may manifest as chronic intussusception. Case presentation We report a rare case of intestinal malrotation in a 13-year-old boy who presented as recurrent intussusception. The child was resuscitated and was operated, where malrotation of gut was detected. We discuss the clinical presentation, radiological findings, and management of this rare association in light of current available literature. Conclusion The presence of mobile caecum and redundant bowel loops with narrow mesentery in case of malrotation is an important factor leading to intussusception.

scholarly journals Intracranial Ewing Sarcoma – A case report

2020 ◽  
Vol 11 ◽  
pp. 134
Author(s):  
Jiahua Huang ◽  
Finn Ghent ◽  
Robyn Levingston ◽  
Martin Scholsem
Keyword(s):  
Adjuvant Chemotherapy ◽  
Clinical Presentation ◽  
Treatment Protocol ◽  
Rare Entity ◽  
Round Cell ◽  
Peripheral Primitive Neuroectodermal Tumor ◽  
Radiological Findings ◽  
Adjuvant Chemoradiation ◽  
Total Resection ◽  
Mri Brain

Background: Intracranial Ewing’s sarcoma (ES) is a rare entity with <15 cases reported in the literature. It belongs to a family of round-cell neuroectodermally derived tumors bearing many similarities to peripheral primitive neuroectodermal tumor (pPNET). There is currently no established treatment protocol. Reported cases are treated with either surgery alone or surgery with adjuvant chemotherapy and radiation. Case Description: We describe a case of intracranial left frontal ES in a 19-year-old patient who presented with change in behavior. Diagnosis was unclear based on radiological findings on MRI and CT alone. MRI brain with contrast demonstrated a large extra-axial ovoid heterogeneously enhancing left frontal convexity mass. The patient underwent gross total resection with adjuvant chemotherapy and radiation. No local or systemic recurrence was found at 12 months postoperatively. Conclusion: Intracranial ES/pPNET is rare tumor with nonspecific clinical presentation and radiological findings. They are locally invasive. Surgery with adjuvant chemoradiation is the mainstay treatment. Distinction of pPNET and cPNET is important for therapeutic and prognostic purposes.

scholarly journals Utility of Flexible Bronchoscopy for Airway Foreign Bodies Removal in Adults

2020 ◽  
Vol 9 (5) ◽  
pp. 1409 ◽  
Author(s):  
Jose N. Sancho-Chust ◽  
Virginia Molina ◽  
Sandra Vañes ◽  
Ana M. Pulido ◽  
Lia Maestre ◽  
...  
Keyword(s):  
Foreign Bodies ◽  
Clinical Presentation ◽  
Demographic Data ◽  
Bronchial Tree ◽  
Rigid Bronchoscopy ◽  
Flexible Bronchoscopy ◽  
Rare Entity ◽  
Radiological Findings ◽  
Bronchial Infection ◽  
The Right

Foreign body aspiration is relatively infrequent in adults. Airway foreign bodies (AFBs) can be removed by flexible bronchoscopy (FB) or rigid bronchoscopy (RB). We performed a retrospective analysis of FBs performed in our centre over a 25 year period, focusing on the procedures that revealed an AFB during the examination stage. We recorded demographic data, clinical characteristics and radiological and bronchoscopic findings. During the study period, 12,588 FBs were performed in adults. Airway foreign bodies were identified in 32 of these cases, giving a prevalence of 0.25%. The most frequent clinical presentation was cough, sputum and fever. The most frequent radiological findings were alveolar infiltrates and atelectasis. In 94% of cases, AFBs were removed successfully by FB; RB was necessary in only 6% of cases. There were no FB-related complications. The most common AFB location was the right bronchial tree (69%). We classified AFBs as organic (85%: animal 57%; vegetable 28%), inorganic (6%) and iatrogenic (9%). Bronchial infection occurred in 51% of cases, and Actinomyces spp. was the most common causal microorganism. In conclusion, AFBs are a rare entity with nonspecific clinical presentation, most AFBs were organic, and FB is a safe and effective method for AFB removal.

Rare giant cell ependymoma in an octogenarian

2006 ◽  
Vol 105 (6) ◽  
pp. 908-911 ◽  
Author(s):  
Patrick B. Cooper ◽  
Matthew Katus ◽  
Leon Moores ◽  
Dennis Geyer ◽  
James G. Smirniotopoulos ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Giant Cell ◽  
Unusual Case ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Relevant Literature ◽  
World Health ◽  
Radiological Findings ◽  
The World ◽  
Health Organization

✓Ependymomas are glial tumors that occur most often in children. In adults, ependymomas most often appear in the spinal cord. The World Health Organization recognizes several rare ependymoma subtypes, including the giant cell ependymoma of the terminal filum. The authors describe an unusual case of a posterior fossa giant cell ependymoma in an 89-year-old man presenting with vertigo and disequilibrium. Only seven cases of this tumor have been reported in the literature to date. The authors discuss the clinical presentation, radiological findings, pathological considerations, and surgical intervention in this patient and review the relevant literature.

scholarly journals Cysticercal Brain Abscess: A Distinct Entity Mimicking Pyogenic Brain Abscess.

2021 ◽  
Author(s):  
Radhika Mhatre ◽  
Subhas Konar ◽  
Nishanth S. ◽  
Anita Mahadevan ◽  
B. Indira Devi
Keyword(s):  
Brain Abscess ◽  
Clinical Presentation ◽  
Surgical Excision ◽  
Histopathological Diagnosis ◽  
Rare Entity ◽  
Radiological Findings ◽  
Distinct Entity ◽  
Solitary Lesion ◽  
Short Course ◽  
The Brain

Abstract Cysticercal brain abscess is a rare entity with the clinical presentation and radiological findings closely mimicking a pyogenic abscess. We report three cases of cysticercal abscess presenting as solitary lesion in the brain with radiological appearance like an abscess. All the patients underwent excision of the lesion with histopathological diagnosis of cysticercal brain abscess. The clinical outcome was satisfactory after surgical excision. Cysticercal abscess, though rare, should be considered as a differential diagnosis of a solitary rim-enhancing lesion, mainly if the patients belong to the endemic zone of neurocysticercosis. Surgical excision with or without a short course of the anti-parasitic agent is the treatment of choice.

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.

A Case of Multiple Chemical Sensitivities: Cognitive Therapy for Somatization Disorder and Metaworry

2003 ◽  
Vol 17 (3) ◽  
pp. 267-277 ◽  
Author(s):  
Scott Temple
Keyword(s):  
Cognitive Therapy ◽  
Unusual Case ◽  
Clinical Presentation ◽  
Somatization Disorder ◽  
Case Conceptualization ◽  
Marital Problems ◽  
Multiple Chemical Sensitivities ◽  
Common Clinical Presentation ◽  
History Of ◽  
Multiple Chemical

“Multiple chemical sensitivities” has become an increasingly common clinical presentation to physicians, though it is infrequently seen by psychotherapists. This case report describes a 61-year-old woman who presents with a long history of chemical sensitivities, that led to a somatization disorder with debilitating agoraphobia, depression, and marital problems. Features of a variety of anxiety disorders are present, as are metacognitions that required an unusual case conceptualization. A cognitive therapy case conceptualization and treatment are described, which address the highly idiosyncratic clinical presentation of this patient.

Axial osseous sarcoidosis: rare clinical presentation and radiological findings

2010 ◽  
Vol 65 (2) ◽  
pp. 167-171 ◽  
Author(s):  
S. Yanny ◽  
A.P. Toms ◽  
D. MacIver ◽  
T. Barker ◽  
A. Wilson
Keyword(s):  
Clinical Presentation ◽  
Radiological Findings ◽  
Osseous Sarcoidosis

Primary Pancreatic Sinus Histiocytosis With Massive Lymphadenopathy (Rosai-Dorfman Disease): An Unusual Extranodal Manifestation Clinically Simulating Malignancy

2010 ◽  
Vol 134 (2) ◽  
pp. 276-278 ◽  
Author(s):  
Mark Podberezin ◽  
Ronald Angeles ◽  
Grace Guzman ◽  
David Peace ◽  
Sujata Gaitonde
Keyword(s):  
Adipose Tissue ◽  
Lymph Node ◽  
Unusual Case ◽  
Sinus Histiocytosis ◽  
Gastrointestinal System ◽  
Rare Entity ◽  
Massive Lymphadenopathy ◽  
Rosai Dorfman Disease

Abstract Sinus histiocytosis with massive lymphadenopathy (SHML), also called Rosai-Dorfman disease, is a rare entity. Its etiology and pathogenesis are still essentially unclear. The histologic hallmark of this disease is proliferation of distinctive histiocytes within lymph node sinuses and in extranodal sites. Approximately 23% of patients with SHML, documented in the SHML Registry, presented with disease primarily in extranodal sites, and very few cases of SHML (&lt;1%) involving the gastrointestinal system have been described in the literature. We report an unusual case of primary pancreatic SHML with infiltration of the process into peripancreatic, perinephric, and perisplenic adipose tissue, simulating malignancy.

scholarly journals Agenesis of the posterior arch of the atlas

2002 ◽  
Vol 57 (2) ◽  
pp. 73-76 ◽  
Author(s):  
Martin Torriani ◽  
José Leonardo Goes Lourenço
Keyword(s):  
Computerized Tomography ◽  
Congenital Abnormality ◽  
Structural Instability ◽  
Neurological Deficits ◽  
Atlantoaxial Instability ◽  
Posterior Arch ◽  
Rare Entity ◽  
Radiological Findings ◽  
Plain Films ◽  
Rare Congenital Abnormality

PURPOSE: To illustrate the radiological findings and review the current literature concerning a rare congenital abnormality of the posterior arch of the atlas. CASE REPORT: An adult female without neurological symptoms presented with an absent posterior arch of the atlas, examined with plain films and helical computerized tomography. Complete agenesis of the posterior arch of the atlas is a rare entity that can be easily identified by means of plain films. Although it is generally asymptomatic, atlantoaxial instability and neurological deficits may occur because of structural instability. Computerized tomography provides a means of assessing the extent of this abnormality and can help evaluate the integrity of neural structures. Although considered to be rare entities, defects of the posterior arch of the atlas may be discovered as incidental asymptomatic findings in routine cervical radiographs. Familiarity with this abnormality may aid medical professionals in the correct management of these cases.

Sign in / Sign up

Export Citation Format

Share Document