scholarly journals Urethral Caruncle Presented as Premature Menarche in a 4-Year-Old Girl

2018 ◽  
Vol 2018 ◽  
pp. 1-2 ◽  
Author(s):  
Manori Gamage ◽  
D. Beneragama

Urethral caruncle (UC) is a benign fleshy outgrowth at the urethral meatus. It was first described by Samuel Sharp in 1750 and occurs mainly at the posterior lip of the urethra, and the exact aetiology is still uncertain. More often it was seen in the postmenopausal women, and only few cases are reported in young girls. Patients may be asymptomatic and could find this as an incidental finding or they may present with symptoms such as dysuria, bleeding per vagina, haematuria, a mass protruding through vagina, and acute retention of urine. Here, we report the case history of a 4-year-old girl presented with vaginal bleeding which was taken as she has attended menarche and found to have urethral caruncle which was the cause for bleeding. Histology confirmed the diagnosis, and girl was completely cured following surgical excision.

2019 ◽  
Vol 17 (01) ◽  
pp. 122-124
Author(s):  
Ganesh Dangal ◽  
Kenusha Devi Tiwari ◽  
Rekha Poudel ◽  
Nishma Bajracharya ◽  
Aruna Karki ◽  
...  

Complete labial fusion with retention of urine is a rare clinical entity. It occurs when the labia are fused in midline, forming a raphe. It usually develops in postmenopausal women with hypoestrogenism. The usual treatment is with topical estrogen and surgical separation followed by some dilatation. Here we present a case of a 58 years’ postmenopausal,unmarried, nullipara woman who came to our emergency ward with retention of urine.She had history of incomplete voiding and dribbling of urine since six months. General examination and investigations were normal. Her clitoris was normal in size, and the labia majora and anus were visualized well; however, the urethral meatus and vagina were not seen because of fused labia minora.Patient required surgical excision of fused labial folds to relieve the retention.Keywords: Labial fusion; postmenopausal; urinary retention.


Sarcoma ◽  
2000 ◽  
Vol 4 (4) ◽  
pp. 183-184 ◽  
Author(s):  
Srinivas Maiya ◽  
Simon Tan ◽  
Robert J. Grimer

Subject.We present the case history of a 47-year-old lady who, 10 months following excision of a soft tissue sarcoma from the left thigh, was struck with recurrent episodes of foot drop.Discussion.The curious phenomenon of recurrent foot drop was found to be secondary to pressure symptoms from a tense seroma of the thigh. She underwent surgical excision of the sac and had immediate and complete relief of symptoms.


2008 ◽  
Vol 44 (2) ◽  
pp. 86-89 ◽  
Author(s):  
Jonathan M. Miller ◽  
Nicolaas E. Lambrechts ◽  
Robert A. Martin ◽  
D. P. Sponenberg ◽  
Molly Subasic

Two young female dogs were presented with a chronic history of persistent vulvar hemorrhage. Vaginoscopy was ultimately used to locate bleeding vaginal masses near the urethral papilla. In both cases, episiotomy was performed to resect the mass, and hemangioma was diagnosed histologically. These tumors caused persistent vaginal bleeding; they were difficult to diagnose without vaginoscopy and lavage; and surgical excision was curative in at least one case.


2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 14144-14144
Author(s):  
R. Karras ◽  
A. Sardi

14144 Background: Paragangliomas are rare extra-adrenal neuroendocrine tumors of chromaffin cells. It is estimated that 90 percent of paragangliomas are intra-abdominal. 50% of which are catecholamine secreting. Patients with abdominal masses are not routinely screened. A literature review and our experience is reported. Methods: A retrospective literature review of 85 cases reported over the past 26 years are discussed with regard to age, gender, clinical presentation, catecholamine status, preoperative evaluation, clinical course and outcome. Additionally, a review of compiled data from 1997 to 2005 identified 4 cases at our institution. Results: Males numbered 57.3% of the cases reviewed. The mean age was 57.9 years (range 11–76). The primary site of tumor included: 42 retroperitoneal, 44 intra-abdominal and 1 multifocal. 61/89 (68.5%) reported elevated urine and/or plasma catecholamines. Clinical presentations included, abdominal pain (10%), hematuria (3%), and a history of hypertension (46%). Only one case presented as an incidental finding. Primary work-up consisted of a CT scan in 86/89 (96.6%) of cases. Tumor size ranged from 1.2 cm to 25 cm. CAT scan preceded appropriate medical therapy with alpha blockade, and subsequent surgical excision via laparoscopy, laparotomy and one case of ERCP. Of the 63 cases which reported follow-up, 2 patients developed metastatic disease, 1 patient had unresolved hypertension and 60 were disease free. Conclusions: This retrospective review demonstrates the importance of pre-operative screening for safe and efficacious treatment of patients with paragangliomas. No significant financial relationships to disclose.


2021 ◽  
Vol 1 (5) ◽  
pp. 82-85
Author(s):  
I. Yu. Korzheva ◽  
N. E. Chernekhovskaya ◽  
A. A. Razzhivina ◽  
N. A. Hayrapetyan ◽  
A. E. Tyurin

Clinical relevance. Duodenal MALT-lymphoma, a rare disease of the duodenum with a blurred clinical picture, frequently is an incidental finding at esophagogastroduodenoscopy. Therefore, the authors presented a clinical observation of a 59-yearold patient, whose diagnosis was established on the basis of endoscopic imaging, morphological and immunohistochemical investigations of biopsy material.The purpose of the study was to demonstrate clinical observation of MALT-lymphoma of duodenumMaterials and methods: The case history of a 59-year-old patient diagnosed with duodenal MALT-lymphoma is presented.


2013 ◽  
Author(s):  
Lucio Bertoldi ◽  
Raffaele Perfetto ◽  
Francesca Rinaldi ◽  
Gabriele Carpineta ◽  
Luis Granado ◽  
...  

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