scholarly journals A Rare Case of Pancreatic Endometriosis Masquerading as Pancreatic Mucinous Neoplasm

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Barton Huang ◽  
Annie Mooser ◽  
Danielle Carpenter ◽  
Grace Montenegro ◽  
Carrie Luu
Keyword(s):  
Distal Pancreatectomy ◽  
Female Patient ◽  
Surgical Resection ◽  
Rare Case ◽  
Cystic Lesions ◽  
Common Condition ◽  
Mucinous Neoplasm ◽  
Endometriotic Cyst

Endometriosis is a relatively common condition among women, and pancreatic endometriosis has been reported on rare occasions. Such pancreatic lesions are difficult to diagnose and distinguish from other cystic lesions of the pancreas preoperatively. This report describes a case of pancreatic endometriosis in a 51-year-old female patient. Imaging demonstrated an enlarging cyst with findings concerning for a mucinous neoplasm. The patient underwent robotic distal pancreatectomy and splenectomy. Histopathology revealed an endometriotic cyst. Pancreatic endometriosis can be difficult to distinguish from other lesions of the pancreas. Surgical resection should be undertaken in cases where malignancy is suspected.

scholarly journals A rare case of pseudocyst in remnant pancreas after classical pancreaticoduodenectomy- treated by endoscopic drainage

2017 ◽  
Vol 4 (5) ◽  
pp. 1797
Author(s):  
Senthilkumar Perumal ◽  
Jeswanth Sathyanesan ◽  
Ravichandran Palaniappan
Keyword(s):  
Female Patient ◽  
Rare Case ◽  
Malignant Tumors ◽  
Pancreatic Pseudocysts ◽  
Endoscopic Drainage ◽  
Cystic Lesions ◽  
Periampullary Carcinoma ◽  
Pancreatic Anastomosis ◽  
Remnant Pancreas

Pancreatic pseudocysts comprise more than 80 % of the cystic lesions of the pancreas. Here we report a 45-year-old female patient who developed a symptomatic pseudocyst in the remnant pancreas following classical pancreaticoduodenectomy for periampullary carcinoma. The pancreatic anastomosis was pancreaticogastrostomy- Dunking technique. She underwent endoscopic cystogastrostomy. Recurrence should always be ruled out before diagnosing pseudocyst in remnant pancreas following pancreaticoduodenectomy for malignant tumors.

scholarly journals Osseous metaplasia of ovarian cyst: a rare case report

2018 ◽  
Vol 5 (9) ◽  
pp. 3164
Author(s):  
Anil Kumar Singh ◽  
Priyanka Gogoi ◽  
Preeti Diwaker ◽  
Bhuvan Adhlakha ◽  
Aishwary Gayatree
Keyword(s):  
Rare Case ◽  
Incidental Finding ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Osseous Metaplasia ◽  
Provisional Diagnosis ◽  
Mucinous Neoplasm ◽  
Endometriotic Cyst ◽  
Rare Case Report ◽  
Chocolate Cyst

Osseous metaplasia has been described at many sites, however previous reports of osseous metaplasia in ovarian lesions are rare. This is most commonly associated with dermoid cyst, osseous metaplasia in stroma rich in serous or mucinous neoplasm and ossification of endometriotic cyst (chocolate cyst). Here The authors report a case of incidental finding of osseous metaplasia in the endometriotic cyst (chocolate cyst) of resected ovary in 42-year-old female who had gone for total abdominal hysterectomy with bilateral salpingo-oophorectomy for provisional diagnosis of AUB.

scholarly journals Emergency embolization after resection of a laryngeal Schwannoma

2013 ◽  
Vol 12 (4) ◽  
pp. 312-314 ◽  
Author(s):  
Fabio Augusto Cypreste Oliveira ◽  
Carlos Eduardo de Sousa Amorelli ◽  
Fabio Lemos Campedelli ◽  
Werther Sales ◽  
Maria Cunha Ribeiro Amorelli ◽  
...  
Keyword(s):  
Female Patient ◽  
Surgical Resection ◽  
Rare Case ◽  
Young Female ◽  
Benign Tumors ◽  
First Choice

Schwannoma is a rare cause of benign tumors of the larynx. The first-choice treatment is surgical resection. The objective of this paper is to report on a rare case of a young female patient who suffered severe intraoperative hemorrhaging during surgical resection of a laryngeal Schwannoma and needed emergency embolization.

scholarly journals Isolated thoracic intramedullary Erdheim-Chester disease presenting with paraplegia: a case report and literature review

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ikchan Jeon ◽  
Joon Hyuk Choi
Keyword(s):  
Surgical Resection ◽  
Fdg Pet ◽  
Rare Case ◽  
Systemic Disease ◽  
Mass Lesion ◽  
Erdheim Chester Disease ◽  
Pet Ct ◽  
Fdg Pet Ct ◽  
Erdheim Chester ◽  
Chester Disease

Abstract Background Erdheim-Chester disease (ECD) is a rare, idiopathic, systemic non-Langerhans cell histiocytosis involving long bone and visceral organs. Central nervous system (CNS) involvement is uncommon and most cases develop as a part of systemic disease. We present a rare case of variant ECD as an isolated intramedullary tumor. Case presentation A 75-year-old female patient with a medical history of diabetes and hypertension presented with sudden-onset flaccid paraparesis for 1 day. Neurological examination revealed grade 2–3 weakness in both legs, decreased deep tendon reflex, loss of anal tone, and numbness below T4. Leg weakness deteriorated to G1 before surgery. Preoperative magnetic resonance imaging (MRI) and 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) showed an intramedullary mass lesion at T2-T4 with no systemic lesion, which was heterogeneous enhancement pattern with cord swelling and edema from C7 to T6. Gross total removal was achieved for the white-gray-colored and soft-natured intramedullary mass lesion with an ill-defined boundary. Histological finding revealed benign histiocytic proliferation with foamy histiocytes and uniform nuclei. We concluded it as an isolated intramedullary ECD. The patient showed self-standing and walkable at 18-month with no evidence of recurrence and new lesion on spine MRI and whole-body FDG-PET/CT until sudden occurrence of unknown originated thoracic cord infarction. Conclusions We experienced an extremely rare case of isolated intramedullary ECD, which was controlled by surgical resection with no adjuvant therapy. Histological examination is the most important for final diagnosis, and careful serial follow-up after surgical resection is required to identify the recurrence and progression to systemic disease.

scholarly journals A rare case of eight multiple primary malignant neoplasms in a female patient: A case report and review of the literature

2014 ◽  
Vol 9 (2) ◽  
pp. 587-590 ◽  
Author(s):  
JIEMIN ZHAO ◽  
YAN TAN ◽  
YUGANG WU ◽  
WEI ZHAO ◽  
JUN WU ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Rare Case ◽  
Malignant Neoplasms ◽  
Review Of The Literature ◽  
Multiple Primary

scholarly journals A243 A RETROSPECTIVE REVIEW OF THE RADIOGRAPHIC DIAGNOSIS AND SURGICAL RESECTION RATES OF PANCREATIC SEROUS CYSTS

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 300-301
Author(s):  
M Monachese ◽  
S Li ◽  
M Salim ◽  
L Guimaraes ◽  
P D James
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Surgical Resection ◽  
Predictive Value ◽  
Resected Specimen ◽  
Cystic Lesions ◽  
Resonance Imaging ◽  
Guided Biopsy ◽  
Magnetic Resonance Imaging Mri

Abstract Background Pancreatic cystic lesions are increasingly identified in persons undergoing abdominal imaging. Serous cystic neoplasms (SCNs) have a very low risk of malignant transformation. Resection of SCNs is not recommended in the absence of related symptoms. The accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) to identify SCNs is not known and may impact clinical care. Aims To evaluate the accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) for the diagnosis of SCN. To see how this can impact the decision to resect suspected SCNs. Methods Retrospective cohort study of patients from the University Health Network with suspected SCNs from 2017–2020 who underwent either a CT or MRI of the abdomen. Reports noting pancreatic cystic lesions were identified and reviewed. Only cases with suspected SCNs were included. Clinical (age, sex, symptoms, treatment) and radiographic (type of imaging, reported cyst characteristics) data was collected. Pathology was reviewed for all cases where the cysts was biopsied or resected during follow-up. The gold standard for the diagnosis for SCN was pathology of resected specimen or EUS-guided biopsy cytopathology showing no evidence of a mucinous lesion, CEA level below 10ug per L and amylase level below 50 U/L. Results 163 patients were included in the study. 99 (61%) were female and 98 (60%) underwent CT scan. EUS-guided biopsy was performed in 24 (15%) of patients and 8 (5%) had surgical resection. Multidisciplinary review was performed in 6 of the 8 cases that went to surgery. Of the resected specimens, 5 (63%) were SCN, 1 was a mucinous cystic lesion, 1 was a neuroendocrine tumor and 1 was a carcinoma. Two patients underwent EUS evaluation prior to surgical resection. In one case SCN was resected when EUS reported an undetermined cyst type. Reasons for surgical resection were: the diagnosis of serous cyst was not definitive (n=5), symptoms (n=2), and high-risk mucinous cystic neoplasm identified on EUS (n=1). Of 30 patients with pathology available, 15 (50%) were confirmed to have a SCN. CT and MRI had a sensitivity, specificity, positive predictive value and negative predictive value of 93%, 25%, 52% and 80%, respectively. Conclusions Surgical resection for SCN lesions is driven by diagnostic uncertainty after cross-sectional imaging. Multidisciplinary review and EUS evaluation may improve diagnostic accuracy and should be considered prior to surgical resection of possible SCN lesions. Funding Agencies None

scholarly journals Management of uterine cystic adenomyosis by laparoscopic surgery: case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Cheng-Zhi Zhao ◽  
Bin Wang ◽  
Chun-yan Zhong ◽  
Shen-tao Lu ◽  
Li Lei
Keyword(s):  
Laparoscopic Surgery ◽  
Rare Case ◽  
Cystic Lesion ◽  
Ultrasound Examination ◽  
Ca 125 ◽  
Cystic Lesions ◽  
Good Recovery ◽  
Case Presentation ◽  
Solid Lesions ◽  
Uterine Body

Abstract Background Endometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions. The former is common, while the latter is rare, especially for cystic adenomyosis larger than 5 cm. Case presentation A 30-year-old woman was admitted for severe and worsening dysmenorrhea. Ultrasound examination revealed a rare well-circumscribed cystic lesion about 5.5 × 4 × 5.0 cm. CA-125 level was slightly elevated. She accepted laparoscopic surgery and the adenomyotic tissues were excised. The histopathology of the specimen demonstrated the endometrial glands in the walls of cysts and an area of extensive hemorrhage can be seen in the inner wall of cyst. The patient made a good recovery after surgery and her symptoms complete resoluted. Conclusions This is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery.

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