From Diagnosis to Management; Mucocele of Stump Appendicitis, Extremely Rare Finding in an Uncommon Surgical Disease: Literature Review

International Journal of Surgical Oncology ◽

10.1155/2021/8816643 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Syed Muhammad Ali ◽

Mohannad Al-Tarakji ◽

Fakhar Shahid ◽

Amjad Salah Qabani ◽

Amjad Ali Shah ◽

...

Keyword(s):

Literature Review ◽

Pseudomyxoma Peritonei ◽

English Literature ◽

Surgical Removal ◽

Rare Finding ◽

Surgical Disease ◽

Stump Appendicitis ◽

Mucocele Of The Appendix

Mucocele of the appendix is the accumulation of mucoid material in the appendiceal lumen. Although the terminology is imprecise, as it does not differentiate between the benign and malignant nature of the condition, preoperative recognition is imperative as spillage of the mucus during surgical handling can result in grave complications like pseudomyxoma peritonei. Mucocele developing in a stump of the appendix, i.e., a remnant of appendiceal tissue after surgical removal of an inflamed organ, is an extremely uncommon phenomenon, as not many cases are reported in the literature. In this review, all cases reported in English literature are discussed.

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Russell Body Typhlitis: A Case Report and Literature Review

International Journal of Surgical Pathology ◽

10.1177/10668969211008251 ◽

2021 ◽

pp. 106689692110082

Author(s):

Sarah Al-Rawaf ◽

Salem Alowami ◽

Robert Riddell ◽

Asghar Naqvi

Keyword(s):

Case Report ◽

Literature Review ◽

Light Chain ◽

Plasma Cells ◽

Gastrointestinal Disease ◽

English Literature ◽

The Other ◽

Tubulovillous Adenoma ◽

Inflammatory Polyp ◽

Intracytoplasmic Inclusions

Russell bodies are accumulation of immunoglobulin in plasma cells forming intracytoplasmic inclusions. Russell body colitis is rare with only 3 cases described in the English literature up to date. We report a 78-year-old male with cirrhosis showing prominent cecal infiltration of Russell body containing plasma cells. Plasma cells showed no nuclear atypia or mitoses, and no evidence of light chain restriction. In this article, we report a fourth case of Russell body colitis, that is unique in being localized to the cecum in contrast to the other 3, 1 of which was in an inflammatory polyp in the sigmoid colon, 1 in a rectal tubulovillous adenoma and 1 as part of diffuse gastrointestinal disease. This is therefore the first report of localized Russell body typhlitis, occurring in a cirrhotic patient in whom an adjacent erosion was likely nonsteroidal anti-inflammatory drug-associated, a combination that may have facilitated the formation of Russell bodies.

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Dural Arteriovenous Fistula within Superior Sagittal Sinus Wall with Direct Cortical Venous Drainage: A Systematic Literature Review

Journal of Clinical Interventional Radiology ISVIR ◽

10.1055/s-0041-1731594 ◽

2021 ◽

Author(s):

Rajendra Chavan ◽

Shreya Sethi ◽

Harsha Sahu ◽

Neeraj Rao ◽

Shivani Agarwal

Keyword(s):

Literature Review ◽

Treatment Option ◽

Systematic Literature Review ◽

Superior Sagittal Sinus ◽

English Literature ◽

Venous Drainage ◽

Sagittal Sinus ◽

Complete Obliteration ◽

Cortical Venous Drainage ◽

Special Subgroup

AbstractDural arteriovenous fistulas (DAVFs) located within superior sagittal sinus (SSS) wall with direct cortical venous drainage are rare. They are also known as variant DAVF (vDAVF) and form a special subgroup of DAVFs. Their chance of presenting with aggressive features is high compared with transverse sigmoid sinus fistula. They drain directly into cortical veins (Borden type 3, Cognard type III and IV). A systematic English literature review of SSS vDAVF was made. Systematic literature review revealed a total of 31 published cases. These were commonly seen in male population, (24 males, 77.41%, 24/31). Average age of patients was 54 years. A total of 24 patients (77.41%, 24/31) had aggressive clinical presentations with 13 patients (41.93%, 13/31) having intracranial hemorrhages (ICH). Two patients had rebleeding (15.38%, 2/13). Middle portion of SSS was commonly involved (15 cases, 75%). A total of 25 (96.15%, 25/26) cases had patent SSS. Most of the fistulas were idiopathic (65.38%, 17/26), with trauma being a frequent etiological factor (26.92%, 7/26). Venous ectasia was seen in 19 patients (59.37%, 19/32). Middle meningeal arterial (MMA) supply was seen in all patients (100%, 26/26), with bilateral MMA supply in 21 cases (80.76%), and unilateral in 5 cases (19.23%). Twenty patients (62.50%, 20/32) received only endovascular treatment (EVT), while four patients had EVT followed by surgery (12.5%, 4/32). Transarterial route via MMA was the preferred treatment option (79.16%). Complete obliteration of fistulas was noted in all cases (100%, 30/30). No immediate complication was noted after EVT. As much as 92.30% patients showed good recovery. Thus, SSS vDAVF forms a special subgroup of DAVF, with aggressive presentation, and warrants urgent treatment. EVT is effective treatment option and can produce complete obliteration.

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Acute Herpetic Nasopharyngitis in an Adult Patient: A Case Report and Literature Review

Annals of Otology Rhinology & Laryngology ◽

10.1177/00034894211070138 ◽

2022 ◽

pp. 000348942110701

Author(s):

Cathleen C. Kuo ◽

Ellen M. Piccillo ◽

Jason C. DeGiovanni ◽

Matt Kabalan ◽

Gregg Zimmer ◽

...

Keyword(s):

Literature Review ◽

Adult Patient ◽

Soft Palate ◽

Case Reports ◽

Nasal Congestion ◽

English Literature ◽

Immunohistochemical Analysis ◽

Anatomical Location ◽

Posterior Aspect ◽

Mesh Terms

Objective: To report a case of herpes virus-associated nasopharyngitis in an adult patient. Methods: The patient’s medical record was reviewed for demographic and clinical data. For literature review, all case reports or other publications published in English literature were identified using Pubmed with the MeSH terms “herpes,” “nasopharyngitis,” and “upper respiratory infection.” Results: A 40-year-old male presented for nasal congestion and a suspected nasal mass. Computed tomography of the sinuses revealed edematous changes in the nasopharynx which exerted a downward mass effect at the right aspect of the soft palate. Flexible fiberoptic laryngoscopy (FFL) revealed a lesion arising from the posterior aspect of the soft palate with extension into the posterior nasal cavity as well as copious mucopurulent secretions consistent with a superimposed acute sinusitis. Rigid nasal endoscopy demonstrated a friable and ulcerated lesion arising from the aforementioned anatomical location. Biopsy of this lesion and subsequent immunohistochemical analysis revealed a diagnosis of herpetic nasopharyngitis. Conclusions: Herpetic infection should be in the differential diagnosis of patients presenting with atypical symptoms of nasopharyngitis. Early accurate diagnosis and appropriate specific management can limit the duration of disease course and prevent further complications.

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EP.FRI.999 Case report of a Low Grade appendiceal mucinous neoplasm (LAMN) and review of literature

British Journal of Surgery ◽

10.1093/bjs/znab312.144 ◽

2021 ◽

Vol 108 (Supplement_7) ◽

Author(s):

Kimberly Da Costa ◽

Sivakumaran Sabanathan

Keyword(s):

Intraperitoneal Chemotherapy ◽

Pseudomyxoma Peritonei ◽

Right Hemicolectomy ◽

Low Grade ◽

Mucinous Neoplasm ◽

Mucinous Neoplasms ◽

Mucocele Of The Appendix ◽

Preoperative Ct ◽

Inflammatory Processes ◽

Progressive Accumulation

Abstract A mucocele refers to an appendix that has dilated due to progressive accumulation of mucus within its lumen. Appendiceal mucocele is a rare cause of an acute abdomen. They represent 0.2-0.7% of all appendix specimens. LAMN account for less than 0.3% of appendicectomy specimens. We present a 38 year old man with an acute RIF’s pain who went on to have CT scan which revealed a mucocele of appendix but did not show any features of perforation or pseudomyxoma peritonei. He had a laparoscopic converted to open appendicectomy. The proximal 2 cm of appendix was oedematous but normal calibre. Histology revealed a low grade appendiceal mucinous neoplasm (LAMN) that was completely excised. The mucocele of the appendix was first described by Rokitansky in 1842. Appendix mucocele may come as a consequence of obstructive or inflammatory processes, cystadenomas or cystadenocarcinomas. Appendiceal mucinous neoplasms commonly presents in the sixth decade of life and our patient was much younger in comparison. Several literatures suggest the value of preoperative CT imaging in obtaining diagnosis and also in planning further treatment. Appendicectomy or a right hemicolectomy is treatment of choice based on presence or absence of following factors 1. Perforated mucocele 2. Involvement of the base of the appendix. 3. Positive lymph nodes of mesoappendix and ileocolic. Patients with malignancy or pseudomyxoma peritonei are likely to require cytoreductive surgery, heated intraoperative intraperitoneal chemotherapy, early postoperative intraperitoneal chemotherapy.

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Massive Intravascular Hemolysis From Clostridium perfringens Septicemia

Journal of Intensive Care Medicine ◽

10.1177/0885066613498043 ◽

2013 ◽

Vol 29 (6) ◽

pp. 327-333 ◽

Cited By ~ 36

Author(s):

Tracey G. Simon ◽

Joanna Bradley ◽

Adisa Jones ◽

Gerardo Carino

Keyword(s):

Clostridium Perfringens ◽

Patient Survival ◽

Case Reports ◽

English Literature ◽

Case Series ◽

Surgical Removal ◽

Chi Square ◽

Data Set ◽

Male Mortality ◽

Time To Death

We describe the case of a patient with hemolysis-associated Clostridium perfringens septicemia and review all similar cases published in the literature since 1990, with specific focus on the relationship between treatment strategy and survival. We searched PubMed for all published cases of C. perfringens-associated hemolysis, using the medical subject terms “clostridia,” “clostridial sepsis,” and/or “hemolysis.” All case reports, case series, review articles, and other relevant references published in the English literature since 1990 were included in this study. There were no exclusion criteria. Each case was examined with respect to presenting features of illness, antibiotic regimen, time-to-antibiotic therapy, additional interventions, complications, and patient survival. These variables were entered into a data set and then systematically analyzed with the aid of a statistician, using serial t tests and chi-square analyses. Since 1990, 50 patients of C. perfringens septicemia with hemolysis have been reported. Median age was 61 years (range 31-84), and 58% were male. Mortality was 74%, with a median time to death of 9.7 hours (range 0-96 hours). Of the patients, 35 (70%) were treated medically, while 15 (30%) received antibiotics and surgery. Surgical intervention was associated with significantly improved survival (risk ratio [RR] 0.23, 95% confidence interval [CI] 0.10, 0.53) as was the use of a combination of penicillin and clindamycin (RR of death 0.46, 95% CI 0.25, 0.83). Four patients utilizing hyperbaric oxygen therapy (HBOT) have been reported, and all patients survived. In cases of clostridial sepsis with hemolysis, strong predictors of survival include early initiation of appropriate antibiotics as well as surgical removal of infected foci. The HBOT may also be associated with survival. The disease often progresses rapidly to death, so rapid recognition is critical for the patient survival.

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Pseudomyxoma Peritonei Originating from Transverse Colon Mucinous Adenocarcinoma: A Case Report and Literature Review

Gastroenterology Research and Practice ◽

10.1155/2020/5826214 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Yingbo Gong ◽

Xin Wang ◽

Zhi Zhu

Keyword(s):

Literature Review ◽

Pseudomyxoma Peritonei ◽

Transverse Colon ◽

Mucinous Adenocarcinoma ◽

Lung Metastases ◽

Metastatic Cancer ◽

Genetic Profile ◽

Low Grade ◽

Extensive Literature ◽

Cancer Multiple

Background. Pseudomyxoma peritonei (PMP) is a rare neoplasm involving the peritoneum. Most PMPs are low-grade appendicular mucinous neoplasms (LAMNs). There have been no reports of PMP originating from a transverse colonic mucinous adenocarcinoma and causing metastatic mucinous adenocarcinoma. Case Presentation. We report a 46-year-old woman who presented with a right abdominal mass of more than 4-month duration. Transverse colonic mucinous adenocarcinoma, PMP, and ovarian metastatic mucinous adenocarcinoma were diagnosed. The patient’s diet was normal, and she had no abdominal pain or bloating. The abdomen mass increased in the month before treatment. After chemotherapy, the transverse colon mass and ovarian giant cyst were resected and about 2000 mL of gelatinous tumor tissue was removed. Postoperative histology confirmed PMP from the transverse colonic mucinous adenocarcinoma, ovarian metastatic mucinous adenocarcinoma, and mesocolon metastatic cancer. Multiple lung metastases appeared 8 months after surgery. The patient died 29 months after surgery because of an inability to eat and poor nutrition. A systematic literature review of the management and outcome of all known similar cases is also presented. Conclusions. This is the first report of PMP originating from a transverse colonic mucinous adenocarcinoma. It was diagnosed during resective surgery, involved ovarian metastasis, and survival was short. We did an extensive literature review in order to describe the clinical characteristics, histopathological findings, genetic profile, and potential treatments of PMP caused by nonappendiceal mucinous adenocarcinoma.

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SPINAL DEFORMITY

Neurosurgery ◽

10.1227/01.neu.0000313120.81565.d7 ◽

2008 ◽

Vol 63 (suppl_3) ◽

pp. A25-A39 ◽

Cited By ~ 87

Author(s):

Charles Kuntz ◽

Christopher I. Shaffrey ◽

Stephen L. Ondra ◽

Atiq A. Durrani ◽

Praveen V. Mummaneni ◽

...

Keyword(s):

Literature Review ◽

Spinal Deformity ◽

English Literature ◽

Spinal Alignment ◽

New Classification ◽

Sagittal Spinal Alignment ◽

Asymptomatic Volunteers ◽

Asymptomatic Individuals ◽

Spinal Abnormality

ABSTRACT OBJECTIVE In this literature review, the authors analyze data from previously published studies that evaluated neutral upright spinal alignment (NUSA) from the occiput to the pelvis in asymptomatic individuals. Based on the data for NUSA in asymptomatic volunteers, a new classification is proposed for spinal deformity. METHODS A review of the English literature was conducted to identify studies evaluating NUSA from the occiput to the pelvis in asymptomatic juvenile, adolescent, adult, and geriatric volunteers. From the literature review, 17 angles and displacements were selected to depict neutral upright coronal and axial spinal alignment, and 21 angles and displacements were selected to depict neutral upright sagittal spinal alignment. Pooled estimates of the mean and variance were calculated for the angles and displacements from the articles that met inclusion criteria. A new classification of spinal deformity was then developed based on age-dependent NUSA; spinal abnormality; deformity curve location, pattern, magnitude, and flexibility; and global spinal alignment. RESULTS Despite a wide variation in the regional curves from the occiput to the pelvis in asymptomatic volunteers, global spinal alignment is maintained in a narrow range for preservation of horizontal gaze and balance of the spine over the pelvis and femoral heads. CONCLUSION A new classification of spinal deformity is proposed that provides a structure for defining deformity of all patient ages and spinal abnormalities.

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Mysterious Gelly Belly: a Case Report of Pseudomyxoma Peritonei and Literature Review

Journal of Gastroenterology & Digestive Systems ◽

10.33140/jgds.04.02.02 ◽

2020 ◽

Vol 4 (2) ◽

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Literature Review ◽

Pseudomyxoma Peritonei ◽

Clinical Condition ◽

Imaging Techniques ◽

Abdominal Distension ◽

Exploratory Laparotomy ◽

Primary Site ◽

Diffuse Abdominal Pain

Pseudomyxoma peritonei (PMP) is a rare clinical condition defined as extensive intraperitoneal spread of mucus associated with a variety of mucinous tumors. Although appendix has usually been implicated as the primary site, some reports found no cause. This case also describes a PMP with no identifiable primary site. A 52-year-old male presented with an abdominal distension evolving for 3 months associated with diffuse abdominal pain, imaging techniques objective intra peritoneal mucoid materials with septated ascites but it failed to identify the primary site. Exploratory laparotomy with Biopsy confirmed PMP but also failed to found the original site.

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Historical aspects of video endoscopic surgery of the lumbar spine

Hirurgiâ pozvonočnika ◽

10.14531/ss2021.1.70-77 ◽

2021 ◽

Vol 18 (1) ◽

pp. 70-77

Author(s):

M. N. Kravtsov

Keyword(s):

Lumbar Spine ◽

Literature Review ◽

Endoscopic Surgery ◽

English Literature ◽

Surgical Interventions ◽

Historical Aspects ◽

Endoscopic Techniques ◽

History Of

The literature review is devoted to the history of the development of endoscopic surgery of the lumbar spine: from open surgical interventions and puncture procedures – to percutaneous intracanal endoscopic operations, combining interventional and video endoscopic technologies and referred to in the English literature as “full-endoscopy”. The article also touches upon the historical aspects of fibroendoscopic and laparoscopic interventions on the lumbar spine. In conclusion, the principle of classification of endoscopic techniques is proposed.

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