scholarly journals Postoperative Textiloma Mimicking Intracranial Rebleeding in a Patient with Spontaneous Hemorrhage: Case Report and Review of the Literature

2020 ◽  
Vol 12 (1) ◽  
pp. 7-12 ◽  
Author(s):  
Nicola Montemurro ◽  
Domenico Murrone ◽  
Bruno Romanelli ◽  
Aldo Ierardi
Keyword(s):  
Radiation Necrosis ◽  
Clinical History ◽  
Surgical Removal ◽  
Oxidized Cellulose ◽  
Review Of The Literature ◽  
Granulomatous Reaction ◽  
Hemostatic Agents ◽  
History Of ◽  
False Image ◽  
Mass Lesions

During craniotomy, hemostatic materials such as oxidized cellulose and cotton pads, commonly used to control bleeding, may cause a granulomatous reaction that may produce space-occupying mass lesions termed textiloma (or gossypiboma). We present a 46-year-old female who underwent a right frontotemporal craniotomy and surgical removal of intraparenchymal cerebral hemorrhage, and who developed a textiloma during the postoperative period causing seizures. Granulomatous reactions due to hemostatic agents have been reported experimentally, as well as after cranial and spinal operations. We emphasize that although it is rare, an adverse reaction such as a postoperative textiloma due to hemostatic material and subsequent granuloma formation can result in a false image of rebleeding, tumor recurrence, radiation necrosis, or postoperative abscess, depending on the particular clinical history of each patient.

Ischemic Colitis and Stricture After Hemolytic-Uremic Syndrome

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 315-317
Author(s):  
Hadi Sawaf ◽  
Marcia J. Sharp ◽  
Kum J. Youn ◽  
Patrick A. Jewell ◽  
Ali Rabbani
Keyword(s):  
Renal Failure ◽  
Hemolytic Uremic Syndrome ◽  
Sudden Onset ◽  
Late Complications ◽  
Surgical Removal ◽  
Review Of The Literature ◽  
Follow Up Studies ◽  
History Of ◽  
Uremic Syndrome

The hemolytic-uremic syndrome (HUS) was first described by Von Gasser et al.1 in 1955 as a syndrome of acute renal failure, hemolytic anemia, and thrombocytopenia in children. Follow-up studies on HUS have emphasized hypertension and uremia as late complications.2,3 A review of the literature has revealed no previously reported cases of persistent colitis and bowel stenosis after HUS. We present a child who continued to have intermittent intestinal obstruction and diarrhea until surgical removal of a segment of colon almost seven months after the onset of HUS. CASE REPORT A 26-month-old white boy who had no history of gastrointestinal disturbance had sudden onset of diarrhea with blood and mucus in the stool.

scholarly journals Late Recurrence in Ovarian Dysgerminoma Presenting as a Primary Retroperitoneal Tumor: A Case Report and Review of the Literature

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Yuichiro Sato ◽  
Tohru Hayashi ◽  
Hidetaka Yamamoto ◽  
Ichiro Niina ◽  
Naoya Kuroki ◽  
...  
Keyword(s):  
Clinical History ◽  
Late Recurrence ◽  
Retroperitoneal Tumor ◽  
Retroperitoneal Mass ◽  
Review Of The Literature ◽  
Rare Type ◽  
History Of ◽  
Node Metastases ◽  
Ovarian Dysgerminoma ◽  
Primary Retroperitoneal

Ovarian dysgerminoma is a rare type of germ cell tumor. The majority of patient relapses occur within 2 years of diagnosis. Here, we report the case of a 74-year-old woman with a history of ovarian dysgerminoma 39 years earlier. The patient visited the hospital presenting with heartburn. An abdominal computed tomography (CT) revealed a right retroperitoneal mass, and a primary retroperitoneal tumor was suspected. She underwent surgical resection of the retroperitoneal tumor. Histological examination confirmed a metastatic dysgerminoma to the retroperitoneum. Postoperative CT showed paraaortic and cervical lymph node metastases. The patient was treated with bleomycin, etoposide, and cisplatin chemotherapy. This case demonstrates the difficulties that may be encountered in the differential diagnosis of a retroperitoneal mass and underlines the necessity for understanding a patient’s clinical history.

Clear Cell Adenocarcinoma of the Cervix in a Child without in Utero Exposure to Diethylstilbestrol: A Case Report and Review of the Literature

2005 ◽  
Vol 8 (6) ◽  
pp. 690-695 ◽  
Author(s):  
William A. Ahrens ◽  
L. Patricia Barrón-Rodriguez ◽  
Millisa McKee ◽  
Scott Rivkees ◽  
Miguel Reyes-Múgica
Keyword(s):  
Differential Diagnosis ◽  
Clear Cell ◽  
Clinical History ◽  
In Utero ◽  
Embryonal Rhabdomyosarcoma ◽  
In Utero Exposure ◽  
Clear Cell Adenocarcinoma ◽  
Review Of The Literature ◽  
Cervical Tumor ◽  
History Of

We describe the case of a primary cervical tumor in a 6-year-old child that was originally suspected to be an embryonal rhabdomyosarcoma botryoides. Histologic analysis revealed a clear cell adenocarcinoma. Despite a direct search and questioning for maternal exposure to diethylstilbestrol, this was not documented. Clear cell adenocarcinoma is an extremely rare neoplasm that should be kept in the differential diagnosis of cervicovaginal lesions in children, even in the absence of a clinical history of in utero diethylstilbestrol exposure. We discuss the hypothesized pathogenesis and review the literature on this unusual tumor.

scholarly journals Xanthogranulomatous Salpingitis Associated with a Large Uterine Leiomyoma

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Joanne Margaret Howey ◽  
Etienne Mahe ◽  
Jasim Radhi
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Chronic Inflammation ◽  
Inflammatory Disease ◽  
Uterine Leiomyoma ◽  
Plasma Cells ◽  
Clinical History ◽  
Review Of The Literature ◽  
Xanthogranulomatous Inflammation ◽  
Exact Etiology ◽  
History Of

A case of xanthogranulomatous salpingitis (XGS) associated with a large uterine leiomyoma in a 50-year-old woman is presented. Xanthogranulomatous inflammation is an uncommon form of chronic inflammation that is destructive to affected organs. It is characterized by the presence of lipid-filled macrophages with admixed lymphocytes, plasma cells, and neutrophils. A review of the literature revealed that most patients with XGS have a clinical history of long-standing pelvic inflammatory disease (PID) or, less often, endometriosis. We report a case lacking a history of either PID or endometriosis but with a concurrent large uterine leiomyoma. Although the exact etiology in this case was not clear, the leiomyoma may have played a contributory role in pathogenesis.

scholarly journals Metastasis of Malignant Melanoma to Urinary Bladder: A Case Report and Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Rashna Meunier ◽  
Gyan Pareek ◽  
Ali Amin
Keyword(s):  
Differential Diagnosis ◽  
Malignant Melanoma ◽  
Urinary Bladder ◽  
Clinical History ◽  
Metastatic Malignant Melanoma ◽  
Review Of The Literature ◽  
Bladder Mucosa ◽  
Immunohistochemical Examination ◽  
History Of ◽  
The Right

Aims. Metastatic malignant melanoma of the urinary bladder is a rare clinical entity, with only twenty-three published cases to date. We present a case of this rare entity, a thorough review of the literature, and differential diagnosis of melanoma in the bladder.Methods and Results. A 55-year-old woman with a history of malignant melanoma of the right thigh, excised eight years ago, presented with back pain, fatigue, and hematuria. She underwent computed tomography (CT) scan and was found to have metastases within the liver, spleen, lungs, and urinary bladder. She underwent cystoscopy and transurethral resection of three polypoid lesions. Histologic and immunohistochemical examination revealed metastatic malignant melanoma involving bladder mucosa.Conclusions. This case illustrates the importance of including malignant melanoma in the differential diagnosis of high grade neoplasms of bladder, especially in cases where the relevant clinical history is not available.

Imaging of Hemispheric Brain Gangliogliomas

1997 ◽  
Vol 10 (5) ◽  
pp. 563-568 ◽  
Author(s):  
F.S. Finizio
Keyword(s):  
Glial Cells ◽  
Residual Life ◽  
Focal Epilepsy ◽  
Clinical History ◽  
Good Prognosis ◽  
Surgical Removal ◽  
History Of ◽  
Cns Tumours ◽  
Subtotal Removal ◽  
Neuroradiological Diagnosis

The group of gangliogliomas (GGI) and ganglioneuromas (GGN) includes tumours composed of nerve cells and glial cells, usually astrocytes. In this sense, they differ from most primary CNS tumours in which only the glial cells show malignant change. The differentiation between GGIs and GGNs is histological: if glial cells predominate, the lesion is called a “ganglioglioma”, when neuronal elements predominate, the term “ganglioneuroma” is used. Nevertheless, these two tumors types should be considered a single entity. Patients of all ages are affected, but the majority of tumours arise in the first two decades of life. The temporal lobe is a favorite site. The clinical history of these slow-growing neoplasms is usually one of long-standing focal epilepsy. The neuroradiological aspects of 13 hemispheric GGIs are described. Calcifications were seen in 5 case. All cases were histologically verified. Three characteristic neuroradiological features were noted: 1) mainly cystic with a solid portion in 6 cases; 2) entirely cystic or with a mural nodule at the wall of the cyst in 3 cases; 3) entirely solid in 4 cases. The neuroradiological diagnosis of GGI is important because radical surgical removal of these lesions is considered the first-line procedure. Surgery is justified by the good prognosis for patients in terms both of survival and quality of residual life, since it is curative or allows pharmacological control of epilepsy even after subtotal removal.

scholarly journals Seizure in isolated brain cryptococcoma: Case report and review of the literature

2021 ◽  
Vol 12 ◽  
pp. 153
Author(s):  
Laura Brunasso ◽  
Roberta Costanzo ◽  
Antonio Cascio ◽  
Ada Florena ◽  
Gianvincenzo Sparacia ◽  
...  
Keyword(s):  
Immunocompetent Patient ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Granulomatous Reaction ◽  
Pertinent Literature ◽  
Cranial Nerve Dysfunction ◽  
Immunosuppressed Patients ◽  
History Of ◽  
Nerve Dysfunction ◽  
Immunocompetent Patients

Background: Central nervous system (CNS) cryptococcosis is an invasive fungal infection predominantly seen among immunosuppressed patients causing meningitis or meningoencephalitis. Rarely, cryptococcosis can affect immunologically competent hosts with the formation of localized CNS granulomatous reaction, known as cryptococcoma. Common symptoms of CNS cryptococcoma are headaches, consciousness or mental changes, focal deficits, and cranial nerve dysfunction. Rarely, seizures are the only presenting symptom. Case Description: We report the case of an immunocompetent patient with a solitary CNS cryptococcoma presenting with a long history of non-responsive generalized seizure who has been successfully operated. Conclusion: CNS cryptococcoma is a rare entity, and in immunocompetent patients, its diagnosis can be challenging. The pathophysiology of lesion-related seizure is discussed along with a review of the pertinent literature.

scholarly journals Asynchronous Bilateral Ovarian Torsion: Three Cases, Three Lessons

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
M. C. Lucchetti ◽  
C. Orazi ◽  
A. Lais ◽  
M. L. Capitanucci ◽  
P. Caione ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Surgical Intervention ◽  
Case Reports ◽  
Young Patients ◽  
Clinical History ◽  
Ovarian Torsion ◽  
Review Of The Literature ◽  
Study Objective ◽  
Future Fertility ◽  
History Of

Background. Ovarian torsion (OT) is a serious condition, and delay in surgical intervention may result in loss of the ovary. Children and adolescents who have suffered from ovarian torsion may be at risk for asynchronous torsion of the contralateral ovary. Study objective. Three cases of asynchronous bilateral ovarian torsion were reported to analyse clinical history of three patients, to review the current literature, and to draw a conclusion for future treatment. Design. Case reports and review of the literature. Result. When a prepubertal girl presents with an ovarian torsion, several considerations have to be taken in account in order to preserve her future fertility; in particular, the pediatric surgeon/gynecologist has to preserve as much as possible the twisted ovary in addition to considering the fate of the contralateral ovary. Summary and Conclusions. Pelvic pain in a young girl has always raised the clinical suspect of an ovarian torsion; the possibility of asynchronous bilateral ovarian torsion is rare, but it is described in the literature and has catastrophic consequences; this condition has to be known and treated in the proper way by pediatric surgeons as well as by gynecologists in order to maximize the future fertility of the young patients.

Pneumomediastinum: A Rare Presentation of Inflicted Injuries in Infants

2020 ◽  
Author(s):  
Adam Lee ◽  
Adam Bajinting ◽  
Abby Lunneen ◽  
Colleen M. Fitzpatrick ◽  
Gustavo A. Villalona
Keyword(s):  
Literature Review ◽  
Retrospective Review ◽  
Review Of The Literature ◽  
Rare Presentation ◽  
Spontaneous Pneumomediastinum ◽  
Nonaccidental Trauma ◽  
Comprehensive Literature Review ◽  
Healthy Infants ◽  
History Of

AbstractReports of incidental pneumomediastinum in infants secondary to inflicted trauma are limited. A retrospective review of infants with pneumomediastinum and history of inflicted trauma was performed. A comprehensive literature review was performed. Three infants presented with pneumomediastinum associated with inflicted trauma. Mean age was 4.6 weeks. All patients underwent diagnostic studies, as well as a standardized evaluation for nonaccidental trauma. All patients with pneumomediastinum were resolved at follow-up. Review of the literature identified other cases with similar presentations with related oropharyngeal injuries. Spontaneous pneumomediastinum in previously healthy infants may be associated with inflicted injuries. Clinicians should be aware of the possibility of an oropharyngeal perforation related to this presentation.

Component resolved diagnostics in peanut sensitized children with and without a history of clinical reaction

2020 ◽  
Vol 41 (5) ◽  
pp. 336-340
Author(s):  
Yasmin Hamzavi Abedi ◽  
Cristina P. Sison ◽  
Punita Ponda
Keyword(s):  
Retrospective Chart Review ◽  
Clinical History ◽  
Specific Ige ◽  
Exact Test ◽  
Ara H 1 ◽  
Sige Level ◽  
History Of ◽  
Laboratory Procedures ◽  
Ige Mediated ◽  
The Relationship

Background: Serum Peanut-specific-IgE (PN-sIgE) and peanut-component-resolved-diagnostics (CRD) are often ordered simultaneously in the evaluation for peanut allergy. Results often guide the plans for peanut oral challenge. However, the clinical utility of CRD at different total PN-sIgE levels is unclear. A commonly used predefined CRD Ara h2 cutoff value in the literature predicting probability of peanut challenge outcomes is 0.35kUA/L. Objective: To examine the utility of CRD in patients with and without a history of clinical reactivity to peanut (PN). Methods: This was a retrospective chart review of 196 children with PN-sIgE and CRD testing, of which, 98 patients had a clinical history of an IgE-mediated reaction when exposed to PN and 98 did not. The Fisher's exact test was used to assess the relationship between CRD and PN-sIgE at different cutoff levels, McNemar test and Gwet’s approach (AC1 statistic) were used to examine agreement between CRD and PN-sIgE, and logistic regression was used to assess differences in the findings between patients with and without reaction history. Results: Ara h 1, 2, 3, or 9 (ARAH) levels ≤0.35 kUA/L were significantly associated with PN-sIgE levels <2 kUA/L rather than ≥2 kUA/L (p < 0.0001). When the ARAH threshold was increased to 1 kUA/L and 2 kUA/L, these thresholds were still significantly associated with PN-sIgE levels of <2, <5, and <14 kUA/L. These findings were not significantly different in patients with and without a history of clinical reactivity. Conclusion: ARAH values correlated with PN-sIgE. Regardless of clinical history, ARAH levels are unlikely to be below 0.35, 1, or 2 kUA/L if the PN-sIgE level is >2 kUA/L. Thus, if possible, practitioners should consider PN-sIgE rather than automatically ordering CRD with PN-sIgE every time. Laboratory procedures that allow automatically and reflexively adding CRD when the PN-sIgE level is ≤5 kUA/L can be helpful. However, further studies are needed in subjects with challenge-proven PN allergy.

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