scholarly journals Stromal tumor of duodenal autonomous nerves (plexosarcoma)

2007 ◽  
Vol 135 (5-6) ◽  
pp. 330-334
Author(s):  
Radoje Colovic ◽  
Marjan Micev ◽  
Vladimir Radak ◽  
Nikica Grubor ◽  
Natasa Colovic ◽  
...  
Keyword(s):  
Mesenteric Artery ◽  
Rare Case ◽  
Postoperative Recovery ◽  
Stromal Tumor ◽  
Uneventful Recovery ◽  
Back Wall ◽  
The Third ◽  
Great Vessels ◽  
Arterial Pulsation ◽  
Arterial Anastomosis

Gastrointestinal tumors arising from autonomous nerves of Meisner?s or Auerbach?s plexus (plexomas and plexosarcomas) are rare tumors in only 87 cases described in the literature up to 2001. We present a very rare case of gastrointestinal stromal tumor (plexosarcoma) of the third and fourth portion of the duodenum, 130x98x87 mm in diameter, arising from its back wall, with central necrosis of the well circumscribed tumor, which communicated with the duodenum through an ulceration of 15x7mm in diameter, spreading towards the great vessels of the retroperitoneum. It was gradually and carefully removed, together with 17 cm of the duodenum and few centimeters of the jejunum with end-to-end duodenojejunostomy below the Vater?s papilla. During the removal of the tumor, the superior mesenteric artery, being within the tumor?s capsule, was accidentally ligated but not transsected. In spite of the removal of the ligature, the artery became thrombosed due to damage of the intima by ligature so that it had to be resected and reanastomosed. After otherwise uneventful recovery, except for a mild pus discharge through the drain, not far from the arterial anastomosis, the patient suddenly started bleeding on the 13th day after surgery. At emergency reoperation, a rupture of the mesenteric artery above the thrombosed anastomosis was found. In spite of absence of the arterial pulsation within the mesentery, the bowel looked vital and the back flow from the artery was satisfactory. The arterial rereconstruction was not possible, so the artery was ligated. The postoperative recovery was surprisingly uneventful. The patient was discharged ten days after surgery and has stayed symptom-free so far. .

Penile Lymphoepithelioma-Like Carcinoma: A Rare Case With PD-L1 Expression

2021 ◽  
pp. 106689692098834
Author(s):  
Raquel Machado-Neves ◽  
Bernardo Teixeira ◽  
Elsa Fonseca ◽  
Pedro Valente ◽  
Joaquim Lindoro ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Tumor Cells ◽  
Rare Case ◽  
Malignant Tumors ◽  
Squamous Cell Carcinomas ◽  
The Third ◽  
The Past ◽  
First Case ◽  
Lymphoplasmacytic Infiltrate

Most malignant tumors of the penis are squamous cell carcinomas (SCC), being divided in 2 groups, one human papillomavirus (HPV)-related and another non-HPV-related, with lymphoepithelioma-like carcinoma (LELC) being one of the rarest HPV-related SCC. In this article, we report a case of a 50-year-old man who presented testicular swelling and pain for the past 3 months. A penile mass was identified, and the patient was submitted to a total penectomy. The penectomy specimen showed an ulcerated lesion at the glans reaching the cavernous bodies. Microscopic examination showed undifferentiated epithelial cells with syncytial growth pattern mix with a dense lymphoplasmacytic infiltrate, consistent with LELC. The tumor cells expressed p16 and all 3 different clones of PDL1 (22C3, SP263, and SP142). The patient is alive and well with a follow-up of 3 months. To our knowledge, this is the third LELC of the penis reported in literature and the first case reported with PDL1 expression.

scholarly journals An unusually large aggressive adenomatoid odontogenic tumor of maxilla involving the third molar: A clinical case report

2016 ◽  
Vol 10 (02) ◽  
pp. 277-280 ◽  
Author(s):  
Vikas Dhupar ◽  
Francis Akkara ◽  
Pulkit Khandelwal
Keyword(s):  
Rare Case ◽  
Third Molar ◽  
Odontogenic Tumor ◽  
Adenomatoid Odontogenic Tumor ◽  
Impacted Tooth ◽  
The Third ◽  
Impacted Third Molar ◽  
Simultaneous Reconstruction ◽  
Odontogenic Lesion ◽  
Temporalis Myofascial Flap

ABSTRACTAdenomatoid odontogenic tumor (AOT) is a rare tumor comprising only 3% of all odontogenic tumors. It is a benign, encapsulated, noninvasive, nonaggressive, slowly growing odontogenic lesion associated with an impacted tooth. These lesions may go unnoticed for years. The usual treatment is enucleation and curettage, and the lesion does not recur. Here, we present a rare case of an unusually large aggressive AOT of maxilla associated with impacted third molar. The authors also discuss clinical, radiographic, histopathologic, and therapeutic features of the case. Subtotal maxillectomy with simultaneous reconstruction of the surgical defect with temporalis myofascial flap was planned and carried out.

Snapping thumb: a rare case of stenosing tenosynovitis of the extensor pollicis longus tendon

2021 ◽  
Vol 14 (6) ◽  
pp. e241306
Author(s):  
Andrea Lund ◽  
Pelle Hanberg ◽  
Anders Ditlev Foldager-Jensen ◽  
Maiken Stilling
Keyword(s):  
Rare Case ◽  
Diagnostic Tools ◽  
Extensor Pollicis Longus ◽  
The Third ◽  
Stenosing Tenosynovitis ◽  
Repetitive Loading ◽  
Extensor Compartment ◽  
Extensor Pollicis Longus Tendon ◽  
Surgical Release

Tenosynovitis of the extensor pollicis longus (EPL) is rarely reported in patients without rheumatoid arthritis but may lead to thumb snapping as a consequence of EPL stenosing tenosynovitis.This case presents painful thumb snapping that developed after a wrist trauma and repetitive loading. Ultrasound and MRI were used as diagnostic tools, before surgical release of the EPL in the third extensor compartment was performed. Neither EPL tenosynovitis nor thumb snapping were found at follow-up.

Right paraduodenal hernia accompanying superior mesenteric vein thrombosis: a rare case

2021 ◽  
Vol 14 (6) ◽  
pp. e241324
Author(s):  
Nail Omarov ◽  
İbrahim Halil Özata ◽  
Emre Balık
Keyword(s):  
Abdominal Pain ◽  
Mesenteric Artery ◽  
Rare Case ◽  
Superior Mesenteric Vein ◽  
Mortality Rates ◽  
Paraduodenal Hernia ◽  
Mesenteric Vein ◽  
Vein Thrombosis ◽  
Whirlpool Sign ◽  
Right Paraduodenal Hernia

A 59-year-old man with abdominal pain was admitted to the emergency department. Investigations had revealed a right-sided paraduodenal hernia and superior mesenteric vein (SMV) twisting around the superior mesenteric artery in rotation, the ‘whirlpool sign’. Owing to the increasing severity of abdominal pain and the presence of SMV thrombosis complicated with strangulated paraduodenal herniation associated with high mortality rates, diagnostic laparoscopy was performed. Resection of the intestines was not needed and paraduodenal hernia was repaired. The patient was uneventfully discharged.

scholarly journals Gastric schwannoma: a benign tumor often misdiagnosed as gastrointestinal stromal tumor

2015 ◽  
Vol 5 (3) ◽  
Author(s):  
Apurva S. Shah ◽  
Pravin M. Rathi ◽  
Vaibhav S. Somani ◽  
Astha M. Mulani
Keyword(s):  
Differential Diagnosis ◽  
Gastrointestinal Stromal Tumor ◽  
Gastrointestinal Stromal Tumors ◽  
Rare Case ◽  
Benign Tumor ◽  
Stromal Tumor ◽  
Mesenchymal Tumors ◽  
Stromal Tumors ◽  
Gastric Schwannoma ◽  
Gastric Mass

Gastric schwannomas are rare mesenchymal tumors that arise from the nerve plexus of gut wall. They present with nonspecific symptoms and are often detected incidentally. Preoperative investigation is not pathognomic and many are therefore misdiagnosed as gastrointestinal stromal tumors. We report a rare case of a 37-year old woman who underwent laparotomy for complex bilateral ovarian cyst with resection of gastric-gastrointestinal stromal tumor preoperatively, but confirmed to have a gastric schwannomas postoperatively. This case underscores the differential diagnosis of submucosal, exophytic gastric mass as schwannoma.

scholarly journals A Rare Case: Variation in The Third Part of The Axillary Artery

2021 ◽  
Author(s):  
Berfu Cerci Ongun ◽  
◽  
Ural Verimli ◽  
Fatma Aymelek Yalin ◽  
Suleyman Umit Sehirli ◽  
...  
Keyword(s):  
Rare Case ◽  
Axillary Artery ◽  
The Third

scholarly journals Metastatic rectal gastrointestinal stromal tumor with intestinal obstruction: A rare case report

2022 ◽  
Vol 17 (2) ◽  
pp. 376-379
Author(s):  
Mariam Kassimi ◽  
Amal Rami ◽  
Hind Guerroum ◽  
Jihane Habi ◽  
Imane Rahmouni ◽  
...  
Keyword(s):  
Case Report ◽  
Intestinal Obstruction ◽  
Gastrointestinal Stromal Tumor ◽  
Rare Case ◽  
Stromal Tumor ◽  
Rare Case Report

scholarly journals Wilkie’s Syndrome Following Weight Loss in a Trauma Patient

2020 ◽  
pp. 1-3
Author(s):  
George Oosthuizen ◽  
George Oosthuizen
Keyword(s):  
Weight Loss ◽  
Trauma Patient ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Treatment Options ◽  
Rare Condition ◽  
Feeding Tube ◽  
Significant Weight Loss ◽  
The Third ◽  
Wilkie’S Syndrome

Wilkie’s syndrome, or superior mesenteric artery syndrome, is a rare condition of duodenal obstruction caused by compression of the superior mesenteric artery on the third part of the duodenum. The diagnosis should be considered in a patient who has experienced significant weight loss and now presents with persistent vomiting, especially if the vomiting occurs with the patient in the supine position and is alleviated by the lateral or prone position. The diagnosis can be confirmed by imaging studies demonstrating compression of the third part of the duodenum, and the main aim of treatment should be to pass a feeding tube beyond the point of obstruction to allow enteral feeding. The condition improves spontaneously with weight gain. Further treatment options include parenteral feeding and operative bypass in select cases. Here we present a case of Wilkie’s syndrome in a trauma patient with significant weight loss, together with a review of the literature on this interesting topic.

scholarly journals 2739 A Rare Case of Multifocal Gastrointestinal Stromal Tumor

2019 ◽  
Vol 114 (1) ◽  
pp. S1513-S1514
Author(s):  
Chandni Kaushik ◽  
Mohammad Bilal ◽  
Sreeram Parupudi
Keyword(s):  
Gastrointestinal Stromal Tumor ◽  
Rare Case ◽  
Stromal Tumor

scholarly journals A Rare Case of Inguinal Hernia with Complete Bladder Herniation

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Ayaaz Habib
Keyword(s):  
Renal Function ◽  
Inguinal Hernia ◽  
Complete Resolution ◽  
Rare Case ◽  
Obstructive Uropathy ◽  
Postoperative Recovery ◽  
Diagnosis And Management ◽  
Inguinoscrotal Hernia ◽  
Inguinal Hernias ◽  
Bladder Herniation

Involvement of the bladder in inguinal hernias is rare and occurs in less than 5% of the cases. The diagnosis and management of this condition may present a challenge to the surgeon. We present a case of an elderly gentleman who presented with a large left-sided inguinoscrotal hernia causing an obstructive uropathy which was surgically repaired. The patient made a quick postoperative recovery with complete resolution of renal function.

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