scholarly journals Dysgerminoma in Pseudohermaphroditism: A Case Report

2020 ◽  
Vol 3 (2) ◽  
pp. 384-387
Author(s):  
Rashmey Pun ◽  
Sujata Pudasaini ◽  
Rita Mahaseth ◽  
Kriti Shrestha
Keyword(s):  
Cystic Lesion ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Cell Tumor ◽  
The Body ◽  
Adrenal Hyperplasia ◽  
Computed Tomography Scan ◽  
Adrenogenital Syndrome ◽  
Platinum Based Chemotherapy ◽  
Tomography Scan

Female pseudohermaphroditism occurs when normal ovaries are present but the body is partially masculinized as individuals with congenital adrenal hyperplasia, also known as adrenogenital syndrome. This is an inherited disorder that accounts for about one-half of all cases of human intersexuality. We report a case of a 24-year-old male presenting with abdominal pain and increasing abdominal distension for one month. Computed tomography scan revealed large multiloculated heterogeneously enhancing solid –cystic lesion in the abdominopelvic cavity– malignant gonadal mass, gross ascites, and visualization of the poorly formed elongated uterus-like structure in the recto-uterine pouch and phallus-like structure with non-visualization of bilateral testes. Histopathology report suggested germ cell tumor and immunohistochemistry confirmed the diagnosis of dysgerminoma. Since dysgerminoma is sensitive to platinum-based chemotherapy patient was subjected to chemotherapy and the patient showed a good response. The patient underwent exploratory laparotomy with right salpingo-oophorectomy with omentectomy and appendectomy.

scholarly journals Tubular colonic duplication in an adult: case report and brief literature review

2018 ◽  
Vol 46 (7) ◽  
pp. 2970-2975 ◽  
Author(s):  
Xin Wu ◽  
Xiequn Xu ◽  
Chaoji Zheng ◽  
Binglu Li
Keyword(s):  
Alimentary Tract ◽  
Abdominal Distension ◽  
Exploratory Laparotomy ◽  
Computed Tomography Scan ◽  
Adult Case ◽  
Rare Congenital Anomaly ◽  
Colonic Duplication ◽  
The Past ◽  
Nausea And Emesis ◽  
Tomography Scan

Gastrointestinal tract duplication is a rare congenital anomaly that can occur anywhere along the alimentary tract. Most of the reported patients present with acute abdomen during childhood. We describe a case of tubular colonic duplication in an adult. The patient was a 25-year-old woman who presented with abdominal pain, bloating, nausea, and emesis for 3 days. The physical examination was remarkable for abdominal distension, tenderness, and rigidity. Abdominal computed tomography scan revealed abnormal intestinal dilatation. Exploratory laparotomy was performed, and tubular colonic duplication was identified intraoperatively. The diagnosis was verified by postoperative pathology results. The patient was discharged on postoperative day 14 and followed for 2 years without specific events or complications. Furthermore, we reviewed the published literature on colorectal duplication in adults for the past two decades.

scholarly journals Fulminant amoebic colitis in the era of computed tomography scan: A case report and review of the literature

2018 ◽  
Vol 22 (1) ◽  
Author(s):  
Suman Mewa Kinoo ◽  
Vikesh V. Ramkelawon ◽  
Jaynund Maharajh ◽  
Bugwan Singh
Keyword(s):  
Computed Tomography ◽  
Bowel Wall ◽  
Abdominal Distension ◽  
Review Of The Literature ◽  
Computed Tomography Scan ◽  
Fulminant Colitis ◽  
Bowel Necrosis ◽  
Amoebic Colitis ◽  
History Of ◽  
Tomography Scan

Amoebic colitis, caused by ingestion of water or food contaminated with the protozoan Entamoeba histolytica, can progress to a fulminant colitis. Computed tomography (CT) findings reported in the literature on this type of colitis are sparse. We present a 59-year-old male patient with a one-week history of progressive abdominal pain, abdominal distension and associated watery and bloody diarrhoea. A CT scan revealed deep ulcerations with submucosal and intramural tracking of contrast. Colonoscopy and biopsy confirmed a diagnosis of Amoebic colitis. The patient required a laparotomy and demised. Deep ulcerations with submucosal and intramural tracking of contrast on CT are diagnostic of fulminant amoebic colitis. Although not demonstrated at CT in this case, discontinuous bowel necrosis, omental wrapping (seen at laparotomy in our case) and neovascularisation of the bowel wall may be other features to look out for.

scholarly journals Diagnosis and Management of a Large Adrenal Myelolipoma

2020 ◽  
Vol 6 (02) ◽  
pp. 70-73
Author(s):  
Imad Ghantous ◽  
Melissa Kyriakos Saad ◽  
Toufic Saber ◽  
Elissa Mahfouz ◽  
Imad Matta ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Rare Condition ◽  
Abdominal Distension ◽  
Mass Effect ◽  
Caucasian Patient ◽  
Computed Tomography Scan ◽  
Adrenal Myelolipoma ◽  
The Right ◽  
Real Challenge ◽  
Tomography Scan

AbstractAdrenal myelolipoma is a rare condition. Although benign in nature, these tumors can increase in size and cause a mass effect to nearby structures presenting as abdominal distension and pain. In 90% of cases, adrenal myelolipomas are unilateral. However, the real challenge in management is when bilateral adrenal myelolipoma is present. Herein, we present a case of a 51-year-old male Caucasian patient with bilateral adrenal myelolipoma. The patient had a large left adrenal myelolipoma (23 × 13 cm) and a small one on the right (4.4 × 4 cm). We opted for an open left adrenalectomy due to classical features on computed tomography scan and the mass effect of the tumor.

A Huge Mullerian Duct Remnants in An Adult: A Case Report and Literature Review

2020 ◽  
Author(s):  
Yonghui Wang ◽  
Peng Xiang ◽  
Wei Wang ◽  
Shuang Li ◽  
Hao Ping ◽  
...  
Keyword(s):  
Cystic Lesion ◽  
Pelvic Cavity ◽  
Mullerian Duct ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Case Presentation ◽  
Müllerian Duct ◽  
Laparoscopic Excision ◽  
Tomography Scan ◽  
Mullerian Duct Remnant

Abstract Background: müllerian duct remnant is a disease which was reported infrequently. The cyst’s size in this case is even rarer. We performed surgery on this patient and introduced the procedure in detail. Case presentation: We present a case that a 58-year-old patient with a huge müllerian duct remnant between the prostate and rectum. Magnetic resonance imaging and computed tomography scan of abdominal and pelvic showed that a cystic lesion with a size of 14×10×10 cm in the pelvic cavity. There were no surgical contraindications were found after some related preoperative examinations, so the laparoscopic surgery was performed. The features of the mass of postoperative pathologic examination presented that the characteristics are consistent with the Müllerian duct. Conclusions: Laparoscopic excision is a perfect way to manage müllerian duct remnant. This way can get good outcome and minimize the damage to the patient.

scholarly journals A morphometric analysis of pedicles of lumbar vertebrae by using computed tomography scan

2020 ◽  
Vol 9 (1) ◽  
pp. 49-55
Author(s):  
Dil Islam Mansur ◽  
Subindra Karki ◽  
Dilip Kumar Mehta ◽  
Pragya Shrestha ◽  
Sunima Maskey
Keyword(s):  
Computed Tomography ◽  
Binary Data ◽  
Lumbar Vertebrae ◽  
Cross Sectional Study ◽  
Chord Length ◽  
The Body ◽  
Point Estimate ◽  
Computed Tomography Scan ◽  
Cross Sectional ◽  
Tomography Scan

Background: The vertebral column is the central pillar of the body which has cervical, thoracic, lumbar, sacral and coccygeal parts. Out of these, the lumbar part is made up of five lumbar vertebrae which lies between the thoracic part above and the sacral part below.  Objective: The study aimed to measure pedicle dimensions of lumbar vertebrae by using computed tomography scan. Methodology: This is a descriptive cross-sectional study which was conducted on 115 images of computed tomography scan collected from the Department of Radio-Diagnosis, Dhulikhel Hospital between May and October 2019 after receiving ethical approval from the Institutional Review Committee. All the scans available in the department were taken for the study. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Data analysis was done in the Statistical Package for the Social Sciences version 16 (SPSS 16.0). Results: The pedicle chord length and breadth progressively decrease from L1 to L5 vertebral levels and pedicle thickness gradually increases from L1 to L5 vertebrae on both sides in both genders. The pedicle chord lengths were found significantly different whereas breadth and thickness were insignificantly different between males and females at all lumbar vertebral levels except at L1 for breadth. Conclusions: The pedicle chord length and breadth gradually decreases whereas thickness increases from L1 to L5 vertebral levels amongst Nepalese population.

scholarly journals Intralingual Mucous Extravasation Cyst: An Uncommon Lingual Cyst

2019 ◽  
Vol 98 (5) ◽  
pp. E21-E23
Author(s):  
Evelyne S. Diom ◽  
Johannes J. Fagan ◽  
Ellen Bolding
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Histological Examination ◽  
Rare Case ◽  
Cystic Lesion ◽  
Standard Of Care ◽  
Ventral Surface ◽  
Computed Tomography Scan ◽  
Diagnostic Features ◽  
Tomography Scan

Objective: We report a rare case of an intralingual ranula. The differential diagnosis, etiology, diagnostic features, and management are discussed. Case Report: An 18-year-old man presented with a mass that extended along the ventral surface of the tongue and up to the tip. The computed tomography scan clearly defined the extent of a cystic lesion. The pathologic diagnosis of an intralingual ranula was made. Conclusion: Lingual cysts have a varied etiology. Diagnosis hinges on histological examination of the cyst wall. Conservative resection and histological examination is the standard of care.

scholarly journals GAMBARAN CT SCAN TUMOR PARU DI BAGIAN / SMF RADIOLOGI FK UNSRAT RSUP PROF. DR. R. D. KANDOU MANADO PERIODE OKTOBER 2014-SEPTEMBER 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Meidianty Tandi ◽  
Vonny N. Tubagus ◽  
Martin L. Simanjuntak
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Lung Tumor ◽  
Malignant Tumors ◽  
Smoking Habit ◽  
The Body ◽  
Epithelial Tissue ◽  
Computed Tomography Scan ◽  
The Right ◽  
Tomography Scan

Abstract: Lung tumor has become one of the most common tumors in the world. Lung tumor is the growth of abnormal lumps on lung tissue that could be benign or malignant, derived from malignant tumors of primary epithelial tissue in respiratory tract especially bronchus that could invade nearby tissue structures, and potentially spread throughout the body by bloodstream and lymphatic system. Approximately 1.59 billion people worldwide died from lung malignancy resulting from the increasing of smoking habit which is one of the risk factors of lung tumor. CT scan is the chosen modality on diagnosing the suspicion of lung tumor and also to evaluate the tumor itself. The aim of this study is to identify the CT scan images on patients with lung tumor. Retrospective descriptive study was conducted on November 2015. The data was obtained from thorax CT scan examination request forms and eventually 41 cases of lung tumor were found eligible according to inclusion criteria. Based on radiologic diagnosis there were 41 cases (39,4%) of lung tumor. The patients were mostly male with 35 patients (85.4%), the largest age group is middle aged adults with 30 patients (73.2%), and the most common site of tumor was the right lung with 22 cases (53.7%), moreover the most complication of lung tumor is pleural effusion with 13 cases (31.7%). Conclusion: Lung tumor is one of malignancies that become risk factor of deaths worldwide.Keywords: lung tumor, computed tomography scan. Abstrak: Tumor paru menjadi salah satu tumor yang paling banyak ditemui di dunia. Tumor paru adalah tumbuhnya benjolan abnormal pada jaringan paru yang dapat bersifat jinak atau ganas, serta berasal dari tumor ganas epitel primer saluran nafas terutama bronkus yang dapat menginvasi struktur jaringan disekitarnya dan berpotensi menyebar ke seluruh tubuh melalui aliran darah dan sistem limfatik. Terdapat sekitar 1,59 miliar orang di dunia meninggal dunia akibat keganasan pada paru-paru karena tingginya kebiasaan merokok yang merupakan salah satu faktor resiko terjadinya tumor pada paru. CT scan menjadi modalitas terpilih untuk menegakkan diagnosis kecurigaan tumor paru dan untuk mengevaluasi tumor paru tersebut. Penelitian ini bertujuan untuk mengetahui gambaran CT scan pada penderita tumor paru dan menggunakan jenis penelitian deskriptif retropektif yang dilakukan pada bulan November 2015. Data diperoleh melalui lembaran permintaan pemeriksaan CT scan toraks dan didapatkan sebanyak 41 kasus tumor paru yang masuk dalam kriteria inklusi.Terdapat 41 kasus (39,4 %) tumor paru berdasarkan diagnosis radiologis. Penderita terbanyak adalah laki-laki 35 orang (85,4%), golongan umur terbanyak adalah umur 41-65 tahun yaitu 30 orang (73,2%), lokasi tumor paru terbanyak pada pulmo dextra yaitu 22 kasus (53,7%) dan komplikasi terbanyak adalah tumor paru dengan efusi pleura saja sebanyak 13 kasus (31,7%). Simpulan: Tumor paru merupakan salah satu penyakit keganasan yang menjadi faktor resiko kematian di seluruh dunia.Kata kunci: tumor paru, computed tomography scan.

scholarly journals A rare case of idiopathic ileocolic intussusception in an adult

2021 ◽  
Author(s):  
Muniba Mehmood ◽  
Uzair Yaqoob ◽  
Khaled Abdullah Rage ◽  
Hina Khan ◽  
Mujeeb Rehman Abbasi ◽  
...  
Keyword(s):  
Preoperative Diagnosis ◽  
Rare Case ◽  
Histopathological Examination ◽  
Anal Verge ◽  
Exploratory Laparotomy ◽  
Computed Tomography Scan ◽  
Ileocolic Intussusception ◽  
X Ray ◽  
Bleeding Per Rectum ◽  
Tomography Scan

Intussusception is an invagination of one segment of the bowel into its adjoining segment. In children, the cause is usually benign, while in adults it is secondary to a mass lesion. Here we present a case in which the preoperative diagnosis of intussusception secondary to colonic mass was made, but no definitive cause was identified by histopathology. A 30-year-old male presented with abdominal pain, altered bowel habits, weight loss, loose motions, bleeding per rectum, and vomiting. The abdomen was distended, firm, mildly tender, and guarded. A vague mass of 15 x 10 cm was palpated on the left upper quadrant. X-ray and ultrasound showed dilated small bowel. A computed tomography scan suggested ileoileal intussusception. Colonoscopy showed a growth at 15 cm of the anal verge. Exploratory laparotomy was performed, showing the presence of ileocolic intussusception with two large perforations. Subtotal colectomy with ileostomy was done. The histopathological examination showed signs of perforation.

scholarly journals Non-Hodgkin’s Lymphoma Presenting as Isolated Peritoneal Lymphomatosis: A Case Report and Literature Review

2021 ◽  
Vol 11 ◽  
Author(s):  
Min Zhu ◽  
Zhixuan Wu ◽  
Zhaoxia Yang ◽  
Bo Ning ◽  
Shengjie Yu ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Peritoneal Carcinomatosis ◽  
Poor Prognosis ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Abdominal Distension ◽  
Review Of The Literature ◽  
Computed Tomography Scan ◽  
The Right ◽  
Tomography Scan

Peritoneal lymphomatosis is extremely rare and associated with poor prognosis. Most practitioners only pay more attention to peritoneal carcinomatosis. However, peritoneal lymphomatosis can be neglected and misdiagnosed. We report a teenager with 10 days of abdominal distension and pain accompanied by computed tomography scan suggesting diffuse thickening of the peritoneum and omentum and abdominopelvic effusion. Tuberculous peritonitis and peritoneal carcinomatosis were initially suspected. However, it was finally confirmed as non-Hodgkin’s B-cell lymphoma by omentum biopsies. He achieved complete remission after chemotherapy and autologous stem cell transplantation. But unfortunately, he suffered a relapse and died 10 months after diagnosis. Following a review of the literature, it can be concluded that the discovery of lymphomatosis in peritoneum is a rare finding. Lymphoma should be considered in the differential diagnosis of unexplained peritoneal thickening on computed tomography, and this case emphasizes the importance of early pathological diagnosis to make sure that the right treatment can be started opportunely.

Sign in / Sign up

Export Citation Format

Share Document