scholarly journals An unusual case of primary extranodal lymphoma of the gallbladder

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Roberto Pezzuto ◽  
Davide Di Mauro ◽  
Luca Bonomo ◽  
Amita Patel ◽  
Edoardo Ricciardi ◽  
...  

Primary gallbladder lymphoma is an extremely rare disease. We report a case of a 63 year-old woman who has been admitted with gradual onset abdominal pain in the upper right quadrant and in the suprapubic region, nausea and malaise. According to the computed tomography scan of the abdomen, which was suggestive of chronic cholecystitis, she was treated conservatively. A laparoscopic cholecystectomy was performed 5 months later and the histological examination of the gallbladder showed a low grade small lymphocytic lymphoma. The patient has been taken over by the hematology team who kept her under surveillance as no further treatment was deemed as necessary. The purpose of this paper is to report a rare case of primary gallbladder lymphoma and to demonstrate that a laparoscopic cholecystectomy may be a valid treatment for this disease.

2021 ◽  
pp. 014556132110002
Author(s):  
Soňa Šikolová ◽  
Dagmar Hošnová ◽  
Klára Perceová ◽  
Michal Bartoš ◽  
Vít Kruntorád ◽  
...  

Bonebridge (BB) is the first active implantation system for bone conduction that is placed fully under the skin. Experience suggests that BB is characterized by low incidence of postoperative complications. This case report presents a rare case of a 16-year-old girl with incidence of emphysema occurring over the implant 1 year after operation. We performed a computed tomography scan that showed pockets of gas above the floating mass transducer so we provided the revision surgery and sealed the artificial opening with fat from the earlobe and fibrin glue. Since that time, no air has collected in the retroauricular area and the implant has been fully functional.


2021 ◽  
Vol 15 (2) ◽  
pp. 106-107
Author(s):  
Swapan Kumar Biswas ◽  
Saiful Islam Khan ◽  
Muhammad Mofazzal Hossain

Isolated gall bladder tuberculosis (GBTB) is exceedingly rare even in an endemic region and is usually found as a GB mass in association with cholelithiasis. Confirmed preoperative diagnosis is very difficult, and most cases are diagnosed after cholecystectomy. We present a case of a 45-years-old woman who came with symptoms of chronic cholecystitis. Computed tomography scan revealed intraluminal gallbladder mass and cholelithiasis. The patient underwent open cholecystectomy and GBTB was diagnosed after histopathological examination. Histopathological examination should be done after all cholecystectomy operations. Faridpur Med. Coll. J. 2020;15(2): 106-107


Medicina ◽  
2008 ◽  
Vol 45 (4) ◽  
pp. 286 ◽  
Author(s):  
Linas Venclauskas ◽  
Žilvinas Saladžinskas ◽  
Algimantas Tamelis ◽  
Darius Pranys ◽  
Dainius Pavalkis

Mucinous adenocarcinoma in association with chronic anal fistula is a rare case in clinical practice. The aim of this article was to report a rare case of anal gland mucinous adenocarcinoma in a patient who was treated in the Hospital of Kaunas University of Medicine. Case report. A 70-year-old male was treated for anorectal fistula in the surgical department. Four operations were performed for perineal abscess during the period of 15 years. During the period of 15 years, the patient complained of purulent secretion from the perineal abscess. After the last operation, anorectal fistula developed. Multiple biopsies and scrapings of the fistulous track were taken for histological examination. Histological examination revealed mucinous adenocarcinoma, G2. Subsequently, the patient underwent endoanal ultrasound, computed tomography scan, and colonoscopy. The computed tomography scan did not show pathology in the abdomen, but showed soft tissue induration at the site of anorectal fistula. Colonoscopy investigation did not show any pathology in the rectum and bowels. Endoanal ultrasound findings showed soft tissue induration at the site of anorectal fistula, no tumor in the rectum wall. The patient underwent abdominoperineal resection. Histological examination after abdominoperineal resection revealed anal duct mucinous adenocarcinoma pT2 N0 L0 V0 R0, G2. Metastases to the mesenteric lymph nodes were not detected. On the eight day after abdominoperineal resection, the patient was discharged from the hospital for follow-up. Summary. Mucinous adenocarcinoma in anorectal fistula is a rare condition. If surgical treatment for perineal abscess or anorectal fistula is not successful for a long time, mucinous adenocarcinoma should be suspected.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kosuke Yunoki ◽  
Takuya Yano ◽  
Masanori Yoshimitsu ◽  
Ko Oshita ◽  
Tetsushi Kubota ◽  
...  

Abstract Background Cutaneous metastases of colorectal cancer (CRC) are rare, occurring in 0.7% to 5% of cancer patients. Furthermore, the molecular subtypes of cutaneous metastasis of CRC are unclear. Here, we present a rare case of cutaneous metastasis of high-frequency microsatellite instability (MSI-high)/BRAFV600E-mutant cecum cancer. Case presentation A 77-year-old woman presented at the outpatient clinic with a subcutaneous mass on her left back. An excisional biopsy was performed and metastatic cutaneous adenocarcinoma was diagnosed. A computed tomography scan of the thorax and abdomen showed thickening of the cecum wall, the presence of pericolic lymph nodes, multiple masses in the liver, and a single nodule in the right lung. Right colectomy with D2 lymphadenectomy and functional end-to-end anastomosis was performed because of the almost-complete intestinal obstruction. The expression of KRAS wild type, BRAFV600E mutation, and MSI-high was detected in the cecum cancer using molecular pathological examination. She received chemotherapy with XELOX + BEV regimen (capecitabine + oxaliplatin + bevacizumab). After four administrations, a computed tomography scan showed reduction of distant metastases, which suggested partial response. Conclusions We encountered a rare case of cutaneous metastasis of MSI-high and BRAFV600E-mutant cecum cancer. In the future, it will be necessary to accumulate more cases to identify clinical features and more effective treatments for CRCs with cutaneous metastasis.


2018 ◽  
Vol 39 (2) ◽  
pp. 123-125 ◽  
Author(s):  
Rexson Tse ◽  
Jack Garland ◽  
Kilak Kesha ◽  
Yvonne Triggs ◽  
Lucy Modahl ◽  
...  

2012 ◽  
Vol 126 (9) ◽  
pp. 960-962 ◽  
Author(s):  
C C Chan ◽  
A Awobem ◽  
C Binns ◽  
P Jassar

AbstractBackground:We report a case of hypopharyngeal swelling secondary to a spontaneous thyroid cyst haemorrhage. Haemorrhage is a known complication of thyroid cysts, and usually presents as external swelling and localised pain.Case report:A 93-year-old woman developed hypopharyngeal swelling, dysphagia and odynophagia. A computed tomography scan was consistent with thyroid cyst haemorrhage. The patient was treated with needle aspiration and intravenous steroid injections, with full recovery at thyroid clinic review.Conclusion:To our best knowledge, there has been no previous report of a hypopharyngeal swelling occurring secondary to spontaneous thyroid cyst haemorrhage. Our case is unusual because of the risk of airway compromise at the level of the hypopharynx, secondary to thyroid cyst haemorrhage.


2019 ◽  
Vol 8 (1) ◽  
pp. 5
Author(s):  
Kechiche Nahla ◽  
Rabeb Farhani ◽  
Rachida Lamiri ◽  
Mongi Mekki ◽  
Mohssen Belguith ◽  
...  

Complete tubular colonic duplication is exceedingly rare. A second ectopic opening in the perineum other than a normally cited anus could be an unusual presentation. We report an unusual case of recto-colonic duplication in a 16-day-old girl who presented with fecal discharge from a vestibular opening in addition to a normally situated anus. The diagnosis of total recto-colonic tubular duplication associated with a rectovestibular fistula and a normal anus was confirmed by barium enema and computed tomography scan with double contrast. At operation, we performed a long transanal incision of the common septum to create an anastomosis between the normal and duplicated colon with complete submucosal excision of the rectovestibular fistula. The patient was doing well at 3-year follow-up examination.


2020 ◽  
Vol 78 (3) ◽  
pp. 255-259
Author(s):  
Tânia Rita Moreno de Oliveira Fernandes ◽  
Ricardo Santana de Lima ◽  
Ana Kívia Silva Matias ◽  
Leonardo Pereira de Souza Alves ◽  
Marcus Vinícius Solano Ferreira de Souza

Cutaneous metastases of visceral neoplasms are rare conditions, and urothelial or transitional cell carcinomas are responsible for less than 1% of cases. We report the case of a 50-year-old male patient who progressively developed multiple cutaneous nodules on his head, abdomen, axilla, and groin, some with ulceration. Skin biopsy and immunohistochemistry were consistent with cutaneous metastasis of urothelial carcinoma. Computed tomography scan revealed generalized metastasis in internal organs. In this rare case, cutaneous metastases were the presenting sign of the disease and, as reported, a sign of bad prognosis.


2019 ◽  
Vol 26 (12) ◽  
pp. 2058-2063
Author(s):  
Usman Shahid ◽  
Faiza Farooq ◽  
Khawaja Khursheed ◽  
Ishfaq Ahmad Shad ◽  
Hira Babar

High resolution computed tomography scan, in modern years, is more effective than standard computed tomography scan and conventional chest radiography in localization of diseases in the lobule of lung and in the appraisal of pulmonary parenchymal diseases because of high-resolution power and minimal partial volume effect. Objectives: To identify pulmonary tuberculosis in clinically suspected patients by high resolution computed tomography scan of chest. Study Design: Cross Sectional Descriptive study. Setting: Department of Radiology, Mayo Hospital, Lahore. Period: 15th February 2018 to 15th November 2018. Material & Methods: After taking consent, fifty patients, fulfilling inclusion and exclusion criteria, were selected by convenient sampling in this cross sectional descriptive study. Demographic details, clinical history and High resolution tomographic scan findings were documented. Data analysis was performed on Microsoft excel and statistical package for social sciences (SPSS v21) and reported by descriptive statistics. Results: Out of 50 patients, pulmonary tuberculosis was diagnosed in 44(88%) patients, acute on chronic tuberculosis in 2(4%), healed tuberculosis in 2(4%), interstitial lung disease in 1(2%) & post tubercular sequela in 1(2%) patient. Majority were males (n=29, 58%) and most patients belonged to fifth decade of life (n=19, 38%). Overall mean age of patients was 45.14±12.16 years and mostly belonged to lower socioeconomic status (n=38, 76%). Most common symptom and High resolution computed tomography finding were low grade fever in 45(95%) & consolidation in 39(78%) patients, respectively. Conclusion: High resolution computed tomography scan is valuable in diagnosis of pulmonary tuberculosis & its related spectrum of diseases in patients having clinical suspicion of pulmonary tuberculosis.


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