scholarly journals A Rare Case of Severe Headache and Sudden-Onset Diabetes Insipidus During Pregnancy: Differential Diagnosis and Management of Lymphocytic Hypophysitis

2016 ◽  
Vol 2 (1) ◽  
pp. e30-e35
Author(s):  
Ji Wei Yang ◽  
Barbara Duda ◽  
Bi Lan Wo ◽  
Marie-Josée Bédard ◽  
Hélène B. Lavoie ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Diabetes Insipidus ◽  
Rare Case ◽  
Sudden Onset ◽  
Severe Headache ◽  
Lymphocytic Hypophysitis ◽  
Diagnosis And Management ◽  
Onset Diabetes

scholarly journals Thoracic Kidney: Extremely Rare State of Aberrant Kidney

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Mahdi Khoshchehreh ◽  
Omalbanin Paknejad ◽  
Mehrdad Bakhshayesh-Karam ◽  
Marzieh Pazoki
Keyword(s):  
Differential Diagnosis ◽  
Rare Case ◽  
Medical Literature ◽  
Management Options ◽  
Rare Form ◽  
Renal Ectopia ◽  
Diagnosis And Management

The thorax is the rarest place among all forms of renal ectopia. We report a rare case of an unacquired thoracic kidney. Only about 200 cases of the thoracic kidney have ever been reported in medical literature worldwide. In this paper we present the rarest form of nontraumatic nonhernia associated, truly ectopic thoracic kidney. The differential diagnosis and management options and classification of this rare form of aberrant kidney are discussed.

scholarly journals Isolated Enteric Cyst in the Neck

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Amit Mahore ◽  
Raghvendra Ramdasi ◽  
Palak Popat ◽  
Shilpa Sankhe ◽  
Vishakha Tikeykar
Keyword(s):  
Differential Diagnosis ◽  
Rare Case ◽  
Histopathological Examination ◽  
Neck Region ◽  
Duplication Cyst ◽  
Diagnosis And Management ◽  
Management Issues

We report an extremely rare case of isolated enteric cyst in the neck region which was diagnosed on the histopathological examination. It was suspected to be duplication cyst on radiology. We have also evaluated the differential diagnosis and management issues.

scholarly journals SUN-284 Rare Case of Adipsic Diabetes Insipidus Post Astrocytoma Resection: Case Report

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Alanoud Alanazi ◽  
Yasir Elamin ◽  
Zahra AlSaeed ◽  
Fatima Alabdrabalnabi
Keyword(s):  
Diabetes Insipidus ◽  
Rare Case ◽  
Fluid Intake ◽  
Third Ventricle ◽  
Urine Volume ◽  
Sudden Onset ◽  
Term Therapy ◽  
Incomplete Resection ◽  
Focal Neurological Deficit ◽  
Systemic Examination

Abstract Background: Adipsic diabetes insipidus (ADI) is a rare disorder triggered by injury to the hypothalamus impairing thirst osmoreceptors and the antidiuretic hormone syntheses leading to absence of thirst. We are reporting a rare case of ADI Post astrocytoma resection who presented with a severe hypernatremia postoperatively. Clinical Case: A 16-year-old female known to have hypothalamic pilocystic astrocytoma post incomplete resection in 2014. She presented in 2018 with one week history of sudden onset heachache, progressively worsen overtime, worst in the morning, there were no relieving factors. On examination she was conscious alert oriented GCS 15/15, Vital signs were normal, fundus exam within normal, pupil equal bilateral reactive to light, there was no focal neurological deficit. Systemic examination was unremarkable. Radiological imaging revealed interval size progression of previously seen suprasella region with extension into the floor of the third ventricle. Investigations: Renal profile & pituitary hormonal profile were normal. She underwent second stage resection. Postoperatively, she developed asymptomatic hypernatremia with inability to sense thirst. On examination: Conscious, alert, BP:100/65, no postural drop, Pulse:95, Fluid balance negative 1L. Systemic examination was unremarkable. Laboratory investigations: Creat 0.77mg/dl (0.6–1), Na 173mEq/dl(136–145), K 3.3mEq/dl(3.5–5.1), Cl 134mEq/dl(98–107), Serum osmolality 363mOs/kg(285 -295), Urine osmolality 468mOs/kg(300 -1600), Urine Na 29mEq/L(20- 110) & Urine volume 1900. Diagnosis of ADI was made where she was treated with desmopressin. Her response was good with reduction in Na level of around 7- 9 mEq/L/Day. She was maintained on twice daily vasopressin, instructed to maintain her fluid intake 1–1.5 L/day and good urine output. Conclusions: Astrocytoma rarely linked with development of central diabetes insipidus and even fewer with adipsia. The absence of polydipsia and polyuria can be misleading. Long-term therapy should consider the benefits of vasopressin and fluid therapy against the risk of brain edema/herniation. Body weight and electrolytes monitoring essential & should be maintained a long with strict fluid intake.

scholarly journals A rare presentation of deep infiltrating cervical endometriosis mimicking cervical cancer

2020 ◽  
Vol 9 (9) ◽  
pp. 3903
Author(s):  
P. Swetha ◽  
U. Nagashree ◽  
R. Kondammal
Keyword(s):  
Cervical Cancer ◽  
Differential Diagnosis ◽  
Vaginal Bleeding ◽  
Rare Case ◽  
Rare Presentation ◽  
Diagnosis And Management ◽  
Benign Disorder ◽  
Abnormal Vaginal Bleeding

Though endometriosis is a common progressive benign disorder of women, endometriosis of the cervix is rarely seen. It poses a challenge both for diagnosis and management. Most of the patients with Cervical endometriosis are asymptomatic, present with abnormal vaginal bleeding, post-coital bleeding or intermenstrual bleeding. In this paper, we report a rare case of deep infiltrating cervical endometriosis involving the ureter mimicking cervical cancer, the need for awareness to include cervical endometriosis as a differential diagnosis in case of menstural irregularities and its potential to cause serious complications.

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