An abdominal skin lesion: to lump or split? a case presentation

Albert T Young; Raagini S Yedidi; Paul J Marano; Laura B Pincus; Andrew R Lai

doi:10.5070/d327654056

Slowly progressive abdominal skin lesion of 15 years’ duration

JDDG Journal der Deutschen Dermatologischen Gesellschaft ◽

10.1111/ddg.13056 ◽

2016 ◽

Vol 14 (12) ◽

pp. 1313-1315

Author(s):

Verena Kröhl ◽

Alexander H. Enk ◽

Ferdinand Toberer

Keyword(s):

Skin Lesion ◽

Abdominal Skin

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Extensive Abdominal Skin Necrosis Following Anterior Component Separation for a Large Ventral Hernia: A Case Report

Frontiers in Surgery ◽

10.3389/fsurg.2021.779046 ◽

2021 ◽

Vol 8 ◽

Author(s):

Branko Bakula ◽

Marko Sever ◽

Andrija Karačić ◽

Mirko Bakula ◽

Martin Grbavac ◽

...

Keyword(s):

Abdominal Wall ◽

Ventral Hernia ◽

Skin Necrosis ◽

Component Separation ◽

High Morbidity ◽

Case Presentation ◽

Abdominal Skin ◽

Large Ventral Hernia ◽

Anterior Component Separation ◽

Extensive Necrosis

Introduction: Hernia surgery is one of the most common operative procedures, performed in about 20 million cases per year all over the world, with ventral hernia accounting for about 30% of the cases. Although the introduction of the anterior component separation (ACS) method, popularized primarily by Oscar Ramirez, has greatly facilitated the closure of the largest abdominal wall defects, the 30-year experience in this technique has pointed to the risk of ischemic skin complications consequential to the major subcutaneous tissue dissection required. The aim of this case presentation of a patient who developed extensive necrosis of the abdominal wall skin following ACS procedure is to emphasize the importance of preserving rectus abdominis perforator blood vessels in order to preserve skin vitality.Case Presentation: We present a case of a 58-year-old female patient with a large recurrent ventral hernia. The hernial defect was closed by placing a large (30 × 25 cm) polypropylene mesh in the retro-rectus space using the Rives-Stoppa technique. To facilitate upper fascia closure ACS according to Ramirez was performed bilaterally. The rectus perforator vessels were not preserved. Recovery of the patient was complicated with the extensive abdominal skin necrosis which was successfully treated with negative pressure wound therapy.Discussion: Transection of the musculocutaneous perforators of the epigastric artery during ACS results with the compromised blood supply of the abdominal skin depending solely upon the intercostal arteries. Skin ischemia following ACS is a serious complication that can be presented with extensive necrosis associated with high morbidity and even mortality, while the treatment is long lasting, complex, and expensive. Considering the ever-increasing prevalence of large ventral hernias, ever greater popularity of the ACS technique, and the growing proportion of surgeons performing large ventral hernia operations independently, we think that the role of preserving perforated rectus vessels has not been emphasized enough. Therefore, the objective of this case study is to stimulate surgeons to preserve skin vascularity and promote it in their routine in order to avoid these severe postoperative complications.

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A Brief Study on Primary Melanoma over Breast Region

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i40b32267 ◽

2021 ◽

pp. 86-90

Author(s):

K. M. Hiwale ◽

Avadh Kishor Tyagi

Keyword(s):

Lymph Node ◽

Survival Rate ◽

Malignant Melanoma ◽

Skin Lesion ◽

Adjuvant Therapy ◽

Primary Melanoma ◽

Skin Lesions ◽

Axillary Lymph ◽

Case Presentation ◽

Mucous Membranes

Background: Malignant melanoma is mostly found in mucous membranes and skin. So it’s occurrence on the breast skin is very rare. Case Presentation: In our study, 50-year-old female came to OPD with complaint of skin lesions on the breast since 2 months. On diagnosis, skin lesion was found to be malignant melanoma and the disease had metastasized in right axillary lymph node with discoloration over breast. Conclusion: The prognosis for patients with this disease is very poor. Important procedures which may increase the survival rate include, Early diagnosis and surgical resection with adjuvant therapy.

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Congenital Cutaneous Candidiasis: A Case Presentation

Neonatal Network The Journal of Neonatal Nursing ◽

10.1891/0730-0832.21.6.9 ◽

2002 ◽

Vol 21 (6) ◽

pp. 9-12 ◽

Cited By ~ 2

Author(s):

Robin Knobel

Keyword(s):

Skin Lesion ◽

Nurse Practitioner ◽

Skin Infection ◽

Skin Lesions ◽

Delivery Room ◽

Differential Diagnoses ◽

Case Presentation ◽

Cutaneous Candidiasis ◽

Unnecessary Testing

When an infant presents in the delivery room with macular and papular skin lesions covering the trunk, extremities, and/or skin folds, the neonatal nurse practitioner covering deliveries must be aware of possible skin lesion differential diagnoses. Among these is congenital cutaneous candidiasis, a rare, usually benign skin infection. If this condition is recognized early, unnecessary testing and treatment of newborns who present with these symptoms might be avoided.

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An adrenocortical oncocytoma with unusual mitochondrial inclusions and cytoplasmic crystals

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100168980 ◽

1994 ◽

Vol 52 ◽

pp. 250-251

Author(s):

W.T. Gunning ◽

G.D. Haselhuhn ◽

E.R. Phillips ◽

S.H. Selman

Keyword(s):

Adrenal Gland ◽

Salivary Glands ◽

Mitotic Activity ◽

Diagnostic Criteria ◽

Vascular Invasion ◽

Benign Neoplasm ◽

Benign Tumors ◽

Nuclear Morphology ◽

Case Presentation ◽

Microscopic Evidence

Within the last few years, adrenal cortical tumors with features concordant with the diagnostic criteria attributed to oncocytomas have been reported. To date, only nine reported cases exist in the literature. This report is the tenth case presentation of a presumptively benign neoplasm of the adrenal gland with a rare differentiation. Oncocytomas are well recognized benign tumors of the thyroid, parathyroid, and salivary glands and of the kidney. Other organs also give rise to these types of tumors, however with less frequency than the former sites. The characteristics generally used to classify a tumor as an oncocytoma include the following criteria: the tumor is 1) usually a solitary circumscribed mass with no gross nor microscopic evidence of metastasis (no tissue nor vascular invasion), 2) fairly bland in terms of mitotic activity and nuclear morphology, and 3) composed of large eosinophillic cells in which the cytoplasm is packed full of mitochondria (Figure 1).

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