scholarly journals Urachal Sinus Presenting with Abscess Formation

ISRN Urology ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Jalal Eddine El Ammari ◽  
Youness Ahallal ◽  
Oussama El Yazami Adli ◽  
Mohammed Jamal El Fassi ◽  
My Hassan Farih
Keyword(s):  
Incidental Findings ◽  
Computed Tomography Scan ◽  
Broad Spectrum Antibiotic ◽  
Diagnostic Challenge ◽  
Rare Type ◽  
Complete Excision ◽  
Male Adult ◽  
Postoperative Course ◽  
Urachal Sinus ◽  
Tomography Scan

Urachal affections are rare. Their variable ways of presentation may represent a diagnostic challenge. Urachal sinuses are a rare type of these abnormalities. They are usually incidental findings and remain asymptomatic unless a complication (most commonly the infection) occurs. Infection of the urachal sinus would clinically present as purulent umbilical discharge, abdominal pain, and periumbilical mass. We report herein a case of infected urachal sinus in male adult. The diagnosis was suspected clinically and confirmed with ultrasonography and computed tomography scan. A preoperative cysto-fibroscopy showed normal aspect of the bladder and excluded sinus communication. An initial broad spectrum antibiotic therapy followed by complete excision of the sinus and fibrous tract without cuff of bladder has been therefore performed. The postoperative course was uneventful. No recurrence was observed after 18 months of followup. Histological examination did not reveal any sign of malignancy.

scholarly journals Surgical strategy of urachal remnants in children

2019 ◽  
Vol 2019 (7) ◽  
Author(s):  
Yukihiro Tatekawa
Keyword(s):  
Urinary Bladder ◽  
Urachal Cyst ◽  
Pathologic Examination ◽  
Complete Excision ◽  
Postoperative Course ◽  
Pfannenstiel Incision ◽  
Urachal Remnant ◽  
Patent Urachus ◽  
Urachal Sinus ◽  
Open Excision

Abstract A urachus is a vestigial tubular structure that connects the urinary bladder to the allantois during early embryonic development. Urachal remnants are classified as patent urachus, urachal sinus, urachal cyst, and urachal diverticulum. Ten patients with urachal remnants underwent surgery at our institution between 2015 and 2019. Six patients had a urachal sinus, and four had a urachal diverticulum. Two patients with urachal sinus underwent excision of the urachal remnant, from the umbilicus to the urinary bladder, using an umbilical approach. The other four patients with urachal sinus underwent laparoscopic surgery with excision of the urachal remnant, from the umbilicus to the urinary bladder. All patients with urachal diverticulum underwent open excision of the diverticulum through a Pfannenstiel incision. Pathologic examination of all urachal remnants showed no evidence of neoplasm and complete excision. All patients had an uneventful postoperative course and are doing well.

scholarly journals Spontaneous Postpartum Subacute Subdural Hematoma: A Case Report of Probable Compilation of Eclampsia

2016 ◽  
Vol 13 (2) ◽  
pp. 109-111
Author(s):  
Sachidanand Gautam ◽  
Shyam C Meena ◽  
Bhawana Gautam
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Computed Tomography Scan ◽  
Normal Delivery ◽  
Postoperative Course ◽  
Motor Aphasia ◽  
History Of ◽  
Tomography Scan

The author presents a patient who developed a subacute subdural hematoma approximately 2 weeks after normal delivery with history of postnatal convulsion and lateralizing neurological symptoms. On day 12, she started to feel a nonpostural and severe throbbing headache with motor aphasia and right hemiparesis power grade 4, she was referred to our department. Left subacute subdural hematoma was confirmed by a computed tomography scan. Physical examination revealed only mild right hemiparesis. Left burr hole trepanation was performed and this was followed by uneventful postoperative course, and it completely recovered after 4 weeks. Chronic subdural hematoma should be considered when postpartum patients who have history of ecclampsia with mild to severe, persistent, and non-postural headache.Nepal Journal of Neuroscience. Vol. 13, No. 2, 2016, Page: 109-111

scholarly journals The Missing Tooth: A Curious Case of Postobstructive Pneumonia

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Ian Holmes ◽  
Kiran Gajurel ◽  
Jose Montoya
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Clinical Features ◽  
Computed Tomography Scan ◽  
Diagnostic Challenge ◽  
Impacted Tooth ◽  
Left Bronchus ◽  
Tomography Scan ◽  
Missing Tooth

Abstract Foreign body aspirations that are not recognized at the time of aspiration can lead to insidious symptoms that can present a diagnostic challenge. We report the case of a 70-year-old man presenting with postobstructive pneumonia 2 months after aspirating his own tooth during a meal. He had been mistakenly diagnosed with asthma and treated with bronchodilators before a computed tomography scan of the thorax revealed the impacted tooth in his left bronchus. We review the clinical features and microbiology of postobstructive pneumonia and discuss the rationale of its treatment.

Bolus ileus-an occasional cause of small bowel obstruction-case report

2017 ◽  
Vol 5 (12) ◽  
pp. 5447
Author(s):  
Jurij Janež
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Computed Tomography Scan ◽  
Food Bolus ◽  
Postoperative Course ◽  
Pathological Conditions ◽  
Tomography Scan

A food bolus can be an occasional cause of small bowel obstruction. Especially older and senile patients are at higher risk for developing a bolus ileus. Certain pathological conditions are associated with a higher risk for developing a bolus ileus, such as duodenal and small bowel diverticula. In this paper is presented a case of a 68-year-old female patient with food bolus, that caused a mehanical small bowel obstruction. The abdominal computed tomography scan before surgery did not show the precise cause of intestinal obstruction. During surgery we found a big grape in the distal ileum, which was removed through enterotomy. Further postoperative course was uneventful.

scholarly journals A Patient With Hemoptysis and the Sign of the Camalote

2018 ◽  
Vol 5 (11) ◽  
Author(s):  
Alex Studemeister ◽  
Marcos N Alvarez ◽  
Lucy Studemeister
Keyword(s):  
Computed Tomography ◽  
Respiratory Distress ◽  
Hydatid Cyst ◽  
Radiographic Finding ◽  
Hydatid Cysts ◽  
Computed Tomography Scan ◽  
Diagnostic Challenge ◽  
Cystic Fluid ◽  
Important Clue ◽  
Tomography Scan

Abstract A 30-year-old woman presenting with hemoptysis followed by acute respiratory distress developed a diagnostic pulmonary radiographic finding, called the sign of the camalote, indicative of ruptured hydatid cyst. Her computed tomography scan demonstrated the characteristic detached parasitic membrane floating on cystic fluid, reminiscent of Amazonian camalote leaves. She was managed successfully surgically. Ruptured hydatid cysts may present as a diagnostic challenge, in which the sign of the camalote may provide an important clue for this serious complication.

Mucocele of a pneumatised uncinate process: first reported case

2011 ◽  
Vol 125 (6) ◽  
pp. 635-637 ◽  
Author(s):  
S A Burrows
Keyword(s):  
Nasolacrimal Duct ◽  
Uncinate Process ◽  
Computed Tomography Scan ◽  
Lacrimal Duct ◽  
Diagnostic Challenge ◽  
Unique Case ◽  
Persistent Symptoms ◽  
Flow Through ◽  
Operative Findings ◽  
Tomography Scan

AbstractObjective:We report a unique case of a mucocele of a pneumatised uncinate process.Method:Clinical, radiological and intra-operative findings are presented.Results:A 43-year-old woman was referred to our ENT department suffering from persistent symptoms of left-sided sinusitis. Although an initial computed tomography scan suggested a lacrimal duct mass, dacrocystography showed free flow through the nasolacrimal duct. The patient underwent surgery, revealing a mucocele within a pneumatised uncinate process.Conclusion:This patient's clinical, radiological and intra-operative findings illustrate how variations in sinus anatomy can pose a diagnostic challenge.

scholarly journals Respiratory distress due to platypnea-orthodeoxia syndrome: A diagnostic challenge in emergency setting

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Sandro Di Domenico ◽  
Paolo Aseni ◽  
Luca Bonacchini ◽  
Maurizio Bottiroli ◽  
Rossella Guerrieri ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Correct Diagnosis ◽  
Emergency Setting ◽  
Shortness Of Breath ◽  
Computed Tomography Scan ◽  
Diagnostic Challenge ◽  
Air Bubble ◽  
Postural Changes ◽  
Enormous Variation ◽  
Tomography Scan

Platypnea-orthodeoxia syndrome (POS) is an unusual cause of hypoxia characterized by enormous variation in oxygen saturation during postural changes. We describe here the clinical presentation, the diagnostic challenge of POS and discuss the main pathophysiological etiologies of the disease in a 75-year-old woman who was admitted because shortness of breath. After ruling out the most important causes of dyspnea we observed that the symptoms improved when the patient was lying flat. The diagnostic workup with computed tomography scan and air bubble saline echocardiography lead us to a correct diagnosis.

scholarly journals Prostatic cystadenoma presenting as a large multilocular pelvic male mass

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Mohamed Hafedh Saadi ◽  
Ahmed Saadi ◽  
Marouene Charkoun ◽  
Cyrine Saadi ◽  
Zinet Ghorbel ◽  
...  
Keyword(s):  
Lower Urinary Tract ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Benign Lesions ◽  
Complete Excision ◽  
Treatment Standard ◽  
Urinary Tract Symptoms ◽  
Tomography Scan ◽  
Established Treatment ◽  
Lower Urinary

Abstract Multilocular cystadenoma are benign lesions located most commonly between the rectum and the bladder. Their presence manifests as obstructive or/and irritative lower urinary tract symptoms or transit disorders. Computed tomography scan and magnetic resonance imaging may help to establish the diagnosis. Surgery is the established treatment standard, with a high risk of recurrence in case of incomplete excision of the lesions. Here we report a case of 59-year-old man presenting with an acute urinary retention due to a giant multilocular prostatic cystadenoma treated by complete excision. The diagnosis has never been suspected before surgery and has been confirmed histologically after complete excision.

Waldenström Macroglobulinemia of the orbit: A diagnostic challenge

2020 ◽  
pp. 112067212096345
Author(s):  
Sushant Adiga ◽  
Aditi Mehta ◽  
Usha Singh ◽  
Charanpreet Singh ◽  
Rintu Sharma ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Ocular Motility ◽  
Computed Tomography Scan ◽  
Diagnostic Challenge ◽  
Palpable Mass ◽  
Orbital Mass ◽  
Waldenström Macroglobulinemia ◽  
Waldenstrom Macroglobulinemia ◽  
Cell Neoplasm ◽  
Tomography Scan

Purpose: Ocular adnexal lymphomas (OAL) constitute 55% of all orbital tumors. Waldenström Macroglobulinemia (WM) presenting as an orbital mass with diffuse extraocular muscle (EOM) involvement is rare. We report an elderly patient who presented to the ophthalmologist for an orbital mass which on evaluation, turned out to an ocular adnexal WM. Observations: A 75 years old man presented with a palpable mass in the left anterior superior orbit and bilateral restricted ocular motility in all gazes. Computed tomography scan revealed a hyperdense mass with diffuse thickening of extraocular muscles and enlarged lacrimal gland on the left side. Incisional biopsy of the mass revealed a lymphoproliferative neoplasm with plasmacytic morphology. Immunohistochemistry (IHC) of the orbital mass as well as the bone marrow was sought, lymphoplasmacytic lymphoma (CD20+, CD38+, MUM1+, BCL 2+, CD3−, CD5−, CD10−, CD23−, cyclin D1). Bone marrow flow cytometry showed CD5−, CD10− kappa restricted B cell neoplasm. Serum analysis significantly elevated IgM levels. This indicated a diagnosis of ocular adnexal Waldenström Macroglobulinemia. Conclusion and importance: This case highlights the importance of clinical evaluation, histopathology, and immunohistochemistry for phenotyping of ocular adnexal lymphomas.

Extended double sleeve lobectomy combined with thoracic wall resection to treat a huge lung cancer

2021 ◽  
Keyword(s):  
Main Pulmonary Artery ◽  
Lower Lobe ◽  
Thoracic Wall ◽  
Solid Mass ◽  
Computed Tomography Scan ◽  
Left Main ◽  
Sleeve Lobectomy ◽  
Postoperative Course ◽  
Thoracic Wall Resection ◽  
Tomography Scan

A 58-year-old man came to our hospital with numbness of the left arm, fatigue, and fever. A huge solid mass with necrotic changes located in the left upper lobe was noted on the computed tomography scan. The tumor directly invaded the extrathoracic wall, the left main pulmonary artery, and the superior segment of the lower lobe. To avoid pneumonectomy, a combination of an extended double sleeve lobectomy and thoracic wall resection was performed. The postoperative course was uneventful. The patient has survived without any recurrence for 6 months postoperatively.

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