scholarly journals An Uncommon Presentation of Leiomyoma Cecum as a Subcutaneous Abscess of the Right Flank

Cureus ◽  
2018 ◽  
Author(s):  
Sakthivel Chinnakkulam Kandhasamy ◽  
Anubhav Sangwan ◽  
Ashok Kumar Sahoo ◽  
Gopalakrishnan Gunasekaran ◽  
Neelam Sahani ◽  
...  
Keyword(s):  
Uncommon Presentation ◽  
The Right

scholarly journals Movement of the tympanic membrane causing pulsatile tinnitus

2014 ◽  
Vol 8 (1) ◽  
pp. 127-129
Author(s):  
Supaporn Srirompotong ◽  
Somchai Srirompotong
Keyword(s):  
Tympanic Membrane ◽  
Chart Review ◽  
Interesting Case ◽  
Mastoid Process ◽  
Mastoid Cavity ◽  
Pulsatile Tinnitus ◽  
Uncommon Presentation ◽  
Effective Option ◽  
The Right ◽  
Air Cells

Abstract Background: Movement of the tympanic membrane can be a cause of pulsatile tinnitus. There are many etiologies that cause movement of the tympanic membrane, including otogenic pneumocephalus. This is an uncommon presentation after head injury that may be missed as the diagnosis of the primary cause of the symptoms. Objective: To report a rare case of pulsatile tinnitus because of otogenic pneumocephalus. Methods: Case report from chart review with relevant investigations and treatment. Results: We describe the very interesting case of a patient who presented with pulsatile tinnitus because of otogenic pneumocephalus. On examination, we found a moving tympanic membrane. A CT scan revealed pneumocephalus in the right temporoparietal region that was continuous with the adjacent mastoid air cells. There was a transverse fracture through the mastoid process. A meticulous mastoidectomy with unroofing of the epitympanum was performed with widening of the aditus ad antrum. The mastoid cavity was closed without fat obliteration. After the operation, the pulsatile tinnitus ceased completely. Conclusion: Mastoidectomy and unroofing the epitympanum without fat obliteration is a very simple and effective option for the treatment of pulsatile tinnitus because of pneumocephalus.

scholarly journals A Case of Familial Focal Dermal Hypoplasia: A Report of 3 Cases in Consecutive Generations

2018 ◽  
Vol 2 (5) ◽  
Author(s):  
David Ernesto Castillo ◽  
Nicole Nagrani ◽  
David Castillo ◽  
Rocio Reyes Muñoz ◽  
Mayerlis Cárdenas Guevara ◽  
...  
Keyword(s):  
Skin Lesions ◽  
Dominant Inheritance ◽  
Multisystem Disorder ◽  
Enamel Defects ◽  
Focal Dermal Hypoplasia ◽  
Uncommon Presentation ◽  
Goltz Syndrome ◽  
The Right ◽  
Blaschko’S Lines ◽  
Musculoskeletal Systems

Focal dermal hypoplasia (FDH), or Goltz syndrome, is a rare multisystem disorder affecting mesodermal and ectodermal structures, with the skin, eyes, teeth, and musculoskeletal systems most commonly affected. FDH results from mutations in the PORCN gene. Ninety-five percent of cases arise from novo mutations, whereas 5% are hereditary with an X-linked dominant inheritance pattern. Here, we describe an uncommon presentation of FDH in three consecutive generations. Patient 1 is an 8-month-old female born of non-consanguineous marriage who presented with diffuse alopecia of the scalp, linear hypopigmented, atrophic papules, and plaques with peripheral hyperpigmentation on the left hemiabdomen and right lateral leg along Blaschko's lines as well as syndactyly of the right second and third toes. Skin biopsy from the abdomen showed a thin epidermis with flattened rete ridges and massive dermal edema within collagen fibers and reactive capillaries. Family history was significant for similar skin lesions and bone deformities in her mother and similar skin lesions in her grandmother. Patient 2 (patient 1’s mother) is a 17-year-old female with similar linear hypopigmented, atrophic plaques with peripheral hyperpigmentation on the abdomen and right axilla, syndactyly of the right hand, patchy alopecia of the scalp, microdontia, teeth fusion, enamel defects, verrucous papillomas in the axillae and onycholysis. Patient 3 (patient 1’s grandmother), presented with similar hypopigmented, atrophic plaques on the abdomen and left arm.

scholarly journals Case Report of Hydatid Cyst in the Pulmonary Artery Uncommon Presentation: CT and MRI Findings

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Arwa Almutairi ◽  
Sulaiman Al Rajhi
Keyword(s):  
Pulmonary Artery ◽  
Hydatid Cyst ◽  
Hydatid Cysts ◽  
Mri Findings ◽  
Hepatic Hydatid Cyst ◽  
Uncommon Presentation ◽  
Right Pulmonary Artery ◽  
History Of ◽  
The Right ◽  
Ct And Mri

Background. Hydatid cysts can be found in any organ. In adults, the liver and lungs are the most common locations; hydatid cysts in the pulmonary artery are rare.Clinical Case. We present the case of an 86-year-old female with a history of hepatic hydatid cyst since 2012, who presented with complaints of chronic productive cough, yellowish-green sputum, and dyspnea. CT and MRI showed multiseptate hydatid cysts in the right pulmonary artery.

scholarly journals Infective myositis, an uncommon presentation of melioidosis: a case report and review of the literature

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Nuwan Jayawardena ◽  
Udaya Ralapanawa ◽  
Prabhashini Kumarihamy ◽  
Thilak Jayalath ◽  
Shashi Prabhani Abeygunawardana ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Vastus Lateralis ◽  
Subcutaneous Fat ◽  
Epidemiological Studies ◽  
Community Acquired Pneumonia ◽  
Vastus Lateralis Muscle ◽  
Uncommon Presentation ◽  
Soft Tissue Involvement ◽  
The Right ◽  
Enhanced Computed Tomography

Abstract Background Melioidosis is considered endemic in certain areas of the world. Musculoskeletal and soft tissue involvement are relatively uncommon presentations in melioidosis. We present a case of infective myositis in a patient with melioidosis in Sri Lanka, which is not considered an endemic country. Even though multiple cases of melioidosis have been reported with an increasing number in Sri Lanka, infective myositis secondary to melioidosis was not reported previously. Case presentation A 60-year-old Sinhalese man with diabetes presented with fever of 4 months’ duration and a limp with a painful lump on the right side of the upper thigh of 2 months’ duration. He had been treated in a local hospital for community-acquired pneumonia 3 weeks prior to this admission, for which he had received intravenous meropenem and teicoplanin with intensive care unit admission. He had a 0.5-cm × 0.5-cm tender lump over the right vastus lateralis muscle, and contrast-enhanced computed tomography of the area showed an ill-defined, heterogeneously enhancing, hypodense area involving the vastus lateralis, vastus intermedius, and quadratus femoris, suggestive of infective myositis but without abscess formation. Histopathology of the muscle biopsied from the vastus lateralis showed suppurative inflammation of subcutaneous fat with connective tissue necrosis and muscle infiltrated by lymphocytes. These features are suggestive of infective myositis possibly due to melioidosis. Although the result of a culture taken from the muscle biopsy was negative, the patient’s antibody titer was strongly positive for melioidosis. He did not show any other areas with infected foci. He was treated with intravenous meropenem for 2 weeks and responded well. He was discharged with trimethoprim-sulfamethoxazole for 6 months as a maintenance therapy. Conclusion Melioidosis is commonly an undiagnosed disease that has a wide variety of clinical presentations. Myositis in melioidosis is uncommon, and careful evaluation is mandatory to avoid misdiagnosis of this treatable but fatal disease. The clinician should have a high index of clinical suspicion, and further clinical and epidemiological studies are needed to determine the true burden of the disease.

Intramuscular lymphoma: uncommon presentation of Hodgkin’s disease

2020 ◽  
Vol 13 (8) ◽  
pp. e229826 ◽  
Author(s):  
Vijay Alexander ◽  
Rachana Shenoy ◽  
Anu Korula ◽  
Maria Koshy
Keyword(s):  
Hodgkin’S Lymphoma ◽  
Psoas Muscle ◽  
Hodgkin's Lymphoma ◽  
Axillary Lymph ◽  
Mixed Cellularity ◽  
Rare Presentation ◽  
Uncommon Presentation ◽  
Loss Of Weight ◽  
Loss Of Appetite ◽  
The Right

Extranodal presentation in lymphoproliferative disorders is a well-recognised entity. However, musculoskeletal involvement is extremely rare. We describe the case of a 64-year-old farmer who presented to us with constitutional symptoms of fever, loss of weight and loss of appetite for 2 years and physical examination revealing generalised lymphadenopathy with hepatosplenomegaly. Biopsy of an axillary lymph node showed mixed cellularity variant of Hodgkin’s lymphoma. CT of the thorax and abdomen revealed a collection in the right psoas muscle. Guided biopsy of the psoas deposit was suggestive of Hodgkin’s lymphoma. PCR and cultures for Mycobacterium tuberculosis tested negative. Here we describe a rare presentation of Hodgkin’s lymphoma with intramuscular involvement.

A case of undiagnosed X-linked retinoschisis presenting as unilateral macular demarcation line

2020 ◽  
pp. 112067212094311
Author(s):  
Grazia M Cozzupoli ◽  
Francesca Amoroso ◽  
Jean-Louis Bacquet ◽  
Alexandra Miere ◽  
Alexandra Mouallem-Beziere ◽  
...  
Keyword(s):  
Fundus Autofluorescence ◽  
Correct Diagnosis ◽  
Anterior Segment ◽  
Molecular Testing ◽  
Wide Field ◽  
Demarcation Line ◽  
Uncommon Presentation ◽  
Juvenile Retinoschisis ◽  
Ophthalmologic Examination ◽  
The Right

Purpose: We intend to describe an uncommon presentation of X-linked juvenile retinoschisis (XLRS) in a 17-year-old boy showing a macular demarcation line in the right eye and an inferior peripheral bullous retinoschisis in both right and left eye, at his first ophthalmologic examination. Methods: The patient underwent a complete ophthalmologic examination including best-corrected visual acuity assessment, anterior segment and dilated fundus examination, ultra-wide-field retinography, spectral-domain optical coherence tomography, fundus autofluorescence, fluorescein angiography, electroretinography, visual field test, and genetic molecular testing. Results: We report a rare case of genetically confirmed XLRS, presenting as a unilateral mildly-pigmented macular demarcation line (advanced sequel of unilateral spontaneous retinal reattachment of a previous retinal detachment or bullous retinoschisis) without foveoschisis in the fellow eye. Conclusion: XLRS is the most frequent cause of macular retinoschisis. The hallmark of XLRS is the evidence of a foveoschisis presenting with a characteristic spoke-wheel aspect in patients younger than 30 years of age. It is important to recognize uncommon presentations of XLRS so that the correct diagnosis is made, in order to provide the patients with appropriate genetic counseling and therapeutic care.

scholarly journals A Giant Pre-Peritoneal Lipoma: A Report of an Uncommon Presentation of a Rare Entity and a Review of the Literature

2021 ◽  
pp. 1-5
Author(s):  
Ulasi Ikechukwu Bartholomew ◽  
Ulasi Ikechukwu Bartholomew ◽  
Afuwape OO ◽  
Ajani MA ◽  
Onyema AE ◽  
...  
Keyword(s):  
Soft Tissue Tumor ◽  
Iliac Fossa ◽  
Benign Tumors ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Abdominal Ultrasonography ◽  
Case Presentation ◽  
Uncommon Presentation ◽  
Peritoneal Space ◽  
The Right

Background: A lipoma is one of the commonest benign tumors in surgical practice. Lipomas are usually found on the trunk and limbs but less commonly within the abdomen, where they occur frequently in the mesentery as well as the subserosa and submucous layer of the gastrointestinal tract. Pre-peritoneal lipomas are rare. Case Presentation: A 44-year-old woman presented with a painless and progressive right-sided abdominal swelling of 5 months duration. Examination revealed a 16cm x 14cm slightly mobile and non-tender firm-to-hard hour-glass-shaped mass extending from the right hypochondrial to right iliac and the suprapubic regions. Abdominal ultrasonography showed a 5cm x 6cm bowel thickening in the right iliac fossa suggestive of an ileocecal mass while a computerized tomography showed a 20.8cm x 6.3cm x 20.1cm hypodense mass within the peritoneal cavity, extending from the epigastric region to the pelvis, anterior to the bowel loops and more to the right. At laparotomy, a huge, well encapsulated yellowish mass in the pre-peritoneal space, weighing 1,520g was excised. Histology confirmed a lipoma. Conclusion: A preperitoneal lipoma is an uncommon soft tissue tumor and the giant ones are extremely rare. Although a rare cause of a painless abdominal swelling, pre-peritoneal lipoma should be considered as a differential diagnosis in patients presenting with an unremarkable feature suggestive of an intra-abdominal pathology.

scholarly journals Desferrioxamine-Related Pseudo-Vitelliform Dystrophy and the Effect of Anti-Vascular Endothelial Growth Factor

2021 ◽  
pp. 16-24
Author(s):  
Michael E. Grinton ◽  
Yanmei Chen ◽  
Ajay Kotagiri
Keyword(s):  
Vascular Endothelial ◽  
Vein Occlusion ◽  
Anti Vegf ◽  
Uncommon Presentation ◽  
Intraretinal Fluid ◽  
Intravitreal Aflibercept ◽  
Future Treatments ◽  
The Right ◽  
Endothelial Growth Factor ◽  
Deposit Height

We report a case of a 72-year-old female who developed bilateral pseudo-vitelliform dystrophy after taking desferrioxamine for the treatment of chronic iron overload. The patient then developed a right superior hemiretinal vein occlusion associated with intraretinal fluid in the right eye and was treated with monthly intravitreal aflibercept injections for 3 months followed by as required treatment. In addition to the intraretinal fluid responding to anti-VEGF treatment, there was a reduction in the size of the pseudo-vitelliform subfoveal deposit height, which was not seen in the untreated eye. Our case of an uncommon presentation of desferrioxamine-related maculopathy associated with a vein occlusion and the changes associated with intravitreal anti-VEGF treatment may help with the potential hypotheses of the pathophysiology of desferrioxamine-related pseudo-vitelliform retinal lesions and help with the potential future treatments of the condition.

scholarly journals An Uncommon Presentation of Multiple Myeloma

2014 ◽  
Vol 14 (2) ◽  
pp. 189-191 ◽  
Author(s):  
Chayan Kumar Singha ◽  
Eshita Biswas ◽  
Md. Tanvir Islam ◽  
Ferdous Jahan ◽  
MA Jalil Chowdhury ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Bone Marrow ◽  
Weight Loss ◽  
Plasma Cells ◽  
Protein Electrophoresis ◽  
Hip Pain ◽  
Significant Weight Loss ◽  
Uncommon Presentation ◽  
Radiotherapy Department ◽  
The Right

Multiple myeloma can sometimes manifest only with fracture. We report the case of an individual who presented with a progressive right sided localized hip pain that made him difficulty in walking and also significant weight loss. Investigations revealed anaemia with markedly raised ESR, fracture in the right neck of the femur, monoclonal gamopathy on protein electrophoresis and 70% atypical plasma cells in the bone marrow. Subsequently he was managed in haematology and radiotherapy department accordingly.DOI: http://dx.doi.org/10.3329/jom.v14i2.19673 J Medicine 2013, 14(2): 189-191

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