Xanthogranulomatous oophoritis secondary to talcum powder case report and review of the literature

Xanthogranulomatous inflammation of the ovary [xanthogranulomatous oophoritis] is a rare condition, usually representing a complication of tubo-ovarian abscess following pelvic inflammatory disease [PID]. We report a case of xanthogranulomatous oophoritis that occurred in a 31-year-old Lebanese lady, eight years following an open appendectomy as a reaction to talcum powder present on surgical gloves

[Small cell neuroendocrine carcinoma of the urinary bladder: report on two cases and review of the literature]

Small cell [Neuroendocrine] carcinoma of the urinary bladder is a rare but highly aggressive malignancy. The neoplastic cells exhibit both neuroendocrine and epithelial differentiation. It is morphologically indistinguishable from the more common pulmonary small cell carcinoma. It can occur either in association with urothelial [transitional cell] carcinoma or in a pure form. Presenting signs and symptoms are non specific. Histologically, it can mimic poorly differentiated urothelial carcinoma and lymphoma. Muscle invasion is almost invariably present at diagnosis and mortality is mainly due to metastases rather than loco regional recurrence. The optimal therapeutic modality is still controversial. In this article, we report on two cases occurring in a pure form and we briefly review the published literature regarding the clinical presentation, morphology, differential diagnosis, prognosis and treatment

Inflammatory myofibroblastic tumor of the mesentery associated with high fever and positive Widal test

Inflammatory myofibroblastic tumor [IMT] is associated in 15-30% of cases with systemic symptomatology, such as prolonged fever, weight loss, elevated erythrocyte sedimentation rate [ESR], anemia, thrombocytosis, and leukocytosis. We report the case of a 4-year-old Lebanese boy who presented with high-grade fever of long duration, and a single [unpaired] positive Widal agglutination test. Blood culture was negative. A diagnosis of typhoid fever was made. An abdominal [mesenteric] IMT was incidentally discovered, 30 days after the fever had appeared. After surgery, the fever disappeared immediately, and the ESR returned to normal. We strongly favor the possibility of a false positive Widal test, due to polyclonal increase in serum immunoglobulins, which often occurs in IMT. We also think that IMT might be a mimicker of typhoid fever, both clinically and serologically. Physicians, especially pediatricians practicing in endemic areas, should probably be aware of this mimicry

Cavernous hemangioma of the parotid gland

In adults, hemangioma is a rare presentation of a parotid mass. In this report, we present a case of a 40-year-old lady complaining of a swelling in the right inferior parotid region. Imaging studies revealed a cystic lesion of the right parotid gland. Fine needle aspiration cytology was not significantly helpful in revealing the diagnosis. In the operating room, a vascular cystic lesion was found in the deep lobe of the right parotid gland. Pathological analysis confirmed the diagnosis of cavernous hemangioma. In this case report, we discuss a rare pathology in the adult population, and review different aspects in its diagnosis and treatment