Esophageal web complicating an isolated esophageal lichen planus

Lichen planus [LP] is a chronic, idiopathic disorder affecting the mucosal surfaces, skin and nails. Esophageal involvement in this disease is rare and only few cases were found in literature, thus making its diagnosis challenging as it can be easily misdiagnosed as gastroesophageal reflux disease. Currently, little is known about its pathogenesis and management. We report a case of a previously healthy 32-year-old female who presented with the complaint of dysphagia, which was later diagnosed endoscopically as an esophageal web. Biopsy of the lesion revealed a histological diagnosis of an esophageal lichen planus [ELP]. This was treated with multiple Esophagogastro Duodenoscopy [OGD] dilatation sessions and local steroids. We also reviewed similar reported cases in the literature, stressing on the importance of the successful management of such a disease and its complications

Clinicopathological profile of cardiac myxomas in Bahraini population

Background: Cardiac tumors could be either primary [benign or malignant] or secondary. Myxomas are the most frequent benign cardiac neoplasms of the heart, usually affecting the ages between 30 and 70 years and are typically found in females

Objective: To evaluate the clinicopathological manifestations of cardiac myxomas in the Bahraini population. Design: A Retrospective Study. Setting: Mohammed Bin Khalifa Cardiac Center, BDF-RMS Hospital, Bahrain

Method: Twelve cases of cardiac myxoma patients were reviewed from 2005 to 2012. Personal characteristics and clinicopathological manifestations were documented

Results: Twelve patients with cardiac myxoma tumors were included in the study. Seven [58%] patients were females; the age range was from 44 years to 70 years and the mean range was 57.6 years. In eight [67%] patients, the tumors were found in the left-atrium, in three [25%] patients in the right-atrium and in one [8%] patient in the right-ventricle. The most common presentation was chest pain, seven [58%], followed by neurological symptoms, five [42%] and shortness of breath, four [33.5%]. Five [42%] patients had diabetes mellitus, four [33.3%] had dyslipidemia and two [17%] had hypertension

Conclusion: Myxomas were the most common benign primary cardiac tumors in our institute, mostly arising from the left-atria. Five years of follow-up revealed no recurrence. Most patients presented with extra-cardiac manifestations and surgical intervention was the treatment of choice

Papillary carcinoma of thyroglossal duct cyst

Carcinoma arising from thyroglossal duct cyst [TGDC] is rare and account for 1 - 2% of all excised cysts. It is debatable the origin of these tumours whether primarily arising from the TGDC or from metastasis from the thyroid gland. Papillary carcinoma is the most common encountered histological type but the diagnosis usually obtained postoperatively. The aim of this study is to highlight this rare condition and to discuss the origin of these tumours. The preoperative diagnostic technique, histological criteria for diagnosis and treatment modalities were highlighted. Retrospective study. Pathology Departments, Military Hospital and Salmaniya Medical Complex, Bahrain. Patients with TGDC papillary carcinoma who have been diagnosed postoperatively on histological examination after simple Sistrunk's operation during the study period from January 2002 to December 2008 were followed up for six and two years respectively. Patients' characteristics, clinical presentations and outcomes were reviewed. Two patients were encountered during the study period. Both presented with classical features of congenital midline thyroglossal duct cyst. The first patient had a localised tumour and was free of tumour recurrence for 6 years postoperatively. The second patient's tumor spread to surrounding tissue and lymph nodes, which necessitated aggressive surgery. Papillary Carcinoma of the TGDC is a rare entity, it is usually a localised disease which has excellent prognosis after simple surgery in most cases We present two cases of carcinoma of TGDC diagnosed postoperatively after simple Sistrunk's operation; one case had no recurrence and the other had widespread dissemination, which necessitated aggressive surgery. The histological diagnostic criteria of these tumours, their origin from the duct or the main gland were reviewed with treatment modalities

Scrotal elephantiasis: a first case report from Bahrain

Scrotal elephantiasis is a disease that is rarely seen outside the tropical sectors of Africa, Asia, Central and South America. Unlike those endemic regions, where the disease is caused mostly by a filariasis; in developed countries, it is usually secondary to other non-infectious conditions or rarely hereditary. A seventy-eight year old patient presented to the urology clinic with a painful gross scrotal swelling for more than 6 years. The disease proved to be inflammatory and was assumed to be due to filariasis. Subtotal scrotectomy was undertaken followed by scrotal reconstruction with satisfactory cosmetic and functional outcome. To our knowledge, this is the first case of inflammatory probably infectious scrotal elephantiasis to be reported from Bahrain

Congenital seminal vesicle cyst in a 3 years old boy [A case report]

Cysts of the seminal vesicle, although rare, are well recognized clinical entities which are now seen with increasing frequency with modern pelvic imaging modalities. These cysts may be unilateral or bilateral; congenital or acquired. Seminal vesicle cysts may arise from inflammation of the seminal vesicle or from embryological remnants such as Mullarian duct. Surgical removal has been the treatment of choice either by an abdominal or laparoscopic approach. Here we present a case of seminal vesicle cyst of congenital type in a 3 year old boy, who also had a non-functioning left pelvic ectopic kidney

Post burn cutaneous- lymphangioma, verrucous type. A case report

Cavernous lymphangiomas are frequently encountered as superficial lesions predominantly seen in skin and mucous membranes. They may sometime follow surgery or radiotherapy, they rarely develop in scars after a burn injury or in a congenital lymphadematous extremity without prior surgery or radiation. Here, we describe a case of an unusual superficial cutaneous cavernous lymphangioma of verrucous type clinically simulating squamous cell carcinoma in 26 years old female patient following burns