ABSTRACT
Abstract Macrodystrophia lipomatosa is a rare entity that is mostly diagnosed in children. It has been very rarely reported in adults. Here, we describe the X-ray and computed tomography findings in a case of macrodystrophia lipomatosa in an elderly female presenting with an enlarged second toe since birth and bony outgrowths causing pressure effects and cosmetic problems.
Resumo A macrodistrofia lipomatosa é uma entidade rara, principalmente diagnosticada em crianças, e pouquíssimo relatada em adultos. Descrevemos os achados de radiografia e tomografia computadorizada em um caso de macrodistrofia lipomatosa em uma mulher idosa que apresentava um segundo dedo do pé aumentado desde o nascimento e crescimentos ósseos que causavam efeitos de pressão e problemas cosméticos.
ABSTRACT
Abstract Intradiploic arachnoid cysts have scarcely been reported in the literature, most reported cases being secondary to trauma. Nontraumatic arachnoid cysts are quite rare and have been reported mostly in adults. Here, we report the case of a 16-year-old male presenting with a slowly growing mass in the occipital region and intermittent headaches. On the basis of the findings of X-rays, computed tomography scans, and magnetic resonance imaging scans of the head, the mass was diagnosed as a giant intradiploic arachnoid cyst.
Resumo Cistos aracnóideos intradiploicos foram raramente relatados na literatura, sendo a maior parte desses casos decorrente de traumas. Cistos aracnóideos não traumáticos são muito raros e têm sido relatados principalmente em adultos. Aqui, relatamos o caso de um jovem de 16 anos de idade apresentando uma massa de crescimento lento na região occipital e dores de cabeça intermitentes. Com base nos resultados de radiografia, tomografia computadorizada e ressonância magnética da cabeça, a massa foi diagnosticada como um cisto aracnóideo intradiploico gigante.
ABSTRACT
Background: Gastroduodenal diseases are perhaps the commonest diseases in adult population worldwide. Helicobacter pylori (H. pylori) represent one of the most common gastroduodenal infections and have been established as the etiologic factor in the development of various gastroduodenal diseases. Spectrum of H. pylori associated gastroduodenal diseases have not been systematically investigated in North India. So this study was carried out to determine the spectrum of gastroduodenal lesions on upper Gastro-Intestinal (GI) endoscopic biopsies and to determine the prevalence of H. pylori in gastric mucosa in these lesions. Methods: Gastroduodenal mucosal biopsies of 100 patients from November 2012 to October 2013 in a tertiary care centre in north India were evaluated by routine histopathological methods and the presence of H. pylori in gastric mucosa in these lesions was determined. Results: An age range of 17 years to 80 years was observed with maximum cases in the 4th decade and a male to female ratio of 1.86:1. The most frequently observed lesions were chronic gastritis followed by duodenitis, duodenal ulcer and gastric carcinoma. 5% cases showed unremarkable mucosa. H. pylori positivity was seen in 47% cases. 80% cases of duodenal ulcer, 68.75% cases of duodenitis, 50.56% cases of chronic gastritis, 50% cases of gastric ulcer & 40% cases of gastric carcinoma were positive for H. pylori infection. Conclusion: Endoscopic gastroduodenal biopsies help to detect benign and malignant gastroduodenal diseases and to rule out H. pylori infection. Chronic gastritis was the most common gastroduodenal lesion followed by duodenitis, duodenal ulcer and gastric carcinoma. Duodenal ulcer, duodenitis, chronic gastritis and gastric ulcer showed strong positivity for H. pylori highlighting the role of this microorganism in the pathogenesis of these diseases.