Extra-adrenal retroperitoneal ganglioneuroma

Ganglioneuromas are benign tumors that originate from primordial neural crest cells. We report a retroperitoneal ganglioneuroma arising from the left paraspinal region. A twenty-year old woman presented with left lumbar pain. Neurological workup was normal. Imaging revealed a left paraspinal retroperitoneal mass measuring 9.74 x 6.19 x 4.30 centimeters. Complete surgical removal was uneventful. During follow-up, left lumbar pain improved and imaging showed no evidence of the disease

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

Reactive lymphoid hyperplasia

A case of reactive lymphoid hyperplasia of ilescaecal region is presented in an elderly Bahraini female. This presented with abdominal pain and a palpable mass in right iliac fossa. Histologically this condition has a close chain resemblance to low grade lymphoma, from which it can be differentiated by demonstration of light restriction using immunocytochemistry

Phyto bezoar, a rare case of intestinal obstruction

Bezoars are uncommon causes of intestinal obstruction. One patient with small intestinal obstruction due to phyto bezoar is discussed

Retrospective study on 23 cases of congenital hydronephrosis

We reviewed 23 patients who have undergone surgery for Congenital Hydronephrosis in Salmaniya Medical Centre and Bahrain Defence Force Hospital for the period between November 1979 - November 1984. There were 18 male and 5 female patients. Eleven had congenital Pelvi-Ureteric [P.U.] junction obstruction on the right side. The remaining patients were obstructed on the left side with one case of bilateral obstructions. Congenital Hydronephrosis was diagnosed in all cases. All patients underwent conservative surgery. In doing this we aimed at renal salvage and improvement of function