Primary Intrafollicular Ovarian Pregnancy: A Case Report.

Intrafollicular ovarian pregnancy is a rare event of ectopic pregnancy with a reported incidence of 1/7000-1/40000 pregnancies. Only 15% of cases of ovarian pregnancy are intrafollicular in origin. In spite of advances in clinical sciences diagnosis of ovarian pregnancy is diffi cult pre-operatively as it mimics hemorrhagic cyst, luteal cyst, and adnexal mass. Th e diagnostic criteria for ovarian pregnancy were described by Spiegelberg in 1878. Diagnosis of ovarian pregnancy should be suspected when the hemorrhagic mass is identifi ed near the ovary with normal fallopian tube during surgery of ectopic ovarian pregnancy. Th e classical management of ruptured ovarian pregnancy is surgical like any other ruptured ectopic pregnancy. Th e extent of surgery varies according to the amount of tissue destruction. Recent advances in the management of ovarian pregnancy are laparoscopic laser ablation and methotrexate for unruptured ovarian pregnancy.

Removal of Silicon-associated Intraorbital Cyst with Gingival Sulcus Incision

PURPOSE: Alloplastic implants, such as Silastic(R) , Supramid(R) , Porous polyethylene, Teflon(R) have been used to prevent reherniation of orbital tissue and are known to be inert for many years, though complications are infrequently reported many years after their insertion. Complications associated with implants are infrequent, but infection, orbital hemorrhage, implant extrusion, motility restriction, migration of implant causing dacryocystitis, cystic formation have been described. The latter was known as a rare late complication of blow-out fracture repair. METHODS: We report the case of a discovery of a intraorbital hemorrhagic cyst which developed after silicon implant insertion. This patient developed diplopia, unilateral proptosis, exophthalmos, vertical dystopia, ectropion 10 years after repair of blow-out fracture. In this case, orbital CT scan revealed intraorbital cyst surrounding the orbital implant. At surgery, a fibrous capsule surrounded the silicon implant and was filled with mucin pools. RESULTS: Proptosis, diplopia, exophthalmos, ectropion, vertical dystopia were resolved after surgical removal of the cyst and implant. CONCLUSION: This case illustrate that it is important for us to be aware of the complication of cyst formation around the silicon implants.

A Case of Angiomatoid Fibrous Histiocytoma of Soft Tissue / 대한피부과학회지

Fibrous histiocytoma is a common benign tumor which occurs usually in the dermis. It can be classified as fibrous type, cellular type, mixed type and angiomatoid type, depending on its major cellular components. Angiomatoid fibrous histiocytoma is a rare subtype, showing characteristic hemorrhagic cyst. Fibrous histiocytoma arises rarely in deep soft tissues such as fascia, muscle or periosteum, and shows clinical and histopathological characteristics somewhat different from the cutaneous histiocytoma. We report a case of angiomatoid fibrous histiocytoma of deep location which arose in the galea of scalp in a 7-year-old boy, who had a tender slightly fixed deep seated nodule, measuring 0.5 cm, for 5 months.