ABSTRACT
Disseminated peritoneal leiomyomatosis (DPL) is a rare and benign clinical entity. It is also known as leiomyomatosis peritonealis disseminata (LPD). Here, we report and discuss a case of a primiparous woman in her early 40s who presented with heavy, prolonged, painful menses and heaviness in her lower abdomen. She underwent a laparoscopic myomectomy for a fibroid uterus, 12 months ago for similar complaints. On workup, she was diagnosed with DPL. We performed a total abdominal hysterectomy with bilateral salpingectomy, low anterior resection with stapled colorectal anastomosis and excision of peritoneal tumour deposits in consortium with the gastrosurgery team. Her postoperative period was uneventful, and the patient was discharged on postop day 6. Her histopathology report was consistent with leiomyoma; the follow-up period was uneventful.
Subject(s)
Hysterectomy , Peritoneal Neoplasms , Humans , Female , Peritoneal Neoplasms/diagnosis , Peritoneal Neoplasms/surgery , Peritoneal Neoplasms/pathology , Adult , Leiomyoma/surgery , Leiomyoma/diagnosis , Leiomyoma/pathology , Leiomyomatosis/surgery , Leiomyomatosis/pathology , Leiomyomatosis/diagnosis , Uterine Neoplasms/surgery , Uterine Neoplasms/diagnosis , Uterine Neoplasms/pathology , Diagnosis, Differential , Uterine Myomectomy , SalpingectomyABSTRACT
Primary soft tissue sarcomas of the breast are rare aggressive neoplasms. These often are misdiagnosed with other more common neoplasms like fibroepithelial malignancies, namely phyllodes tumour and metaplastic carcinoma. Being uncommon, chances of being misdiagnosed are higher leading to early mortality. A multidisciplinary team incorporating surgery, pathology, chemotherapy and radiotherapy is required to formulate an approach to primary soft tissue sarcoma. Generally, these tumours may show single or dual phenotype; we present one rare case report showing multiphenotypic differentiation.
Subject(s)
Breast Neoplasms , Sarcoma , Soft Tissue Neoplasms , Female , Humans , Breast/pathology , Breast Neoplasms/diagnosis , Breast Neoplasms/pathology , Breast Neoplasms/therapy , Sarcoma/diagnosis , Sarcoma/pathology , Sarcoma/therapy , Soft Tissue Neoplasms/diagnosis , Soft Tissue Neoplasms/pathology , Soft Tissue Neoplasms/therapy , Combined Modality Therapy , Patient Care TeamABSTRACT
Transverse vaginal septum is one of the variants of Mullerian duct anomaly, caused as a result of defective fusion or recanalisation of vaginal and Mullerian organs. At an early age, it commonly presents as primary amenorrhea along with cyclical abdominal pain while later on usually it presents as dyspareunia and infertility. Our 22-year-old patient presented with secondary amenorrhea. It is very unusual for a transverse vaginal septum to cause secondary amenorrhea. MRI and clinical examination raised the suspicion of transverse vaginal septum causing secondary amenorrhea. She attained regular menstrual cycle after septum excision. The proposed theory behind it is obliteration of microperforated transverse vaginal septum because of menstrual blood and cell debris. Thus, a rare possibility of transverse vaginal septum should also be considered as a differential diagnosis of secondary amenorrhea.
Subject(s)
Vagina , Vaginal Diseases , Adult , Amenorrhea/etiology , Female , Gynecologic Surgical Procedures , Humans , Vagina/abnormalities , Vagina/surgery , Vaginal Diseases/complications , Vaginal Diseases/diagnosis , Vaginal Diseases/pathology , Vaginal Diseases/surgery , Young AdultABSTRACT
Direct carotid-cavernous fistula (CCF) refers to direct communication between the cavernous portion of the internal carotid artery (ICA) and the cavernous sinus due to rent in the ICA, most commonly secondary to trauma. These are generally high-flow fistula and rarely resolve spontaneously. We report a case of a young male who developed features of direct CCF after trauma, was denied any treatment for 4 years, and then presented with spontaneous thrombosis of the fistula and a residual large pseudoaneurysm of the cavernous segment of the right ICA, which was subsequently managed with parent vessel occlusion.
Subject(s)
Calcinosis/diagnostic imaging , Calcinosis/pathology , Genetic Diseases, Inborn/diagnostic imaging , Genetic Diseases, Inborn/pathology , Lung Diseases/diagnostic imaging , Lung Diseases/pathology , Tomography, X-Ray Computed/methods , Antitubercular Agents/therapeutic use , Calcinosis/genetics , Child , Diagnosis, Differential , Diagnostic Errors/statistics & numerical data , Female , Genetic Diseases, Inborn/genetics , Humans , Lung Diseases/genetics , Tuberculosis, Miliary/diagnostic imaging , Tuberculosis, Miliary/drug therapyABSTRACT
Imaging alone cannot differentiate various isolated atypical lytic lesions involving the skull. Clinical and radiological correlation is mandatory in reaching to a diagnosis. Histopathology remains the gold standard. We describe few atypical cases presenting as isolated lytic lesions of skull with characteristic imaging findings and a brief clinical approach to reach towards the diagnosis.
