Pilomatrixoma: A Rare Cause of Midline Neck Swelling.

Pilomatrixoma is a uncommon benign neoplasm of hair matrix origin, with usual occurrence in the head and neck region. It has bimodal age of occurrence, first peek is seen in children and the second in elderly in sixth decade. In this case, we report a case of a young boy presenting with midline neck swelling with differential diagnosis of sebaceous cyst, thyroglossal cyst or dermoid cyst. Definitive diagnosis was not made until the final histopathology report was available after complete excision. Accurate diagnosis and appropriate treatment is essential to obviate the minimal risk of recurrence or very rare malignant transformation. A high index of suspicion is required to diagnose this tumor, especially in unusual locations as in this case.

Right hypochondrial abscess: A rare consequence of supportive cholecystitis.

INTRODUCTION: Spontaneous cholecystocutaneous abscess is an extremely uncommon complication of acute suppurative cholecystitis. Over the past century very few cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We, here, report a case of abdominal wall abscess secondary to cholecystocutaneous fistula. CASE REPORT: A 78 -year-old male presented as an emergency with a 2 days history of fever, malaise and a right subcostal mass. CT scan of abdomen showed huge abdominal wall abscess communicating intraabdominally to subhepatic area related to gallbladder. CONCLUSION: A high index of suspicion is necessary to diagnose this entity preoperatively and to avoid associated morbidity.

Metal bezoars causing upper gastrointestinal obstruction in a schizophrenic.

UNLABELLED: Metal bezoars are uncommon foreign bodies (FB) in the gastrointestinal tract (GIT) and comprised of a wide variety of objects. A 17-year-old schizophrenic presented with abdominal pain and distension along with non-bilious vomiting for 2 weeks. Physical examination revealed dullness to percussion in the epigastrium. Plain radiographs revealed objects of metal density contained within a dilated stomach. Laparotomy was performed revealing metal objects in stomach. KEYWORDS: Metal bezoars, Psychiatric illness, Intestinal obstructionHow to Cite: Siddiqui Z. Metal bezoars causing upper gastrointestinal obstruction in a schizophrenic. APSP J Case Rep 2011; 2:14.