Colonic non-hodgkin lymphoma presenting as splenomegaly splenocolic fistula in person living with HIV: A case report.

Primary colonic lymphoma is an infrequent malignancy among other large bowel malignancies, and the risk of the spread of tumor cells through a spleno-colic fistula is a unique finding and hence noteworthy. We report a case of a 55-year-old man living with HIV on anti-retroviral treatment for 12 years, who presented to the emergency room with complaints of generalized weakness and left-sided abdominal discomfort. Further examination and evaluation revealed massive splenomegaly with a thickened splenic flexure of the colon and spleno-colic fistula. The diagnosis of lymphoma with spread was made following laparotomy and histopathological examination of the colon and spleen.

Scar endometriosis - a series of six patients.

INTRODUCTION: Scar endometriosis is a rare form of extrapelvic endometriosis that is usually confused with other surgical or dermatological conditions leading to delay in diagnosis. METHODS: We reviewed the case records of patients with the diagnosis of scar endometriosis seen in our hospital from January 1996 to December 2008. RESULTS: We found six patients of scar endometriosis in 13 years making it one of the rare conditions. The median age of the patients was 32.5 years (range 28-37 years) and median interval from symptoms to treatment was 2 years (range 1-6 years). Four patients had first presented to either the surgery or dermatology physicians. Cyclic pain and swelling at local site was the most common presenting symptoms. All patients underwent wide excision of the mass with no recurrence of symptoms at a follow up ranging from 9 months to 12 years. CONCLUSIONS: Increasing awareness of this condition among doctors can help in early diagnosis and treatment with gratifying results.

Combined serous cystadenoma and pancreatic endocrine neoplasm. A case report with a brief review of the literature.

CONTEXT: The presence of a combined serous cystadenoma and pancreatic endocrine neoplasm is a distinct clinicopathological entity rather than the incidental concurrence of two separate entities. CASE REPORT: We report the case of a 52-year-old woman admitted to our hospital who had suffered from epigastric pain, nausea and vomiting for 4 months. Imaging techniques showed an irregular mass having a mixed solid and cystic consistency, arising from the body of the pancreas and involving the lesser sac. This mass went beyond the stomach and above the lesser curvature of the stomach. The diagnosis of combined microcystic adenoma and pancreatic endocrine neoplasm was made. The patient had an uneventful postoperative course and is well two months after surgery. CONCLUSION: This case emphasizes the importance of careful gross examination, sampling and reporting of pancreatic tumors. The coexistence of pancreatic endocrine neoplasms with potential malignant behavior may be overshadowed by obvious benign tumors such as a microcystic serous cystadenoma. The malignant potential and prognostic features of this neoplasm require long-term follow-up and additional data from subsequent reports of such cases.