Pub Date : 2024-07-13DOI: 10.32677/ijcr.v10i8.4585
U. Jahan, Neena Gupta, Rashmi Yadav, Noor Fatima
Retroperitoneal liposarcoma is a malignant, primitive, and rare mesenchymal tumor. It can grow usually asymptomatic until large enough to compress the surrounding organs. We report an observation of a retroperitoneal liposarcoma mimicking an ovarian tumor. A 50-year-old, P1+0 postmenopausal female, presented to our Department of Obstetrics and Gynecology, with abdominopelvic mass and pressure symptoms for 2 months. Her magnetic resonance imaging abdomen and pelvis, ULTRASOUND-guided fine needle aspiration cytology, and tumor markers were done to make the provisional diagnosis after which, the patient underwent exploratory laparotomy. Complete removal of mass along with the right ovary was done in spite of mass encasing the right iliac vessels and the right ureter. Along with this, a hysterectomy with the left salpingo-oophorectomy and the right salpingectomy were done. A very huge ovarian tumor 22×15×28 cm weighing 5.5 kg was removed. Histopathological examination showed myxoid/well-differentiated liposarcoma with heterologous differentiation. Retroperitoneal liposarcomas are rare; however, they require an aggressive surgical approach, including multi-organ resection, if necessary, or multiple resections in the case of recurrence.
{"title":"A huge retroperitoneal liposarcoma mimicking ovarian teratoma: A case report","authors":"U. Jahan, Neena Gupta, Rashmi Yadav, Noor Fatima","doi":"10.32677/ijcr.v10i8.4585","DOIUrl":"https://doi.org/10.32677/ijcr.v10i8.4585","url":null,"abstract":"Retroperitoneal liposarcoma is a malignant, primitive, and rare mesenchymal tumor. It can grow usually asymptomatic until large enough to compress the surrounding organs. We report an observation of a retroperitoneal liposarcoma mimicking an ovarian tumor. A 50-year-old, P1+0 postmenopausal female, presented to our Department of Obstetrics and Gynecology, with abdominopelvic mass and pressure symptoms for 2 months. Her magnetic resonance imaging abdomen and pelvis, ULTRASOUND-guided fine needle aspiration cytology, and tumor markers were done to make the provisional diagnosis after which, the patient underwent exploratory laparotomy. Complete removal of mass along with the right ovary was done in spite of mass encasing the right iliac vessels and the right ureter. Along with this, a hysterectomy with the left salpingo-oophorectomy and the right salpingectomy were done. A very huge ovarian tumor 22×15×28 cm weighing 5.5 kg was removed. Histopathological examination showed myxoid/well-differentiated liposarcoma with heterologous differentiation. Retroperitoneal liposarcomas are rare; however, they require an aggressive surgical approach, including multi-organ resection, if necessary, or multiple resections in the case of recurrence.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141651480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-13DOI: 10.32677/ijcr.v10i8.4637
Pratap Kumar Deb, Subrata Kumar Sahu, Samir Bhattacharyya, Tapas Behera
Schwannomas are slow growing, mostly benign tumors arising from the Schwann cells of the nerve sheath. They usually arise from the nerves of the head-and-neck region. They are rare in the gastrointestinal tract. The stomach is the most common site for gastrointestinal schwannomas. Appendicular schwannomas are even a rarer entity that may present as a right iliac fossa mass. The final diagnosis is by histopathology and immunohistochemistry. Treatment is essentially surgical. Such entities may present as diagnostic dilemmas presenting as the not-so-common cause of iliac fossa mass and hence deserve reporting and discussion. We report our experience of treating a case of appendicular schwannoma in a 70-year-old lady with a short discussion on its characteristics and management.
{"title":"Appendicular schwannoma: Case report of a rare differential of a right iliac fossa mass","authors":"Pratap Kumar Deb, Subrata Kumar Sahu, Samir Bhattacharyya, Tapas Behera","doi":"10.32677/ijcr.v10i8.4637","DOIUrl":"https://doi.org/10.32677/ijcr.v10i8.4637","url":null,"abstract":"Schwannomas are slow growing, mostly benign tumors arising from the Schwann cells of the nerve sheath. They usually arise from the nerves of the head-and-neck region. They are rare in the gastrointestinal tract. The stomach is the most common site for gastrointestinal schwannomas. Appendicular schwannomas are even a rarer entity that may present as a right iliac fossa mass. The final diagnosis is by histopathology and immunohistochemistry. Treatment is essentially surgical. Such entities may present as diagnostic dilemmas presenting as the not-so-common cause of iliac fossa mass and hence deserve reporting and discussion. We report our experience of treating a case of appendicular schwannoma in a 70-year-old lady with a short discussion on its characteristics and management.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141652200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-13DOI: 10.32677/ijcr.v10i8.4548
Amit Anand, Amit Kumar, Ambuj Yadav, D. Himanshu, Vishwa Deepak Tiwari, Radha Raman Pattanayak, Block - B Room No. 105, Gautam Buddha
Pyopericardium is a rare condition with a high mortality rate, in which, infection propagates into pericardial space, leading to pus-filled pericardial effusion and cardiac tamponade which can lead to cardiogenic shock and death, if there is any delay in diagnosis and treatment with antibiotics and pericardial drainage. We report the case of a 28-year-old female, a known case of hypothyroidism from the last 6 years who presented with 2 months of fever and recent onset shortness of breath diagnosed as pyopericardium due to Staphylococcus aureus, and having clinical features of cardiac tamponade. She was a known case of hypothyroidism non-compliant with treatment. Pyopericardium conformed with transthoracic 2D echocardiography-guided aspiration of pericardial fluid. After pericardial pus drainage, the patient symptomatically improved initially but remained in shock due to ongoing sepsis and died due to septic shock and multi-organ failure.
{"title":"Pyopericardium progresses to cardiac tamponade in patient of hypothyroidism due to Staphylococcus aureus","authors":"Amit Anand, Amit Kumar, Ambuj Yadav, D. Himanshu, Vishwa Deepak Tiwari, Radha Raman Pattanayak, Block - B Room No. 105, Gautam Buddha","doi":"10.32677/ijcr.v10i8.4548","DOIUrl":"https://doi.org/10.32677/ijcr.v10i8.4548","url":null,"abstract":"Pyopericardium is a rare condition with a high mortality rate, in which, infection propagates into pericardial space, leading to pus-filled pericardial effusion and cardiac tamponade which can lead to cardiogenic shock and death, if there is any delay in diagnosis and treatment with antibiotics and pericardial drainage. We report the case of a 28-year-old female, a known case of hypothyroidism from the last 6 years who presented with 2 months of fever and recent onset shortness of breath diagnosed as pyopericardium due to Staphylococcus aureus, and having clinical features of cardiac tamponade. She was a known case of hypothyroidism non-compliant with treatment. Pyopericardium conformed with transthoracic 2D echocardiography-guided aspiration of pericardial fluid. After pericardial pus drainage, the patient symptomatically improved initially but remained in shock due to ongoing sepsis and died due to septic shock and multi-organ failure.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141651931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-13DOI: 10.32677/ijcr.v10i8.4475
S. Yova, Yurisqi Dian, Lazula Toya Damara, D. Diva, Talitha Raissa, Trimayanti Olfah, Galih Santoso Putra
Pelvic organ prolapse (POP) is a condition in which the pelvic organs herniate into the vaginal canal or the vaginal introitus due to weakness of the pelvic floor support structures. The occurrence of POP is prevalent, especially in older women, with various other risk factors, including multiparity, obesity, menopause, malignancy, and chronic infections. We report a unique and rare case in which uterine prolapse was followed by cystocele and rectocele with the risk factors of advanced age, menopause, and chronic cough in a 73-year-old female who complained of a chronic cough for 2 months. When coughing, the patient experienced a protrusion coming out, especially from the vaginal canal. Other complaints included night sweats, urinary problems, and constipation. Additional sounds identical to fine rhonchi were found on auscultation examination in both lung fields. On examination of the external genitalia, a pink protrusion came out of the vaginal introitus, approximately the size of a chicken egg, accompanied by the hyperemic rectal mucosa protrusion through the anal canal. Chest X-ray results confirmed that there was an active tuberculosis infection.
骨盆器官脱垂（POP）是指由于骨盆底支持结构薄弱，导致骨盆器官疝入阴道口或阴道内口的一种疾病。POP 的发生率很高，尤其是在老年妇女中，并伴有多种其他危险因素，包括多产、肥胖、绝经、恶性肿瘤和慢性感染。我们报告了一例独特而罕见的病例，患者是一名 73 岁的女性，主诉慢性咳嗽 2 个月，在高龄、绝经和慢性咳嗽等危险因素的影响下，子宫脱垂继发膀胱阴道和直肠阴道脱垂。该患者主诉慢性咳嗽 2 个月，咳嗽时有突起，尤其是从阴道口突出。其他主诉还包括盗汗、排尿问题和便秘。听诊时发现患者的双肺野出现了与细哮鸣音相同的其他声音。在检查外生殖器时，发现一个粉红色的突起物从阴道口突出，大约有一个鸡蛋大小，同时还有充血的直肠粘膜通过肛管突出。胸部 X 光检查结果证实存在活动性结核感染。
{"title":"Management of multiple pelvic organ prolapse due to pulmonary tuberculosis in a suburban hospital: A case report","authors":"S. Yova, Yurisqi Dian, Lazula Toya Damara, D. Diva, Talitha Raissa, Trimayanti Olfah, Galih Santoso Putra","doi":"10.32677/ijcr.v10i8.4475","DOIUrl":"https://doi.org/10.32677/ijcr.v10i8.4475","url":null,"abstract":"Pelvic organ prolapse (POP) is a condition in which the pelvic organs herniate into the vaginal canal or the vaginal introitus due to weakness of the pelvic floor support structures. The occurrence of POP is prevalent, especially in older women, with various other risk factors, including multiparity, obesity, menopause, malignancy, and chronic infections. We report a unique and rare case in which uterine prolapse was followed by cystocele and rectocele with the risk factors of advanced age, menopause, and chronic cough in a 73-year-old female who complained of a chronic cough for 2 months. When coughing, the patient experienced a protrusion coming out, especially from the vaginal canal. Other complaints included night sweats, urinary problems, and constipation. Additional sounds identical to fine rhonchi were found on auscultation examination in both lung fields. On examination of the external genitalia, a pink protrusion came out of the vaginal introitus, approximately the size of a chicken egg, accompanied by the hyperemic rectal mucosa protrusion through the anal canal. Chest X-ray results confirmed that there was an active tuberculosis infection.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141651138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Methylenetetrahydrofolate reductase (MTHFR) is an enzyme that converts homocysteine into methionine by catalyzing the conversion of 5,10-methyltetrahydrofolate into 5methyltetrahydrofolate. Deep vein thrombosis, coronary artery disease, peripheral vascular thrombosis, and cerebrovascular thrombosis are attributed to homozygous MTHFR mutations. We describe here a case of a 42-year-old male, who presented to us with subdural hemorrhage following systemic thrombolysis for pulmonary embolism. He was found to have hyperhomocysteinemia as a result of homozygous MTHFR C677T mutation. He underwent left fronto-temporo-parietal decompressive craniectomy and hematoma evacuation with the placement of a free bone flap in the right anterior abdominal wall and placement of an IVC filter to prevent recurrent venous thromboembolism. He was started on Vitamin B12, pyridoxine, and folic acid supplementation and was discharged in a stable condition with a plan for cranioplasty at a later date.
{"title":"Adult-onset methylenetetrahydrofolate reductase C677T mutation and its repercussion: A case report","authors":"Jyoti Chauhan, Kunal Chawla, Rishikesh Dessai, Shipra Gulati","doi":"10.32677/ijcr.v10i8.4584","DOIUrl":"https://doi.org/10.32677/ijcr.v10i8.4584","url":null,"abstract":"Methylenetetrahydrofolate reductase (MTHFR) is an enzyme that converts homocysteine into methionine by catalyzing the conversion of 5,10-methyltetrahydrofolate into 5methyltetrahydrofolate. Deep vein thrombosis, coronary artery disease, peripheral vascular thrombosis, and cerebrovascular thrombosis are attributed to homozygous MTHFR mutations. We describe here a case of a 42-year-old male, who presented to us with subdural hemorrhage following systemic thrombolysis for pulmonary embolism. He was found to have hyperhomocysteinemia as a result of homozygous MTHFR C677T mutation. He underwent left fronto-temporo-parietal decompressive craniectomy and hematoma evacuation with the placement of a free bone flap in the right anterior abdominal wall and placement of an IVC filter to prevent recurrent venous thromboembolism. He was started on Vitamin B12, pyridoxine, and folic acid supplementation and was discharged in a stable condition with a plan for cranioplasty at a later date.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141651200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-13DOI: 10.32677/ijcr.v10i8.4470
Ahmed Samy Elhammady
The calcaneus is the most commonly fractured tarsal bone, and the treatment of patients with intraarticular calcaneal fractures remains controversial. Operative treatment utilizing extensile approaches provides excellent exposure of the fracture but is associated with high rates of wound complications. This case report discusses the application of the mini-open reduction technique through the modified sinus tarsi approach and fixation with headless cannulated screws for the reconstruction of an intra-articular tongue-type calcaneus fracture in a 67-year-old male patient who presented with a history of falling from a 2-meter height, sustained a dislocated intra-articular calcaneal fracture. Using a 2–3 cm lateral transverse incision, we reduced the fracture and percutaneously fixed it with two headless cannulated screws. The patient fully regained his activity level by the 3rd-month postoperatively. At the 9-month follow-up, foot and ankle functions were found to be satisfactory. Minimally invasive treatment of calcaneal fractures achieved through the modified sinus tarsi approach provides excellent fracture exposure and percutaneous fixation using headless cannulated screws ensures better outcomes.
{"title":"Managing calcaneal fractures through modified sinus tarsi approach and headless screws fixation","authors":"Ahmed Samy Elhammady","doi":"10.32677/ijcr.v10i8.4470","DOIUrl":"https://doi.org/10.32677/ijcr.v10i8.4470","url":null,"abstract":"The calcaneus is the most commonly fractured tarsal bone, and the treatment of patients with intraarticular calcaneal fractures remains controversial. Operative treatment utilizing extensile approaches provides excellent exposure of the fracture but is associated with high rates of wound complications. This case report discusses the application of the mini-open reduction technique through the modified sinus tarsi approach and fixation with headless cannulated screws for the reconstruction of an intra-articular tongue-type calcaneus fracture in a 67-year-old male patient who presented with a history of falling from a 2-meter height, sustained a dislocated intra-articular calcaneal fracture. Using a 2–3 cm lateral transverse incision, we reduced the fracture and percutaneously fixed it with two headless cannulated screws. The patient fully regained his activity level by the 3rd-month postoperatively. At the 9-month follow-up, foot and ankle functions were found to be satisfactory. Minimally invasive treatment of calcaneal fractures achieved through the modified sinus tarsi approach provides excellent fracture exposure and percutaneous fixation using headless cannulated screws ensures better outcomes.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141651302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdominal actinomycosis is a chronic suppurative infection caused by anaerobic bacteria, Actinomyces species. The ileocecal region is most commonly affected, while the left side of the colon is more rarely involved. The presentation may vary from non-specific symptoms and signs to an acute abdomen. We present the case of colonic actinomycosis in a 74-year-old woman who had undergone left hemicolectomy due to carcinoma of the sigmoid colon and became infected with actinomycosis at the anastomotic site, which mimicked local recurrence of cancer. The patient presented with intermittent colicky left-sided abdominal pain for 3 months’ duration. Computed tomography of the abdomen showed a circumferential thickening of the wall of the sigmoid colon surrounded by inflammation. The patient underwent resection of the bowel including the anastomotic site. The macroscopic evaluation revealed mucosal irregularities with abscesses attached to the sigmoid colon and histopathological examination of the specimen revealed actinomycosis of the sigmoid colon with no evidence of malignancy. We are presenting this case to illustrate the preoperative diagnostic difficulties of this rare disease and its ability to mimic malignancy.
{"title":"Actinomycosis masquerading recurrent carcinoma after hemicolectomy - A rare case report","authors":"Barasha S Bharadwaj, Upasana Kalita, Muktanjalee Deka, Jagannath D Sharma, Adahra Patricia Beso, Nandakanta Mahanta, Ekaparna Hazarika, Madhusmita Choudhury, Neeharika Phukan","doi":"10.32677/ijcr.v10i8.4554","DOIUrl":"https://doi.org/10.32677/ijcr.v10i8.4554","url":null,"abstract":"Abdominal actinomycosis is a chronic suppurative infection caused by anaerobic bacteria, Actinomyces species. The ileocecal region is most commonly affected, while the left side of the colon is more rarely involved. The presentation may vary from non-specific symptoms and signs to an acute abdomen. We present the case of colonic actinomycosis in a 74-year-old woman who had undergone left hemicolectomy due to carcinoma of the sigmoid colon and became infected with actinomycosis at the anastomotic site, which mimicked local recurrence of cancer. The patient presented with intermittent colicky left-sided abdominal pain for 3 months’ duration. Computed tomography of the abdomen showed a circumferential thickening of the wall of the sigmoid colon surrounded by inflammation. The patient underwent resection of the bowel including the anastomotic site. The macroscopic evaluation revealed mucosal irregularities with abscesses attached to the sigmoid colon and histopathological examination of the specimen revealed actinomycosis of the sigmoid colon with no evidence of malignancy. We are presenting this case to illustrate the preoperative diagnostic difficulties of this rare disease and its ability to mimic malignancy.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141652036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-13DOI: 10.32677/ijcr.v10i8.4558
Dilip Dhola, D. J. Banerjee, Viral Shah
Peritoneal loose bodies (PLBs) are uncommon abdominal lesions, typically asymptomatic and discovered incidentally during surgery. Giant PLBs, exceeding 5 cm in size, are even rarer and can present with clinical symptoms mimicking other abdominal pathologies. We present a 57-year-old male with a giant PLB presenting as intermittent abdominal pain, distention, and rectal bleeding. Imaging studies suggested colo-colic intussusception due to a colonic lipoma. The patient underwent an exploratory laparotomy revealing a segment of the descending colon containing multiple lipomas, one causing intussusception. In addition, a separate giant PLB 6 × 5.5 cm with central calcification was identified. A segmental colectomy with primary anastomosis and resection of the PLB was performed. The patient recovered well and reported complete resolution of symptoms at follow-up. Pathology confirmed a benign lipoma and a giant PLB. This case highlights the potential for giant PLBs to cause clinical symptoms and emphasizes the importance of including them in the differential diagnosis of abdominal complaints, even in the absence of a classic presentation. Exploratory laparotomy remains a definitive approach for diagnosis and management in such cases.
{"title":"A rare case of giant peritoneal loose body: A case report","authors":"Dilip Dhola, D. J. Banerjee, Viral Shah","doi":"10.32677/ijcr.v10i8.4558","DOIUrl":"https://doi.org/10.32677/ijcr.v10i8.4558","url":null,"abstract":"Peritoneal loose bodies (PLBs) are uncommon abdominal lesions, typically asymptomatic and discovered incidentally during surgery. Giant PLBs, exceeding 5 cm in size, are even rarer and can present with clinical symptoms mimicking other abdominal pathologies. We present a 57-year-old male with a giant PLB presenting as intermittent abdominal pain, distention, and rectal bleeding. Imaging studies suggested colo-colic intussusception due to a colonic lipoma. The patient underwent an exploratory laparotomy revealing a segment of the descending colon containing multiple lipomas, one causing intussusception. In addition, a separate giant PLB 6 × 5.5 cm with central calcification was identified. A segmental colectomy with primary anastomosis and resection of the PLB was performed. The patient recovered well and reported complete resolution of symptoms at follow-up. Pathology confirmed a benign lipoma and a giant PLB. This case highlights the potential for giant PLBs to cause clinical symptoms and emphasizes the importance of including them in the differential diagnosis of abdominal complaints, even in the absence of a classic presentation. Exploratory laparotomy remains a definitive approach for diagnosis and management in such cases.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141650837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-13DOI: 10.32677/ijcr.v10i8.4598
Showkat Bashir Lone, Mehjabeen Fatimah
An uncommon tumor, retroperitoneal liposarcoma (LPS) occurs in 2.5 out of every million people. Due to the lack of distinct clinical manifestations, early diagnosis is challenging. LPS is a mesenchymal tumor that is malignant and mostly develops into adipose tissue and is a common soft tissue tumor that affects people in their middle years. The thigh, gluteal region, retroperitoneum, leg, and shoulder area are among the areas that are frequently affected. Here, we report the case of a 72-year-old female who had a history of abdominal distension from the past 6 months, occasional retention of urine from the past 3–4 months, and constipation on and off from the past 1 year. The patient was evaluated and diagnosed with a case of right retroperitoneal LPS and treated by surgical resection. To sum up, retroperitoneal LPS is an uncommon condition involving other organs, though occasionally combined resection of other organs is also required.
{"title":"Liposarcoma excision and removal with right total nephrectomy in a large retroperitoneal perinephric liposarcoma involving the right kidney: A case report","authors":"Showkat Bashir Lone, Mehjabeen Fatimah","doi":"10.32677/ijcr.v10i8.4598","DOIUrl":"https://doi.org/10.32677/ijcr.v10i8.4598","url":null,"abstract":"An uncommon tumor, retroperitoneal liposarcoma (LPS) occurs in 2.5 out of every million people. Due to the lack of distinct clinical manifestations, early diagnosis is challenging. LPS is a mesenchymal tumor that is malignant and mostly develops into adipose tissue and is a common soft tissue tumor that affects people in their middle years. The thigh, gluteal region, retroperitoneum, leg, and shoulder area are among the areas that are frequently affected. Here, we report the case of a 72-year-old female who had a history of abdominal distension from the past 6 months, occasional retention of urine from the past 3–4 months, and constipation on and off from the past 1 year. The patient was evaluated and diagnosed with a case of right retroperitoneal LPS and treated by surgical resection. To sum up, retroperitoneal LPS is an uncommon condition involving other organs, though occasionally combined resection of other organs is also required.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141651545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ureteral stricture (US) is not a very common condition. The etiology of US could be either benign or malignant. It is mostly due to long-standing ischemia causing inflammation and fibrosis that ultimately leads to stricture formation. In most cases, diagnosis is made incidentally under direct visualization at the time of the ureteroscopic procedure. Surgery for ureteral reconstruction aims to achieve adequate vascular supply, a tension-free anastomosis with mucosal apposition, and to ensure complete excision of stricture-laden ureteral segments. We herein present the case of a 42-year-old male patient who presented with a complaint of acute pain in his left flank, radiating from the loin to the front, for 10 days. The workup investigations revealed a tight stricture in the left upper ureter, a 2-mm calculus in the left upper ureter proximal to the stricture, and left proximal hydroureteronephrosis. The patient was successfully managed by laparoscopic ureteroureterostomy.
{"title":"Laparoscopic ureteroureterostomy for benign non-passable upper ureteric stricture – A case report with review of literature","authors":"Prachi Praveen Agrawal, Prakash Chandra Shetty, Abhijit Joshi","doi":"10.32677/ijcr.v10i8.4601","DOIUrl":"https://doi.org/10.32677/ijcr.v10i8.4601","url":null,"abstract":"Ureteral stricture (US) is not a very common condition. The etiology of US could be either benign or malignant. It is mostly due to long-standing ischemia causing inflammation and fibrosis that ultimately leads to stricture formation. In most cases, diagnosis is made incidentally under direct visualization at the time of the ureteroscopic procedure. Surgery for ureteral reconstruction aims to achieve adequate vascular supply, a tension-free anastomosis with mucosal apposition, and to ensure complete excision of stricture-laden ureteral segments. We herein present the case of a 42-year-old male patient who presented with a complaint of acute pain in his left flank, radiating from the loin to the front, for 10 days. The workup investigations revealed a tight stricture in the left upper ureter, a 2-mm calculus in the left upper ureter proximal to the stricture, and left proximal hydroureteronephrosis. The patient was successfully managed by laparoscopic ureteroureterostomy.","PeriodicalId":13365,"journal":{"name":"Indian Journal of Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141651241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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