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Endoscopic Management of Bilio-Pleural Fistula following Thoracoabdominal Trauma 胸腹外伤后胆-胸膜瘘的内镜治疗
Pub Date : 2018-04-10 DOI: 10.5530/OGH.2018.7.1.14
T. Nikumbh, P. Barot, U. Kurlekar, A. Bapaye
Copyright © 2018 Phcog.Net. This is an openaccess article distributed under the terms of the Creative Commons Attribution 4.0 International license. Cite this article: Nikumbh TN, Barot PV, Kurlekar UV, Bapaye AM. Endoscopic Management of Bilio-Pleural Fistula following Thoracoabdominal Trauma. OGH Reports. 2018;7(1):67-9. ABSTRACT Penetrating thoracoabdominal trauma, with potential injury to two anatomic cavities, poses a significant diagnostic and therapeutic challenge. This is especially true with reference to detection of diaphragmatic injuries, where development of a bilio-pleural fistula is a rare phenomenon. The optimal management in such cases has not been clearly defined as both conservative and emergency surgical approaches have been tried in acute settings. We report a patient who suffered an accidental penetrating wound to the right thoracoabdominal region. The patient developed a bilio-pleural fistula immediately following the injury with imaging showing an intact diaphragm. The case was managed conservatively using endoscopy as the primary modality for treating the primary condition as well as a rare complication of biliary stent migration. Thus an endoscopic approach is feasible in management of bilio-pleural fistula when used in properly selected cases.
版权所有©2018phcog.net这是一篇基于知识共享署名4.0国际许可协议的开放获取文章。引用本文:Nikumbh TN, Barot PV, Kurlekar UV, Bapaye AM。胸腹外伤后胆-胸膜瘘的内镜治疗。健康报告,2018;7(1):67-9。穿透性胸腹创伤,具有潜在的两个解剖腔损伤,提出了重大的诊断和治疗挑战。在膈损伤的检测中尤其如此,在膈损伤中出现胆道-胸膜瘘是一种罕见的现象。在这种情况下的最佳管理还没有明确的定义,保守和紧急手术方法已在急性设置尝试。我们报告一个病人谁遭受了意外穿透伤到右胸腹区。患者在损伤后立即出现胆-胸膜瘘,影像学显示膈肌完整。该病例采用内窥镜作为治疗原发性疾病和胆道支架移位罕见并发症的主要方式进行保守治疗。因此,在适当选择的病例中,内窥镜方法是可行的。
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引用次数: 3
Primary Cutaneous Anaplastic Large Cell Lymphoma – A Usual Malignancy with Unusual Presentation at an Uncommon Site: A Case Report 原发性皮肤间变性大细胞淋巴瘤——一种不寻常部位、不寻常表现的常见恶性肿瘤:1例报告
Pub Date : 2018-04-10 DOI: 10.5530/OGH.2018.7.1.12
G. Singh, Pragya Singh, P. B. Shanmuga, K. Periasamy, K. Bhowmik
Copyright © 2018 Phcog.Net. This is an openaccess article distributed under the terms of the Creative Commons Attribution 4.0 International license. Cite this article: Singh GK, Singh P, Shanmuga PB, Periasamy K, Bhowmik KT. Primary cutaneous anaplastic large cell lymphoma – A usual malignancy with unusual presentation at an uncommon site: A case report. OGH Reports. 2018;7(1):53-5. ABSTRACT Malignant tumors of anal margin and perianal skin are rare, which accounts for approximately 2%-3% of all anorectal malignancies. Because of the variable presentation and pathologic similarity to benign anal lesions, the diagnosis and treatment is often delayed. We report the case of a 54-year-old Indian male who presented with non-healing anal fistula which progressed to a large chronic ulcer and was later diagnosed as anaplastic large cell lymphoma of perianal skin. Primary cutaneous anaplastic large cell lymphoma (PCALCL) of perianal area has been rarely reported, that too masquerading anal fistula is being reported for the first time.
版权所有©2018phcog.net这是一篇基于知识共享署名4.0国际许可协议的开放获取文章。引用本文:Singh GK, Singh P, Shanmuga PB, Periasamy K, Bhowmik KT。原发性皮肤间变性大细胞淋巴瘤-一种常见的恶性肿瘤,在不寻常的部位有不寻常的表现:1例报告。健康报告,2018;7(1):53-5。摘要肛门缘及肛周皮肤恶性肿瘤较为少见,约占所有肛肠恶性肿瘤的2%-3%。由于不同的表现和病理相似的良性肛门病变,诊断和治疗往往延迟。我们报告的情况下,54岁的印度男性谁提出了未愈合肛瘘发展为一个大的慢性溃疡,后来被诊断为肛门周围皮肤间变性大细胞淋巴瘤。原发性肛周皮肤间变性大细胞淋巴瘤(PCALCL)报道甚少,其中假性肛瘘为首次报道。
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引用次数: 0
First Report of Balloon-Occluded Antegrade Cyanoacrylate Glue Embolization (BAGE) for Bleeding Rectal Varices from India 来自印度的经球囊阻塞的顺行氰基丙烯酸酯胶栓塞治疗直肠静脉曲张出血的首例报道
Pub Date : 2018-04-10 DOI: 10.5530/OGH.2018.7.1.10
L. Kumar, C. Philips, P. Augustine
Copyright © 2018 Phcog.Net. This is an openaccess article distributed under the terms of the Creative Commons Attribution 4.0 International license. Cite this article: Kumar L, Philips CA, Augustine P. First Report of Balloon-Occluded Antegrade Cyanoacrylate Glue Embolization (BAGE) for Bleeding Rectal Varices from India. OGH Reports. 2018;7(1):46-8. ABSTRACT Rectal variceal bleeding occurs in 38% of patients with portal hypertension leading to an overall mortality in 5%. Conventional management involves endoscopic measures utilizing sclerotherapy/glue injection/banding ligation or surgical management. Some patients, mostly Child A or B cirrhotics, pose difficulty for traditional management and have been shown to benefit from transjugular intrahepatic portosystemic shunting (TIPSS) or interventional balloon occluded shunt embolization procedures, balloon occluded transvenous obliteration being the most common used modality, however, seldom reported in literature. In this report, we present the case, through striking images and real time step by step procedural video; of a difficult to control rectal variceal bleeding in a Child C cirrhotic in whom, balloon occluded antegrade glue embolization of multiple shunts was performed with beneficial outcomes.
版权所有©2018phcog.net这是一篇基于知识共享署名4.0国际许可协议的开放获取文章。引用本文:Kumar L, Philips CA, Augustine P.,印度首次报道球囊闭塞的顺行氰基丙烯酸酯胶栓塞治疗直肠静脉曲张出血。健康报告,2018;7(1):46-8。38%的门静脉高压患者发生直肠静脉曲张出血,导致5%的总死亡率。传统的治疗方法包括内镜措施,包括硬化疗法/胶注射/绑扎或手术治疗。一些患者,主要是儿童A型或B型肝硬化,对传统的治疗提出了困难,并显示出从经颈静脉肝内门静脉系统分流术(TIPSS)或介入球囊闭塞分流术栓塞术中获益,球囊闭塞经静脉闭塞术是最常用的方式,然而,文献很少报道。在这篇报道中,我们通过引人注目的图像和实时的循序渐进的过程视频来呈现这个案例;在一个难以控制的C型儿童肝硬化直肠静脉曲张出血的病例中,球囊闭塞的顺行胶栓塞多路分流术获得了有益的结果。
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引用次数: 0
An Update on Infection and Cancer 感染与癌症的最新进展
Pub Date : 2018-04-10 DOI: 10.5530/OGH.2018.7.1.2
Sumeet Jain, Debasish Mohapatra, S. Satpathi, S. Senapati
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引用次数: 2
Spontaneous perforation of GIST of the Small Intestine: A Rare Cause of Perforation Peritonitis 小肠间质间质自发性穿孔:穿孔性腹膜炎的罕见病因
Pub Date : 2017-03-01 DOI: 10.5530/OGH.2017.6.2.16
A. Saharan, S. Dalal, Mahavir Singh, Chisel Bhatia, R. Sen
Gastrointestinal stromal tumors (GIST) are relatively rare and often present with vague symptoms. Their first clinical manifestation as acute abdomen due to perforation is extremely rare. We report a rare case of spontaneous perforation of exophytic gastrointestinal stromal tumor (GIST) causing perforation of jejunum. A 61 year, male patient presented with symptoms of acute abdomen. After evaluation, a laparotomy was performed, where perforation of a tumor in the jejunum was found. The perforated part along with the tumor was resected and the histopathological examination showed that the tumor was GIST. In emergency setting the patients with perforation peritonitis, a diagnosis of spontaneous perforation of GIST though rare should be kept in mind specially in elderly patients.
胃肠道间质瘤(GIST)相对罕见,通常表现为模糊的症状。其首发临床表现为因穿孔引起的急腹症极为罕见。我们报告一例罕见的外生性胃肠道间质瘤(GIST)自发性穿孔导致空肠穿孔的病例。病人男,61岁,表现为急腹症。评估后,进行剖腹手术,发现空肠肿瘤穿孔。切除伴肿瘤穿孔部分,组织病理学检查显示肿瘤为GIST。对于穿孔性腹膜炎患者,尽管胃肠道间质瘤自发性穿孔的诊断很少见,但在急诊时应特别注意,尤其是老年患者。
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引用次数: 1
Primary Plasmacytoma of Thyroid Gland—an Interesting Case Diagnosed By FNAC 原发性甲状腺浆细胞瘤——一个有趣的FNAC诊断病例
Pub Date : 2017-03-01 DOI: 10.5530/OGH.2017.6.2.24
Debashish Bhattacharjee, S. Mondal, Goutam Dey, S. Biswas
Introduction: Primary plasmacytoma of the thyroid gland is a rare disease. Extramedullary plasmacytoma (EMP) comprises 3-5% of all plasma cell neoplasm. Case report: A 57-yearsold female presented with a large thyroid swelling involving the left lobe and isthmus, firm in consistency and moved a little with deglutition. CT scan revealed a large solid tumor (9.5 cm in greatest dimension) affecting thyroid gland. CT scan report gave differential diagnoses of plasmacytoma and metastatic carcinoma. FNAC revealed hypercellular smears composed of plasma cells with eccentrically placed nuclei and perinuclear hoff. Hematological work up and other relevant investigations including urine for Bence Jones protein ruled out multiple myeloma or other plasma cell dyscrasias. Subsequent histopathological examination and IHC (immunohistochemistry) confirmed the diagnosis of primary plasmacytoma of thyroid. Discussion: EMP can present with elevated anti thyroid antibodies and can be associated with lymphocytic thyroiditis; however, in our patient these findings were not present.
简介:原发性甲状腺浆细胞瘤是一种罕见的疾病。髓外浆细胞瘤(EMP)占所有浆细胞肿瘤的3-5%。病例报告:一名57岁女性,表现为甲状腺肿大,累及左叶及峡部,质地坚硬,吞咽时有轻微移动。CT扫描显示一大实体瘤(最大尺寸9.5 cm)影响甲状腺。CT扫描报告鉴别诊断浆细胞瘤和转移癌。FNAC显示由细胞核偏心放置的浆细胞和核周细胞组成的高细胞涂片。血液学检查和其他相关检查,包括尿液中的本斯琼斯蛋白,排除了多发性骨髓瘤或其他浆细胞异常。随后的组织病理学检查和免疫组化检查证实了原发性甲状腺浆细胞瘤的诊断。讨论:EMP可表现为抗甲状腺抗体升高,并可与淋巴细胞性甲状腺炎相关;然而,在我们的患者中没有这些发现。
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引用次数: 2
KAI-1 ad p53 expression in Odontogenic cysts: An Immuno-histochemical Marker Study 牙源性囊肿中KAI-1和p53的表达:免疫组织化学标志物研究
Pub Date : 2017-03-01 DOI: 10.5530/ogh.2017.6.2.14
A. Nayyar, N. Patil, M. Chaudhary, V. Wadhwan
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引用次数: 0
A Rare Case of Synovial Sarcoma Presenting in Paraspinal Region 少见的滑膜肉瘤出现在椎旁区
Pub Date : 2017-03-01 DOI: 10.5530/OGH.2017.6.2.25
Kaalindi Singh, P. Thakur, Mukesh K. Sharma
Synovial sarcoma is an aggressive malignant neoplasm arising from mesenchymal tissue representing 7-10% of all soft tissue sarcomas. Typically, it presents in children and young adults aged 13-35 years of age. These are usually located in the extremities, most commonly around the knee. Paraspinal region is a rare site of synovial sarcoma and thus requires a high index of suspicion for timely diagnosis. Here, we discuss such a rare case of paraspinal synovial sarcoma.
滑膜肉瘤是一种发生于间充质组织的恶性肿瘤,占软组织肉瘤的7-10%。通常,它出现在13-35岁的儿童和年轻人身上。这些通常位于四肢,最常见的是在膝盖周围。棘旁区是滑膜肉瘤的罕见部位,因此需要高度的怀疑指数才能及时诊断。在此,我们讨论一例罕见的椎管旁滑膜肉瘤。
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引用次数: 0
Acute Promyelocytic Leukaemia(APML) in an Adult Patient Presenting with Multiple Lytic Bony Lesions – The First of its Kind – A Case Report with Review of Literature 急性早幼粒细胞白血病(APML)在成人患者中表现为多发性溶解性骨病变-首次此类-病例报告并文献复习
Pub Date : 2017-03-01 DOI: 10.5530/ogh.2017.6.2.23
Rajeev Lakkavalli Krishnappa, G. Kanakasetty, Suresh Babu Mallekavu Chikkadasappa, S. Rao
Acute promyelocytic leukaemia presenting with bony lesions alongside medullary involvement is rare with anecdotal reports having noted this manifestation in a newly diagnosed case. We here report an infrequent presentation of a young adult male presenting solely with multiple axial and pelvic bone lesions initially, with the initial impression being a lymphoma /infiltrative lesion. This is a case report that reiterates the need for prompt diagnosis and a thorough evaluation for early treatment, especially since this is a curable malignancy.
急性早幼粒细胞白血病表现为骨骼病变伴髓质受累是罕见的,在一个新诊断的病例中注意到这种表现的轶事报道。我们在此报告一例罕见的年轻成年男性,最初仅表现为多发性轴骨和骨盆骨病变,最初的印象是淋巴瘤/浸润性病变。这是一份病例报告,重申需要及时诊断和彻底评估以进行早期治疗,特别是因为这是一种可治愈的恶性肿瘤。
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引用次数: 0
Mass in the Adrenal Region: Not Always of Adrenal Origin: A Diagnostic Dilemma 肾上腺区肿块:不总是肾上腺起源:诊断困境
Pub Date : 2017-03-01 DOI: 10.5530/OGH.2017.6.2.20
Suvendu Maji, M. Saha, S. Sahu
The rising incidence of incidentally detected adrenal masses reflects the ever growing use of radiologic investigations specially CT scans and MRI. The differential diagnosis is a long list which includes adenoma, myelolipoma, cyst, lipoma, pheochromocytoma, adrenal cancer, metastatic cancer, hyperplasia, and tuberculosis.[5] However rarely a schwannoma is considered in the list of provisional diagnosis. CT scan is often the first line of investigation of choice which along with endocrinological workup can point towards diagnosis. But none of them are 100% specific. Since the posterior mediastinum is anatomically in proximity to the adrenal area, a tumour in such a region can mimic an adrenal mass as was in our case. We herein report such an unusual case where a posterior mediastinal mass was found intraoperatively instead of a ‘presumed’ adrenal mass as suggested by preoperative radiological investigations!
偶然发现的肾上腺肿块的发病率上升反映了放射学检查特别是CT扫描和MRI的使用越来越多。鉴别诊断的清单很长,包括腺瘤、骨髓瘤、囊肿、脂肪瘤、嗜铬细胞瘤、肾上腺癌、转移性癌、增生和肺结核。[5]然而,神经鞘瘤很少被认为是临时诊断。CT扫描通常是首选的调查线,与内分泌检查一起可以指向诊断。但没有一个是百分百准确的。由于后纵隔在解剖学上靠近肾上腺区,因此该区域的肿瘤可以模拟本病例中的肾上腺肿块。我们在此报告这样一个不寻常的病例,术中发现后纵隔肿块,而不是术前放射检查提示的“推定”肾上腺肿块!
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引用次数: 0
期刊
Oncology, Gastroenterology and Hepatology Reports
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