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1.
BMC Surg ; 19(1): 64, 2019 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-31215413

RESUMO

BACKGROUND: Isolated enteric duplication cyst is an intestinal duplication cyst found in a distant location from the intestinal tract and it is said to have its own blood supply. Meckel's diverticulm is considered as an antimesenteric structure and has its own blood supply. However, there are some reported cases of Meckele's diverticum in the mesenteric side. Ectopic pancreas may be found in both entities. CASE PRESENTATION: A 5-year-old girl presented with increasing abdominal pain around the umbilicus. On laboratory investigation serum pancreatic enzymes and C-reactive protein were elevated. Abdominal computed tomography (CT) revealed a normal pancreas but a cystic lesion in the mesentery of the ileum. A nodule with a marked enhancement was observed in the wall of the lesion. During the laparoscopy, the lesion was found at the root of the mesentery and was distant from the ileum. The lesion was resected suspecting an abscess. Pathologically, the wall of the lesion consisted of small bowel like tissue, and pancreatic tissue was seen beneath the mucosa. There were some post inflammatory changes in the pancreatic tissue. Retrospectively on thin slice enhanced CT, an independent blood supply was noted. Based on these findings, a diagnosis of ectopic pancreatitis in an iliac intestinal duplication cyst was made. CONCLUSION: Isolated enteric duplication cyst in the root of ileal mesentery and mesenteric Meckel's diverticulum have similarities. In the present case, the diagnosis of isolated enteric duplication cyst was made since it was found distant from the ileum. It is important to consider the possibility of ectopic pancreatitis when serum pancreatic enzymes are elevated even when the pancreas appears normal.


Assuntos
Cistos/diagnóstico , Pâncreas/patologia , Pancreatite/diagnóstico , Dor Abdominal/etiologia , Pré-Escolar , Cistos/cirurgia , Feminino , Humanos , Íleo/patologia , Divertículo Ileal/patologia , Mesentério/patologia , Ductos Pancreáticos , Estudos Retrospectivos , Tomografia Computadorizada por Raios X
3.
J Pediatr Ophthalmol Strabismus ; 56: e20-e23, 2019 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-30907973

RESUMO

The authors report a case of primary sclerolimbal cyst with corneal extension in a 3-year-old boy. The cyst enlarged and dissected into the cornea over time. Surgical excision with tectonic allograft was performed. Preoperative, intraoperative, and postoperative anterior segment findings were shown, and results from histologic and cytologic assays were presented. [J Pediatr Ophthalmol Strabismus. 2019;56:e20-e23.].


Assuntos
Doenças da Córnea/etiologia , Cistos/complicações , Esclera/patologia , Doenças da Esclera/diagnóstico , Biópsia , Pré-Escolar , Córnea/patologia , Doenças da Córnea/diagnóstico , Cistos/diagnóstico , Cistos/cirurgia , Humanos , Masculino , Procedimentos Cirúrgicos Oftalmológicos/métodos , Esclera/cirurgia , Doenças da Esclera/complicações , Doenças da Esclera/cirurgia
6.
Int J Pediatr Otorhinolaryngol ; 122: 1-5, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30921629

RESUMO

Pseudocyst of the auricle is a rare, idiopathic disease clinically manifesting as a painless edema of the upper-lateral parts of the auricle. Due to the rarity of the disease, auricular pseudocyst is often misdiagnosed. The confirmation of a diagnosis of auricular pseudocyst is most commonly made on the basis of clinical manifestations. The etiology of the disease remains unknown, and this frequently hinders both proper diagnosis and prevention. We report a case of a 4-week neonate admitted to the Department of Pediatrics, Rheumatology and Environmental Diseases of the Chair of Pediatry, Jagiellonian University, Medical College in Krakow with bilateral pseudocyst with very early presentation that was less prominent after birth and well presented in the second week of life. The surgical treatment was successful. One month after treatment the infant was admitted again to the hospital with hypertension and edema of feet and hands. Treatment with amlodipine was implemented resulting in a normalization of blood pressure. The diagnosis of pseudohypoaldosteronism type I was confirmed.


Assuntos
Otopatias/cirurgia , Edema/etiologia , Pseudo-Hipoaldosteronismo/diagnóstico , Pressão Sanguínea , Cistos/diagnóstico , Cistos/cirurgia , Pavilhão Auricular , Otopatias/complicações , Otopatias/diagnóstico , , Mãos , Humanos , Recém-Nascido , Masculino , Pseudo-Hipoaldosteronismo/complicações
7.
J Cancer Res Ther ; 15(1): 258-260, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30880789

RESUMO

Tailgut cysts are rare congenital lesions presenting as retrorectal space masses. They can occur in all age groups. Patients often present with ill-defined nonspecific symptoms and the diagnosis if often delayed. Malignancy arising in a tailgut cyst is an even rarer and unique occurrence. A precise diagnosis can be made only after complete excision and histopathological examination of the retrorectal space mass. We describe here a case of a 63-year-old male presenting with chronic constipation, who was diagnosed with a well-differentiated neuroendocrine tumor (Grade I) arising in a tailgut cyst after surgical excision.


Assuntos
Constipação Intestinal/etiologia , Cistos/diagnóstico , Hamartoma/diagnóstico , Neoplasias Embrionárias de Células Germinativas/diagnóstico , Tumores Neuroendócrinos/diagnóstico , Biópsia , Constipação Intestinal/cirurgia , Cistos/complicações , Cistos/patologia , Cistos/cirurgia , Diagnóstico Diferencial , Hamartoma/complicações , Hamartoma/patologia , Hamartoma/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Embrionárias de Células Germinativas/complicações , Neoplasias Embrionárias de Células Germinativas/patologia , Neoplasias Embrionárias de Células Germinativas/cirurgia , Tumores Neuroendócrinos/complicações , Tumores Neuroendócrinos/patologia , Tumores Neuroendócrinos/cirurgia , Região Sacrococcígea/patologia , Região Sacrococcígea/cirurgia , Resultado do Tratamento
8.
J Cancer Res Ther ; 15(1): 261-263, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30880790

RESUMO

Tailgut cysts (TGCs) are rare congenital lesions derived from the remnants of primitive hindgut and are usually lined by squamous, transitional, or glandular epithelium. Malignant transformation in TGC may occur which is still rarer. Most common malignancies that arise from these cysts are adenocarcinomas. Preoperative diagnosis is difficult as high degree of suspicion is required for the diagnosis. We report here a case of adenocarcinoma arising in a tale gut cyst diagnosed preoperatively and till date very few cases have been reported in literature.


Assuntos
Adenocarcinoma/diagnóstico , Cistos/diagnóstico , Neoplasias Embrionárias de Células Germinativas/diagnóstico , Adenocarcinoma/patologia , Adenocarcinoma/cirurgia , Adulto , Cistos/patologia , Cistos/cirurgia , Diagnóstico Diferencial , Humanos , Imagem por Ressonância Magnética , Masculino , Neoplasias Embrionárias de Células Germinativas/patologia , Neoplasias Embrionárias de Células Germinativas/cirurgia , Região Sacrococcígea/diagnóstico por imagem , Região Sacrococcígea/patologia , Região Sacrococcígea/cirurgia , Resultado do Tratamento
10.
Indian J Pathol Microbiol ; 62(1): 136-138, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30706879

RESUMO

Sclerosing polycystic adenosis (SPA) is primarily a disease of major salivary glands. It was recognized as a distinct morphologic entity by Smith et al. in 1996. To best of our knowledge, 67 cases of SPA are reported in English literature. Here, we describe a case of SPA showing classic histomorphological features, involving the parotid gland of a 17-year-old girl. It was diagnosed as mucoepidermoid carcinoma at a peripheral hospital and was referred to our center. Histologically, it was well circumscribed and composed of lobules, separated by hyalinized stroma. Lobules showed adenosis, foci of acinic cell hyperplasia, and intraductal epithelial proliferation. Immunohistochemistry with p63 highlighted myoepithelial layer around every duct, acinus, and also in foci showing epithelial hyperplasia. There was no evidence of malignancy. Awareness of SPA, a benign rare entity, is essential to avoid misdiagnosing it as other common salivary gland tumors which it may mimic.


Assuntos
Glândula Parótida/patologia , Neoplasias das Glândulas Salivares/diagnóstico , Esclerose/diagnóstico , Adolescente , Carcinoma Mucoepidermoide/diagnóstico , Carcinoma Mucoepidermoide/patologia , Cistos/diagnóstico , Cistos/patologia , Feminino , Humanos , Hiperplasia , Imuno-Histoquímica , Glândula Parótida/diagnóstico por imagem , Glândula Parótida/cirurgia , Neoplasias das Glândulas Salivares/patologia , Esclerose/patologia , Ultrassonografia
12.
Vet Ophthalmol ; 22(3): 374-380, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30716202

RESUMO

OBJECTIVE: To describe the efficacy of the sclerosing agent 1% polidocanol in the treatment of a suspected nasolacrimal duct cyst in a dog. ANIMAL STUDIED: A 5-year-old castrated male Golden Retriever with chronic epiphora of the right eye. PROCEDURES: Ocular examination revealed epiphora and a negative Jones test of the right eye and was otherwise normal. Computed tomography with dacryocystography confirmed a cystic structure in the right ventral orbit that extended into the caudal nasal cavity adjacent to the orbit, causing partial physical obstruction of the right nasolacrimal duct. Cytologic analysis of fluid from the lesion was supportive of a diagnosis of a cyst. One percent polidocanol (compounded, People's Custom Rx, Memphis, TN) was injected into the cyst. RESULTS: Epiphora was resolved by two weeks post-injection. Repeated computed tomography with dacryocystography was performed 8 months post-injection, revealing complete resolution of the cyst and demonstrating mild enophthalmos of the right globe. CONCLUSIONS: Intralesional 1% polidocanol therapy was successful in resolving a suspected nasolacrimal duct cyst in a dog.


Assuntos
Cistos/veterinária , Doenças do Cão/diagnóstico , Obstrução dos Ductos Lacrimais/veterinária , Ducto Nasolacrimal , Soluções Oftálmicas/uso terapêutico , Polidocanol/uso terapêutico , Animais , Cistos/diagnóstico , Diagnóstico Diferencial , Doenças do Cão/diagnóstico por imagem , Doenças do Cão/tratamento farmacológico , Cães , Obstrução dos Ductos Lacrimais/diagnóstico , Masculino , Soluções Oftálmicas/administração & dosagem , Polidocanol/administração & dosagem , Tomografia Computadorizada por Raios X/veterinária
13.
Emerg Infect Dis ; 25(3): 603-604, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30789337

RESUMO

Helicobacter cinaedi is an enterohepatic bacillus that causes infections of various manifestations. We report a novel case of hepatic cyst infection with bacteremia caused by H. cinaedi in an immunocompetent woman in Japan. Further research is warranted to identify the epidemiologic and clinical features of H. cinaedi infection.


Assuntos
Bacteriemia , Cistos/diagnóstico , Cistos/microbiologia , Infecções por Helicobacter/diagnóstico , Infecções por Helicobacter/microbiologia , Helicobacter , Hepatopatias/diagnóstico , Hepatopatias/microbiologia , Idoso , Biomarcadores , Cistos/cirurgia , Feminino , Helicobacter/genética , Humanos , Hospedeiro Imunocomprometido , Hepatopatias/cirurgia , Tomografia Computadorizada por Raios X , Resultado do Tratamento
15.
Medicine (Baltimore) ; 98(1): e13731, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30608385

RESUMO

This study aims to evaluate the clinic value of ultrasound, computed tomography (CT) and serological testing in the differentiation between hepatic Cystic Echinococcosis (CE) types 1 and simple hepatic cysts.Totally 50 patients with CE Types 1 and 50 patients with simple hepatic cysts were included. All patients examined by ultrasound, CT and serological testing respectively. The receiver operating characteristic (ROC) curve of diagnosis methods was drawn and their sensitivity, specificity, Youden index, positive likelihood ratio, negative likelihood ratio, positive predictive value and negative predictive value were compared. Pathology result was used as golden standard.The area under ROC curve of ultrasound was 0.97 and of CT and serological testing was 0.79 and 0.71 respectively. The sensitivity of ultrasound in the diagnosis of CE Types 1 was 96.00%, specificity was 98.00%, the positive likelihood ratio was 48.00, and negative likelihood ratio was 0.04. Disease prevalence was 50%, positive predictive value was 97.96%, and negative predictive value was 96.08%. The sensitivity of CT was 80.00%, specificity was 62.00%, positive likelihood ratio was 2.11, and negative likelihood ratio was 0.32. Disease prevalence was 50%, positive predictive value was 67.80%, and negative predictive value was 75.61%. The sensitivity of immunological test was 86.00%, specificity was 72.00%, positive likelihood ratio was 3.07, and negative likelihood ratio was 0.19. Disease prevalence was 50%, positive predictive value was 75.44%, and negative predictive value was 83.72%. Combined ultrasound and immunological test, the sensitivity and the specificity was 82% and 100% respectively. Combined CT and immunological test, the sensitivity the specificity was 70% and 82% respectively.In the differentiate diagnosis of CE Types 1 and simple hepatic cyst, ultrasound is better than CT with high sensitivity and specificity, therefore recommended. Immunological examination is an important complement to the imaging examination.


Assuntos
Cistos/diagnóstico , Equinococose Hepática/diagnóstico , Testes Imunológicos/estatística & dados numéricos , Hepatopatias/diagnóstico , Ultrassonografia/estatística & dados numéricos , Adolescente , Área Sob a Curva , Criança , Pré-Escolar , Cistos/epidemiologia , Diagnóstico Diferencial , Equinococose Hepática/epidemiologia , Feminino , Humanos , Fígado/diagnóstico por imagem , Fígado/patologia , Hepatopatias/epidemiologia , Masculino , Valor Preditivo dos Testes , Prevalência , Curva ROC , Estudos Retrospectivos , Sensibilidade e Especificidade , Tomografia Computadorizada por Raios X
17.
BMJ Case Rep ; 12(1)2019 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-30661046

RESUMO

A 75-year-old woman presented with an 18-month history of severe, slowly worsening dysphonia. She was a smoker and known to have multiple benign cystic thyroid lesions. She reported no associated symptoms and other medical and social history was unremarkable. Fibreoptic nasendoscopy revealed a right-sided supraglottic cyst appearing to arise from the right false vocal cord. Further bedside examination was unremarkable. She underwent microlaryngoscopy and biopsy which showed a cyst originating from the right anterior ventricle, successfully removed without rupture using cold steel. Formal histopathology revealed a 14×10×7 mm unilocular, completely excised cyst lined by oncocytic epithelium and composed of columnar cells with darkly stained nuclei and abundant granular, eosinophilic cytoplasm. Three weeks postoperatively the patient's voice had returned to normal. To date, 11 months postoperatively, there is no evidence of recurrence, and she will continue long-term follow-up.


Assuntos
Cistos/diagnóstico , Neoplasias Laríngeas/diagnóstico , Doenças Raras/diagnóstico , Idoso , Cistos/complicações , Cistos/patologia , Cistos/cirurgia , Diagnóstico Diferencial , Disfonia/etiologia , Feminino , Humanos , Neoplasias Laríngeas/complicações , Neoplasias Laríngeas/patologia , Neoplasias Laríngeas/cirurgia , Laringoscopia , Doenças Raras/patologia , Doenças Raras/cirurgia , Resultado do Tratamento
18.
J Vet Diagn Invest ; 31(2): 280-283, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30661455

RESUMO

Polycystic liver is usually considered an incidental finding in human and veterinary medicine. Two unrelated adult llamas ( Lama glama) with a history of marked anorexia and weight loss were received for autopsy and diagnostic workup. The main gross change in the liver of both animals was multiple variably sized cysts randomly distributed throughout the parenchyma. Histologically, the cysts compressed the adjacent parenchyma and were lined by a single layer of cuboidal-to-columnar epithelium, surrounded by a fibrous collagen capsule. The lumen of the cysts contained finely granular-to-homogeneous basophilic material. The lining epithelium displayed strong immunoreactivity for pancytokeratin AE1/AE3 and cytokeratins 7, 8, 8/18, and 19, and was negative for vimentin, confirming the biliary epithelial origin of the cysts. No parasitic or infectious agents, or neoplastic changes, were detected. All other laboratory tests performed in both llamas were negative or non-diagnostic, suggesting that the congenital hepatic cysts described may have been at least partly responsible for clinical disease in both animals.


Assuntos
Camelídeos Americanos , Cistos/veterinária , Hepatopatias/veterinária , Animais , Cistos/congênito , Cistos/diagnóstico , Cistos/patologia , Feminino , Hepatopatias/congênito , Hepatopatias/diagnóstico , Hepatopatias/patologia , Masculino
19.
Eur J Pediatr ; 178(4): 463-471, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30643937

RESUMO

Pediatric neck masses are a common occurrence and often represent a diagnostic challenge. The primary aim of this retrospective study was to evaluate the clinical and radiological features of neck masses in children and how they can drive diagnosis. The secondary aim was to create a diagnostic algorithm based on clinical features. We evaluated 190 children with neck masses who needed hospitalization. Clinical data and imaging findings were collected. The patients were divided into six groups: congenital/developmental lesions, tumors, acute and subacute lymphadenopathies, chronic nonspecific lymphadenopathies, cat-scratch disease, and mycobacteriosis. Reactive lymphadenopathies were observed in the majority of cases (65.8%). Congenital/developmental cysts were present in 28.9%, while 5.3% had a tumor. A lower mean age was observed for acute/subacute lymphadenopathies and mycobacteriosis. Fever and a painful mass were typical of acute/subacute lymphadenopaties and cat-scratch disease. A hard and fixed mass was not only typical of tumors. Concerning imaging findings, multiple lymph nodes at the same level was mainly observed in mycobacteriosis, while bilateral lymph node enlargement and colliquation were present in lymphadenopathies.Conclusion:A complete and adequate clinical assessment should be the basis for every diagnostic and therapeutic choice in children with neck masses. What is Known: • Pediatric neck masses are a common occurrence and often represent a diagnostic challenge. • Clinical features, serological exams and imaging findings should drive the physician to an appropriate diagnostic hypothesis. What is New: • A lower mean age was observed for acute/subacute lymphadenopathies and mycobacteriosis. • A hard and fixed mass was not only typical of tumors. • Multiple lymph nodes at the same level were mainly observed in mycobacteriosis, while bilateral lymph node enlargement and colliquation were present in nonspecific lymphadenopathies.


Assuntos
Doença da Arranhadura de Gato/diagnóstico , Cistos/diagnóstico , Neoplasias de Cabeça e Pescoço/diagnóstico , Linfadenopatia/diagnóstico , Infecções por Micobactéria não Tuberculosa/diagnóstico , Pescoço/patologia , Adolescente , Distribuição por Idade , Análise de Variância , Doença da Arranhadura de Gato/epidemiologia , Doença da Arranhadura de Gato/patologia , Criança , Pré-Escolar , Cistos/epidemiologia , Cistos/patologia , Feminino , Neoplasias de Cabeça e Pescoço/epidemiologia , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Lactente , Recém-Nascido , Linfonodos/patologia , Linfadenopatia/epidemiologia , Linfadenopatia/patologia , Imagem por Ressonância Magnética , Masculino , Infecções por Micobactéria não Tuberculosa/epidemiologia , Infecções por Micobactéria não Tuberculosa/patologia , Pescoço/diagnóstico por imagem , Estudos Retrospectivos
20.
Cir Cir ; 87(1): 92-95, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-30600814

RESUMO

Penile cysts are uncommon lesions. In general, they are asymptomatic and do not interfere with sexual function. Most of them are present since birth, but usually they are only detectable in adolescence or adulthood. We report a clinical rare case of a newborns of 4 days of birth with a 3.5 cm diameter nodule on the prepuce (dorsal face), which appeared of birth. The cyst was excised by circumcision and a histopathologic study was performed. Histopathologic examination revealed a mucoid cyst by ectopic urethral mucoid of penis skins. No recurrence was observed at a 6 months follow-up after of surgery.


Assuntos
Cistos/congênito , Doenças do Pênis/congênito , Cistos/diagnóstico , Cistos/cirurgia , Humanos , Recém-Nascido , Masculino , Doenças do Pênis/diagnóstico , Doenças do Pênis/cirurgia
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