Unusual Cystic Lesion Research Articles

An Unusual Cystic Lesion in Ovary

Introduction: Hydatid disease is a zoonosis caused by the larval stages or the adult of tapeworm Echinococcus granulosus or less commonly Echinococcus multilocularis. It is prevalent in the areas where livestock is raised in association with the dogs. Humans are accidental intermediate host. Primary ovarian hydatid cyst is extremely rare and often mistaken as cystic tumors of the ovary. Case report: We present a rare case of a 38 years old woman who presented with intermittent dull aching pain in the lower abdomen since 6 months. Ultrasonography of whole abdomen revealed the evidence of a left adnexal cystic lesion. Exploratory laparotomy was performed and a left ovarian cystic mass was identified. The cyst was removed intact. Histopathological examination confirmed it to be a hydatid cyst. Conclusion: Removal and proper treatment of the infected animals, interrupting the cycle of transmission of hydatid cyst, help to eliminate the disease. The implementation of public awareness of the disease and proper sanitation are needed to prevent this disease. Primary ovarian hydatid cyst is rare and requires proper intraoperative management to avoid spillage and thereby recurrences. Then the patients are treated with anthelmintics. Keywords: Echinococcosis, Hydatidosis, Echinococcus granulosus, Echinococcus multilocularis, hydatid cyst, laparotomy, ovary, surgery

Rare locations of hydatid disease evaluated by radiological imaging.

Objectives: To document unusual locations of hydatid disease by Radiological Imaging performed in a Tertiary care center. Study Design: Descriptive Case series. Setting: Department of Radiology and Imaging, HBS General Hospital, Islamabad. Period: Jan 2016 to Dec 2018. Material & Methods: 64 cases of hydatid disease were included in our study seen between 2016 and 2018. 11 cases were retrospectively analyzed because of their unusual locations. MDCT was performed in all of our cases. Ultrasound, MRI, Color Doppler, IVU, and plain films also were performed in selected cases. Histopathological diagnosis of hydatid disease was confirmed in all cases operated surgically. Results: Rare locations of hydatid disease in this series included kidney, abdominal wall, chest wall, ovary, lumbosacral spine, iliopsoas muscles, mesentery, lung hilum, diaphragm, spleen and bronchus (in form of Broncho-pleural fistula). The Table-I, is most unusual presentations were passage of cysts in urine in a case of renal hydatid cyst, passage of cysts with haemoptysis in a case of bronchopleural fistula caused by ruptured hydatid cyst, infertility in an ovarian hydatid cyst, abdominal and chest wall swellings due to hydatid cysts. Even though there was no mortality in these patients, there was disabling morbidity. Conclusion: Hydatid disease can present with unusual symptoms and signs depending on the organ of involvement. Hydatid disease can affect any organ in the body and a high suspicion of this disease is justified in any unusual cystic lesion of any organ, Moreover, detailed imaging techniques should precede and follow the surgical intervention. Multi-imaging modalities are also more helpful in rare diffuse hydatidosis.

A multidisciplinary approach to an unusual cystic lesion of the maxilla – A case report

A large cyst in the maxilla in relation to a nonvital tooth is not a common occurrence. The present case report demonstrates an unusual case of a giant cyst in the right maxillary antrum region extending from the anterior to posterior right maxilla with no intraoral bony and soft tissue expansion of a healthy 31-year-old female. However, bone erosion was noted and integrity of important anatomical structures of the right maxillary sinus was affected. The adjacent teeth were nonvital without any evidence of root resorption. Conventional root canal treatment together with surgical enucleation of the affected teeth at 6 months follow-up resulted in the successful resolution of the cyst with complete bone regeneration.

Unusual cystic lesion in mandibular midline: A diagnostic dilemma

Odontogenic neoplasms present with characteristic clinicoradiological presentation giving clue to their diagnosis. However, unusual presentations may confuse the clinician and diagnosis may become elusive. We encountered one such atypical presentation when a 60-year-old female presented with an unusually large cystic lesion in the mandibular midline, creating a diagnostic dilemma. Unicystic ameloblastoma (UA) presents with clinical and radiographic features of a jaw cyst but show a typical ameloblastomatous transformation of lining epithelium, with or without luminal and/or mural tumor proliferation on histologic examination. This variant differs from solid ameloblastoma in being less aggressive and being seen commonly in young individuals. Another unique fact about UA is that recurrence may be long delayed, and a long-term postoperative follow-up is essential for proper management of these patients.

An unusual cystic lesion on the helix.

An unusual cystic lesion on the helix.

Unusual cystic lesion of the pancreas.

A 20-year-old male presented to the Department of Gastrointestinal Surgery at the All India Institute of Medical Sciences, New Delhi complaining of intermittent fever of two-month duration. There was no history of abdominal pain, jaundice, anorexia or weight loss. Physical examination revealed an ill-defined epigastric lump. The patient was evaluated with an ultrasound and CT scan of the abdomen which revealed a cystic lesion in the region of the pancreas with a bit of calcification (Image 1). There were no other sites of pancreatic calcification either intraductal or parenchymal, and, in addition, there was no ductal dilatation or parenchymal atrophy. On imaging no other cysts could be identified in the abdomen. Hydatid serology of the patient by ELISA was positive. A provisional diagnosis of pancreatic pseudocyst and a

Giant Cystic Lesion in Neurofibromatosis

In the case of an asymptomatic 10-year-old girl with neurofibromatosis type 1, a concomitant cystic brain lesion was demonstrated on cranial magnetic resonance imaging. The nature of these cysts is unknown: they may represent cellular degeneration of the lesions imaged as unidentified bright objects, cystic cortical dysplasia, or giant Virchow-Robin spaces. The novel finding in this child of coexisting unusual cystic lesion and neurofibromatosis could be coincidental; however, recent report of an asymptomatic cystic lesion in two patients with neurofibromatosis suggests otherwise.

An unusual cystic lung lesion

An 80-year-old man was admitted because he had experienced haemoptysis for 4 days. He had smoked 40 cigarettes daily for 50 years. He had no medical history except for …

Retrorectal cyst hamartoma (tailgut cyst) with malignant transformation

Tailgut cyst [retrorectal hamartomas] is an unusual cystic lesion, located in the retrorectal space. It develops from post anal foetal gut remnants, present anterior to the sacrum and posterior to the rectum. A high index of clinical suspicion is required to diagnose this rare tumour. This malformative lesion should be distinguished from teratomas, mullerian cysts, anal gland cysts and duplication cysts of the rectum. The treatment of choice is complete surgical excision. A tailgut cyst is hereby reported, which had undergone malignant transformation, with development of an adenocarcinoma. Only 16 additional cases of tailgut cysts with adenocarcinoma were recovered, in an extensive search of world literature. The identification of this rare entity provides an opportunity to examine this pathological rarity in the context of the few previously reported cases of this type.

An unusual cystic lesion of the head of the pancreas.

Journal Article An unusual cystic lesion of the head of the pancreas Get access T McW Millar T McW Millar The Department of Surgery, University of Edinburgh Search for other works by this author on: Oxford Academic Google Scholar British Journal of Surgery, Volume 39, Issue 156, January 1952, Pages 374–377, https://doi.org/10.1002/bjs.18003915630 Published: 06 December 2005

Fifth ventricle: an unusual cystic lesion of the conus medullaris

Cystic dilatation of the fifth ventricle on its own is an extremely rare pathological event in adults whose pathogenesis is uncertain. The authors describe a personal case of 'fifth ventricle' and review the pertinent literature. To emphasize the importance of including the fifth ventricle in differential diagnosis of lesions of the conus medullaris to ensure proper treatment. Italy. A 30-year-old woman was referred to us for recurrent low back pain. The patient was assessed by clinical, electrophysiological (motor evoked potential, somatosensorial evoked potential and electromyography of the perineal and lower limb muscles) and urodynamic investigations as well as a magnetic resonance imaging (MRI) of the lumbar-sacral segment with and without gadolinium enhancement, subsequently extended to the entire vertebral column and brain. Follow-up consisted of periodic clinical evaluation and lumbar-sacral MRI after 1 and 2 years. General physical examination, electrophysiological and urodynamic investigations were all negative, confirming the subjective nature of the patient's symptoms. Lumbar-sacral MRI demonstrated the presence of a cyst lesion containing cerebrospinal fluid (CSF), which did not enhance after gadolinium, compatible with the diagnosis of the terminal ventricle. By extending the MRI investigation to the entire vertebral column and brain, it was possible to exclude an association with other malformations of the central nervous system. Clinical and radiological follow-up confirmed the nonevolutive nature of the lesion 1 and 2 years later. The lack of clinical symptoms and the stability of the radiological situation at 1 and 2 years follow-up motivated our choice of conservative treatment.

Unusual cystic lesion of anterior abdominal wall: pseudocyst caused by preperitoneal perforation of Meckel’s diverticulitis

Meckel’s diverticulitis causing pseudocyst formation in preperitoneal space has not been reported yet. A 2-year-old boy was admitted with a large lower abdominal mass. Ultrasound (US) showed a large bilobular, thick-walled, fluid-filled anechoic cystic structure with internal echos. A round radiopacity located inside of the hypodense cyst was determined on computed tomography (CT) scan. The preoperative diagnosis of this complication requires a high index of suspicion.

Placental Transmogrification of the Lung, A Histologic Variant of Giant Bullous Emphysema

Placental transmogrification of the lung was described by Chesney in 1978 as an unusual cystic lesion involving a single pulmonary lobe (3). We studied three additional cases with identical clinical and pathologic features. The patients were a 33-year-old woman and men aged 24 and 27 years. Each patient was first seen with respiratory distress; one had repeated pneumothoraces. Radiographically, an enlarging cystic lesion was present in a lower (two) or middle (one) lobe. The lesion had been present for 10 years in one patient. In two patients, mediastinal shift was noted. Lobectomy was curative in all instances. Grossly there was a uni- or paucilocular cyst lined by papillary structures. Microscopically, the papillae contained proliferating blood vessels, lymphoid nodules, smooth muscle, and fat. Sclerotic foci obliterated the vessels in some areas. The growth pattern and topography resembled those of placental villi. Systematic review of the histologic features in other lungs with marked emphysema revealed a spectrum of similar changes and suggested that the lesion in our patients may be a complication of bulla formation and is most likely the clinico-pathologic analog of the "vanishing lung" syndrome (idiopathic giant bullous emphysema).

An Unusual Cystic Lesion Histologically Similar to Autosomal Dominant Polycystic Kidney Disease in a Child With Aniridia and Del 11p13

The association of Wilms tumor with an interstitial deletion on the short arm of chromosome 11 is well established. Specifically, the 11p13 band has been implicated in the syndrome of Wilms tumor, aniridia, genitourinary abnormalities and mental retardation. Only rarely have other renal lesions been associated with the chromosomal abnormality del 11p13. We report a case of a segmental cystic lesion, histologically akin to autosomal dominant polycystic kidney disease, in a child with aniridia and the del (11)(p12p14) karyotype.

Mucoepidermoid odontogenic cyst

This unusual cystic lesion was previously described as a lesion that has features of both botryoid odontogenic cyst and mucoepidermoid tumor and later was named as glandular odontogenic cyst. An additional case is reported and its clinicopathologic features described. The name “mucoepidermoid odontogenic cyst” is proposed.

Endosalpingiosis in pregnancy

At caesarean section, an unusual cystic lesion was found on the anterior uterine surface and on both ovaries. Biopsy established a diagnosis of endosalpingiosis. The pathogenesis and possible significance of the lesion are discussed, this being the first time this condition has been described in pregnancy.

Peliosis Hepatis Associated With Administration of Oxymetholone

PELIOSIS hepatis is an unusual cystic lesion of the liver that was first recognized as a discrete entity by Schoenlank¹in 1916. To our knowledge, only three cases have been diagnosed antemortem; in one instance, the lesion regressed following discontinuation of oxymetholone therapy.^2-4 We report the case of a patient with Hodgkin's disease, who was found to have peliosis hepatis after receiving oxymetholone. <h3>Report of a Case</h3> A 21-year-old man was examined in April 1970, with a three-week history of malaise, weight loss, night sweats, hectic fevers, anorexia, and pruritus. The patient was severely ill with cervical adenopathy and splenomegaly. Biopsy of a cervical lymph node showed nodular sclerosing Hodgkin's disease. Baseline liver function tests were normal, and an initial hematocrit level was 31%. Oxymetholone was first used in early November 1974. The patient received 30 mg per day, orally, and was followed up closely to detect any

Peliosis hepatis associated with administration of oxymetholone

PELIOSIS hepatis is an unusual cystic lesion of the liver that was first recognized as a discrete entity by Schoenlank¹in 1916. To our knowledge, only three cases have been diagnosed antemortem; in one instance, the lesion regressed following discontinuation of oxymetholone therapy.^2-4 We report the case of a patient with Hodgkin's disease, who was found to have peliosis hepatis after receiving oxymetholone. <h3>Report of a Case</h3> A 21-year-old man was examined in April 1970, with a three-week history of malaise, weight loss, night sweats, hectic fevers, anorexia, and pruritus. The patient was severely ill with cervical adenopathy and splenomegaly. Biopsy of a cervical lymph node showed nodular sclerosing Hodgkin's disease. Baseline liver function tests were normal, and an initial hematocrit level was 31%. Oxymetholone was first used in early November 1974. The patient received 30 mg per day, orally, and was followed up closely to detect any

An unusual cystic lesion of bone

Two cases of unusual cystic lesion are reported.Case 1 A 20-year-old female was seen by authors with tenderness around her right hip.Roentgenogram of her right hip revealed an unusual cystic lesion of great trochanter.At this surgery, the lesion consisted of only cavity. There was no fluid in the cavity and this cavity was not lined by a thin menbran. Histological examination of excised wall showed only bone trabeculae.Case 2 A 22-year-old female was seen by authors with pain on walking.Roentgenogram revealed an unusual cystic lesion of ilium. Macroscopic and micro scopic findings were the same as case 1. There was no organisms in the cavity.The authors could not diagnose these lesions as bone cyst, and the authors consider that the selesions are distinct entity.

Osteochondral Fractures of the Dome of the Talus

Fractures of the talor dome are uncommon and may elude diagnosis despite routine roentgenograms of injured ankles. Tomograms are helpful in localizing this lesion. Surgical removal of the osteochondral fragment is often indicated. Medial lesions may be inaccessible except by osteotomy of the medial malleolus which is then fixed with a bone screw. Lateral fragments are approached through anterolateral or posterolateral ankle incisions. Of 9 symptomatic ankles, 6 had satisfactory results following surgery. The other 3 were treated conservatively, one improved; two did not. One additional asymptomatic ankle remained so with no treatment. In one case the talus also contained an unusual cystic lesion; in another there was tarsal coalition.