Liver hydatid cyst perforated into the large bowel: a case report

Perforation of the liver hydatid cyst into hollow abdominal organs is an extremely rare complication. A case of two synchronous hydatid cysts in an old lady is presented. The patient had one multilobular cyst perforated into the right colon and another one uncomplicated located at the right ovary. She underwent partial cystectomy, omentoplasty, right hemicolectomy, and total hysterectomy, and had an uneventful recovery

A case of typical pulmonary carcinoid tumor treated with bronchoscopic therapy followed by lobectomy

Carcinoid bronchopulmonary tumors represent approximately 25% of all carcinoid tumors and 1%–2% of all lung neoplasms. The most common symptoms are: persistent cough, asthma-like wheezing, chest pain, dyspnea, hemoptysis and obstructive pneumonitis. We present a case of a young adult diagnosed with a typical carcinoid tumor. The diagnosis was established on the basis of imaging examination and bronchoscopic biopsy. The patient was treated with bronchoscopic electrocautery therapy to relieve the obstructed airway, followed by surgical lobectomy in order to entirely remove the exophytic damage. This approach was not only a palliative management to bronchial obstruction but also avoided pneumonectomy. Recent studies support the use of such interventional resection methods, as they may result in a more conservative surgical resection

Case Report: Endoscopic radiofrequency ablation with radial-EBUS and ROSE

BackgroundSingle pulmonary nodules are a common issue in everyday clinical practice. Currently, there are navigation systems with radial-endobronchial ultrasound and electromagnetic navigation for obtaining biopsies. Moreover, rapid on-site evaluation can be used for a quick assessment. These small lesions, even when they do not have any clinically significant information with positron emission tomography, are important to investigate.Case descriptionRadiofrequency and microwave ablation have been evaluated as local treatment techniques. These techniques can be used as therapy for a patient population that cannot be operated on. Currently, one verified operating system is used for endoscopic radiofrequency ablation through the working channel of a bronchoscope.ConclusionIn our case, a new system was used to perform radiofrequency ablation with long-term follow-up

Syndrome of Spotty Skin Pigmentation, Myxomas, Endocrine Overactivity, and Schwannomas (Carney Complex): Breast Imaging Findings.

Carney complex is a familial multiple -neoplasia and lentiginosis syndrome first reported on in 1985 by Carney and colleagues. Carney complex is characterized by spotty pigmentation of the skin and mucosae (lentigines and blue nevi); myxomatous tumors of the skin, heart, breast, and other organs; and a variety of endocrine tumors which include primary pigmented nodular adrenocortical disease, growth hormone- secreting pituitary adenoma, testicular neoplasms (large-cell calcifying Sertoli and Leydig cell tumors), psammomatous melanotic schwannomas, and thyroid follicular tumors (adenoma and papillary and follicular carcinoma). The syndrome is autosomal dominant, and the genetic locus for it has been mapped to the short arm of chromosome 2 (2pl6) and to the short arm of chromosome 17 (17q 22-24). The disease is familial in approximately half of the patients; in the remaining patients, the syndrome appears sporadically. Breast masses in Carney Complex may represent myxoid fibroadenomas or ductal adenomas. The former have been found in at least one-fifth of the patients with reported sporadic and familial cases of the complex, with the latter have been described in five patients, which include two in the same family. The myxomatous lesion is characterized by the accumulation of myxoid material in the stroma that involves single or small groups of nodules. Large aggregates of these lesions result in the formation of a myxoid fibroadenoma. Ductal adenomas are solid tumors with tubular features and are composed of distinct epithelial and myoepithelial cells with a modest amount of fibrous tissue. Myxoid fibroadenomas and ductal adenomas are benign tumors that can manifest at a young age and are autosomal dominant. We suggest that MR imaging be performed when a solid, benign appearing mass in a patient with Carney Complex is found on a screening mammogram. If additional lesions with similar features exist and no other signs of malignancy are present, the patient can be followed up clinically. Because ductal adenomas are unusual benign tumors, incidental discovery of such a lesion should prompt one to exclude Carney complex

Tuberculosis in the Peritoneum: Not Too Rare After All

Peritoneal tuberculosis is rare with increased incidence rates in recent years. The absence of characteristic clinical features of the disease often makes its diagnosis difficult and elusive. We present the case of 61-year-old female with peritoneal tuberculosis. The patient suffered from abdominal pain for a period of 5 months prior to admission. The diagnosis was established on the basis of findings from an abdominal computed tomography scan, a chest radiograph and histopathological analysis of the laparoscopic resection of the two masses. The patient was discharged from hospital receiving a fourfold antituberculous treatment with isoniazid, rifampicin, pyrazinamide and ethambutol. A high index of suspicion and a combination of radiologic, endoscopic, microbiologic and histopathological examination achieves diagnostic accuracy and prevents clinical mismanagement