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Malua, Shital
- Unicentric Castleman's Disease Presenting as Retroperitoneum Lump
Authors
1 Department of Surgery, Rajendra Institute of Medical Sciences, Ranchi, IN
Source
International Journal of Medical and Dental Sciences, Vol 4, No 2 (2015), Pagination: 852-855Abstract
Castleman disease is a rare lymphoproliferative disorder, also known as giant lymph node hyperplasia or angiofollicular lymph node hyperplasia. Clinically, Castleman disease is of two types: localised/unicentric type and multicentric/systemic type. Unicentric or localised Castleman disease affect a single lymph node or group of lymph nodes. The multicentric type affects two or more groups of lymph node in different part of the body. It can also affect organs containing lymphoid tissue. Histologically it is classified as hyaline vascular variant, plasma cell variant and a mixed variant. Clinical symptoms may vary from asymptomatic to symptomatic lymphadenopathy accompanied by fever, anaemia fatigue, abdominal or thoracic pain and weight loss. There is no specific test to diagnose Castleman disease. We report a case of 16 years old male who presented with a painless lump in left lumbar region without any constitutional symptoms. CECT suggested a retroperitoneal lump with calcification. Laparotomy was done and complete excision of mass done. Histopathological examination of excised tissue suggested Castleman disease of hyaline vascular variant. After six month of follow up, the patient has no complain.Keywords
POEMS, Castleman's Disease, Hyaline Vascular Variant, Lymphoproliferative Disorder, Lump, Lymph Node.References
- Magrini U, Lucioni M, Incardona P, Boveri E, Paulli M. Castleman’s disease: update. Pathologica 2003;95(5):227-229.
- Talat N, Schulte KM. Castleman disease: systematic analysis of 416 patients from the literature. Oncologist 2011;16:13161324.
- Kazzkov DV, Fanburg-Smith JC, Suster S, Neuhauser TS, Palmedo G, Zamecnik M, et al. Castleman disease of subcutis and underlying skeletal muscle: report of 6 cases. Am J Surg Pathol 2004;28:569-577.
- Aguilar-Rodriguez Rodrigo, Milea SorinLucian, Demirci Ilhan, Herold Susanne, Flasshove Michael, Klosterhalfen Bernd, et al. Localized retroperitoneal Castleman’s disease: a case report and review of literature. Journal of Medical Case Reports 2014;8:93.
- Gomez-Ramirez J, Posda M, SanchezUrdazpal L, Marrin-Perez L, Campo L Del, Garcia I, et al. Castleman disease: a case report of the unicentric type. Case Reports in Surgery 2012; Article ID 175272.
- Kim TJ, Han JK, Kim YH, Kim TK, Choi BI. Castleman disease of the abdomen: imaging spectrum and clinicopathologic correlations. J comput Assist Tomogr 2001;25:207-214.
- Sialolipoma of Parotid Gland, a Rare Benign Tumor
Authors
1 Dept. of Surgery, Rajendra Institute of Medical Sciences, Ranchi, IN
Source
International Journal of Medical and Dental Sciences, Vol 4, No 2 (2015), Pagination: 886-890Abstract
Sialolipoma is a rare tumour found within both major and minor salivary glands. A total of 35 sialolipoma cases have been reported 18 within major salivary gland and 17 within minor salivary gland. Major gland sialolipoma most often are presented in the parotid gland (77%) and those from minor salivary glands were often seen in the palate (41%). All lesions were well circumscribed and contained mature adipose tissue admixed with benign salivary gland component. Treatment is surgical excision.
We report a case of 52 years old male who presented with the complaint of swelling in the left parotid region for 22 years duration. Apart from cosmetic reason he has no other complain. All specific investigations done were inconclusive and suggested a benign tumor. Histopathological examination after superficial parotidectomy suggested sialolipoma.
Keywords
Major Salivary Gland Tumour, Sialolipoma, Parotid Gland, Lipoma, Benign Tumor.References
- Nagao T, Sugano I, Ishida Y. Sialolipoma: a report of seven cases of a new variant of salivary gland lipoma. Histopathology 2001;38:30–36.
- Po-Han Lee, Jiann-JY Chen and Yung-AN Tsou. A recurrent sialolipoma of the parotid gland: A case report. Oncol Lett Jun 2014;7(6):1981–1983.
- Okada H, Yokoyama M, Hara M, Akimoto Y, Kaneda T, Yamamoto H. Sialolipoma of the palate: A rare care and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod Oct 2009;108(4):571-76.
- Cappabianca S, Colella G, Pezzullo MG, Russo A, Oaselli F, Brunese L, et al. Lipomatous lesions of the head and neck region: Imaging findings in comparison with histological type. Radiol Med 2008;113:758-70.
- Qayyum Sohail, Meacham Ryan, Sebelik Messy, Zafar Nadam. Sialolipoma of parotid gland: case report with literature review comparing major and minor salivary gland sialolipoma. J oral maxillofac pathol 2013;17(1):95-97.
- Akrish S, Leiser Y, Shamira D, Peled M. Sialolipoma of the salivary gland: two new cases, literature review, and histogenetic hypothesis. J Oral Maxillofac Surg 2011; 69:1380–1384.
- Saleh HA, Harmse JL, Michie BA, Blair RL. Lipomatosis of the minor salivary glands. J Laryngol Otal 1998;112:895-97.
- Yau KC, Tsang WYW, Chan JKC. Lipoadenoma of the parotid gland with probable striated duct differentiation. Mod Pathol 1997;20:242-246.
- Jin YT, Lian JD, Yan JJ, Hwang TZ, Tsai ST. Pleomorphic adenoma with extensive adipose content. Histopathology 1996;28:87-89.
- Intra-Abdominal Hypertension and Abdominal Compartment Syndrome: A Review of Current Concept and Trends
Authors
1 Department of Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, IN
Source
International Journal of Medical and Dental Sciences, Vol 4, No 2 (2015), Pagination: 922-931Abstract
Abdominal compartment syndrome (ACS) and intra-abdominal hypertension (IAH) have been a cause of complications in ICU patients, especially those of trauma and acute abdomen. ACS affects almost every system of the body namely the cardiac, respiratory, renal, CNS and the GIT. It has been under-recognized as it primarily affects patients who are already critically ill and the organ dysfunction may be incorrectly attributed to the primary illness. Since ACS can improve with treatment, it is important that the diagnosis be considered in the appropriate patient. We will review here the definition, classification, incidence, etiology, pathophysiology, clinical presentation, diagnosis and management of intraabdominal hypertension and abdominal compartment syndrome. The method employed for literature search included web search of articles in various international and national bibliographic indices. The websites used for the search include Google, PubMed, NIH.gov, Medscape.com, Science direct and Scopus.Keywords
Abdominal Compartment Syndrome, Intra-Abdominal Hypertension, Intra-Abdominal Pressure, Organ Dysfunction, Abdominal Perfusion Pressure.References
- Wendt EC. Uber den Einflu des intraabdominellen Druckers auf die Absonderungsgeschwindinkeit des Harnes. Arch Heilkunde 1876;17:527-46.
- Coombs HC. The mechanism of the regulation of intra-abdominal pressure. Am J Physiol 1920; 61:159–63.
- Baggot MG. Abdominal blow-out: a concept. Anaesth Analg 1951;30:295-9.
- Kron IL, Harman PK, Nolan SP. The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration. Ann Surg 1984;199:28-30.
- Sugrue M. Abdominal compartment syndrome. Curr Opin Crit Care 2005;11:333–8.
- Cheatham ML, White MW, Sagraves SG, Johnson JL, Block EF. Abdominal perfusion pressure: A superior parameter in the assessment of intra-abdominal hypertension. J Trauma 2000;49:621–6.
- Malbrain ML, Cheatham ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, et al. Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I Definitions Intensive Care Med 2006;32(11):1722.
- Malbrain ML, Deeren D, De Potter TJ. Intraabdominal hypertension in the critically ill: it is time to pay attention. Curr Opin Crit Care 2005;11:156–71.
- Papavramidis TS, Duros V, Michalopoulos A, Papadopoulos VN, Paramythiotis D, Harlaftis N. Intra-abdominal pressure alterations after large pancreatic pseudocyst transcutaneous drainage. BMC Gastroenterol 2009;9:42.
- Hong JJ, Cohn SM, Perez JM, Dolich MO, M Brown, McKenney MG. Prospective study of the incidence and outcome of intra-abdominal hypertension and the abdominal compartment syndrome. British Journal of Surgery 2002;89(5):591–596.
- Balogh Z, McKinley BA, Cocanour CS, Kozar RA, Holcomb JB, Ware DN, et al. Secondary abdominal compartment syndrome is an elusive early complication of traumatic shock resuscitation. Am J Surg 2002;184:538.
- Balogh Z, McKinley BA, Holcomb JB, Miller CC, Cocanour CS, Kozar RA, et al. Both primary and secondary abdominal compartment syndrome can be predicted early and are harbingers of multiple organ failure. J Trauma 2003;54:848.
- Morris JA, Eddy VA, Blinman TA, Rutherford EJ, Sharp KW. The staged celiotomy for trauma. Ann Surg 1993;217:576-85.
- Meldrum DR, Moore FA, Moore EE, Franciose RJ, Sauaia A, Burch JM. Prospective characterization and selective management of the abdominal compartment syndrome. Am J Surg 1997;174:667-73.
- Ivatury RR, Porter JM, Simon RJ, Islam S, John R, Stahl WM. Intra-abdominal hypertension after life threatening penetrating abdominal trauma: prophylaxis, incidence and clinical relevance to gastric mucosal pH and abdominal compartment syndrome. J Trauma 1998;44:1016-23.
- Saggi BH, Sugerman HJ, Ivatury RR, Bloomfield GL. Abdominal compartment syndrome. J Trauma 1998;45:597–609.
- Nathens AB, Brenneman FD, Boulanger BR. The abdominal compartment syndrome: a review. J Canadien de chirurgie 1997;40:254.
- Mutoh T, Lamm WJ, Embree LJ. Volume infusion produces abdominal distention, lung compression, and chest wall stiffening in pigs. J Appl Physiol 1992;72:575-82.
- Doty JM, Saggi BH, Sugerman HJ, Blocher CR, Pin R, Fakhry I, et al. Effect of increased renal venous pressure on renal function. J Trauma 1999;47(6):1000-3.
- Shenasky JH 2nd. The renal hemodynamic and functional effects of external counterpressure. Surg Gynecol Obstet 1972;134:253.
- Bloomfield GL, Blocher CR, Fakhry IF, Sica DA, Sugerman HJ. Elevated intra-abdominal pressure increases plasma renin activity and aldosterone levels. J Trauma 1997;42:997– 1004.
- Richards WO, Scovill W, Shin B, Reed W. Acute renal failure associated with increased intra-abdominal pressure. Ann Surg 1983;197:183-187.
- Ridings PC, Blocher CR, Sugerman HJ. Cardiopulmonary effects of raised intra-abdominal pressure before and after intravascular volume expansion. J Trauma 1995;39:1071-5.
- Obeid F, Saba A, Fath J, Guslits B, Chung R, Sorensen V, et al. Increases in intra-abdominal pressure affect pulmonary compliance. Arch Surg 1995;130(5):544-8.
- Collee GG, Lomax DM, Ferguson C, Hanson GC. Bedside measurement of intra-abdominal pressure (IAP) via an indwelling nasogastric tube: clinical validation of the technique. Intensive Care Med 1993;19(8):478-80.
- Iberti TJ, Kelly KM, Gentili DR, Hirsch S, Benjamin E. A simple technique to accurately determine intra-abdominal pressure. Crit Care Med 1987;15(12):1140-2.
- Ridings PC, Blocher CR, Sugerman HJ. Cardiopulmonary effects of raised intra-abdominal pressure before and after intravascular volume expansion. J Trauma 1995;39:1071-5.
- Friedlander MH, Simon RJ, Ivatury R, DiRaimo R, Machiedo GW. Effect of hemorrhage on superior mesenteric artery flow during increased intra-abdominal pressures. J Trauma 1998; 45(3):433-89.
- Diebel LN, Wilson RF, Dulchavsky SA, Saxe J. Effect of increased intra-abdominal pressure on hepatic arterial, portal venous, and hepatic microcirculatory blood flow. J Trauma 1992; 33(2):279-82.
- Diebel LN, Dulchavsky SA, Brown WJ. Splanchnic ischemia and bacterial translocation in the abdominal compartment syndrome. J Trauma 1997;43(5):852-5.
- Gargiulo NJ 3rd, Simon RJ, Leon W, Machiedo GW. Hemorrhage exacerbates bacterial translocation at low levels of intra-abdominal pressure. Arch Surg 1998;133(12):1351-5.
- Nakatani T, Sakamoto Y, Kaneko I, Ando H, Kobayashi K. Effects of intra-abdominal hypertension on hepatic energy metabolism in a rabbit model. J Trauma 1998;44(3):446-53.
- Josephs LG, Este-McDonald JR, Birkett DH, Hirsch EF. Diagnostic laparoscopy increases intracranial pressure. J Trauma 1994;36(6):815-9.
- Sugrue M, Bauman A, Jones F, Bishop G, Flabouris A, Parr M, et al. Clinical examination is an inaccurate predictor of intra-abdominal pressure. World J Surg 2002;26:1428–31.
- De Laet IE, Malbrain M. Current insights in intra-abdominal hypertension and abdominal compartment syndrome. Med Intensiva 2007;31:88–99.
- Cheatham ML, De Waele JJ, De Laet I, De Keulenaer B, Widder S, Kirkpatrick AW, et al. The impact of body position on intra-abdominal pressure measurement: a multicenter analysis. Crit Care Med 2009;37(7):2187.
- Reed SF, Britt RC, Collins J, Weireter L, Cole F, Britt LD. Aggressive surveillance and early catheter-directed therapy in the management of intra-abdominal hypertension. J Trauma 2006;61:1359–65.
- Sugrue M, D Amours SK, Joshipura M. Damage control surgery and the abdomen. Injury 2004;35:642–648.
- De Waele J, Desender L, De Laet I, Ceelen W, Pattyn P, Hoste E. Abdominal decompression for abdominal compartment syndrome in critically ill patients: a retrospective study. Acta Clin Belg 2010;65:399–403.
- De Waele JJ, Hoste EA, Malbrain ML. Decompressive laparotomy for abdominal compartment syndrome—a critical analysis. Crit Care 2006;10(2):R51.
- Kirkpatrick AW, Roberts DJ, Waele JD, Jaeschke R, Malbrain ML, Keulenaer BD, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med 2013 Jul;39(7):1190–1206.
- De Keulenaer BL, De Waele JJ, Malbrain ML. Nonoperative management of intra-abdominal hypertension and abdominal compartment syndrome: evolving concepts. Am Surg 2011; 77(Suppl 1):S34–S41.
- Kirkpatrick AW, Pelosi P, De Waele JJ, Malbrain ML, Ball CG, Meade MO, et al . Clinical review: intra-abdominal hypertension: does it influence the physiology of prone ventilation? Crit Care 2010;14(4):232.
- Ponec RJ, Saunders MD, Kimmey MB. Neostigmine for the treatment of acute colonic pseudo-obstruction. N Engl J Med 1999;341:137–41.
- Malbrain MLNG, Cordemans C, Van Regenmortel N. Fluid overload is not only of cosmetic concern (Part II): results from a meta-analysis and practical approach. ICU Manag 2012;2:34–41.
- Corcos AC, Sherman HF. Percutaneous treatment of secondary abdominal compartment syndrome. J Trauma 2001;51:1062–64.
- Translocation of IUCD into Caecum Causing Acute Appendicitis
Authors
1 Department of Surgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, IN
Source
International Journal of Medical and Dental Sciences, Vol 4, No 1 (2015), Pagination: 650-652Abstract
Cases of extra uterine translocation of intrauterine contraceptive device (IUCD) to adjacent structures like peritoneal cavity, urinary bladder&sigmoid colon have been reported. Here is a case of translocation of IUCD into the caecum presenting as appendicitis. Appendicitis resulting from IUCD translocation is very rare. As per our knowledge only 19 cases have been reported earlier.Keywords
IUCD, Appendicitis, Extra Uterine Translocation, Copper T, Foreign Body.- Rectal Foreign Bodies:A Retrospective Study
Authors
1 Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, IN
Source
International Journal of Medical and Dental Sciences, Vol 6, No 1 (2017), Pagination: 1367-1370Abstract
Background: Reported incidence of rectal foreign bodies is rather rare with only isolated published case reports or case series. Controlled studies of patients with rectal foreign bodies have not been conducted. The approach to the management of these patients has not changed in the last 10-20 years.
Objective: The aim of this study was to describe 16 cases of colorectal foreign bodies introduced during sexual activity, gathered by the authors from 2002 to 2016, and to establish an epidemiological and therapeutic pattern.
Material and methods: This was a retrospective study that involved retrieval of folders belonging to patients who were treated for foreign body of rectum. The patients demographic data along with type of object (Foreign body), time of presentation and type of treatment required were recorded from the case folders.
Results: All the 16 patients in our series were male with a mean age of 42 years. Household bottles (37.8%) were the most common foreign body while a majority of patients presented between 24 to 48 hrs. Laparotomy was done in 8 cases (50%) out of which in 7 cases transanal extraction was done by milking while in 1 case colostomy was done. Manual extraction was successful in 25% while forceps were helpful in another 25%.
Conclusions: The incidence of rectal foreign bodies is disproportionately higher in men. Manual extraction with or without the help of obstetric forceps appears to be the treatment modality of choice. The appropriate technique will depend on the size and surface of the retained object and the presence of complications.
Keywords
Foreign Body, Rectal Trauma, Sexual Perversions, Rectum, Colorectal.References
- Goldberg JE, Steele SR. Rectal foreign bodies. Surg Clin N Am 2010;90:173–84.
- Kurer MA, Davey C, Khan S, Chintapatla S. Colorectal foreign bodies: a systematic review. Colorectal Dis 2010;12(9):851–61.
- Yaman M, Dietel M, Burul CJ, Hadar B. Foreign bodies in the rectum. Can J Surg 1993;36:173–7.
- Gaponov VV. Foreign bodies in the rectum and colon (Russian) Klinicheskaia Khirugiia 1992;2:37–40.
- Lake JP, Essani R, Petrone P, Kaiser AM, Asensio J, Beart RW Jr. Management of retained colorectal foreign bodies: predictors of operative intervention. Dis Colon Rectum 2004;47:1694–8.
- Akhtar MA, Arora PK. Case of Unusual Foreign Body in the Rectum. Saudi J Gastroenterol 2009 Apr;15(2):131–2.
- Cologne KG, Ault GT, Rectal Foreign Bodies: What Is the Current Standard? Clin Colon Rectal Surg 2012 Dec;25(4):214–8.
- Biriukov IuV, Volkov OV, An VK, Elu B, Dodina AN. Treatment of patients with foreign body rectum. Khirurgiia (Mosk) 2000;7:41–3.
- Subbotin VM, Davidov MI, Abdrashitov RR, Rylov IuL, Sholin NV. Foreign bodies in rectum. Vestn Khir Im I I Grek 2000;159:91–5.
- Kasotakis G, Roediger L, Mittal S. Rectal foreign bodies: A case report and review of the literature. Int J Surg Case Rep 2012;3(3): 111–5.
- Kouraklis G, Miaiakos E, Dovas N, Karatzas G, Gogas J. Management of foreign bodies of the rectum: Report of 21 cases. JR Coll Edin 1997;42:246–7.