Retroperitoneal mucinous cystadenocarcinoma in a man: case report and review of the literature

In the English medical literature, 27 cases of primary retroperitoneal mucinous cystadenocarcinoma have been published. We report the second case of a primary retroperitoneal mucinous cystadenocarcinoma in a man. The patient was an 83-year-old man, with a large 26 x 20 x 16-cm retroperitoneal cystic mass causing abdominal discomfort and cachexia, who underwent excision of the mass. Prior reports suggest that this type of tumor has an aggressive clinical course, and surgical excision is the treatment of choice. These rare tumors need to be included in the differential of retroperitoneal cystic tumors.     

Enchondroma: a case report and literature review

An unusual case of enchondroma located in the distal phalanx of the left third toe is presented with a review of literature. An enchondroma is a benign tumor centrally located in a bone. This osseous dysplasia is characterized by an excess of mature hypertrophic hyaline cartilage that has not resorbed or ossified in the normal fashion. Pathologic, clinical, and radiographic findings will be discussed.     

Melorheostosis: a case report and literature review

Melorheostosis is a rare form of cortical hyperostosis that resembles wax dripping down the side of a candle. This disease usually affects the long and short bones of an extremity. Literature review and a case report will be discussed with respect to incidence, clinical presentation, radiographic appearance, and treatment.     

Epithelioid angiosarcoma of the aorta in a 47-year-old man: a case report and literature review

Epithelioid angiosarcomas of the aorta are extremely rare neoplasms with only 26 previous reports in the literature. An extremely unusual case is reported of an aortic epithelioid angiosarcoma diagnosed in a 47-year-old man who was being evaluated for his rectal adenocarcinoma. This case prompted a review of literature for aortic intimal neoplasms. No previous reports of a synchronous aortic angiosarcomas and adenocarcinomas of the colorectum have been reported. Even though the occurrence of the aortic intimal neoplasia and rectal cancer in this patient is most likely coincidental, the onset of this disease in a young man without risk factors for either disease probably suggests a genetic basis of his disease.     

Carcinoma of the prostate in a 25-year-old man: a case report and review of the literature

Prostatic carcinoma in the third decade of life is a rare occurrence. We describe a 25-year-old man with prostatic cancer, as well as discuss the literature and the natural history of the disease in the young adult.     

Cubonavicular coalition: a case report and literature review

Tarsal coalitions are uncommon entities. Talocalcaneal and calcaneonavicular synostosis are present in most of the reported cases. Cubonavicular coalition represents only 1% of all the cases in the literature reviewed. The current authors report on a new case of bilateral cubonavicular coalition and present a literature review. The authors also report on the etiology, clinical and radiologic findings, and the treatment to be used. Tarsal coalitions are uncommon entities that must be suspected in an adolescent with painful feet who also has decreased mobility and deformity of the feet.     

儿童创伤性半骨盆离断1例报告及文献回顾

目的 讨论创伤性半骨盆离断患者早期临床处理问题。方法 病例报告及文献回顾。结果 4岁男孩被汽车碾压左侧腹股沟部及大腿近段，造成肢体不完全离断，伤后7h来我院就诊。经过2h抗休克治疗患者生命体征稳定后，予以彻底清创、髋关节离断、耻骨联合固定，术后病程平稳。本病例早期成功处理与文献报道经验相符，又有独到之处。结论 创伤性伴骨盆离断救治的成功经验有院前局部加压止血、快速运输、积极早期复苏、尽早认识病情的严重程度、满足截肢标准时当机立断给予手术离断肢体以及早产期功能康复。     

Onychomatricoma: a case report with literature review

Onychomatricoma (OM) is a fibroepithelial tumor of nail matrix that occurs in the digits of both the hands and feet. This was first reported by Baran and Kint. They initially described 3 cases, all of which demonstrated a filamentous tumor of matrix tissue that resulted in a thickened funnel-shaped nail. Although apparently benign, it is subject to recurrence, and long-term follow-up is recommended because it is not known whether there is a conversion to malignancy. Even though this neoplasm was first described more than 18 years ago, there remains a dearth of case reports (currently fewer than 50) in the literature. This is a single case report and literature review. Levels of Evidence : Therapeutic, Level IV.     

肾上腺囊性畸胎瘤1例报告并文献复习

目的 探讨肾上腺畸胎瘤的临床表现和治疗方法.方法 回顾性分析平15例素健康44岁女性,体检时发现巨大腹部肿物,腹部超声波及增强CT检查显示右侧肾上腺密度不均巨大囊性肿物(大小8.5cm×8.2cm×7 cm),其间可见条索状钙化,边界清晰.遂行手术切除,术后病理报告可见复层鳞状上皮及皮肤附属器(皮脂腺及毛囊)、呼吸上皮、脂肪组织、结缔组织以及散在神经纤维,诊断为右肾上腺巨大良性成熟畸胎瘤.结果 手术切除后随访1年未见复发或转移.文献复习国内、外目前相似病例共报告21例,大多发生在女性,肿物以右侧居多,患者多无自觉症状.肾上腺畸胎瘤可通过超声和CT检查初步诊断,发现后应尽早手术,术后依靠病理确诊,术后近期随访效果良好.结论 畸胎瘤是较为罕见生殖细胞来源肿瘤,睾丸以外器官如肾上腺畸胎瘤罕见,有恶变风险,可以通过超声波和CT检查特点初步诊断,及早手术切除治疗,病理检查确定诊断,需要定期随访.     

Ribbing disease: a case report and literature review

Ribbing disease (RD) is a rare bone dysplasia characterized by benign endosteal and periosteal new bone formation confined to the diaphysis of the long bones of the lower extremities in young adults. The etiology and optimal treatment for the disease are unknown. It is often initially diagnosed as a low-grade osteomyelitis or a bone-forming neoplasia. It may also be confused with other causes of increased bone density. The onset is usually after puberty and the most common presenting symptom is pain that does not resolve with medical treatment and sometimes is intolerable. We report the case of a 22-year old woman with clinical and radiological manifestations of RD. In spite of different medical treatment modalities, pain did not resolve and the patient consulted multiple physicians. Intramedullary reaming of the tibia was performed to relieve the severe pain. To the authors' knowledge, in this report we present a case of RD for the third time in the orthopaedic literature and also she is the second case in the English literature to undergo a definite surgical treatment modality as intramedullary reaming for the solution of her pain. Owing to the rarity of the disease we aimed to report the complete findings of our encounter with the disease and to emphasize the role of an orthopaedic surgeon in consultation and intervention for the treatment of intolerable pain which is the most important symptom of this disease.     

Patella cubiti: a case report and literature review

Patella cubiti is a rare elbow anomaly in which either the entire olecranon or a part of it remains separate from the proximal ulna. Pain and stiffness are the usual presenting symptoms while some patients are diagnosed incidentally following a minor trauma. Our case report is of a 24-year-old male wrestler with bilateral patella cubiti which was painful on right side and asymptomatic on the left. We also mention an additional cause of pain in patella cubiti—intra-articular loose bodies. These loose bodies were removed surgically and the patient remained asymptomatic at 6-months follow-up. Presence of growth disturbance in the secondary epiphyseal centre of first lumbar vertebra supports the ‘developmental theory’ of origin of patella cubiti. A compilation of data available in the literature on patella cubiti has been included.     

Bertolotti综合征1例报告并文献复习

腰骶部移行椎(LSTV)是腰骶椎最常见的先天性畸形之一,发生率为4.0％ ～ 35.0％,骶化的腰椎椎体形态表现多样,包括从横突肥大到横突与骶骨完全融合等多种类型[1-3].腰化的骶椎椎体倾向方形化,并且有完整的S1/S2椎间盘结构.LSTV易合并腰椎椎间盘突出症及腰椎滑脱,LSTV的上位节段更容易发生退行性疾病,当腰...     

膀胱副神经节瘤1例报告并文献复习

目的提高膀胱副神经节瘤的诊疗水平。方法回顾性分析1例膀胱副神经节瘤患者的临床资料,分析总结该病的临床特征及诊疗经过。患者,男,51岁,排尿后头晕同时血压升高,血儿茶酚胺和尿香草苦杏仁酸明显升高,MRI见膀胱前壁33 mm×27 mm 肿块,膀胱镜检未发现肿瘤。术前考虑膀胱前壁副神经节瘤,完善扩容降压3周以上,行腹腔镜下膀胱部分切除术。结果手术顺利,切除范围包括瘤体及部分膀胱壁,术中生命体征平稳。术后10 d 拔除导尿管,未见排尿时血压升高及头晕。术后病理证实为膀胱副神经节瘤。术后3个月复查,血压正常,盆腔CT未见复发。结论膀胱副神经节瘤术前应做好充分准备,术中预防血压波动导致的高血压危象,腹腔镜下膀胱部分切除术治疗效果满意,术后需定期随访。     

黄色肉芽肿性膀胱炎1例并文献复习

目的:提高黄色肉芽肿性膀胱炎(XC)的诊治水平。方法:对1例XC的临床诊治经过程进行回顾性分析。结果:XC临床症状不典型,膀胱镜检及影像学无特异性。结论:XC临床罕见,不易与其他膀胱疾病鉴别,诊断依靠病理组织学检查,治疗以手术切除为主。     

腹膜后血管瘤1例报告并文献复习

目的 提高对腹膜后血管瘤的认识及诊疗水平.方法回顾性分析1例腹膜后肾上腺旁血管瘤患者的临床资料,结合文献复习并讨论其诊断和治疗特点.结果患者经MRI检查发现腹膜后肾上腺旁肿物并行手术治疗,术后患者恢复良好,病理结果证实为血管瘤,术后随访25个月未见病灶复发或扩散.结论 腹膜后肾上腺旁血管瘤在临床上罕见,是一种良性肿瘤,手术为其主要治疗方法,术前明确诊断有一定的难度,易与肾上腺肿瘤、副神经节瘤混淆,术中需注意血压波动,手术切除效果好.     

Biliary-colonic fistula: a case report and literature review

We report the occurrence of common bile duct obstruction and biliary-colonic fistula after open cholecystectomy. Although it is a very unusual complication after cholecystectomy, biliary-colonic fistula should be part of the differential diagnosis for patients presenting with sepsis after open or laparoscopic cholecystectomy. After confirmation and characterization of the injury by endoscopic retrograde cholangiopancreatography and cholangiogram, assessment for undrained collections by computed tomography scan, control of sepsis and coagulopathy, and nutritional support, surgical repair was undertaken. The patient underwent fistula take-down between the common bile duct and the colon at the hepatic flexure, primary closure of the colon enterotomy, and a Roux-en-Y end-to-side hepaticojejunostomy at the confluence of the right and left hepatic ducts. Recovery was uneventful and the patient was doing well at the 6-month follow-up. Surgical repair should be undertaken by surgeons with extensive experience in hepatobiliary reconstruction.     

Tuberculous epididymitis： a case report and literature review

Tuberculous epididymitis is a rare urological disease difficult to diagnose. The conventional methods for diagnosis are often time-consuming and invasive. The combined use of scrotal magnetic resonance imaging （MRI） and urinary polymerase chain reaction （PCR）-based assay for mycobacterial DNA （the latter because of its high sensitivity and specificity to demonstrate mycobacterial DNA） is a valuable method for rapid diagnosis of tuberculous epididymitis. We report a 79-year-old man who was admitted with the chief complaints of bilateral scrotal swelling and pain. The combined use of scrotal MRI and urinary PCR allowed prompt diagnosis of tuberculous epididymitis and adequate antituberculous therapy. （Asian J Androl 2005 Sep; 7： 329-332）