Background:
Retroperitoneal panniculitis is a rare, benign and nonspecific inflammatory disease that affects the retroperitoneal adipose tissue. The specific cause of the disease is unknown. The diagnosis is evoked by computed tomography and is rarely confirmed by biopsies. Surgical resection is sometimes attempted for complicated forms. A case of a 22-year-old man was presented who was diagnosed with retroperitoneal panniculitis, further a literature review was also conducted to compare various presentations, etiologies and potential treatment modalities.
Case Presentation:
A 22-year-old man was presented to the emergency department with acute abdominal pain and episodes of postprandial vomiting. A physical examination revealed marked epigastric tenderness accompanied by abdominal distension. The blood examination revealed normal lipase and amylase levels. An abdominal contrast-enhanced CT showed a retroperitoneal panniculitis complicated by a paralytic ileus. A self-limiting course of disease was obtained by adopting a conservative approach. After 20 days, there were no abnormal findings on CT and the patient was referred to internal medicine consultation for additional care.
Conclusion:
Diagnosis of retroperitoneal panniculitis is a real challenge to surgeons, gastroenterologists, radiologists and pathologists. Consequently, it is imperative that all hospital practitioners should distinguish between this benign lesion and malignant diseases.
In this article, presented as the case of a 43-year-old patient with liver cyst posing the problem of positive diagnosis. The uncharacterizable radiology and the questionable serology have demonstrated the essential role of surgery and histological analysis in the management of this type of lesion. This case raises questions that patients and clinicians are often faced with in a hydatid disease endemic country. Through this article, we aim to discussed the latest news on diagnostic tools, the natural evolution of the disease, differential diagnoses as well as new treatment options for cystic hepatic lesion.
<p>The nonrecurrent inferior laryngeal nerve (NRILN), a rare variant in the course of the inferior laryngeal nerve, passes transversely into larynx directly arising from the vagus nerve that increases the risk of damage to the nerve during thyroid and parathyroid surgery. We discussed clinical significance of non-recurrent laryngeal nerve during cervicotomy. Its importance was demonstrated in three clinical cases as well as the related literature reviews. All patients underwent bilateral thyroidectomy for a multinodular goiter. Two patients had identification of the NRILN on the right side. The third patient had the NRILN on the left side. The diagnosis of this anatomical variation was made per-operatively on all cases. The NRILN is an exceptional anomaly but overlooking its risk may lead to grave morbidity. This is a supplementary proof in favour of systematic dissection of the recurrent inferior laryngeal nerve (RILN) during all thyroid and parathyroid surgery.</p>
Introduction: The autoimmune pancreatitis (AIP) is a chronic inflammatory disease secondary to autoimmune disorders. Its s considered as a manifestation of IgG4 related disease. Case Report: We report an exceptional case of AIP of a patient who presented with nonspecific symptoms leading to an MRI-diagnosis of a pancreatic tale tumor with strong presumption of cystadenocarcinoma rather than adenocarcinoma. Histopathological study revealed a tense lymphoplasmacytic infiltrate associated with storiform fibrosis and collagenization. Furthermore; many pseudocysts were associated lesions immunohistochemical tests revealed a diffuse staining of plasma cells by IgG and IgG4 antibodies. The diagnosis of an AIP with multiple pseudocysts mimicking a pancreatic tale tumor was made. Conclusion: These, all criterions considered together made our case, a rare entity that may be a challenging diagnosis leading sometimes, as the current case, to a massive surgery
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