Introduction:
Pilonidal sinus (PNS) is an inflammatory disease arising from the sacrococcygeal region. The current study aims to report a case of pilonidal sinus developed in the posterior aspect of the auricle.
Case report:
A 27-year-old male presented with a painless auricular discharge for 2 weeks. it was diagnosed clinically as a case of pilonidal sinus. The opening sinus was anesthetized locally. The wound opened, the sinus excised through a small opening to remove the hair. The wound was injected with a prepared mixture and covered with Kurdish gum.
Discussion:
Although the etiology of pilonidal sinus is unknown, in the literature, many factors have been described as risk factors. Positive family history particularly first-degree relative is an important risk factor with the incidence of 52.4%.
Conclusion:
Although it is rare and atypical, PNS could occur in the auricular region. It could be managed as sacrococcygeal PNS.
Highlights
Introduction
Fibrolipoma is a less frequent variant of lipoma, it is rarely reported in the oral cavity, especially in the tongue. This study aims to report a very rare case of tongue fibrolipoma.
Case report
A 53-year-old female presented with a painless mass at the anterior part of the tongue. It was soft with a smooth regular border. The patient underwent wide local excision to remove the lesion, and the sample was sent for histopathological examination which confirmed the diagnosis of a single fibrolipoma.
Discussion
Fibrolipoma is rare in the oral cavity, however, they have been seen in the buccal mucosa, lips, buccal vestibule, floor of the mouth, and retromolar area. It has been proposed that disturbance in glucose and lipid metabolism, hormone therapy, and trauma can lead to the formation and proliferation of the tumor.
Conclusion
Fibrolipoma of the tongue is a rare occurrence. Surgical excision is the ideal management strategy. Histopathological examination is the gold standard for definitive diagnosis.
Introduction: Vagal paraganglioma (VP) is a rare tumor of the vagus nerve (VII). This study aims to present a rare case of VP extending to the brain. Case report: A 35-year-old woman presents with neck swelling for 1 year. On examination, there was an ill-defined hard mass involving the left side of the anterior neck, fixed in all directions. A neck ultrasound revealed an irregular mass attached to both carotid arteries. A computed tomography scan showed a large lobulated, intensely enhanced mass encasing left carotid carotid vessels. Total resection under general anesthesia was done. Histopathologic examination revealed VP. Discussion: VP is the rarest form of paraganglioma and accounts for <5% of all head and neck paragangliomas. The average age of diagnosis for these patients is reported to be 45 years. VP poses a therapeutic challenge due to its anatomic location, and surgery is often associated with a significant rate of postoperative morbidities, particularly loss or impaired vagus nerve function. Conclusion: VP is a rare tumor of the head and neck, even rarer in young adults. A standard management approach is absent for these cases.
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