Breast gangrene is a very rare disease and only a few cases have been reported in the Indian literature. Here, we present the case of a 70-year-old married female presented with complaints of pain and blackish discoloration in the right breast for 3 days. The surgery was planned on the same day with incision and drainage. Intraoperative findings were suggestive of sloughed and necrosed underlying tissue. The wound was left open and the daily dressing was planned. Then, wound closed. The patient was discharged on the 7 th postoperative day. Surgeons should be aware of such ailments because breast gangrene is very rare.
Myxoid pleomorphic sarcoma is categorized as a soft-tissue sarcoma that most commonly appears in the lower extremities during adulthood, but rarely in the feet. We present a rare case of a primary myxoid pleomorphic sarcoma in the foot of a 45-year-old female which was rare in females. On examination, a ulceroproliferative growth of around 10 cm × 12 cm size was seen over the posterior aspect of foot involving the whole ankle region, with a thickened scar over the plantar and medial aspect of the right foot. Magnetic resonance imaging of the mass revealed a high signal intensity on T1-weighted images and heterogeneously high signal intensity on T2-weighted images without fat suppression. Histology showed variable cellularity, myxoid granular to the filamentous background, and round to spindled tumor cells. The immunohistochemistry showed positive for vimentin, acid mucins, CD34, and negative for S100. Hence, these findings were consistent with myxoid pleomorphic sarcoma. The patient was treated with below-knee amputation.
Hydatid cyst of the lung is one of the rare causes of hemoptysis and often diagnosed late. Cystic echinococcosis is the larval cystic stage (echinococcal cysts) of a small taenia-type tapeworm (Echinococcus granulosus) that may cause illness in intermediate hosts, generally herbivorous animals and people who are infected accidentally. We present the case of multiple hydatid cysts in a 10-year-old boy presenting with hemoptysis from an endemic area but with no history of contact. Radiological investigations done were inconclusive, and the patient was started on anti-Koch's Therapy (AKT) based on a high clinical suspicion. Surgical intervention was planned after 4 months of therapy due to the non-resolution of symptoms and progression of the disease. Histopathology was suggestive of multiple hydatid cysts occupying the right lung lower lobe. The patient was started on Tab Albendazole and the follow-up period was uneventful. A possibility of hydatid cyst in cases of lung infections should be kept in endemic areas irrespective of the history and radiological features. Complete evaluation, along with tissue diagnosis, is important for establishing a confirmative diagnosis of tuberculosis. Empirical treatment with AKT, in cases of suspicion, should be avoided.
Hysterectomies are one of the foremost commonly performed operations. The formation of adhesions may be a well-known complication of hysterectomy. We present a case of adhesion-related small bowel obstruction (SBO) occurring within 1 week of a total abdominal hysterectomy and bilateral salpingo-oophorectomy. The patient underwent exploratory laparotomy. Intraoperative findings showed drainage of 100 mL serous fluid and dilated jejunal and ileal loops with adhesions of the terminal ileum with the vaginal vault. Careful surgical technique measures and also the use of anti-adhesive agents wherever appropriate should be taken. It is, therefore, important to always consider the complication of adhesion-related SBO following surgery, no matter how short the period of time is.
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