Florid reactive periostitis is a pronounced periosteal reaction, usually affecting the hands and feet, for which there is no obvious cause. It is rare in children and in long bones. We report an unusual case of florid reactive periostitis in a ten-year-old girl that involved both bones of the forearm. The lesion resolved over a period of one year, leaving a residual exostosis. She developed a physeal bar in the distal ulna in the region of the lesion at one-year follow-up. This was thought to be a complication of the biopsy procedure and was treated by resection and proximal ulnar lengthening.
Angioleiomyomas are infrequent benign tumors originating from smooth muscle cells of arterial or venous walls. They are most commonly seen in the lower extremities with a prevalence of only 8.5% in the head and neck. We present the case of a 40-year-old male patient who presented to Christian Medical College, Vellore, India, with recurrent episodes of right-sided epistaxis. A computed tomography scan showed an enlarged right inferior turbinate filling the right nasal cavity. The mass was removed endoscopically and sent to pathology. A diagnosis of angioleiomyoma of the nasal cavity was made. This location that has only been described in a minority of cases in the literature. Our case report signifies the importance of maintaining a broad differential when dealing with patients presenting with nasal mass and the importance of histopathological examination for the diagnosis.
Patients: Eleven patients from 16 to 72 years old, with adnexal cysts palpable above the umbilical scar. All patients complained of increased abdominal volume and/or pain, and were referred and operated by the Gynecologic Laparoscopic Group. Intervention: Laparoscopic approach of the giant cysts using a direct insertion of an umbilical trocar into the cyst and aspiration of all its contents, with no or minimal cyst fluid's spillage. Measurements and Main Results: All surgeries started with the direct insertion of an 11-mm umbilical trocar into the cyst and aspiration of its content. The largest diameter of the cysts ranged from 20 to 37,5cm (mean 28,5cm), and they were removed either through the umbilical incision or a colpotomy. The mean surgical time was 85 minutes (60 to 120 minutes) and all procedures were carried out through the laparoscopic approach with no major complications.
Conclusion:The laparoscopic approach of giant adnexal cysts is a safe procedure, and should be considered as the first option in patients with low risk of malignancy.
Open Communications 17dLaparoscopy(4:32 PM d 4:37 PM)
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