A rare case of recurrent eccrine poroma underlying gluteal abscess

Hasan, Abdulkarim; Nafie, Khalid; Monazea, Khaled; Othman, Alsayed; Salem, Abdoh; Ismail, Amal

doi:10.1016/j.ijscr.2020.08.042

Cited by 14 publications

(12 citation statements)

References 13 publications

(13 reference statements)

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“…Psoas abscess is classified as primary or secondary. The first one is more common in tropical and in development countries while the second one can be monomicrobial or polymicrobial [ 4 , 5 , [9] , [10] , [11] ].…”

Section: Discussionmentioning

confidence: 99%

Pott's disease associated with psoas abscess: Case report

Clair

Rabelo

Rodriguez

et al. 2022

Annals of Medicine &Amp; Surgery

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Introduction Extrapulmonary tuberculosis may develop in any organ system, including the spine. The affection of spinal cord is called Pott's disease and it is the most frequent set. Pott's disease can present as back pain and be related to complications such psoas muscle abscess. Case presentation We report a case of 23-year-old Brazilian woman, natural from Amazonas, presenting with psoas abscess associated to Pott's disease treated with surgical debridement and drainage and extended tuberculosis scheme. Discussion Psoas abscess is rare and the main agents related to psoas abscess are Staphylococcus aureus , followed by Streptococcus and Escherichia coli . Retrofascial abscesses usually originate from bone lesions, including spine tuberculosis as our case, or due to contiguity of the retroperitoneal space. Conclusion Psoas abscess related to Pott's disease is a difficult diagnosis, requiring high suspicious and proper investigation through good anamnesis, CT scan and culture.

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Section: Discussionmentioning

confidence: 99%

Pott's disease associated with psoas abscess: Case report

Clair

Rabelo

Rodriguez

et al. 2022

Annals of Medicine &Amp; Surgery

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“…No recurrence or malignant transformation was recorded in our study. The unexpected malignant transformation of benign lesions was recorded in several lesions including the AWE, where Song et al found three malignant cases out of 38 AWEs (7.9%) [ 22 , 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

Clinico-pathological assessment of surgically removed abdominal wall endometriomas following cesarean section

Hasan

Deyab

Monazea

et al. 2021

Annals of Medicine and Surgery

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Background Over the past few decades, the rate of Cesarean Section (CS) delivery has been rising rapidly and the prevalence of CS-associated complications including Abdominal Wall Endometriomas (AWE) increases with each additional operation. The aim of this study was to evaluate the clinical characteristics, histopathological diagnostic role and surgical management of post-CS AWE through a retrospective case review. Methods We calculated the incidence of AWE and reviewed all the patients underwent surgical removal of Post-CS AWE during the period of 2012–2018 who were diagnosed, treated and followed up for 2–8 years at our tertiary hospital. Results Thirty women with AWE were included. The main symptom in 2/3 of cases was cyclic pain and 4 cases (13.3%) had no symptoms. The mean interval between prior CS and appearance of symptoms was 55.2 months and the mean size of the excised mass was 42 mm. Free surgical margin was less than 9 mm in 9 patients (30%) but no recurrence was recorded among all the studied patients. Pre-operative FNAC diagnosis was performed for only 3 patients (10%) which helped in excluding other potential pathologies. The clinical–pathological agreement value for detection of the nature of the abdominal wall mass was 93.4%. Conclusions Patients with suspected AWE should undergo preoperative cytological biopsy to exclude alternative diagnosis. Wide surgical excision with margin of less than 1 cm could be accepted especially in case of weak abdominal wall. More studies on the post-CS complications; risks, prevention, early detection and proper management should be encouraged.

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“…The cystoscopic examination reveals papillary growth, tumor-like appearance, diffusely edematous mucosa, submucosal hemorrhage, or erythematous plaques. It is very difficult to distinguish EC from nonspecific cystitis and bladder tumor as the formation of mass lesion is confusing [ 10 , 13 , 14 ]. The most common presentation of patients in our study was dysuria in 77.3% of patients, followed by hematuria in 63.6% then frequency in half of the patients.…”

Section: Discussionmentioning

confidence: 99%

Clinicopathological characteristics and outcomes of eosinophilic cystitis: A retrospective study

Hasan

Abdel-Al

Nafie³

et al. 2021

Annals of Medicine &Amp; Surgery

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Background Eosinophilic cystitis (EC) is a rare inflammatory urinary bladder disorder whose etiology, pathogenesis, and treatment are unknown. The work aims to evaluate the clinical manifestations, cystoscopic characteristics, pathological features, treatment, and clinical outcome of EC patients. Materials and methods The clinical records and histopathology material of 22 patients diagnosed as EC during ten years were reviewed and analyzed for patient's age, sex, clinical data, cystoscopic features, biopsy procedures, treatment plan, follow-up, and prognosis. Frequencies, normality tests, descriptive statistics, and correlations were run. Results The mean age of patients was 46.5 + 17 years, 12 females and 10 males. Regarding the patient's complaints, dysuria was the most frequent main symptom, followed by hematuria. On cystoscopic examination, bladder mass was seen in 54.5% of patients. Six patients (27.3%) were associated with different allergic diseases; however peripheral eosinophilia was shown in two patients (9.1%). All cases revealed predominance of eosinophilic infiltration on microscopic examination. The most commonly used medications were corticosteroids for 72.7% of patients with tapering dose giving a significant improvement with a recorded recurrence in one patient after 12 months from the first lesion. Conclusions No specific clinical presentation for EC patients and histopathology is the standard diagnostic tool. Medical treatment including corticosteroids was the first line with good prognosis, although recurrence remains a possibility which emphasizes the importance of patients’ follow-up.

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A rare case of recurrent eccrine poroma underlying gluteal abscess

Abstract: Highlights Poroma affects gluteal skin. Trauma is a possible cause. We recommend excision and pathology.

Cited by 14 publications

References 13 publications

Pott's disease associated with psoas abscess: Case report

Pott's disease associated with psoas abscess: Case report

Clinico-pathological assessment of surgically removed abdominal wall endometriomas following cesarean section

Clinicopathological characteristics and outcomes of eosinophilic cystitis: A retrospective study

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