RESUMEN
Glomus tumor is a rare benign tumor. Diagnosis is often delayed because of the absence of specific symptoms and confirmation can only be made by histological study. Treatment is always surgical. We report a clinical case of glomus tumor of the thumb pulp in a 6-year-old girl, and we discuss clinical, radiological and histological aspects of this tumor.
Asunto(s)
Tumor Glómico/cirugía , Neoplasias de los Tejidos Blandos/cirugía , Pulgar/patología , Niño , Femenino , Tumor Glómico/diagnóstico por imagen , Tumor Glómico/patología , Humanos , Radiografía , Neoplasias de los Tejidos Blandos/diagnóstico por imagen , Neoplasias de los Tejidos Blandos/patología , Pulgar/diagnóstico por imagen , UltrasonografíaRESUMEN
False aneurysm or pseudo aneurysm of an artery in close proximity to fractured bone is a well-recognized entity, and fewer various cases, involving different sites have been reported in the literature. We report new case of a Moroccan's patient who had 10-year-old boy presented with a right non displaced both-bone forearm fracture; the patient was placed in a long arm splint. After, six weeks, the cast was removed. And a pulsatile mass on the volar-radial aspect of the forearm was decouvred. The mass was non-tender and the patient had radial and ulnar pulse. An Ultrasound and brachial angiography showed a false aneurysm of distal radial and the radial artery was ligated.In conclusion, pseudoaneurysm of the radial artery can be associated with any bone fracture despite non displacing fractures related to the elasticity of the bone in this age and orthopedic surgeons should be aware of this potential complication.
RESUMEN
We report an exceptional case of tuberculosis in an 8-year-old girl. The focus of infection was situated in the anterior muscle compartment of the left thigh. Diagnosis was established on the basis of histological findings. A 12-month antituberculosis regimen was given. Outcome was good with no general or functional sequelae. Based on this case and data reported in the literature, we discuss the routes of dissemination of the Koch bacillus explaining this unusual sporadic localization.
Asunto(s)
Enfermedades Musculares/patología , Tuberculosis/patología , Antituberculosos/uso terapéutico , Niño , Femenino , Humanos , Enfermedades Musculares/tratamiento farmacológico , Enfermedades Musculares/microbiología , Muslo/microbiología , Muslo/patología , Resultado del Tratamiento , Tuberculosis/tratamiento farmacológico , Tuberculosis/microbiologíaRESUMEN
Centro-somatic tuberculous vertebral osteitis is defined as tuberculous infection of the vertebral body with preserved integrity of the adjacent intervertabral disk. Other types of vertebral tuberculosis include Pott's spondylodiscitis and exceptional lesions of the posterior arch. We report a case of centro-somatic tuberculous vertebral osteitis in a 14-year-old boy who developed staged lesions of the L2 to S1 bodies, associated with a posterior epidural collection but without any deterioration of the intervertebral disk on plain x-rays and computed tomography. This atypical aspect of the lesions required a surgical biopsy which yielded a yellow-whitish fibro-oleagenous, friable product more suggestive of neoplasm than infection, but histology rectified the diagnosis, showing typical caseo-follicular tuberculosis. A 6-month anti-tuberculosis regimen was rapidly followed by symptom improvement. We emphasize the importance of modern imaging techniques for the diagnosis of vertebral lesions and for guided biopsy or drainage.
Asunto(s)
Vértebras Lumbares , Osteítis/diagnóstico por imagen , Sacro , Tuberculosis de la Columna Vertebral/diagnóstico por imagen , Adolescente , Antituberculosos/uso terapéutico , Biopsia , Fiebre/microbiología , Humanos , Dolor de la Región Lumbar/microbiología , Masculino , Osteítis/complicaciones , Osteítis/tratamiento farmacológico , Tomografía Computarizada por Rayos X , Tuberculosis de la Columna Vertebral/complicaciones , Tuberculosis de la Columna Vertebral/tratamiento farmacológicoRESUMEN
We report four cases of scoliosis associated with diatematomyelia observed between 1984 and 1998. The patients were four girls aged 10 to 12 years. Skin lesions were found on the midline in 3 cases and 2 had a neurological disorder. A myeloscan was performed in two cases, tomomyelography in one and MRI in one. Three patients were operated on with good outcome. The fourth child is under orthopedic treatment. We reviewed the literature on scoliosis with diastematomyelia.
Asunto(s)
Defectos del Tubo Neural/cirugía , Escoliosis/cirugía , Trasplante Óseo , Niño , Diagnóstico por Imagen , Femenino , Estudios de Seguimiento , Humanos , Defectos del Tubo Neural/diagnóstico , Escoliosis/diagnóstico , Fusión VertebralRESUMEN
An unusual case of hydatid cyst of the sacrum revealed by low back pain and sciatica in a 16-year-old is reported. Computed tomography and a surgical biopsy provided the diagnosis. The outcome was favorable one year after mebendazole therapy initiation.