Year 2024, Volume 8 - Issue 2

Background: Superficial angiomyxoma is a rare, benign, soft-tissue tumour. It has a non-specific presentation and there is no clear diagnostic investigation. Therefore, it is usually not suspected pre-operatively and managed incorrectly with a biopsy or narrow margin excision, which increases the recurrence rate. Case presentation: A case of an unusually large superficial angiomyxoma is described with a delayed presentation to a plastic surgery clinic due to the COVID-19 pandemic. The patient was a 53-year-old male with an atraumatic 8x4 cm subcutaneous, mobile swelling to the left thigh. Excision was performed with no evidence of recurrence at six months. The mass was an uniloculated cyst with gelatinous myxoid stroma. Immunohistochemistry was positive for Alcian blue and CD34. Conclusion: This case report raises awareness of this rare lesion and provides a review of diagnostic aids as well as clear intra-operative photography of what a surgeon might expect when this tumour is encountered.

Background: The outcomes of trauma may have a ridge defect, and it would be hard to replace it with a simple dental implant treatment technique. In some cases, horizontal and vertical bone augmentation therapy is needed for implant placement. Case presentation: The case report described a 24-year-old female diagnosed with a severe bony defect and was managed in collaboration with an orthodontic and periodontic treatment plan. Alveolar bone augmentation was approached using Misch's fashion, an autogenous block graft harvested from intra-oral (ramus). Moreover, Khoury's split bone block technique was applied to reconstruct the seat. Conclusion: For complicated abnormalities, autogenous bone is still the best choice. Autogenous bone is the gold standard for bone grafting due to its biocompatibility, absence of antigenicity, and osteoconductive and osteoinductive qualities. Further graft extenders or growth factors may result in better outcomes.

Background: Parathyroid cysts (PCs) are rare, constituting less than 0.5% of parathyroid lesions. PCs are often asymptomatic or present with non-specific symptoms, posing challenges for accurate diagnosis. Case Presentation: We report a case of a 22-year-old female presenting a painless, growing left-sided neck mass. Imaging, including contrast-enhanced neck CT, MRI, and high-resolution ultrasound, revealed a purely cystic lesion in the anterior upper mediastinum. Subsequent ultrasound-guided fine needle aspiration cytology (FNAC) confirmed the cystic nature. In situ PTH levels were elevated, leading to the diagnosis of a non-functioning parathyroid cyst. Surgical intervention was avoided, and symptomatic relief was achieved through US-guided cyst aspiration. Conclusion: This case emphasizes the rarity of non-functioning PCs and underscores the importance of a comprehensive diagnostic approach, including imaging studies and FNAC with in situ dosage of PTH levels.

Background: Gallbladder metastasis from renal cell carcinoma (RCC) is extremely rare. Case Presentation: We present a case of metastasis of clear cell carcinoma to the gallbladder, mimicking acute cholecystitis on clinical exam, in an 80-year-old man 24 years after radical nephrectomy. Ultrasound showed an image compatible with acute cholecystitis with sludge in the gallbladder. An elective cholecystectomy was performed with an uneventful postoperative course. Histopathologic examination revealed a metastasis of clear-cell renal cell carcinoma. The clinical presentation of acute cholecystitis can mask an RCC metastasis to the gallbladder, even several years after initial nephrectomy. This makes qualitative anatomopathological examination essential, especially with a neoplasia in the medical history. Gallbladder metastasis from RCC is not necessarily linked to a poor outcome. A cholecystectomy is recommended whenever possible. Conclusion: This case highlights the importance of considering metastatic disease in the differential diagnosis of gallbladder masses and acute cholecystitis, even in patients with a history of treated primary tumors.

Background: Congenital Chloride Diarrhea (CCD) is a rare autosomal recessive condition characterized by lifelong watery diarrhea. CCD is challenging to diagnose because of its severe clinical presentations and differentials. Therefore, it is crucial to be diagnosed early and receive appropriate management as it causes early death if left untreated or due to complications. Case Report: A Saudi newborn baby boy who was passing a large amount of urine through the anal canal and was otherwise healthy. He was referred to our center with a high suspicion of a colovesical fistula. Diagnosed with CCD by exclusion of fistula after confirmation with contrast study. Conclusion: This case highlights an unusual presentation of CCD mimicking a colovesical fistula. To our knowledge, no similar case has been reported in the literature, and we believe this is the first Saudi case report. It underscored the diagnostic challenges of this rare disorder and emphasized the importance of early recognition and accurate diagnosis to prevent such complications.