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Management and outcomes of large and giant vestibular schwannomas. Experience in 567 cases over 35 years.
Eur Arch Otorhinolaryngol
March 2025
Department of Otology and Skull Base Surgery, Gruppo Otologico, Casa Di Cura Hospital, "Piacenza" S.P.A., Piacenza, Italy.
Purpose: (1) Study the preoperative predictive factors (such as duration of symptoms, tumor size, and cystic component) and their effects on the type of resection and facial nerve (FN) outcomes. (2) Analyze the intraoperative predictive factors, such as the extent of resection and intraoperative FN stimulation. (3) Compare our approaches (enlarged translabyrinthine approach, transotic and transcochlear approaches) to other approaches (retro sigmoid) and review the literature comparing different approaches.
View Article and Find Full Text PDFComplicated Sigmoid Diverticulitis Mimicking Pelvic Pain in a Patient With Giant Uterine Fibroids: A Case Report.
Cureus
January 2025
Department of Colorectal Surgery, Liverpool Hospital, Liverpool, AUS.
This report describes the case of a woman in her late forties with a history of large uterine fibroids who presented to the Emergency Department with colicky suprapubic pain and urinary symptoms. Initial computed tomography (CT) showed uncomplicated acute diverticulitis but despite antibiotic treatment, her condition worsened, and a follow-up CT revealed sigmoid perforation, requiring high anterior resection and subtotal hysterectomy. The case highlights how large fibroids exert external pressure on the colon, impairing motility and increasing the risk of diverticula formation.
View Article and Find Full Text PDFSevere Constipation, Fecalith, and Giant Fecaloma in a Patient With Severe Intellectual Disabilities: A Case Report.
Cureus
February 2025
Internal Medicine, Mount Sinai Morningside, New York, USA.
Medical and surgical treatment in patients with intellectual disabilities (IDs) presents a challenge to physicians and surgeons alike, as informed consent and longitudinal treatment are difficult to achieve. Severe constipation has a high prevalence in persons with IDs and is found in this population at a rate almost double that experienced by the general population. This case report highlights a middle-aged male with severe IDs, who presented with abdominal distention and behavior consistent with abdominal pain from constipation.
View Article and Find Full Text PDFGiant Colonic Diverticulum: Case report of a rare complication of a common disease.
Int J Surg Case Rep
February 2025
Depertment of Gastrointestinal Surgery, Akershus University Hospital, Norway; Institute of Clinical Medicine, University of Oslo, Norway.
Introduction And Importance: Giant Colonic Diverticulum (GCD) is a rare but potentially life-threatening complication of diverticular disease, defined as a diverticulum larger than 4 cm, most commonly arising in the sigmoid colon. Its rarity could lead to diagnostic delays and mismanagement.
Case Presentation: A 64-year-old Caucasian female presented with persistent abdominal pain and abdominal swelling.
Giant cell carcinoma resembling the lung in the ovary: challenges and treatment approaches.
BMJ Case Rep
February 2025
Department of Pathology, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Giant cell carcinoma (GCC) resembling the lung in the ovary is a rare and aggressive tumour with no established standard treatment options. In this case, a postmenopausal woman in her 50s with hypothyroidism underwent surgery for a left ovarian mass. Due to dense adhesions to the sigmoid colon, the procedure was abandoned, and she was referred to our centre.
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