1/11. Giant Meckel's diverticulum containing enteroliths: typical CT imaging findings.We report a case of a giant Meckel's diverticulum containing numerous enteroliths. A correct diagnosis was made preoperatively by means of CT, by demonstrating a connection between the diverticulum, containing multiple peripherally calcified stones, and the small intestine.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/11. Pseudo bilateral tonsilloliths: a case report and review of the literature.Tonsilloliths are very rare concretions found in the tonsillar crypt. They are usually single and unilateral, but occasionally may be multiple or bilateral. Small concretions in the tonsils are common, but well formed giant unilateral or bilateral tonsilloliths are extremely uncommon. Only two cases of bilateral tonsilloliths have so far been reported in the literature. A case of unilateral tonsillolith, mimicking bilateral tonsilloliths taken with the orthopantogram (OPT) in a 57-year-old Malaysian Indian female with squamous cell carcinoma of the oral cavity is described. Although the OPT is a reliable and standard panoramic X-ray unit used in dentistry, superimposition of a lesion involving one side of the jaw creates a pseudo or ghost image on the contralateral side leading to a misdiagnosis of bilateral lesions. This report highlights that tonsilloliths, though rare, should be considered in the differential diagnosis of radiopaque masses involving the mandibular ramus, and that investigations such as CT scan or MRI may be required to differentiate pseudo or ghost images from true bilateral pathologies.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
3/11. Tonsillolith. Case report and review of the literature.Large oropharyngeal concretions--giant tonsillolith--are not very common. Over the last few years only some 50 cases have been reported in the literature. Many tonsilloliths, especially small concretions, are asymptomatic; large concretions, on the contrary, may produce several symptoms. The case is described of a 56-year-old female complaining of dysphagia, odynophagia, sore throat, right otalgia and swelling in right tonsillar fossa. Routine panoramic radiography revealed a radio-opaque area in right tonsil region. Computed tomography of oropharynx was performed and axial slices revealed a calcified cylindrical lesion in posterior pharyngeal region, between palatoglossus and palatopharyngeus muscles. The tonsillolith was easily excised under local anaesthesia. The post-operative course was good with no recurrence. Microscopic examination of the specimen revealed necrotic debris, "ghost" cells, calcifications and inflammatory cells, confirming the diagnosis of tonsillolith. Authors stress that large tonsillar concretions are uncommon, and may be difficult to diagnose since the tonsillolith can also be mistaken for other anatomic and pathologic structures in the oropharyngeal area.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
4/11. Small bowel obstruction secondary to a giant enterolith complicating Crohn's disease.BACKGROUND: Enterolith formation associated with Crohn's disease is a very uncommon clinical entity. AIM: To describe a case of sub-acute small bowel obstruction secondary to a giant enterolith in a patient with Crohn's disease. RESULTS: A 54-year-old male with a history of Crohn's disease presented with sub-acute small bowel obstruction secondary to a giant enterolith. The diagnosis was confirmed utilising plain film radiography and computed tomography CONCLUSION: Plain film radiography and computed tomography play a central role in establishing the diagnosis of this rare complication of Crohn's disease and assist in planning surgical intervention.- - - - - - - - - - ranking = 6keywords = giant (Clic here for more details about this article) |
5/11. Giant parotid calculus--an unusual presentation.We describe a case of a giant sialolith of Stensen's duct in a 48-year-old woman. The patient was investigated and treated with a mistaken diagnosis of chronic inflammation until the clue to the diagnosis was provided by plain radiography. This is an unusual presentation of a salivary calculus and to our knowledge such a huge parotid calculus has not been reported so far in the literature.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
6/11. Idiopathic prostatic giant calculi in a young male patient.We report a case of 41-year-old man with idiopathic prostatic giant calculi presenting with voiding difficulty. To our knowledge this is the youngest case with idiopathic prostatic giant calculi reported in the literature. The etiopathogenesis of prostatic calculi are also discussed.- - - - - - - - - - ranking = 6keywords = giant (Clic here for more details about this article) |
7/11. Urothelial carcinoma of the ureter, giant rectal stone and sigmoid carcinoma 55 years after ureterosigmoidostomy.We present the case of a unique accumulation of complications 55 years after ureterosigmoidostomy for bladder exstrophy and discuss possible implications for follow-up strategies.- - - - - - - - - - ranking = 4keywords = giant (Clic here for more details about this article) |
8/11. Giant rhinolith: a case report.A rhinolith is a stone that forms in the nose. It occurs as a result of the solidification of mucus and nasal debris by mineral salts, calcium, magnesium phosphate and carbonate. It can be seen on radiographs as a radiopaque object in the nasal fossa and may be confused with several pathologic entities that will call for more invasive surgical procedures. We present the first case of a giant rhinolith, possibly arising from aspergillosis, and discuss its clinical and radiologic features.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
9/11. chalazion coexisting with dacryolithiasis.A 41-year-old woman presented with a painless hard subcutaneous nodule in the right upper eyelid. The lesion was diagnosed clinically as pilomatricoma and removed surgically. Histological examination disclosed a granulomatous lesion composed mainly of mononuclear cells with a foamy appearance and multinucleated giant cells with some admixture of granulocytes, plasma cells, and lymphoid cells. Lipid droplets and dilated ductal structures containing an eosinophilic fibrillar substance were observed in and around the granulomatous lesion. In addition, an intraductal dacryolith was seen near the granulomatous lesion. We finally diagnosed this case as chalazion; the coexisting dacryolithiasis was considered to be involved in the pathogenesis of chalazion.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
10/11. A giant stone in the mullerian duct cyst.Cystic diseases in the male pelvis are uncommon, and stones found in male pelvic cysts are very rare. We report a case of a giant stone found in the male pelvis. Computed tomography was helpful in locating the stone, and surgery revealed it to be a Mullerian duct cyst.- - - - - - - - - - ranking = 5keywords = giant (Clic here for more details about this article) |
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