1/6. MRI and MRA of a giant hydrocoele in an infant.We present a 7-month-old boy with a giant abdominoscrotal hydrocoele associated with right leg oedema. US revealed an abdominoscrotal fluid-filled mass with a normal testis in the scrotum. MRI allowed precise delineation of the mass while MRA sequences showed extrinsic compression of the right iliac vein and its patency. Hydrocoelectomy and laparotomy were performed and confirmed the diagnosis. US followed by MRI are often necessary to diagnose and delineate giant hydrocoeles. MRA is a non-invasive elegant tool for the detection of vascular complications.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
2/6. disarticulation of the left upper extremity for treatment of giant primary lymphedema--case report.This unusually rare case of giant primary lymphedema of the left upper extremity in a 21-year old woman, who had undergone five surgical procedures (two Charles' procedures and three partial resections) without lasting clinical improvement, demonstrates the difficulty in achieving satisfactory long-term results in patients with grotesquely huge extremities secondary to primary lymphedema. disarticulation of the left upper extremity was felt to be the most appropriate surgical option in this severe congenital lymphedema patient.- - - - - - - - - - ranking = 0.83333333333333keywords = giant (Clic here for more details about this article) |
3/6. Recurrent giant fibroepithelial stromal polyp of the vulva associated with congenital lymphedema.BACKGROUND: The relatively site-specific mesenchymal lesions of the vulvovaginal region can exhibit superficially overlapping histological features and can be diagnostically challenging. Fibroepithelial stromal polyp is generally an easily recognizable entity, but certain cases cause differential diagnostic problems. CASE: We present a case of a 16-year-old girl with a 10-cm polypoid lesion localized to the left labium. The patient has therapy resistant congenital lymphedema localized to the left arm and leg. The labial lesion was resected and recurred after 12 months and 6 years following the initial treatment. Histologically, it exhibited characteristics of a fibroepithelial stromal polyp with scattered bizarre multinucleated giant cells and ectatic tortuous lymphatic spaces. CONCLUSION: This vulvar lesion represents a unique example of giant fibroepithelial stromal polyp developed in association with Nonne-Milroy-Meiges syndrome.- - - - - - - - - - ranking = 1keywords = giant (Clic here for more details about this article) |
4/6. yellow nail syndrome.The case of a patient with yellow nail syndrome (YNS), an infiltrating duct carcinoma of the breast, and giant cell interstitial pneumonitis (GIP) is presented. YNS has not been previously described in association with GIP. There was improvement of the yellow fingernails following surgery and chemotherapy for the breast cancer. The possible pathogenesis of the yellow nails in this case and its management are presented. A wide variety of conditions are associated with YNS, which has been reported to respond to various treatment modalities. The most likely cause in our case is impaired lymphatic drainage. However, treatments that do not affect lymphatic drainage also have been reported to be successful.- - - - - - - - - - ranking = 0.16666666666667keywords = giant (Clic here for more details about this article) |
5/6. Giant haemangioma of the thigh (kasabach-merritt syndrome): resection with temporary clamping of the common iliac artery.A giant haemangioma of the thigh in a 9-month-old infant girl with the kasabach-merritt syndrome was operated upon with temporary clamping of the common iliac artery after previous attempts at treatment with external compression, prednisone and radiotherapy had failed. Secondary lymphoedema of the leg and foot appeared later and was successfully treated by Thompson's technique.- - - - - - - - - - ranking = 0.16666666666667keywords = giant (Clic here for more details about this article) |
6/6. Radical excision and delayed reconstruction of a lymphedematous leg with a 15 year follow-up.An adult female patient with primary lymphedema of the lower extremity was treated with total excision of the subcutaneous tissues followed by delayed reconstruction with a giant full thickness skin graft taken from the excised surgical specimen. The leg has maintained excellent function and contour over the ensuing 15 years. A small area on the dorsum of the foot that initially was covered with a split thickness skin graft required subsequent regrafting using abdominal skin. This area developed verrucoid changes.- - - - - - - - - - ranking = 0.16666666666667keywords = giant (Clic here for more details about this article) |