Primary bronchial amyloidosis. A case report

A case of primary bronchial amyloidosis in a 58-year old patient, with haemoptysis, cough, purulent sputum and fever, is described. Bronchoscopy showed nodules and yellow wax plaques in the lower lobar bronchi. Histology of bioptic specimens showed the amyloidosic nature of the lesions. The search of other localizations was negative.     

Bilateral anterior dislocation of the hips. A case report

A case of traumatic bilateral anterior dislocation of the hips complicated by a femoral head fracture is described. The mechanism is discussed and the literature reviewed.     

Bilateral juvenile granulosa--cell tumour with multiple metastases. A case report

We represent the case of premenarchal 14 year old girl complaining of a four month history of painful enlargement of both breasts. The patient died 10 days after admission due to respiratory distress. The post mortem diagnosis: bilateral juvenile granulosa-cell tumour with widespread metastases.     

Leiomyosarcoma of the mesentery. A case report and clinico-diagnostic considerations

Leiomyosarcoma of the mesentery is a rare neoplasm. The clinical manifestation is non-specific and preoperative diagnosis is often late. Mitotic activity shows no significant correlation with the biological behavior of neoplasm. The surgical excision is the therapy of choice but local recurrence is high. The authors report a case of leiomyosarcoma which was treated by surgical removal and underline the diagnostic difficulties.     

Bilateral twinning: report of case

Twinning is an anomaly in which one tooth has combined with another or enlarged itself to the point of doubling its substance. A discussion of the nomenclature and a report of bilateral twinning are presented. A possible cause of the twinning events in this case include gemination of the maxillary right and mandibular left canines and fusion of the maxillary left and mandibular right canines with supernumerary teeth.     

Bilateral pheochromocytomas with von Hippel-Lindau's disease: a case report

A case of bilateral pheochromocytomas with von Hippel-Lindau's disease (VHL) is reported. A 46-year-old woman who had hyperglycemia was admitted to our hospital because of abdominal tumors. Her elder sister and niece had been diagnosed as VHL. Ultrasonography, CT, and MRI revealed bilateral adrenal tumors. Noradrenaline levels in serum and urine were elevated and 131I-MIBG scintigraphy showed accumulation in bilateral adrenal glands. Moreover, she had bilateral renal cysts and cerebellar hemangioblastoma. Bilateral adrenalectomies were performed and pathological diagnosis was pheochromocytoma. This is the seventh case of bilateral pheochromocytomas with VHL reported in Japan.     

Inflammatory pseudotumor of the orbit. Case report

A case report and a review of the literature of inflammatory pseudotumors of the orbit is presented. The lateral approach, using microsurgical technique, is described. The incidence of this primary granuloma is comparable to other orbital tumors, and the diagnosis is confirmed by histological study of a biopsy specimen. Surgical excision offers the best mode of treatment. Although steroids may help postoperatively, the prognosis is poorer if the tumors are large. Radiotherapy offers no benefit.     

Bilateral synchronous adrenal myelolipomas: a case report

BACKGROUND: This study was undertaken to assess the outcome of Lichtenstein's tension-free mesh inguinal herniorrhaphy as practised by surgeons in a provincial centre in Taranaki, New Zealand. METHODS: A prospective audit was carried out on all patients who underwent this procedure in Taranaki. They were followed up at 1 month and again at 1 year. Results were entered on a standardized pro forma. RESULTS: One hundred and twenty-four patients underwent 134 repairs by four different surgeons and their registrars. Eighty-two per cent of them had a general anaesthetic, and 13% had local anaesthestic. Twenty-five per cent of the repairs were performed as day surgery and a further 53% required overnight stays. Complication rates were 6% in hospital, 12.7% at I month and 8% at 1 year. Recurrence occurred in one repair (0.9%) and there were no cases of mesh rejection. The wound infection rate was 3% and all were minor. Only 45% of the patients who had an inguinal hemiorrhaphy were employed and they took an average of 16 days (range 2-30) to return to work. Over half felt that that they could have returned to normal activities within 2 weeks. CONCLUSIONS: The Lichtenstein technique of inguinal herniorrhaphy is a technically simple, reliable procedure with minimal morbidity and patients may expect a reasonably prompt return to work and to normal activities.     

Bilateral idiopathic macular pucker: a case report

BACKGROUND: Idiopathic epiretinal membrane or macular pucker is a common disorder which typically affects older individuals. Contraction of epiretinal tissue causes changes to occur in the underlying retina stimulating the appearance of a macular hole. This paper presents a case of bilateral macular pucker with accompanying pseudohole. The diagnosis, pathophysiology and management are discussed. METHODS: A 68-year-old male was examined for decreased vision in both eyes. Relevant ophthalmoscopic findings included macular changes compatible with surface wrinkling maculopathy. RESULTS: The patient was diagnosed with bilateral epiretinal membranes with accompanying pseudoholes. The diagnosis was confirmed by fluorescein angiography. Since the patient's vision loss was minimal, the need for surgery was precluded. The patient was to be monitored routinely. CONCLUSIONS: Macular pucker, the most common of acquired macular disorders, has become an important clinical entity. Recognizing distinguishing features, especially in cases associated with pseudohole, will allow more precise diagnostic and prognostic patient counseling. Regular follow-up examinations of patients with mild visual loss become important, because they permit optimal time for surgical intervention.     

Bilateral synchronous testicular torsion: a case report

A man presented to the emergency room with testicular pain and swelling. Bilateral synchronous testicular torsion was diagnosed and treated. Physical and radiographic findings are discussed as well as differential diagnosis. Avoiding the confusion between torsion and epididymitis with the help of the nuclear scan is stressed.     

Bilateral elastofibroma: a case report and review of the literature

Elastofibroma, or elastofibroma dorsi as it was first described, is an uncommon tumor-like process that characteristically appears as an ill-defined mass in the infrascapular region of elderly patients. This lesion can occur bilaterally and may appear asynchronously. The occurrence of elastofibroma in other anatomic sites has been reported, although with much less frequency. Elastofibromas display typical diagnostic histologic, cytologic, and electron microscopic features. The use of magnetic resonance imaging can lead to a presumptive diagnosis in elderly individuals with suprascapular lesions. It is important to differentiate this lesion from other soft-tissue lesions, such as sarcomas and desmoid tumors. This study presents a case of bilateral elastofibromas in a 72-year-old man and a review of the literature.     

Bilateral horizontal gaze palsy with pontine cavernous hemangioma: a case report

Epilepsy is a common condition. In most cases, treatment with medications is satisfactory. When antiepileptic drugs fail to control the seizures, further evaluation may be warranted. EEG-video monitoring can allow a definitive diagnosis of epileptic seizures to be made by differentiating epileptic events from paroxysmal symptoms that can be mistaken for seizures (i.e., pseudoseizures). In addition, it usually allows one to accurately diagnose the seizure type, facilitating selection of the best possible treatment. Occasionally, surgery may be a therapeutic option in patients with intractable seizures.