DIAGNOSTIC CHALLENGES OF AN UNUSUAL CARDIAC MASS

An unusual abdominal mass.

Accepted 20 August 1997 A 78-year old woman presented with pain in her left lower abdomen for three days. She had also noticed an associated swelling in the same area, and a feeling of incomplete evacuation of her bowel. However, there was no nausea, vomiting, change in bowel habits, or rectal bleeding. She was otherwise fit and healthy, apart from mild hypertension for which she was taking ben...

An unusual pulmonary mass.

Accepted 17 April 1996 A 23-year-old woman smoker complained of right-sided chest pain. The patient had no significant personal or family history. She was asymptomatic, and physical examination was unremarkable. Her chest X-ray and thoracic computed tomography (CT) scan are shown in figures 1 and 2. Blood biochemical and haematological examinations were normal, as was abdominal ultrasonography....

An Unusual Cardiac Tamponade

Bacterial pericarditis with purulent pericardial effusion evolving into cardiac tamponade is rare in the modern practice. The present report describes an unusual presentation of a meningococcal infection: a cardiogenic shock. A fifty year-old immunocompetent man exhibited signs and symptoms of infection accompanied by excruciating chest pain mimicking a cardiovascular emergency e.g. aortic diss...

An unusual mass in unusual gender

An unusual presentation of mammary Paget’s disease with a 12-year duration and no palpable mass

Paget’s disease of the nipple is an unusual manifestation of breast cancer. Most cases of mammary Paget`s disease are associated with an invasive or in situ breast tumor, even with no mass observed in mammography imaging. Very rarely does Paget’s disease occur in the absence of any underlying neoplasia .Herein, we report an 82-year-old woman with an unusual presentation of mammary Paget’s disea...