Project description:IntroductionParagonimiasis, lung fluke disease caused by infection with Paragonimus species, is a food-borne parasitic zoonosis. The overriding symptoms of Paragonimus westermani infection include chronic cough, shortness of breath, and pleuritic pain. Extrapulmonary paragonimiasis caused by aberrant parasitic migration is known to occur in a variety of sites such as the brain, abdominal wall, and intraperitoneal cavity. Ectopic paragonimiasis is an uncommon disease that presents with a few clinical manifestations, which makes it difficult to diagnose and treat.Case presentationA 47-year-old man with an unremarkable medical and surgical history presented with a peritoneal lesion that was discovered incidentally on abdominal computed tomography during routine health screening. The patient did not exhibit any associated symptoms such as abdominal pain. The radiologic diagnosis was a gastric duplication cyst and we performed laparoscopic excision of the peritoneal mass. Histopathological examination revealed paragonimiasis, and the result of the skin test for paragonimiasis was positive. The patient was treated with praziquantel.Clinical discussionThe diagnosis of ectopic peritoneal paragonimiasis remains challenging due to inexperience, misdiagnosis, and its rarity. Clinicians should bear in mind that an intra-abdominal mass may be related to a parasitic infection. The detection of the ova of Paragonimus parasites in sputum and biopsy specimens may be difficult due to an insufficient amount.ConclusionClinicians need to thoroughly take the patient's history and clinically suspect parasitic infections. Laparoscopic resection of this rare mass is safe, feasible, and allows for rapid recovery.

| S-EPMC8391020 | biostudies-literature

Duodenal Duplication Cyst: A Rare Differential Diagnosis in a Neonate with Bilious Vomiting.

Project description:Bilious vomiting is a relevant sign in neonates that requires immediate evaluation and diagnosis. A duplication of the intestinal tract is a possible cause of obstruction if located distally to the major duodenal papilla of Vater and most of them involve the jejunum, stomach, or colon. Duodenal duplications are very rare and can have an endoscopic or surgical treatment after diagnosis. We present a case of a 16-day-old term newborn that consulted because of bilious vomiting and after evaluation with imaging and upper endoscopy, a duodenal duplication cyst was found at the level of the third portion causing compression of the intestinal lumen that required surgical resolution with duodenocystostomy.

| S-EPMC4712054 | biostudies-other

Laparoscopic deroofing for a giant hepatic cyst with biliary communication: a case report

Project description: Not available

| S-EPMC10966376 | biostudies-literature

Trypan blue-assisted iris cyst excision.

Project description:PurposeTo describe a novel surgical technique using trypan blue assistance for iris cyst excision.MethodsWith viscoelastic in the anterior chamber, the cyst contents are aspirated with a 27G needle. Trypan blue is then injected into the residual cyst cavity to stain its walls. Forceps and anterior vitrectomy are utilized to ensure complete removal of the cyst wall with a safe margin of surrounding iris tissue.ResultsThe trypan blue-assisted technique facilitates cyst visualization, enabling precise and complete cyst removal.ConclusionsTrypan blue-assisted excision provides an effective approach for iris stromal cyst removal, minimizing recurrence risk and enhancing surgical precision.

| S-EPMC11907482 | biostudies-literature

Arthroscopic Excision of a Deep Infrapatellar Cyst.

Project description:The knee joint is surrounded by multiple bursae, which are fluid-filled sacs whose main function is to reduce friction during movement. Extrusion of fluid from the bursa sac due to trauma or overuse can lead to the formation of cysts in the adjacent region. Operative treatment for cysts involves excision, traditionally performed as open surgery, which is associated with complications such as poor wound healing or recurrence. This Technical Note describes the arthroscopic excision of a deep infrapatellar cyst as an alternative to open surgery.

| S-EPMC11369953 | biostudies-literature

Gastric Duplication Cyst Presenting as Massive Gastrointestinal Bleeding.

Project description:Gastric duplication cysts (GDCs) are rare congenital anomalies. Presentation of GDCs varies from an asymptomatic abdominal mass to fulminant or massive gastrointestinal (GI) bleeding. Herein, we describe a case of a GDC in a 10-month-old infant presenting with unexplained massive GI hemorrhage and hematemesis. An abdominal ultrasound was negative, while computerized tomography was, initially, inaccessible. Through a series of repeated esophagogastroduodenoscopies, we documented penetration of the GDC into the gastric cavity that was later confirmed by computerized tomography. The patient was treated successfully with surgical resection.

| S-EPMC6416390 | biostudies-literature

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