• Title/Summary/Keyword: Large cyst

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Two Cases of Intraventricular Arachnoid Cysts - Case Report - (뇌실내 지주막 낭종 - 증례보고 -)

  • Bang, Jae Seung;Oh, Chang-Wan;Kim, Myoung Soo;Choe, Ghee Young;Cho, Byung-Kyu;Hong, Seung-Koan;Han, Dae Hee
    • Journal of Korean Neurosurgical Society
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    • v.30 no.7
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    • pp.928-933
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    • 2001
  • Intraventricular arachnoid cyst has been rarely reported. Here we present two cases of symptomatic intraventricular arachnoid cysts in the fourth ventricle and right lateral ventricle. The first patient was a 38-year-old female who complained of headache and left facial hypesthesia. Computed tomography and MR scan revealed large cystic lesion in the fourth ventricle. After cyst wall removal, facial hypesthesia disappeared immediately and headache improved slowly. The second patient was a 9-year-old girl who complained of headache, vomiting and paresthesia in her right low extremity. Cystic lesion in the right lateral ventricle was detected in the CT and MR scan. The symptoms improved after cyst wall removal. Surgical findings of these two cases showed that the cyst walls were attached firmly to the choroid plexus. Symptomatic intraventricular arachnoid cyst must be treated appropriately and we recommend complete cyst wall removal.

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A Life-Threatening Bronchogenic Cyst

  • Han, Sung Joon;Cho, Hyun Jin;Kang, Min-Woong;Yu, Jae Hyeon;Na, Myung Hoon;Kang, Shin Kwang
    • Journal of Chest Surgery
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    • v.51 no.1
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    • pp.69-71
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    • 2018
  • A bronchogenic cyst causing cardiac tamponade is a rare condition. We report an unusual case of a bronchogenic cyst that caused cardiac tamponade. A 49-year-old female patient presented at our emergency room with complaints of palpitations and shortness of breath that had lasted for 5 days preceding the visit. Echocardiography revealed a very large cystic mass compressing the left atrium posteriorly, and a large amount of pericardial effusion caused the diastolic collapse of the ventricles. Atrial fibrillation and aggravated dyspnea were observed, and the patient's vital signs were unstable after admission. We therefore performed an emergency operation. The bronchogenic cyst was resected by thoracotomy and the patient was discharged 12 days after the operation without any complications over 5 years of follow-up.

Iatrogenic Intradural Lumbosacral Cyst Following Epiduroscopy

  • Ryu, Kyeong-Sik;Rathi, Nitesh Kumar;Kim, Geol;Park, Chun-Kun
    • Journal of Korean Neurosurgical Society
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    • v.52 no.5
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    • pp.491-494
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    • 2012
  • We report a rare complication of iatrogenic spinal intradural following minimally invasive extradural endoscopic procedues in the lumbo-sacral spines. To our knowledge, intradural cyst following epiduroscopy has not been reported in the literature. A 65-year-old woman with back pain related with previous lumbar disc surgery underwent endoscopic epidural neuroplasty and nerve block, but her back pain much aggravated after this procedure. Postoperative magnetic resonance imaging revealed a large intradural cyst from S1-2 to L2-3 displacing the nerve roots anteriorly. On T1 and T2-weighted image, the signal within the cyst had the same intensity as cerebrospinal fluid. The patient underwent partial laminectomy of L5 and intradural exploration, and fenestration of the cystic wall was accomplished. During operation, the communication between the cyst and subarachnoid space was not identified, and the content of the cyst was the same as that of cerebrospinal fluid. Postoperatively, the pain attenuated immediately. Incidental durotomy which occurred during advancing the endoscope through epidural space may be the cause of formation of the intradural cyst. Intrdural cyst should be considered, if a patient complains of new symptoms such as aggravation of back pain after epiduroscopy. Surgical treatment, simple fenestration of the cyst may lead to improved outcome. All the procedures using epiduroscopy should be performed with caution.

RADICULAR CYST ENUCLEATION ON MANDIBULAR ANTERIOR REGION (하악 전치부에 발생한 치근낭종의 치험례)

  • Kim, Sun-Ha;Choi, Sung-Chul;Park, Jae-Hong;Kim, Kwang-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.1
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    • pp.84-89
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    • 2012
  • The radicular cyst is the most common odontogenic cyst which is caused by pulpal inflammation, pulp death, and secondary to trauma or dental caries. Usually, the radicular cyst is asymptomatic, but a secondary inflammation can cause pain, swelling and redness. Getting larger, the radicular cyst can cause facial asymmetry and paresthesia by pressure on nerves. It requires conservative endodontic treatment or surgical approach. When the size of cyst is large or invasion of the adjacent tissue is not expected, cyst enucleation is carried out. And most of the case can be completely cured and shows low recurrence. In these radicular cysts cases, by cyst enucleation or apicoectomy after root canal treatment simultaneously, the infected teeth can be preserved successfully.

Eruption Guidance of Multiple Permanent Teeth Associated with Expansive Large Cyst in Maxillary Anterior Region: Two Case Reports (상악 전치부에서의 큰 팽창성 낭종과 연관된 다수 영구치의 맹출 유도: 증례 보고)

  • Hyeji Son;Jaesik Lee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.1
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    • pp.121-130
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    • 2023
  • In children, large odontogenic cysts affect adjacent anatomical structures as well as displace developing permanent teeth. Odontogenic cysts are treated via enucleation or marsupialization. This case reports a 5-year-old boy and a 10-year-old boy who have not only displaced 3 or more permanent teeth but also elevated the maxillary sinus floor due to the large size of the cyst in the maxillary anterior region. In both cases, marsupialization was selected to minimize complications. After marsupialization, a customized acrylic obturator, window opening, and orthodontic traction for eruption guidance were gradually attempted, and it showed a good prognosis, so we report these cases.

A Case of Post-Traumatic Pseudocyst in the Spleen Successfully Treated with Alcohol Sclerotherapy

  • Mun, Sang Wook;Lim, Taek-Jin;Hwang, Eun Ha;Lee, Yeoun Joo;Jeon, Ung Bae;Park, Jae Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.18 no.4
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    • pp.276-279
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    • 2015
  • This report details a case of post-traumatic pseudocyst in the spleen that was successfully treated with sclerotherapy using ethanol. A sixteen-year-old boy visited our hospital for a follow-up examination of a splenic cyst. He had experienced blunt trauma to the abdomen three years prior to presentation. An abdominal computed tomography scan revealed a large cyst of the lower pole of the spleen. The cyst was $6.8{\times}9.5{\times}7.0cm$ and conservative management was tried. A follow-up ultrasonographic examination three years later revealed that the size of the cyst was unchanged and another treatment was needed to prevent complications. One session of sclerosis with ethanol (90 mL of 99% ethanol) percutaneously was applied to the cyst. A follow-up after four months revealed that the cyst had completely resolved.

Bronchogenic Cyst of the Right Hemidiaphragm Presenting with Pleural Effusion

  • Kim, Jae-Bum;Park, Chang-Kwon;Kum, Dong-Yoon;Lee, Deok-Heon;Jung, Hye-Ra
    • Journal of Chest Surgery
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    • v.44 no.1
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    • pp.86-88
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    • 2011
  • Bronchogenic cysts are developmental foregut anomalies usually located within the mediastinum or lung parenchyma. An isolated bronchogenic cyst of the diaphragm is very rare. Our case was a 56-year-old female patient who presented with pleuritic chest pain in her right chest. Chest and abdominal computed tomography revealed a large lobulated cystic mass that was accompanied with pleural effusion in the right lower hemithorax. The tumor showed focally calcified areas in the wall and abutted against the diaphragm. We performed complete excision of the cyst including a portion of the diaphragm attached to it. The pathological diagnosis was established as the bronchogenic cyst originating from the diaphragm. We report this case with a review of the literature.

Effective Arthroscopic Treatment of Huge and Anteriorly Extended Spinoglenoid Cysts

  • Park, Jung-Ho;Lee, Yong-Seuk;Lee, Jun-Yong;Kim, Jae-Gyun
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.5-5
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    • 2008
  • Spinoglenoid cyst of the shoulder is a rare clinical entity and several treatment modalities have been reported. Recently, arthroscopy is effectively used via communication hole or posterior capsulotomy through the glenohumeral joint. With this method, the complete cystectomy is impossible if the cyst is a large size or extended anteriorly and there are few reports about such cases. We present extra-articular complete cystectomy through bursal space in 3 cases of huge and anteriorly extended spinoglenoid cysts. All patients were able to return to work with no restrictions and 2 patients who performed the follow up MRI demonstrated complete resolution of the cyst and some recovery of the mass of infraspinatus muscle.

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DERMOID CYST ON THE FLOOR OF THE MOUTH : A CASE REPORT (구강저에 발생한 유표피 낭종 : 증례보고)

  • Liang, Shan-Shan;Chu, Yeon-Gyu;Kim, Chin-Soo;Lee, Sang-Han;Byeon, Ki-Jeong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.6
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    • pp.531-534
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    • 2009
  • Dermoid cysts located in the floor of the mouth are very rare developmental keratinizing squamous epithelium lined cysts. Anatomically, they are classified as sublingual (median genioglossal), submental (median geniohyoid) and lateral dermoid cysts, and they can be further classified as epidermoid, dermoid, and teratoid cysts by histology. We report a case of sublingual dermoid cyst in a 16-year-old boy presenting as a large sublingual swelling causing speech and swallowing difficulties and discuss the surgical treatment techniques and histopathological features of this lesion.

Epidermoid Cyst of the Fourth Ventricle

  • Jeon, Ji-Young;Kim, Jae-Min;Cheong, Jin-Hwan;Kim, Choong-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.38 no.6
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    • pp.478-480
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    • 2005
  • The authors describe a case of intracranial epidermoid cyst with fourth ventricle involvement. A 43-year-old woman presented with progressive aggravating headache and cerebellar syndrome due to a large tumor in the fourth ventricle, that extended into the left side of foramen of Luschka. The histopathological workup following gross total removal of tumor had revealed the typical features of an epidermoid cyst. Four months after surgery, the cerebellar sings recovered to normal with a remarkable improvement of headache. Epidermoid cysts involving the fourth ventricle have been known to be one of the most rare diseases in the central nervous system. This rare case is discussed and a review of the relevant literature is presented.