MyMedR

Incidental discovery of Amyand's hernia

Mohaidin N, Ong SCL

BMJ Case Rep, 2018 Nov 01;2018.

PMID: 30389740 DOI: 10.1136/bcr-2018-227122

Matched MeSH terms: Incidental Findings*

Incidental radiographic finding of the concealed art of susuk

Devang Divakar D, Mavinapalla S, Al Kheraif AA, Ramakrishnaiah R, Abd Rahim MF, Khan AA

Med Sci Law, 2016 Jul;56(3):230-2.

PMID: 26271077 DOI: 10.1177/0025802415599567

Susuk, or charm needles, are small, metallic needles inserted under the skin, considered to enhance beauty, health and luck. This hidden secret of inserting susuk is a traditional superstitious ritual, widely practiced among women of Southeast Asia. Here, we present an interesting case of incidental radiographic finding of the concealed art of susuk, which was exposed on a panoramic radiograph taken on a routine basis as a part of diagnostic work up at our centre. An orthopantomogram revealed bilateral metallic foreign bodies in the maxillo-facial region. Anamnestic data affirmed the practice of the body art of susuk. The charm needles were present in the orofacial region without the patient experiencing any pathological signs or symptoms.

Matched MeSH terms: Incidental Findings*

Fulltext Unilateral short root anomaly: an incidental finding on routine radiographic examination

Ponraj RR, Sarah Samson R, Nayak VS, Mathew M

BMJ Case Rep, 2021 Jan 18;14(1).

PMID: 33462052 DOI: 10.1136/bcr-2020-239438

Matched MeSH terms: Incidental Findings*

Fulltext The Agony of the Mystical Practice of Susuk: A Case Report

Rusly MFR, Md Yasin M, Kamaruddin KN, Nasir NMNM, Mat Nor K

Am J Case Rep, 2022 Oct 24;23:e937633.

PMID: 36279262 DOI: 10.12659/AJCR.937633

BACKGROUND Charm needle, otherwise known as susuk, is a needle-shaped pin inserted subcutaneously into various body parts. It is most commonly inserted by shamans in the orofacial region to grant magical powers to the wearer, such as health, wealth, beauty, and other benefits. These talismans are prevalent among women in South-East Asia countries. CASE REPORT A 75-year-old woman presented with recurrent musculoskeletal symptoms over multiple sites, but physical assessment only revealed mild tenderness over the right hip joint. A plain pelvic radiograph showed incidental findings of susuk around the genital regions, with older skull and pelvic radiograph displaying similar findings. The patient had a susuk insertion more than 20 years ago for marriage stability and beauty. After this incidental discovery, the patient had repeated visits to the clinic to request more imaging to determine whether the susuk were still present after the shaman's attempted mystical removal. She also developed persistent preoccupation, worry, and guilt related to the susuk presence and was referred to psychiatry for further assessment. She was diagnosed with generalized anxiety disorder. She was then started on psychotherapy and pharmacological treatment, with simultaneous spiritual therapy. CONCLUSIONS This case report describes the link between susuk implantation and psychological illness. Even though there are no reports that specifically correlate susuk with generalized anxiety disorder, it has been established that guilt and shame have a strong relationship with anxiety.

Matched MeSH terms: Incidental Findings

Fulltext Susuk or charm needle: a strange object detected on orthodontic diagnostic radiographs

Varghese E, Samson RS, Nagraj SK, Chandrappa PR

BMJ Case Rep, 2017 Nov 01;2017.

PMID: 29092975 DOI: 10.1136/bcr-2017-222497

Matched MeSH terms: Incidental Findings

Retrograde intrarenal surgery for asymptomatic incidental renal stones: a retrospective, real-world data analysis

Ong WLK, Somani BK, Fong KY, Teoh JY, Sarica K, Chai CA, et al.

BJU Int, 2024 Aug;134(2):201-206.

PMID: 38343138 DOI: 10.1111/bju.16292

OBJECTIVE: To determine surgical outcomes and stone-free rates (SFRs) when offering upfront retrograde intrarenal surgery (RIRS) to patients with asymptomatic incidental renal stones (AIRS), as active surveillance, shockwave lithotripsy or upfront intervention in patients with AIRS is still a debate among urologists.

PATIENTS AND METHODS: This retrospective FLEXible Ureteroscopy Outcomes Registry (FLEXOR), supported by the Team of Worldwide Endourological Researchers (TOWER), examines adult patients who underwent RIRS. We analysed a subset of asymptomatic patients with renal stones on imaging who were treated with RIRS. Data includes patient characteristics, stone specifications, anaesthesia type, perioperative details, complications, and SFR. A multivariable logistic regression analysis was performed to assess factors associated with the SFR.

RESULTS: Among 679 patients with AIRS, 640 met the inclusion criteria. The median age was 55 years, with 33.4% being female. In all, 22.1% had positive urine cultures. The median stone diameter was 12 mm, commonly in lower and interpolar locations. RIRS was preferentially performed under general anaesthesia using a reusable scope in 443 cases. Prophylactic antibiotics were administered to 314 patients. The median operation time was 58 min and the median laser time was 24 min. The SFR was 68.8%. The use of holmium laser (odds ratio [OR] 0.21, 95% confidence interval [CI] 0.06-0.63; P

Matched MeSH terms: Incidental Findings*

Fulltext Computed Tomography (CT) of Blunt Abdominal Trauma: The Frequency of Incidental Findings, how it was Documented in Radiology Report and the Implication of These Findings to Acute Trauma Care

Radhiana H, Siti Kamariah CM, Mohd Nazli K, Azian AA

Med J Malaysia, 2014 Feb;69(1):46-8.

PMID: 24814633 MyJurnal

The wide use of computed tomography (CT) scanning for patients with blunt abdominal trauma can reveal incidental findings that vary in their importance. We evaluated these findings, how it was reported by radiologists and its implication on the trauma care. In 30 out of 154 patients, 32 incidental findings were discovered (19.5%). Out of these 32 findings, only 3 cases (9.4%) were considered significant and required immediate attention from the managing team. In all these 3 cases, the findings were described in the body of the report and highlighted in the conclusion section at the end of the radiology report. However, similar reporting style was used in only 58.4% of cases with moderate clinical concern and 23.5% of cases with little clinical concern. In 41.2% of cases with little concern, the incidental findings were not mentioned in the radiology report. In conclusion, incidental findings in CT scan performed for blunt abdominal trauma were common but many were clinically insignificant. There is little consistency in radiology reporting of these findings especially those with moderate and little clinical concern.

Matched MeSH terms: Incidental Findings

Uncommon radiological findings: a case report

Tandjung YR, Hong CP, Nambiar P, Ibrahim N

Int Dent J, 2007 Jun;57(3):173-6.

PMID: 17695738

A 50-year-old friendly and attractive Chinese lady was examined by the Primary Care Unit, Faculty of Dentistry, University of Malaya. Her requests for treatment included implants and crowns. Two periapical radiographs of teeth 16 and 48 were taken to aid diagnosis. Interestingly, pin-like radio-opaque objects were found over the crown of the impacted tooth 15 and also tooth 17. These objects were initially interpreted as silver points or radiographic artifacts but further investigation employing panoramic radiography revealed the distribution of more radio-opaque objects in the orofacial region. Based on a review of the literature and the opinion of experienced radiology and oral surgery lecturers, these foreign radio-opaque objects were diagnosed as susuks or charm needles.

Matched MeSH terms: Incidental Findings

Fulltext Hamartomatous polyp of the tonsil: a case report

Wan Faiziah Wan Abdul Rahman, Nur Asyilla Che Jalil, Irfan Mohamad, Mohd Khairi Md Daud

Archives of Orofacial Sciences, 2014;9(2):91-95.

MyJurnal

Hamartomatous polyps of the tonsil are very rare. They have been described using various terms such as a lymphangiomatous polyp, lymphangiectatic fibrous polyp, lipomatous polyp or pedunculated tonsil, thus the actual incidence is difficult to be quantified. We present a case of hamartomatous polyp of the palatine tonsil in a 30-year-old female presented with recurent tonsillitis. Histopathological examination of the resected tonsils showed features of chronic tonsilitis with incidental finding of hamartomatous polyp characterized by a polypoidal tissue covered by stratified squamous epithelium and composed of thin-walled blood vessels, lymphatic channels, fibrofatty tissues, seromucinous glands and striated muscle fibres. An unusual incidental histopathological finding of a rare condition has been discussed along with the review of literature.

Matched MeSH terms: Incidental Findings

Papillary thyroid microcarcinoma diagnosed in a patient presenting with hyperthyroidism

Surenthiran Ramanathan, Tong, Chin Voon

International e-Journal of Science, Medicine & Education, 2017;11(3):30-31.

MyJurnal

Papillary thyroid microcarcinoma is not uncommon
and constitutes almost one third of all differentiated
thyroid carcinomas. It is generally regarded as low risk
and usually an incidental finding from histopathology
examination. Some areas of management of this entity
remains uncertain and requires a multidisciplinary
approach. We present a patient who initially came to
us with symptoms of hyperthyroidism, later underwent
thyroidectomy for a suspicious lesion but was found to
have micropapillary thyroid carcinoma in another part
of her thyroid gland.

Matched MeSH terms: Incidental Findings

Fulltext Incidental hepatic tuberculosis during planned resection of locally advanced ampullary carcinoma: a case report

Hoe VC, Khairuddin A, Tan JS, Sharif MS, Azizan N, Hayati F

BMC Surg, 2020 Jun 30;20(1):145.

PMID: 32605613 DOI: 10.1186/s12893-020-00806-8

BACKGROUND: Tuberculosis (TB) is classified according to the site of disease as pulmonary or extrapulmonary. Extrapulmonary TB is less common than its counterpart in which it can be found anywhere in the body including the liver. Similar to ampullary carcinoma, TB liver can manifest with jaundice and deranged liver function tests, particularly in the obstructed biliary systems.

CASE PRESENTATION: A 43-year-old gentleman with locally advanced ampullary carcinoma was noticed to have multiple suspicious liver nodules intraoperatively during curative ampulla resection. The surgery was then abandoned after a biopsy. The histology was consistent with chronic granulomatous inflammation. He was then subjected to a Whipple pancreaticoduodenectomy procedure after initiation of anti-tubercular treatment. He recovered well with no evidence of tumour recurrence and worsening TB.

CONCLUSIONS: A high index of suspicion and quick decision making can help to diagnose a possible extrapulmonary TB masquerading as a malignant disease in a patient with curative intention of ampullary carcinoma.

Matched MeSH terms: Incidental Findings

Fulltext Tuberculosis of the prostate presenting as benign prostatic hyperplasia

Fazarina, M., Tan, G.H., Badrulhisham, B., Shiran, M.S., Tan, G.C.

Medicine & Health, 2013;8(2):85-88.

MyJurnal

Genitourinary system is the second most common site of tuberculosis (TB) after pulmonary system. Tuberculosis of the prostate is a rare manifestation of genitourinary tuberculosis. It is even more uncommon if occurring in an immune-competent individual. Prostate TB is usually an incidental finding in transurethral resection of prostate (TURP). Here, we report a case of TB of the prostate in a 70-year-old man who had benign prostatic hyperplasia for two years. TB was diagnosed incidentally post-TURP. In this report, we also discuss additional tests which may help in establishing the diagnosis of genitourinary tuberculosis.

Matched MeSH terms: Incidental Findings

Fulltext Fine needle aspiration of lung lesion: Lateral and transpectoral approach

Smith K

Biomed Imaging Interv J, 2012 Jan;8(1):e2.

PMID: 22970058 DOI: 10.2349/biij.8.1.e2

A 69 year-old man presented with an incidental finding on radiograph of a lesion in the left upper lobe. CT indicated it was likely to be a neoplasm and CT-guided FNA was requested. The lesion was located medial to the scapula so a creative approach was utilised to gain access to the lesion. This study discusses the approach used and why it reduced patient risk compared to a more conventional procedure. The sample was positive for neoplasm and there were no complications arising from the procedure.

Matched MeSH terms: Incidental Findings

Incidental congenitally corrected transposition of the great arteries (ccTGA) in an adult with suspected coronary artery disease: review on radiological features and pathophysiology

Sayuti KA, Azizi MYSB

BMJ Case Rep, 2020 Apr 22;13(4).

PMID: 32327461 DOI: 10.1136/bcr-2019-234225

We report a case of a 46-year-old woman who has presented to a peripheral hospital with progressive exertional dyspnoea and chest discomfort. The resting ECG showed features of left-sided ventricular hypertrophy. The initial chest radiograph was reported as cardiomegaly. Initial echocardiography revealed left atrial dilatation and 'left ventricular' hypertrophy with normal ejection fraction. She was treated as possible coronary artery disease and was subsequently referred to our centre for CT coronary angiography. Findings from the CT scan were consistent with congenitally corrected transposition of the great arteries (ccTGA). This report describes the radiological features of ccTGA, its associated cardiovascular anomalies, pathophysiology and potential complications.

Matched MeSH terms: Incidental Findings

It is more than uterine fibroids: Incidental discovery of adenoma malignum of the cervix

Abada E

Malays J Pathol, 2022 Dec;44(3):533-538.

PMID: 36591722

Adequate sampling of gross pathology specimens and attention to microscopic details is crucial in establishing the correct diagnosis in a patient, regardless of a benign pre-surgical diagnosis. Adenoma malignum is a rare HPV-negative variant of well-differentiated adenocarcinoma of the endocervix. It is difficult to diagnose in surgical pathology specimens due to its deceptively-benign appearance. This was a case of a 43-year-old woman with a history of menorrhagia and metrorrhagia and radiology interpretation of degenerating uterine fibroids. Pre-operative Pap testing and hysteroscopic dilatation and curettage were non-contributory. Following surgery, microscopic examination of the cervix revealed well-spaced, deeply-invasive, variably-sized glands with irregular outlines/haphazard arrangements, lined by cells showing mild to moderate cytologic atypia. These cells were positive for p53 and CK7 on Immunohistochemistry and Ki-67 showed a high proliferative index. Monoclonal CEA, calretinin, CD10, and P16 were all negative. A diagnosis of adenoma malignum stage pT1b2 was made. The patient was subsequently placed on platinum-based chemotherapy and is doing well 2 years after her diagnosis. Cases such as this, underscore the importance of adequately sampling surgical resection specimens, with careful attention to microscopic details as incidental pathologies may be unearthed which could have significant implications on a patient's clinical outcome.

Matched MeSH terms: Incidental Findings

Fulltext Renal cell carcinoma with duplication of inferior vena cava

Yusof MR, Fahmey O, Lee C, Azli MS, Arunasalam AP, Khairul-Asri MG

Ann R Coll Surg Engl, 2022 Mar;104(3):e64-e66.

PMID: 34812656 DOI: 10.1308/rcsann.2021.0110

Renal cell carcinoma (RCC) has been shown to cause venous migration in the inferior vena cava (IVC). It is very important for preoperative imaging to be carried out, which will decide the surgical approach for the patient. Duplication of IVC is an uncommon anomaly. We report a case of RCC with duplication of IVC.

Matched MeSH terms: Incidental Findings

Susuk

Alhamad T

Am J Respir Crit Care Med, 2011 Aug 15;184(4):484.

PMID: 21844517 DOI: 10.1164/rccm.201012-2018IM

Matched MeSH terms: Incidental Findings*

An incidental finding of thymic carcinoid during urgent CABG operation

Abdullah F, Loon LG

Heart Surg Forum, 2002;5(4):E35-6.

PMID: 12538128

We present a case report of a 60-year-old Malay man who was undergoing an urgent coronary artery bypass graft (CABG) operation when a well encapsulated thymoma-like tumor was found incidentally. Total thymectomy was performed together with the CABG. Histopathological report of the tumor, however, confirmed a rare thymic carcinoid. The clinical features, management, and outcome of surgery are discussed.

Matched MeSH terms: Incidental Findings*

Fulltext Incidental pharmacogenetics findings in an HLA-related research: Considerations for primary prevention

Bakhtiar MF, Too CL, Tang MM, Sulaiman S, Tan LK, Ahmad-Fauzi NA, et al.

Clin Exp Allergy, 2019 04;49(4):537-540.

PMID: 30693574 DOI: 10.1111/cea.13347

Matched MeSH terms: Incidental Findings*

Fulltext Pancreatoblastoma: a rare tumour accidentally found

Naik VR, Jaafar H, Leow VM, Bhavaraju VM

Singapore Med J, 2006 Mar;47(3):232-4.

PMID: 16518559

A 15-year-old girl, who was previously well, complained of a mass in the abdomen after a minor motor vehicle accident. Physical and radiological investigations revealed a mass in the body of pancreas containing proteinaceous material and multiple nodules in both lobes of liver. Serological investigations for malignancy were normal. Histopathological examination of the resected specimen showed pancreatoblastoma. Pancreatoblastoma is an unusual malignant tumour seen in infants and children although rare cases have also been reported in adults. They are clinicopathologically distinct from adult pancreatic ductal carcinoma. The histogenesis, clinical features and treatment options are discussed along with presentation of the case.

Matched MeSH terms: Incidental Findings*

Displaying publications 1 - 20 of 53 in total