Manish Chadha

Isolated tuberculous biceps tenosynovitis bicipitoradial bursitis: A case report

Department of Pathology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, IndiaTubercular soft tissue infection can involve the tenosy-novium, bursa, muscle, or deep fascia. An uncommon form,it is usually associated with an immunocompromised state.Most cases of tuberculous synovitis have an associatedlesion elsewhere in the body, and very few patients withisolated tuberculous synovitis have been reported.

Unusual knee swelling: a diagnostic dilemma

Haemangioma is a common benign soft tissue tumour. Intramuscular haemangiomas are rare but pose quite a diagnostic challenge. An intramuscular haemangioma can be confused with other soft tissue swellings including abscess. We present a case report of swelling around the knee in an adolescent patient, which was ultimately diagnosed and treated as intramuscular haemangioma of the quadriceps muscle.

Isolated, closed rupture of the common femoral artery resulting from blunt trauma.

We present a case of a 13-year-old child with an isolated, closed rupture of the common femoral artery and no associated bony injury sustained as a result of blunt trauma. Though few isolated cases of femoral artery injury secondary to blunt trauma have been reported in the literature, most of them were the result of a bony/penetrating injury. The probable mechanism of injury is discussed.

Gall bladder carcinoma presenting with spinal metastasis: A rare phenomenon

Skeletal metastasis as a primary presentation of gall bladder carcinoma is rare. A 50-year-old lady presented with neck pain and weakness in her right upper limb of 3 months duration. Clinical and imaging work-up suggested locally advanced gall bladder carcinoma with metastasis to cervical vertebra and sternum. Only one case till date has been reported where the patient presented with neurological symptoms due to pathological fracture secondary to metastasis from an occult gall bladder carcinoma. Although rare, an occult gall bladder cancer may present with neurological symptoms due to pathological fracture of spine secondary to metastasis. We present a brief review of literature of patients who presented with skeletal metastases in clinically silent gall bladder malignancy. Palliative care issues in advanced gall bladder carcinoma have also been discussed.

Hydatid disease: A rare cause of fracture nonunion

Hydatid disease is an infrequent parasitic infestation caused by cestode, most commonly, Echinococcus granulosus. Bone involvement is distinctly uncommon. We would like to share our experience of a rare case of hydatid disease of femur in a 24-year-old male who presented with nonunion of subtrochanteric fracture. Histopathology showed typical lamellated wall and dagger-shaped hooklets. In view of its rarity, hydatid disease often remains an unsuspected infection of the bone.