Fattah H. Fattah, Azad Star Hattam, Zana Omar kak Abdullah, Khanda A. Anwar, Rezhen J. Rashid, Abdullah K. Ghafour, Alaa B. Latif, Hiwa O. Abdullah and 2 more
Introduction Isolated brain hydatid disease (BHD) is an extremely rare form of echinococcosis. A prompt and timely diagnosis is a crucial step in disease management. This study is a systematic review of studies on intra-parenchymal BHD. Methods Studies that had the following properties were included: 1) The…
Hydatid Disease of The Brain Parenchyma: A Systematic Review
Fattah H. Fattah, Azad Star Hattam, Zana Omar kak Abdullah, Khanda A. Anwar, Rezhen J. Rashid, Abdullah K. Ghafour, Alaa B. Latif, Hiwa O. Abdullah and 2 more
IntroductionIsolated brain hydatid disease (BHD) is an extremely rare form of echinococcosis. A prompt and timely diagnosis is a crucial step in disease management. This study is a systematic review of studies on intra-parenchymal BHD.
MethodsStudies that had the following properties were included: 1) The intra-parenchymal brain infection had been confirmed by diagnostic modalities, surgical findings, or histopathology. 2) The patient details were provided in the study. 3) The cystic lesion [s] were located intracranially.
ResultsAltogether, 112 studies with a sample size of 178 cases met the inclusion criteria. Males (60.1%) showed a higher prevalence of the disease than females (38.2%). Most of the cases (64%) were affected during the first and second decades of their lives. Left-side multi-lobe involvement was the most common type of involvement (28.1%), followed by right-side multi-lobe involvement (26.4%). Surgery was the primary treatment option (97.2%), with the Dowling technique or the modified Arana-Iniguez method as the preferred approach. The total recurrence and mortality rates were 7.3% and 3.4%, respectively.
ConclusionThe definitive treatment for BHD is surgery, with the aim of removing cysts intact or excising mass lesions completely. A history of cyst rupture during operation may increase the likelihood of recurrence, and an extensive follow-up is required.
Rebaz M. Ali, Shkar O. Arif, Rezhen J. Rashid, Rawa M. Ali, Abubakar Ibrahim, Dana T. Gharib, Marwan A. Ghafoor, Afolabi Hafeez Abiola and 4 more
Introduction Schwannomas are slow-growing, subclinical neoplasms rarely found in the gastrointestinal tract. This study reports a schwannoma in the pyloric region of the stomach. Case presentation A 50-year-old female presented with a one-week history of epigastric pain, dark tarry stools, and nausea. Endoscopic…
Gastric Pyloric Schwannoma: A Case Report and Review of the Literature
Rebaz M. Ali, Shkar O. Arif, Rezhen J. Rashid, Rawa M. Ali, Abubakar Ibrahim, Dana T. Gharib, Marwan A. Ghafoor, Afolabi Hafeez Abiola and 4 more
IntroductionSchwannomas are slow-growing, subclinical neoplasms rarely found in the gastrointestinal tract. This study reports a schwannoma in the pyloric region of the stomach.
Case presentationA 50-year-old female presented with a one-week history of epigastric pain, dark tarry stools, and nausea. Endoscopic examination and biopsy confirmed the diagnosis of gastric schwannoma. The patient underwent surgical resection of the tumor. Histopathological examination showed benign spindle cells with strong S100 positivity, confirming schwannoma. Post-operative follow-up included treatment for H. pylori infection and monitoring for recurrence or complications. No recurrence was reported after six months.
Literature ReviewGastric schwannoma is challenging to distinguish from other submucosal tumors preoperatively. Reviews of recent case reports indicate the importance of detailed imaging in diagnosis, and surgical resection remains the treatment of choice, with an excellent prognosis and low recurrence rates.
ConclusionSchwannoma is rare in the stomach, especially in the pyloric region. Definitive diagnosis may require immunohistochemical analysis. Appropriate follow-up after treatment can be essential to identify emerging complications and ensure timely intervention.
