Asperigillous osteomyelitis of the spine has quite rarely been reported. We present a 57-year-old man with old pulmonary tuberculosis who developed cough, sputum and back pain followed by paraplegia. Magnetic resonance imaging of the thoracic spine showed the destruction of the vertebral body through the level of T4-5 and epidural abscess. Decompressive surgery was carried out under the presumptive diagnosis of tuberculous spondylitis. However, the pathologic findings were aspergillous infection showing acute angle hyphae. To the best of our knowledge, this is the first report of aspergillous spondylitis producing compressive myelopathy in Korea.
Aspergillus* ; Back Pain ; Cough ; Diagnosis ; Epidural Abscess ; Humans ; Hyphae ; Korea ; Magnetic Resonance Imaging ; Middle Aged ; Osteomyelitis ; Paraplegia ; Spinal Cord Compression* ; Spine* ; Spondylitis ; Sputum ; Tuberculosis, Pulmonary

Ciliated hepatic foregut cyst (CHFC) is a rare disease that originates from the tracheobronchial tree of the foregut. Most patients with CHFC, which is believed to be a non-malignant neoplasm, are clinically asymptomatic. However, there have been some case reports that identify it as changing to malignant in the last decade of the condition. Surgical excision is, therefore, preferred to observation as the treatment of CHFC. However, surgical excision of CHFC in asymptomatic elderly patients is controversial. We experienced a rare case of a 73-year-old female patient who was accidentally diagnosed with CHFC while being diagnosed for cholecystitis and cholangitis. The patient simultaneously underwent laparoscopic cholecystectomy and resection of CHFC, which was finally diagnosed as benign. We report asymptomatic CHFC in elderly patient, focusing our discussion on whether surgical excision of CHFC is necessary for asymptomatic elderly patients. According to a review of case reports, surgical excision of CHFC is not necessary for asymptomatic elderly patients.
Aged ; Cholangitis ; Cholecystectomy, Laparoscopic ; Cholecystitis ; Female ; Humans ; Rare Diseases

Liposarcoma is one of the most common soft tissue sarcomas that occurs in adults and is currently divided into five main subgroups: well-differentiated, myxoid, round cell, pleomorphic, and dedifferentiated. Primary mesenteric liposarcoma is extremely rare, and the treatment strategy is surgical resection with a wide free margin, often followed by radiation and adjuvant chemotherapy if distant metastasis is not detected. A 73-year-old male patient presented with lower abdominal distension. Abdominal CT scan revealed a large homogeneously enhancing mass lesion abutting the sigmoid colon and urinary bladder. At laparotomy, the solid mass measured 28x26x12 cm in size, was well-demarcated, and originated from the mesentery of the middle ileum. It was removed along with some small intestine (ileocecal valve upper 50-150 cm) and ileal mesentery because of adhesion. Histologically, the tumor proved to be pleomorphic liposarcoma. The patient did not undergo any adjuvant treatment following surgery, but he remains disease free until 33 months after surgery. Herein, we report a case of pleomorphic liposarcoma arising from small bowel mesentery.
Aged ; Humans ; Liposarcoma/*diagnosis/pathology/surgery ; Male ; Mesentery/*pathology ; Peritoneal Neoplasms/*diagnosis/pathology/surgery ; Tomography, X-Ray Computed