Vol. 3 No. 2 (2018)

  • Open Access

    Case Reports

    Article ID: 53

    Henoch-Schönlein purpura

    by Natalia Zdanowska, Agnieszka Owczarczyk-Saczonek, Waldemar Placek

    Journal of Surgical Dermatology, Vol.3, No.2, 2018; 2266 Views

    DOI: https://doi.org/10.18282/jsd.v1.i3.53

    Henoch-Schönlein purpura (HSP) is an acute, systemic vasculitis which usually occurs in young adults and children. The skin involvement may lead to the manifestation of symptoms associated with vasculitis in intestines, kidneys, and the central nervous system. The incidence of bowel perforation in course of HSP is very seldom and it occurs about 10 days after the appearance of the first symptoms. We present a 23-year-old male patient with jejunal intussusception in the course of HSP. The patient was operated urgently with resection of part of the small intestine. Adults rarely suffer from the occurrence of abdominal pain and fever, but sometimes they require careful monitoring and surgical intervention because misdiagnosis can be life threatening.

     

  • Open Access

    Case Reports

    Article ID: 62

    Unusual presentation of a cutaneous leiomyoma of the neck simulating a goiter

    by Kouame Kanga, Komenan Kassi, Kouame Kouassi, Ildevert Patrice Gbery, Jean-Marie Kanga

    Journal of Surgical Dermatology, Vol.3, No.2, 2018; 2477 Views

    DOI: https://doi.org/10.18282/jsd.v1.i3.62

    We report an unusual case of a large cutaneous leiomyoma. Dermal leiomyomas are rare and benign skin tumors derived from the smooth erector muscles of the hair. The patient was a 12-year-old child who came in for a consultation on a big cervical tumor of the anterior part of the neck which simulated goiter. The lesion evolved since the patient was five years old; it was consistently firm and was associated with skin ulceration and significant deep suppurations. Computed tomography (CT) scan revealed that this tumor was limited to the soft and cutaneous tissues without invading the thoracic muscles. Surgical treatment allowed the excision of the gelatinous and well vascularized skin tumor measuring about 15 cm in diameter. Final histological examination confirmed the diagnosis of dermal leiomyoma.