A 72-year-old man with a mass in the posterior thigh

Article Abstract:

A 72-year-old man was diagnosed with an aneurysm of the sciatic artery with a blood clot. An aneurysm is a weakening in the wall of a blood vessel. The patient was admitted to the hospital with a mass on the back of his right thigh. He had first noticed swelling on the back side of his thigh three years before admission to the hospital. Two months before admission, he had started experiencing pain and 'coolness' in his leg while sitting. He had a history of high blood pressure and diabetes mellitus. He had undergone surgery to remove a blood clot from his right leg 14 years before admission. X-rays of his right thigh and a computed tomographic (CT) scan revealed a large soft-tissue mass with calcification. A biopsy of the mass revealed that the soft-tissue mass was an aneurysm with blood clot, rather than a tumor. The patient had surgery to repair the aneurysm, and has not experienced any other problems.

author: Rosenberg, Andrew E., Simon, Michael A.
Thrombosis, Fistula, Arteriovenous, Arteriovenous fistula

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A 54-year-old man with a mass in the thigh and a mass in the lung

Article Abstract:

A 54-year-old man was diagnosed with actinomycoma of the thigh and lung. Actinomycoma is a tumor-like reactive lesion caused by filamentous Actinomyces or other bacteria in the order Actinomycetales. The patient was admitted to the hospital for a painless lump in his right thigh developed three months before he was admitted. Eighteen days before admission, a biopsy had revealed a possible desmond tumor, or a fibrous tumor-like nodule. A chest X-ray showed a mass in his left lung, and a magnetic resonance imaging (MRI) scan showed fluid collection in his right thigh. He also had a large amount of tooth decay. A biopsy of the lesion in his right thigh revealed the presence of Actinomyces.

author: Rosenberg, Andrew E., Johnston, James O.
Diseases, Bacterial infections, Lung diseases, Thigh, Actinomycosis

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Case 20-2003: A nine-year-old girl with hepatosplenomegaly and pain in the thigh

Article Abstract:

A nine-year-old girl with an enlarged liver and spleen and bone pain was diagnosed with Gaucher's disease. Gaucher's disease is a metabolic disorder caused by a deficiency of an enzyme called beta-glucosidase. She was successfully treated with enzyme replacement therapy.

author: Rosenberg, Andrew E., Larsen, Eric C., Connolly, Susan A.
Gaucher's disease

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subjects list: Case studies
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