Medical Case Report

Mucous membrane plasmacytosis is a rare, idiopathic condition consisting of a dense plasma-cell infiltrate of the mucous membranes. Zoon first described a plasma-cell infiltrate occurring on the glans penis and plasmacytosis involving other body orifices have been reported under a variety of different terms. White et al. simplified the terminology by suggesting all plasma-cell infiltrates of the mucous membranes of body orifices be termed plasma-cell orificial mucositis. The differential diagnoses and treatment for mucous membrane plasmacytosis are summarized. A middle-aged female with an unusual plasma-cell proliferation disorder of the upper aerodigestive tract is reported for its rarity.

Abstract

Background: Rapunzel syndrome is a rare type of trichobezoar with an extension of the hair into the small bowel. Clinical presentation is deceptive and vague ranging from abdominal mass to gastrointestinal symptoms.

Case presentation: We present a 7 years old girl with Rapunzel syndrome, where the trichobezoar was not suspected at all especially with negative history of trichophagia. In majority of the cases the diagnosis was made very late in the history of the disease, at a stage where surgery is the only cure for this syndrome.

Conclusion: In the paediatric age group with a long history of gastrointestinal symptom, endoscopy is a diagnostic as well as a therapeutic modality and may reduce surgery in trichobezoars.

Introduction: A gunshot injury can cause extended soft-tissue injury and traumatic contamination leading to infection. The aim of the Pirogoff amputation is to eliminate infection and remove as little of the extremity as possible. This will result in a functional stump with tissues capable of tolerating weight-bearing stress.

Case report: We present a case of a 73-year-old male with extended soft-tissue injury of the left foot and multiple pellets in the surrounding tissues after shotgun injury. Aside from arterial hypertension and non-insulin-dependent diabetes mellitus, the patient suffered from obesity and peripheral peroneal paresis after thromboembolectomy in 1997. Systemic and local examination showed no neurological or vascular compromise to the foot. Radiographs revealed comminuted fractures of the talus, navicular and medial cuneiform. A Priogoff amputation was chosen as the amputation of choice.