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[Malignant lymphoma initially of the buttocks: possible role of repeated intramuscular injections].

The authors report the case of a patient who received intramuscular injections of bismuth and penicilline for three consecutive years. Twenty-five years later, a lymphoma of the right buttock developed. The tumor was treated with radiotherapy and remained localized for two years. It then diffused to lungs, maxilla and skin. The occurrence of a lymphoma in muscles is thought to be exceptionnal. It has been suggested that lymphomas may develop at the site of silicone injections or of protracted infections. Fibrosarcomas have been reported after intramuscular injections of iron. The observations may suggest that the muscular lymphoma observed in our patient may have been related to the injections of bismuth performed twenty-five years earlier.

Aged↗

[Intermittent claudication of the buttock (author's transl)].

Intermittent claudication of the buttock of arterial origin is a syndrome too often overlooked though easily diagnosed from the patient's history and clinical examination. It is due to lesions of the iliac arteries coexisting with permeable femoral and popliteal arteries. In about one-third of the cases the common iliac artery is completely occluded; in the remaining two-thirds the lesion consists of pre-occlusive stenosis and carries a high risk of acute ischaemia in the corresponding limb.

Arteritis↗

[Verneuil's disease in the differential diagnosis of suppuration of the ano-perineo-buttock region].

Verneuil's disease or hidradenitis suppurativa is not frequent. Nevertheless since VERNEUIL's classic description in 1854, many cases have been reported. It is a disease of the apocrine sweat glands, that may arise on each of their localizations: axilla, breast areolae, umbilicus, perineum, groin, buttocks. The chronic suppurative disease of these glands give rise to multiple fistulous constantly infected tracts. The typical appearance usually allows a clinical diagnosis. Other disease may nevertheless look like hidradenitis suppurativa. We present two cases and discuss the differential diagnosis between the hidradenitis suppurativa and the chronic infection of a pilonidal cyst.

Buttocks↗

Urologic injuries associated with penetrating wounds to the buttock.

The clinical syndrome of penetrating injuries to the buttocks at the Medical College of Virginia has been reviewed. This syndrome may present with a spectrum of injuries, from minor soft tissue damage to serious bowel, genitourinary, or vascular damage. Careful history and physical examination along with preliminary plan X rays and appropriate contrast radiographs should be performed. Additional diagnostic studies such as proctoscopy and cystoscopy are helpful when additional preoperative information is required. When retroperitoneal and intraperitoneal injury is suspected, prompt exploration with aggressive intraoperative management is recommended.

Adolescent↗

Parachordoma of the buttock: an immunohistochemical case study and review.

We report a case of parachordoma occurring in the buttock of a 43-year-old man, and review 20 cases of parachordoma reported in the English literature. The tumor in our case was grossly 3 cm in dimension, solid, lobulated and grayish-white in color. Microscopically, the tumor consisted of epithelioid and spindle cells, and fibromyxoid stroma. The epithelioid cells were immunohistochemically positive for vimentin, S-100 protein, neuron-specific enolase, keratin, carcinoembryonic antigen and epithelial membrane antigen, and negative for HMB45. These findings are similar to those for chordoma rather than extraskeletal myxoid chrondrosarcoma. Although the etiopathogenesis of parachordoma remains obscure, Schwann cells or some other neuron-related cell origin are suspected.

Adult↗

Buttock augmentation with silicone prosthesis--a case report.

A 18-year-old male patient presented with small, flat buttock due to gluteus maximus contracture which caused psychological problem. Bilateral gluteal augmentation was achieved with tissue expanders followed by permanent silicone prosthesis replacement. A two year postoperative follow up revealed no capsular contracture of the prosthesis and no limitation of the patient's activities. The improved contour has improved the patient's outlook on his body image or confidence in his body image.

Adolescent↗

Pulsatile buttock masses: gluteal and persistent sciatic artery aneurysms.

A case of persistent sciatic artery aneurysm in a 65-year-old woman was treated by exclusion and reconstruction with a saphenous vein graft. When cases such as this present as pulsatile buttock masses, arteriography is the most important diagnostic aide. It will indicate when the circulation must be reconstructed and when it is safe to simply ligate an aneurysm.

Aged↗

Musculoskeletal pain clinic in Singapore--sacroiliac joint somatic dysfunction as cause of buttock pain.

Buttock pain was a predominant symptom in a series of patients seen with recalcitrant "backache" in the author's pain clinic which has a musculoskeletal emphasis. Assessment suggested the sacroiliac joint as the culprit pain generator and patients underwent confirmatory testing which included fluoroscopy-guided intra-articular injections of lignocaine and steroid along with combined therapeutic modalities of oral analgesics, physical therapy, manual medicine techniques and ergonomic assessments. Two case reports illustrate this condition which is probably under-recognised and inadequately addressed locally.

Adult↗

Viability and vascularization of an expanded buttock island flap in the pig.

In 14 of 16 buttock island flaps, half of which had been expanded within their cranial arterial part before elevation, areas of skin necrosis were noted within the caudal random part. The mean area of necrosis on the expanded side did not differ from that on the control side. In vivo angiograms indicated that the circumflex iliac artery was more tortuous and wider on the expanded side than on the control side. The findings suggest that expanding the arterial part of the flaps has no apparent negative effects on the circulation. The concept of expanding skin to be used as a free flap, so that the size of the flap may fulfill demands in special circumstances, is supported.

Angiography↗