Publications by authors named "Erisa Kola"

5 Publications

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Ectopic Thyroid Papillary Carcinoma with Cervical Lymph Node Metastasis as the Initial Presentation, Accompanied by Benign Thyroid Gland.

Med Arch 2021 Apr;75(2):154-157

University of Medicine, Tirana University, Albania.

Background: Ectopic thyroid papillary carcinoma presenting as bilateral neck lymph nodes metastasis is very rare. Ectopic thyroid tissue may appear in any location along the trajectory of the thyroglossal duct from the foramen cecum to the mediastinum. It is subject to malignant transformation and is classically accompanied by a similar transformation of the native thyroid gland. Similar to that of the native thyroid gland, the most common malignancy found is Papillary thyroid carcinoma. Unusual cases in which ectopic thyroid carcinoma presents with normal native tissue support an alternative hypothesis that ectopic thyroid tissue may develop malignancies independently from the native thyroid gland.

Objective: We present an extremely rare case of a 30-year-old woman previously diagnosed with Hashimoto's thyroiditis, presenting with a palpable mass in the lateral neck suspicious for malignancy.

Results: After several examinations and surgical removal of the mass, histopathologic evaluation of the continuous sections of the thyroid, demonstrated metastatic disease from papillary carcinoma of the thyroid. Total thyroidectomy and biopsy revealed benign thyroid tissue without any foci of microcarcinoma. A hypothesis of ectopic thyroid tissue and its malignant transformation was made.

Conclusion: By presenting this case, our goal is to highlight and make the physicians aware of the possibility of developing primary carcinoma of the ectopic thyroid tissue, without an active tumor of the thyroid gland.
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http://dx.doi.org/10.5455/medarh.2021.75.154-157DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8228584PMC
April 2021

Artery of Percheron infarction: A case report and literature review.

Radiol Case Rep 2021 Jun 28;16(6):1271-1275. Epub 2021 Mar 28.

University Clinical Center, Clinic of Radiology, University for Business and Technology - Radiology.

The artery of Percheron (AOP) represents a rare anatomic variant of the posterior circulation. It is a solitary trunk that provides bilateral arterial supply to the rostral midbrain and paramedian thalamus. AOP infarction presentation varies, most often presents with altered mental status, memory impairment, and supranuclear vertical gaze palsy. Diagnosis of the AOP infarct is most often missed in the initial CT scan. A majority of these diagnoses are made outside the window of thrombolytic treatment for ischemic stroke. We report a case of a 67-year old male with a history of well-managed diabetes mellitus type 2 and hypertension, presented in the ER sudden onset severe drowsiness. On a physical exam, we found left pupil dilation and left eye deviation. Initial CT scan showed no pathological changes. The diagnosis was made on the third day of hospitalization via an MRI. Our case highlights the unusual presentation and that an absence of evidence of AOP infarction in CT scan does not exclude its diagnosis. The artery of the Percheron infarct requires a comprehensive clinical and radiological examination.
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http://dx.doi.org/10.1016/j.radcr.2021.02.059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8027104PMC
June 2021

Undesirable Outcomes from Liposuction of the Calves and Ankles, what to Avoid?

Med Arch 2020 Oct;74(5):396-398

Department of Pathology, Genius Lab, Tirana, Albania.

Introduction: Liposuction, is amongst the most popular cosmetic surgical procedures worldwide and is pretty safe with a very low incidence of major complications in the hands of skilled plastic surgeons. As a matter of fact, a faultless liposuction of the calves and ankles is near the top of the list in providing a high satisfaction rate.

Aim: We present a case of 38-year old female with severe complication from liposuction of the thighs, calves and ankles with dimples and contour irregularity.

Results: The results were very bad aesthetically with over correction liposuction of the calves and a lot of contour surface irregularity, asymmetry, dimples and grooves. We recommended her several procedures of autologous fat grafting in the calves, to improve the contour irregularities, and the patient agreed to it.

Conclusion: The surgeon should be very cautious in examining the patient in details to see if liposuction of the calves and ankles is the proper procedure to address their interest. Several times it is required to combine different refinement techniques to achieve patients' aesthetic requests and enhance their appearance.
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http://dx.doi.org/10.5455/medarh.2020.74.396-398DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7780796PMC
October 2020

Asymptomatic presentation of a congenital malformation of the portal vein with portosystemic shunt.

Radiol Case Rep 2020 Oct 24;15(10):2009-2014. Epub 2020 Aug 24.

Department of Radiology, Regional Hospital, Durres, Albania.

Malformations of the portal venous system consist of congenital and acquired anomalies. Congenital portosystemic shunts represent rare vascular developmental anomalies that allow partial or complete diversion of blood flow from the portal venous system to the systemic venous system, bypassing the liver. Congenital portosystemic shunts may be associated with malformations or congenital absence of the portal vein, and it was first described by John Abernethy in 1793. Most cases are diagnosed in early childhood, but some congenital shunts may remain asymptomatic and are encountered incidentally because of the widespread use of computed tomography and magnetic resonance imaging. In this report, we discuss the case of a 40-year-old female who presented to the Emergency Department with right upper quadrant pain, nausea, and vomiting. Clinical presentation and abdominal computed tomography angiography were consistent with the diagnosis of calculous cholecystitis and congenital absence of portal vein with intrahepatic portosystemic shunts. We discuss the importance of radiology in diagnosing such incidental malformations, coupled with a review of the current literature on this topic.
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http://dx.doi.org/10.1016/j.radcr.2020.07.076DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7452029PMC
October 2020
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