scholarly journals Severe Renal Hemorrhage in a Pregnant Woman Complicated with Antiphospholipid Syndrome: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Shohei Kawaguchi ◽  
Kouji Izumi ◽  
Takahiro Nohara ◽  
Tohru Miyagi ◽  
Hiroyuki Konaka ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pregnant Woman ◽  
Antiphospholipid Syndrome ◽  
Systemic Autoimmune Disease ◽  
Ureteral Calculus ◽  
Anticoagulation Treatment ◽  
Renal Hemorrhage ◽  
First Case ◽  
Low Dose Aspirin

Antiphospholipid syndrome is a systemic autoimmune disease with thrombotic tendency. Consensus guidelines for pregnancy with antiphospholipid syndrome recommend low-dose aspirin combined with unfractionated or low-molecular-weight heparin because antiphospholipid syndrome causes habitual abortion. We report a 36-year-old pregnant woman diagnosed with antiphospholipid syndrome receiving anticoagulation treatment. The patient developed left abdominal pain and gross hematuria at week 20 of pregnancy. An initial diagnosis of left ureteral calculus was made. Subsequently abdominal-pelvic computed tomography was required for diagnosis because of the appearance of severe contralateral pain. Computed tomography revealed serious renal hemorrhage, and ureteral stent placement and pain control by patient-controlled analgesia were required. After treatment, continuance of pregnancy was possible and vaginal delivery was performed safely. This is the first case report of serious renal hemorrhage in a pregnant woman with antiphospholipid syndrome receiving anticoagulation treatment and is an instructive case for urological and obstetrical practitioners.

Spontaneous Feline Pneumothorax Caused by Ruptured Pulmonary Bullae Associated With Possible Bronchopulmonary Dysplasia

2010 ◽  
Vol 46 (2) ◽  
pp. 138-142 ◽  
Author(s):  
Marjorie E. Milne ◽  
Christina McCowan ◽  
Ben P. Landon
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Bronchopulmonary Dysplasia ◽  
Spontaneous Pneumothorax ◽  
Histopathological Examination ◽  
Lung Lobe ◽  
First Case ◽  
Adult Cat ◽  
The Right ◽  
Lung Lobes

Spontaneous pneumothorax is rarely reported in the cat. This case report describes the use of computed tomography (CT) to diagnose pulmonary bullae in an adult cat with recurrent spontaneous pneumothorax. A large bulla in the right middle lung lobe and several blebs in other lobes were identified by CT. Partial lobectomy of the right middle and right and left cranial lung lobes was successfully performed to remove the affected portions of lung. Histopathological examination suggested bronchopulmonary dysplasia (BPD) as the underlying cause for development of the pulmonary bulla. This is the first case report in the veterinary literature describing the use of CT to identify pulmonary bullae in the cat with BPD as a possible underlying cause.

Blinatumomab-related pneumatosis intestinalis in a pediatric patient with relapsed acute lymphoblastic leukemia: A case report

2021 ◽  
pp. 107815522110157
Author(s):  
Sung Eun Kim ◽  
So Mi Lee ◽  
Ji Yoon Kim
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Acute Lymphoblastic Leukemia ◽  
B Cell ◽  
Pediatric Patient ◽  
Lymphoblastic Leukemia ◽  
Good Condition ◽  
Gastrointestinal Symptoms ◽  
Pneumatosis Intestinalis ◽  
First Case

Introduction Pneumatosis intestinalis is characterized by air in the subserosal or submucosal layer of the intestine, with the severity ranging from mild and asymptomatic to symptomatic with serious conditions such as intestinal ischemia and perforation requiring surgery. Although several etiologies, including those from conventional chemotherapy agents and molecular target agents, have been suggested, blinatumomab-related pneumatosis intestinalis is quite rare. Case report An 11-year-old girl with history of B-cell ALL presented with bone marrow relapse 3 years after completion of initial chemotherapy. Reinduction chemotherapy and blinatumomab as post-reinduction consolidation were initiated. On day 28 of blinatumomab therapy, pneumatosis intestinalis from the ascending colon to the hepatic flexure was found incidentally on abdominal computed tomography. Management and outcome: After withholding blinatumomab therapy for 1 month, pneumatosis intestinalis improved significantly without abnormal gastrointestinal symptoms. Blinatumomab was resumed and safely completed. The computed tomography performed 4 months later showed complete resolution of pneumatosis intestinalis. The patient has been in good condition for over 1 year to date. Discussion To our knowledge, this is the first case report of pneumatosis intestinalis after blinatumomab therapy in a pediatric patient with relapsed precursor B-cell acute lymphoblastic leukemia. Herein, we highlight the importance of early detection of pneumatosis intestinalis through imaging follow-up during blinatumomab therapy.

scholarly journals Maternal and fetal outcomes of the pregnant woman with COVID-19: The first case report in Taiwan

2021 ◽  
Author(s):  
Le-Ming Wang ◽  
Shih-Ping Lai ◽  
So-Jung Liang ◽  
Szu-Ting Yang ◽  
Chia-Hao Liu ◽  
...  
Keyword(s):  
Case Report ◽  
Pregnant Woman ◽  
Fetal Outcomes ◽  
First Case

scholarly journals Preoperative Diagnosis of Suprasellar Hemangioblastoma with Four-Dimensional Computed Tomography Angiography: Case Report and Literature Review

2021 ◽  
Vol 31 (02) ◽  
pp. 499-509
Author(s):  
Yi Tong ◽  
Denis Sirhan ◽  
Maria Cortes
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Computed Tomography Angiography ◽  
Diabetes Mellitus Type Ii ◽  
Von Hippel Lindau ◽  
First Case ◽  
Imaging Characteristics ◽  
Vhl Disease

Purpose Our case report presents the first case of suprasellar hemangioblastoma diagnosed preoperatively with dynamic computed tomography angiography (four-dimensional [4D] CTA) in a patient without Von Hippel-Lindau (VHL) disease. We illustrate the imaging characteristics of these exceedingly rare tumors and discuss the role of 4D CTA in confirming this diagnosis and guiding surgical management. Finally, we present a literature review of imaging findings, differential diagnosis, management, and prognosis. Case A 39-year-old woman known for diabetes mellitus type II and dyslipidemia presented with headache, bitemporal hemianopsia, and mild hyperprolactinemia. Initial diagnosis of suprasellar meningioma separate from pituitary gland was revised to definitive diagnosis of suprasellar hemangioblastoma after 4D CTA. Conclusion Suprasellar hemangioblastomas are extremely rare, often associated to VHL disease. They present as enhancing as suprasellar mass with prominent intra- and peritumoral vascular flow-voids on magnetic resonance imaging. 4D CTA confirms their vascular nature, demonstrates characteristic rapid shunting with feeding arteries, and enlarged draining veins, and is important in guiding surgical management.

scholarly journals Traumatic bilateral ureteral tear in a pregnant woman after a motor vehicle crash: a case report

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Muhammad Abu-Rmaileh ◽  
Hanna Jensen ◽  
Mary Katherine Kimbrough
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Case Report ◽  
Pregnant Woman ◽  
Motor Vehicle ◽  
Ureteral Injury ◽  
Rapid Diagnosis ◽  
Motor Vehicle Crash ◽  
Definitive Repair ◽  
Effective Stabilization

Abstract Bilateral ureteropelvic junction (UPJ) tears are rare. Trauma can obscure this diagnosis. The objective of this case report is to highlight the rapid diagnosis of this injury and care in the case of pregnancy. A 22-year-old pregnant female was ejected from her car and presented with abdominal pain. The patient got a computed tomography (CT)-chest, abdomen, pelvis (CT-CAP) revealing bilateral ureteral injury, which was confirmed on retrograde cystoscopy. Her injuries were treated with nephrostomy tubes with plans for definitive repair after pregnancy. Fetus remained stable throughout her care and the patient was discharged with no complications. Due to the rapid diagnosis and effective stabilization, the patient and fetus recovered well from the injuries and multiple procedures. While there are many explanations for bilateral UPJ tears, deceleration and hyperextension seem to be the two major mechanisms of this injury.

Chronic myelomonocytic leukemia in a patient with antiphospholipid syndrome: First case report

1997 ◽  
Vol 21 (9) ◽  
pp. 889-890 ◽  
Author(s):  
Naoyuki Yahata ◽  
Kazuma Ohyashiki ◽  
Hiroshi Iwama ◽  
Tomoko Katagiri ◽  
Shuichi Kodama ◽  
...  
Keyword(s):  
Case Report ◽  
Antiphospholipid Syndrome ◽  
Chronic Myelomonocytic Leukemia ◽  
First Case ◽  
Myelomonocytic Leukemia

scholarly journals Metastasis of breast cancer to liver through direct lymphatic drainage: a case report

2021 ◽  
Vol 49 (12) ◽  
pp. 030006052110647
Author(s):  
Hiromi Tokisawa ◽  
Tomoyuki Aruga ◽  
Yuichi Kumaki ◽  
Naoko Iwamoto ◽  
Rika Yonekura ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Computed Tomography ◽  
Case Report ◽  
Liver Metastasis ◽  
Photon Emission ◽  
Preoperative Imaging ◽  
Emission Computed Tomography ◽  
Ct Findings ◽  
First Case ◽  
Pet Ct

Breast cancer liver metastasis (BCLM) is considered to occur by hematogenous spread of primary breast cancer cells. We herein present a case of lymphatic BCLM that was confirmed by preoperative imaging for sentinel lymph node biopsy (SLNB). A woman in her early 70s was diagnosed with clinical stage T2N0M0 invasive lobular cancer of the left breast. She underwent mastectomy with SLNB. Preoperative lymphoscintigraphy showed intense accumulation of isotope in the upper abdomen, corresponding to segment IV of the liver on single-photon emission computed tomography/computed tomography (SPECT/CT). However, no abnormalities were detected on magnetic resonance imaging. At 2.5 years postoperatively, the patient’s serum CA15-3 concentration was elevated, and positron emission tomography/computed tomography (PET/CT) showed a solitary liver metastasis. The PET/CT findings were similar to the SPECT/CT findings obtained 2.5 years earlier, indicating that the BCLM had developed lymphatically. To the best of our knowledge, this is the first case report of lymphatic BCLM proven by imaging examination.

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