scholarly journals Surgical Management of a Giant Adrenal Pseudocyst: A Case Report and Review of the Literature in the Last Decade

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Daniel Paramythiotis ◽  
Petros Bangeas ◽  
Anestis Karakatsanis ◽  
Patroklos Goulas ◽  
Irini Nikolaou ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Cystic Lesion ◽  
Final Diagnosis ◽  
Imaging Findings ◽  
Review Of The Literature ◽  
Left Adrenal Gland ◽  
Local Resources ◽  
Adrenal Pseudocyst ◽  
Upper Abdomen

Adrenal pseudocysts are rare entities and occurred in the 5th and the 6th decades of life. They are discovered accidentally, while appearing with nonspecific clinical and imaging findings. We report a case of a 28-year-old woman presented in our Emergency Department complaining about upper abdomen pain. Computed tomography revealed a hypodense cystic lesion containing hyperdense material. The size of a mass was 11. 7 × 9.3 × 6.6 cm in diameter close to the pancreas, but the origin was from the left adrenal gland. The mass was excised with surgical laparotomy. Giant adrenal pseudocysts are rare entities. Final diagnosis usually confirmed with the pathology examination. Management of such adrenal lesions depends on the unique characteristics, the surgeon’s experience, and local resources.

Unusual and rare cause of PUJ obstruction with a brief review of the literature

2020 ◽  
pp. 205141582095899
Author(s):  
Priya Sahu ◽  
Shashikant Singh ◽  
Arvind Ahuja ◽  
Umesh Sharma ◽  
Sahil Mattoo ◽  
...  
Keyword(s):  
Spermatic Cord ◽  
Chromaffin Cells ◽  
Clear Cell ◽  
Histopathological Examination ◽  
Signs And Symptoms ◽  
Final Diagnosis ◽  
Imaging Findings ◽  
Review Of The Literature ◽  
Adrenal Pheochromocytoma ◽  
Excised Tissue

Paragangliomas or extra adrenal pheochromocytoma of the genitourinary tract are infrequent and arise from chromaffin cells of the autonomic nervous system. They have been described in the kidney, bladder, prostate, urethra and spermatic cord. However, the occurrence of paragangliomas in the ureter is very unusual. We present one such case in a patient who presented with signs and symptoms of pelvi-ureteric junction obstruction, wherein the initial clinical and imaging findings were deceptive. The patient underwent right-sided open end-to-end uretero-ureterostomy with excision of the strictured segment. Histopathological examination of excised tissue revealed a tumour with clear cell morphology, and in conjunction with immunohistochemistry a final diagnosis of paraganglioma of the ureter was rendered. The case is discussed here with differential diagnosis in the context of its location.

scholarly journals Adrenal Hemangioma: Findings at Multidetector CT with Short Review of the Literature

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Mohamed Abou El-Ghar ◽  
Huda Refaie ◽  
Ahmed El-Hefnawy ◽  
Tarek El-Diasty
Keyword(s):  
Computed Tomography ◽  
Multidetector Ct ◽  
Short Review ◽  
Ct Imaging ◽  
Imaging Findings ◽  
Review Of The Literature

We present the computed tomography (CT) imaging findings of a 44-year-old male with incidentally discovered right adrenal hemangioma displaying imaging pattern of nonadenomatous pattern, associated with multiple hepatic hemangiomata using 64-slice multidetector scanner with reviewing published CT imaging findings with short review of the literature.

scholarly journals Xanthogranulomatous pyelonephritis mimicking a renal cell carcinoma: a unique and challenging case

2014 ◽  
Vol 3 (1) ◽  
pp. 204798161351376 ◽  
Author(s):  
Nicoletta Dell’Aprovitola ◽  
Salvatore Guarino ◽  
Walter Del Vecchio ◽  
Luigi Camera ◽  
Francesco Chiancone ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Unusual Case ◽  
Final Diagnosis ◽  
Xanthogranulomatous Pyelonephritis ◽  
Cystic Tumor ◽  
Atypical Presentation ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Normal Laboratory

We describe an unusual case of xanthogranulomatous pyelonephritis (XGPN) in a 73-year-old woman diagnosed after a blunt abdominal trauma. This case is unique because of the atypical presentation, with absence of symptoms, normal laboratory exams, and unusual computed tomography and magnetic resonance imaging findings. The patient underwent radical nephrectomy because a renal cystic tumor was suspected. Only the histopathological findings suggested the final diagnosis of XGPN.

scholarly journals Imaging Review of the Lung Parenchymal Complications in Patients with IPF

Medicina ◽  
2019 ◽  
Vol 55 (10) ◽  
pp. 613
Author(s):  
Baratella ◽  
Fiorese ◽  
Marrocchio ◽  
Salton ◽  
Cova
Keyword(s):  
Computed Tomography ◽  
Lung Cancer ◽  
Interstitial Lung Disease ◽  
Poor Prognosis ◽  
Clinical Course ◽  
Final Diagnosis ◽  
Imaging Findings ◽  
Clinical Context ◽  
High Resolution Computed Tomography ◽  
Clinical Scenarios

Idiopathic pulmonary fibrosis (IPF) is a chronic, pulmonary-limited, interstitial lung disease with a poor prognosis. This condition is characterized by different clinical scenarios, ranging from the most typical slow and progressive deterioration of symptoms to a rapid and abrupt decline of lung function. Rapid worsening of clinical course is due to superimposed complications and comorbidities that can develop in IPF patients, with a higher incidence rate compared to the general population. These conditions may require a different management of the patient and a therapy adjustment, and thus it is fundamental to recognize them. High Resolution Computed Tomography (HRCT) is sensitive, but not specific, in detecting these complications, and can evaluate the presence of radiological variations when previous examinations are available; it recognizes ground glass opacities or consolidation that can be related to a large spectrum of comorbidities, such as infection, lung cancer, or acute exacerbation. To reach the final diagnosis, a multidisciplinary discussion is required, particularly when the clinical context is related to imaging findings.

scholarly journals Torsion of a mucocele of the veriform appendix: report of a case

2020 ◽  
Vol 2020 (11) ◽  
Author(s):  
M E Knol ◽  
E M de Leede ◽  
A van Beurden
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Acute Appendicitis ◽  
Cystic Lesion ◽  
Diagnostic Laparoscopy ◽  
Vermiform Appendix ◽  
Histopathological Analysis ◽  
Radiologic Imaging ◽  
Mucocele Of The Appendix ◽  
The Right

Abstract Mucocele of the appendix refers to an appendix that is distended by mucus and transformed in a mucus-filled sac. Appendicular torsion is rare. Primary and secondary forms of appendicular torsion are known. Our patient presented to the emergency department with complaints mimicking acute appendicitis. Imaging with computed tomography and ultrasound showed a cystic lesion most likely originating from the right ovary. The veriform appendix was located close to this lesion and seemed to be distended. During diagnostic laparoscopy, a torsion of the veriform appendix due to a mucocele was found and an appendectomy was performed. Histopathological analysis confirmed the diagnosis. Torsion of the vermiform appendix is most often diagnosed intra-operatively. Pre-operative radiologic imaging is often not useful in the detection of appendicular abnormalities other than acute appendicitis. The treatment consists of detorsion and appendectomy.

Neurenteric cyst with xanthomatous changes in the prepontine area: unusual radiological findings

2008 ◽  
Vol 2 (5) ◽  
pp. 351-354 ◽  
Author(s):  
Byung-Soo Ko ◽  
Shin Jung ◽  
Tae-Young Jung ◽  
Kyung-Sub Moon ◽  
In-Young Kim ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Preoperative Diagnosis ◽  
Cystic Lesion ◽  
Cystic Mass ◽  
Neurenteric Cyst ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Radiological Findings ◽  
Clear Fluid

Preoperative diagnosis of neurenteric cysts can be difficult because the imaging findings of a neurenteric cyst may be similar to those of an arachnoid cyst. The authors report a case of a neurenteric cyst with xanthomatous changes in the prepontine area. This 4-year-old girl was admitted to their institution with intermittent neck pain and vomiting. Computed tomography showed a hypodense mass in the prepontine area. Magnetic resonance imaging showed a cystic lesion measuring ~ 4 × 3 cm. The brainstem was displaced posteriorly, and the cisterns in both cerebellopontine angles were widened. The signal intensity of the cyst was similar to that of cerebrospinal fluid. Adjacent to the basilar artery there was a solid component of the mass that enhanced after administration of Gd. Intraoperatively, the authors found a cystic mass containing clear fluid with a yellowish solid nodule. On the basis of histopathological findings, the lesion was diagnosed as a neurenteric cyst with xanthomatous changes.

scholarly journals The prostatic utricle cyst with huge calculus and hypospadias: A case report and a review of the literature

2015 ◽  
Vol 9 (5-6) ◽  
pp. 345 ◽  
Author(s):  
Weigang Wang ◽  
Yuantao Wang ◽  
Dezhun Zhu ◽  
Pengfei Yan ◽  
Biao Dong ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cystic Lesion ◽  
Low Density ◽  
Review Of The Literature ◽  
Prostatic Utricle ◽  
History Of ◽  
Posterior Urethra ◽  
Frequent Micturition ◽  
Prostatic Utricle Cyst ◽  
Penoscrotal Hypospadias

Prostatic utricle cysts with calculus and hypospadias are rare in clinical practice. According to our literature review, only few cases have been reported. Recently, we experienced a case of prostatic utricle cyst with huge calculus in a 25-year-old male patient. He had a history of left cryptorchidism and surgery for penoscrotal hypospadias in his infancy. He was referred for frequent micturition, urgency of urination, urine pain, terminal hematuria and dysuria. Computed tomography (CT) revealed a retrovesical cystic lesion of low density, in which a 5×5 cm calcification was shown. Retrograde urethrocystography showed a 5×5 cm high-density shadow in the posterior urethra. The cyst was incised by transperineal approach and the stone was clearly observed and removed. Urethral stricture repair was performed simultaneously. The patient recovered smoothly after operation.

scholarly journals Influence of physicians’ seniority on head computed tomography use for patients with isolated vertigo/dizziness

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052095503
Author(s):  
Ming-Ta Tsai ◽  
Kung-Pin Chang ◽  
Jyun-Bin Huang ◽  
Shih-Yu Cheng ◽  
Charng-Yen Chiang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Central Nervous System ◽  
Odds Ratio ◽  
Retrospective Cohort ◽  
Final Diagnosis ◽  
Emergency Physicians ◽  
Cns Disorders ◽  
Ed Visits ◽  
Head Computed Tomography

Objective Vertigo/dizziness is a common reason for emergency department (ED) visits. Emergency physicians (EPs) must distinguish patients with dizziness/vertigo owing to serious central nervous system (CNS) disorders. We aimed to evaluate the association between physician seniority and use of head computed tomography (CT) and ED length of stay (LOS) in patients presenting to the ED with isolated dizziness/vertigo. Methods This retrospective cohort study included adult patients with non-traumatic dizziness/vertigo in the ED. EPs were categorized according to seniority: junior (less than 6 years’ clinical experience), intermediate (7–12 years), and senior (≥12 years). Results Among 2589 patients with isolated dizziness/vertigo, 460 (17.8%) received brain CT; 46 (1.78%) had CNS disorder as a final diagnosis. Junior and intermediate EPs ordered more CT examinations than senior EPs: (odds ratio [OR] = 1.329, 95% confidence interval [CI]: 1.002–1.769 and OR = 1.531, 95% CI: 1.178–2.001, respectively). Patients treated by junior and intermediate EPs had lower patient ED LOS (OR = −0.432, 95% CI: −0.887 to 0.024 and OR = −0.436, 95% CI: −0.862 to −0.011). Conclusions We revealed different judgment strategies among senior, intermediate, and junior EPs. Senior EPs ordered fewer CT examinations for patients with isolated vertigo/dizziness but had longer patient LOS.

A Giant Coronary Sinus Aneurysm with Secondary Vena Cava Aneurysms

2016 ◽  
Vol 19 (1) ◽  
pp. 028
Author(s):  
Shengjun Wu ◽  
Peng Teng ◽  
Yiming Ni ◽  
Renyuan Li
Keyword(s):  
Computed Tomography ◽  
Heart Transplantation ◽  
Coronary Sinus ◽  
Unusual Case ◽  
Superior Vena ◽  
Vena Cava ◽  
Final Diagnosis ◽  
Rare Entity ◽  
First Case ◽  
Enhanced Computed Tomography

Coronary sinus aneurysm (CSA) is an extremely rare entity. Herein, we present an unusual case of an 18-year-old symptomatic female patient with a giant CSA. Secondary vena cava aneurysms were also manifested. The final diagnosis was confirmed by enhanced computed tomography (CT) and cardiac catheterization. As far as we know, it is the first case that such a giant CSA coexists with secondary vena cava aneurysms. Considering the complexity of postoperative reconstruction, we believe that heart transplantation may be the optimal way for treatment. The patient received anticoagulant due to the superior vena cava (SVC) thrombosis while waiting for a donor.

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