scholarly journals Thoracic actinomycosis: a rare occurrence

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Waqas Jehangir ◽  
Bhumesh Vaidya ◽  
Souad Enakuaa ◽  
Nazar Raoof ◽  
John R. Middleton ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Alimentary Canal ◽  
Surgical Repair ◽  
Acute Onset ◽  
Blood Cultures ◽  
Esophageal Rupture ◽  
Rare Occurrence ◽  
Normal Flora ◽  
Clinical Form ◽  
Thoracic Actinomycosis

<em>Actinomyces israelii</em> is a branching anaerobic bacilli microorganism that can be identified as normal flora throughout various portions of the human alimentary canal. It is crucial to establish a diagnosis as treatment will vary depending on the clinical form of the disease. We report a case of a 78-year-old man who initially presented with an acute onset of respiratory distress displayed contrast leakage on computed tomography from the site of a previously inserted esophageal stent for an unsuccessful surgical repair of an esophageal rupture. In addition to the contrast leakage, the presence of a bronchopulmonary fistula imaging prompted the need for further investigation. Our patient was empirically treated with antibiotics and obtained blood cultures, which returned positive <em>A. israelii.</em>

scholarly journals Left-Sided Bochdalek's Hernia in a Young Adult: A Case Report and Literature Review

2021 ◽  
Vol 07 (03) ◽  
pp. e124-e126
Author(s):  
Mark Portelli ◽  
Mark Bugeja ◽  
Charles Cini
Keyword(s):  
Computed Tomography ◽  
Young Adult ◽  
Rare Case ◽  
Surgical Repair ◽  
Bochdalek Hernia ◽  
Case Presentation ◽  
Atypical Case ◽  
Accident And Emergency ◽  
History Of ◽  
Accident And Emergency Department

Abstract Purpose Bochdalek's hernia is a type of congenital diaphragmatic hernia occurring secondary to a defect in the posterior attachment of diaphragm. This condition commonly presents with respiratory insufficiency in infants. To date, there are less than 100 cases of Bochdalek's hernia presenting in adults published in the literature. The mainstay treatment of Bochdalek's hernia involves reduction of hernial contents back into the peritoneal cavity with a tensionless graft repair closing the diaphragmatic defect. Case Presentation We present an atypical case of the Bochdalek hernia presenting in a previously healthy 16-year-old male who presented to the Accident and Emergency department with a 2-day history of dysphagia and loss of breath. The Bochdalek hernia was confirmed on computed tomography (CT) imaging and the patient underwent surgical repair with Gore-Tex mesh. Conclusion The report shows a rare case of the Bochdalek hernia in a young adult, successfully managed with a laparotomy.

Percutaneous Trans-Hepatic Embolization of an Iatrogenic Extra-Hepatic Pseudoaneurysm of the Right Hepatic Artery in a Patient With Previous Occlusion of the Proper Hepatic Artery: An Endovascular Procedure to Avoid a Difficult Surgical Repair

2021 ◽  
pp. 153857442110225
Author(s):  
Giuseppe S. Gallo ◽  
Roberto Miraglia ◽  
Luigi Maruzzelli ◽  
Francesca Crinò ◽  
Christine Cannataci ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Hepatic Artery ◽  
Surgical Repair ◽  
Endovascular Embolization ◽  
Proper Hepatic Artery ◽  
Ultrasound Guided ◽  
Complete Occlusion ◽  
Right Hepatic Artery ◽  
Ultrasonographic Guidance ◽  
The Right

We report a case of successful percutaneous transhepatic, embolization of an iatrogenic extra-hepatic pseudoaneurysm (PsA) of the right hepatic artery (RHA) under combined fluoroscopic and ultrasonographic guidance. A 73-year-old man underwent percutaneous transhepatic biliary drainage placement in another hospital, complicated by haemobilia and development of a RHA PsA. Endovascular embolization was attempted, resulting in coil embolization of the proper hepatic artery, and persistence of the PsA. At this point, the patient was referred to our hospital. Computed tomography and direct angiography confirmed the iatrogenic extra-hepatic PsA of the RHA, refilled by small collaterals from the accessory left hepatic artery (LHA) and coil occlusion of the proper hepatic artery. Attempted selective catheterization of these vessels was unsuccessful due to the tortuosity and very small caliber of the intra-hepatic collaterals, the latter precluding endovascular treatment of the PsA. Percutaneous trans-hepatic combined fluoroscopic and ultrasound-guided embolization of the PsA was performed with Lipiodol® and cyanoacrylate-based glue (Glubran®2). Real time fluoroscopic images and computed tomography confirmed complete occlusion of the pseudoaneurysm. Surgical repair, although feasible, was considered at high risk. In our patient, we decided to perform a percutaneous trans-hepatic combined fluoroscopic and ultrasound-guided embolization of the PsA using a mix of Lipiodol® and Glubran®2 because of the fast polymerization time of the glue allowing the complete occlusion of the PsA in few seconds, thus eliminating the risk of coil migration, reducing the risk of PsA rupture and avoid a difficult surgical repair.

Aneurysm of sinus of Valsalva: uncommon presentation

2011 ◽  
Vol 19 (6) ◽  
pp. 422-426
Author(s):  
Raja Saravanan Elumalai ◽  
Kirthivasan Vaidyanathan ◽  
Madhu Sankar Nainar ◽  
Govini Balasubramaniam ◽  
Susan George
Keyword(s):  
Chest Pain ◽  
Cardiac Tamponade ◽  
Transthoracic Echocardiography ◽  
Surgical Repair ◽  
Interventricular Septum ◽  
Acute Onset ◽  
Sinus Of Valsalva ◽  
Uncommon Presentation

A 28-year-old man presented with acute onset of chest pain. Transthoracic echocardiography confirmed an aneurysm of the sinus of Valsalva dissecting into the interventricular septum. During the next 12 h, the aneurysm enlarged to involve the entire interventricular septum, and the patient developed features of cardiac tamponade. He underwent successful surgical repair.

Diagnostic Value of the Updated Diamond and Forrester Score to Predict Coronary Artery Disease in Patients with Acute-Onset Chest Pain

Cardiology ◽  
2015 ◽  
Vol 133 (1) ◽  
pp. 10-17 ◽  
Author(s):  
Mathias Sørgaard ◽  
Jesper James Linde ◽  
Klaus Fuglsang Kofoed ◽  
Jørgen Tobias Kühl ◽  
Henning Kelbæk ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Coronary Artery Disease ◽  
Chest Pain ◽  
Coronary Artery ◽  
Diagnostic Accuracy ◽  
Stress Test ◽  
Photon Emission ◽  
Acute Onset ◽  
Emission Computed Tomography ◽  
Artery Disease

Objectives: In the recently updated clinical guidelines from the European Society of Cardiology on the management of stable coronary artery disease (CAD), the updated Diamond Forrester score has been included as a pretest probability (PTP) score to select patients for further diagnostic testing. We investigated the validity of the new guidelines in a population of patients with acute-onset chest pain. Methods: We examined 527 consecutive patients with either an exercise-ECG stress test or single-photon emission computed tomography, and subsequently coronary computed tomography angiography (CCTA). We compared the diagnostic accuracy of PTP and stress testing assessed by the area under the receiver operating characteristic curve (AUC) to identify significant CAD, defined as at least 1 coronary artery branch with >70% diameter stenosis identified by CCTA. Results: The diagnostic accuracy of PTP was significantly higher than the stress test (AUC 0.80 vs. 0.69; p = 0.009), but the diagnostic accuracy of the combination of PTP and a stress test did not significantly increase when compared to PTP alone (AUC 0.86 vs. 0.80; p = 0.06). Conclusions: PTP using the updated Diamond and Forrester Score is a very useful tool in risk-stratifying patients with acute-onset chest pain at a low-to-intermediate risk of having CAD. Adding a stress test to PTP does not appear to offer significant diagnostic benefit.

scholarly journals Endodontic Treatment of Bilateral Maxillary First Premolars with Three Roots Using CBCT: A Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Sujatha Gopal ◽  
Gijo John ◽  
K. Pavan Kumar ◽  
Swarna Latha ◽  
Suma Latha ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Cone Beam Computed Tomography ◽  
Endodontic Treatment ◽  
Cone Beam ◽  
Rare Occurrence ◽  
Internal Anatomy ◽  
Tooth Structure ◽  
Determining Factors

One of the determining factors for the success of endodontic therapy is understanding the morphological anatomy of the tooth structure and its variants in relation to its template anatomy. The internal anatomy of maxillary first premolars is particularly complex due to their variation in number of roots and canal configuration. However, the bilateral presence of three roots in a maxillary first premolar is of rare occurrence. This case report describes the unusual anatomy bilaterally detected in maxillary first premolars using Cone-Beam Computed Tomography.

Cranioplasty: Surgical Repair of Cranial Defects

1991 ◽  
Vol 8 (4) ◽  
pp. 247-249 ◽  
Author(s):  
Donald Leake
Keyword(s):  
Computed Tomography ◽  
Composite Material ◽  
Bone Grafting ◽  
Surgical Repair ◽  
Three Dimensional ◽  
Polymeric Composite ◽  
Polymeric Composite Material ◽  
Complex Contour ◽  
Contour Defects

A lightweight polymeric composite material is described for use with bone grafting for the restoration of complex contour defects of the neurocranium. Custom fabrication based on three-dimensional computed tomography provides an anatomically precise reconstruction with reestablishment of the bony integrity of the skull.

scholarly journals The Dangers of Barbecuing: An Interesting Case of a Foreign Body in the Throat

2019 ◽  
Vol 3 (3) ◽  
pp. 301-302
Author(s):  
Vincent Sicari ◽  
Joseph Pepe ◽  
Alfonso Cardenas ◽  
Christopher Zabbo
Keyword(s):  
Computed Tomography ◽  
Linear Density ◽  
Foreign Bodies ◽  
Recent Literature ◽  
Acute Onset ◽  
Interesting Case ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Common Complaint ◽  
Emergency Department Setting

Swallowing of foreign bodies (FB), and sensation of such in the throat, is a common complaint in the emergency department setting, with roughly 80,000 visits in 2010 for FB ingestion.1 Grill wire brushes are a rarely reported, accidental FB ingestion, although recent literature suggests that it is more common than initially thought.2 This is a report of a female with acute onset odynophagia after a meal, with a normal laryngoscopic exam that used flexible fiberoptics. Evidence of a metallic linear density was present in the retropharynx on computed tomography imaging, most consistent with a wire from a grill wire brush.

XXII.—The Structure and Function of the Alimentary Canal of some Tectibranch Molluscs, with a Note on Excretion

1939 ◽  
Vol 59 (3) ◽  
pp. 599-646 ◽  
Author(s):  
Vera Fretter
Keyword(s):  
Digestive Tract ◽  
Alimentary Canal ◽  
Structure And Function ◽  
Histological Structure ◽  
Rare Occurrence ◽  
Increasing Knowledge ◽  
And Function ◽  
Recent Account

Owing to the comparatively rare occurrence of most tectibranchs it is perhaps not surprising to find that, in spite of the ever-increasing knowledge of the histological structure and functioning of the alimentary canal of molluscs, little attention has been paid in this respect to these forms. The structure of the radula and gizzard has previously aroused interest, but so far as the rest of the alimentary canal is concerned most workers have been content with a somewhat superficial description of the gross morphology such as was given by Vayssière (1880), Bouvier (1893), Pelseneer (1893, 1894), and Guiart (1901). A more recent account of the digestive tract of Philine aperta has been given by Brown (1934), but this includes no histological or physiological consideration.

Sign in / Sign up

Export Citation Format

Share Document