scholarly journals A Case of Fascioliasis Treated Successfully without Sequelae in a Japanese Expatriate Living in Jakarta

2015 ◽  
Vol 8 ◽  
pp. CCRep.S26578 ◽  
Author(s):  
Masataro Norizuki ◽  
Teppei Sasahara ◽  
Harumi Gomi ◽  
Yuji Morisawa ◽  
Noriko Takamura ◽  
...  
Keyword(s):  
Upper Class ◽  
Intermittent Fever ◽  
Contrast Enhanced ◽  
Japanese Female ◽  
Old Japanese ◽  
History Of ◽  
Fasciola Spp ◽  
Enhanced Computed Tomography ◽  
The City ◽  
Contrast Enhanced Computed Tomography

A 46-year-old Japanese female expatriate living in Jakarta presented with intermittent fever lasting for a month. Although she was considered at low risk of Fasciola spp. infection because she lived in an upper-class residential area of the city, the patient presented with eosinophilia after consuming organic raw vegetables; in addition, contrast-enhanced computed tomography detected microabscesses in a tractlike pattern in the liver. These findings led to an early diagnosis of fascioliasis, which was successfully treated without sequelae. In any patient with a history of consuming raw vegetables, fascioliasis should be suspected regardless of where the patient has lived.

Intraductal Papillary Mucinous Neoplasm of the Pancreas

2021 ◽  
Vol 8 (28) ◽  
pp. 2562-2566
Author(s):  
Jayalatha Nethagani ◽  
Priyanka Govula ◽  
Revathi Chandu ◽  
Pravin Raj T
Keyword(s):  
Epigastric Pain ◽  
Magnetic Resonance Cholangiopancreatography ◽  
Uncinate Process ◽  
Cystic Lesions ◽  
Chronic Alcoholic ◽  
Contrast Enhanced ◽  
History Of ◽  
Head Of The Pancreas ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

A 36-year-old non-smoker, chronic alcoholic female presented with recurrent episodes of epigastric pain and vomiting in the last 10 days. H/o similar episodes of pain 3 times, with last episode was noted 2 months back. She also had history of vomiting (3 episodes). Jaundice/melena/steatorrheas was not observed. Subsequently, contrast-enhanced computed tomography (CECT) of the patient was done and it showed well defined multiple cystic lesions with peripheral wall enhancement involving head and body of pancreas, largest measuring 24 X 22 X 22 mm in the head of the pancreas, the lesion was seen abutting antro-pyloric region anteriorly. Main pancreatic is mildly dilated measuring 4 mm in diameter. A well-defined heterogeneously hypodense (necrotic) para duodenal lesion, was noted inferior to uncinate process, m/s 22 X 20 X 20 mm, which is indicative of lymph nodal deposit. On magnetic resonance cholangiopancreatography (MRCP): few cystic lesions were seen scattered in the pancreatic parenchyma, with one of the cysts showing communication with main pancreatic duct (MPD) ab.

scholarly journals An uncommon cause of hemoptysis: aortobronchial fistula

2018 ◽  
Vol 13 ◽  
Author(s):  
Roberto Tonelli ◽  
Matteo Fontana ◽  
Filippo Gozzi ◽  
Ivana Castaniere ◽  
Alessandro Marchioni ◽  
...  
Keyword(s):  
Respiratory Diseases ◽  
Aortic Surgery ◽  
Aneurysmal Dilatation ◽  
Case Presentation ◽  
Aortobronchial Fistula ◽  
Contrast Enhanced ◽  
History Of ◽  
Clinical Awareness ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Background: Hemoptysis is a frequent sign of respiratory and non-respiratory diseases. While in most cases the underlying cause is rapidly identified, sometimes the real etiology might be misdiagnosed with dramatic delay in treatment. Case presentation: A 46-year-old man with hiatal hernia and a history of aortic surgery for aortic coarctation presented with dramatic episodes of hemoptysis and subsequent severe anemia (6,9 g/dl). Digestive and respiratory endoscopy resulted not exhaustive, thus he underwent a contrast-enhanced computed tomography (CT) scan of the chest that showed an aneurysmal dilatation of the descending thoracic aorta with suspected aortobronchial fistula. He underwent cardiac surgery that confirmed the diagnosis and successfully treated the fistula. Conclusion: We briefly review the literature to raise clinical awareness on this uncommon cause of hemoptysis.

scholarly journals Proximal Descending Thoracic Aortic Pseudoaneurysm Secondary to Pott's Spine

Aorta ◽  
2020 ◽  
Vol 08 (02) ◽  
pp. 035-037 ◽  
Author(s):  
Irappa Madabhavi ◽  
Malay Sarkar ◽  
Chidanand Chauhan ◽  
Mitul Modi
Keyword(s):  
Vertebral Osteomyelitis ◽  
Thoracic Vertebrae ◽  
Aortic Pseudoaneurysm ◽  
Contrast Enhanced ◽  
Life Threatening ◽  
History Of ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography ◽  
Very High ◽  
Antituberculous Chemotherapy

AbstractTuberculous pseudoaneurysm of the descending thoracic aorta is quite rare, life-threatening, and fatal if not diagnosed in time. This lesion exposes patients to a very high risk of unpredictable rupture. We describe a case of tuberculous pseudoaneurysm of the aorta in association with tuberculosis of the spine (Pott's spine). A 73-year-old man presented with a 2-month history of back pain. Chest roentgenography and contrast-enhanced computed tomography showed a descending thoracic aortic pseudoaneurysm with destruction of the fourth and fifth thoracic vertebrae (T4-T5). We suspected that the pseudoaneurysm was due to direct extension of tuberculous vertebral osteomyelitis. The patient was managed with antituberculous chemotherapy. The post–antitubercular therapy course was uneventful and he remained well 12 months after completion of treatment.

Parotid Duct Foreign Body in a Dog Diagnosed with CT

2013 ◽  
Vol 49 (4) ◽  
pp. 250-254 ◽  
Author(s):  
Silas J. Goldsworthy ◽  
Carolyn Burton ◽  
Sergio Guilherme
Keyword(s):  
Foreign Body ◽  
Parotid Gland ◽  
Positive Contrast ◽  
Parotid Duct ◽  
Contrast Enhanced ◽  
Facial Swelling ◽  
History Of ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

A 12 mo old castrated male German shorthaired pointer was referred with a 3 mo history of a recurrent left-sided facial swelling. Contrast-enhanced computed tomography (CT) combined with a positive contrast sialogram revealed the presence of a thick-walled dilated region of the left parotid duct and a normal appearance of the parotid gland. The affected parotid duct, complete with grass seed foreign body, was surgically removed under general anesthesia, and the parotid duct was ligated leaving the parotid gland in situ. Twelve mo later, the dog was doing well with no reported complications.

Computed tomographic and sonographic findings in a dog with duplex kidney, ureter duplex and ectopic ureterocele

2020 ◽  
Vol 48 (01) ◽  
pp. 44-48
Author(s):  
Katharina I. Kopp ◽  
Sebastian Schaub ◽  
Christine Peppler ◽  
Alexander Acker ◽  
Kerstin von Pueckler
Keyword(s):  
Abdominal Ultrasound ◽  
Duplex Kidney ◽  
Ectopic Ureterocele ◽  
Computed Tomographic ◽  
Contrast Enhanced ◽  
History Of ◽  
Enhanced Computed Tomography ◽  
French Bulldog ◽  
Contrast Enhanced Computed Tomography

AbstractA 5-month-old, male French bulldog was presented with a history of urinary incontinence. Abdominal ultrasound showed changes compatible with a ureterocele and a bilobed right kidney. Excretory computed tomographic urography was consistent with right-sided duplex kidney, ureter duplex and ectopic ureterocele. To the authors’ knowledge, this is the first description of a duplex kidney with an ectopic ureterocele diagnosed with ultrasound and contrast enhanced computed tomography in a dog. After the imaging diagnosis, a neoureterocystostomy was performed. In the follow-up examination the dog presented with mild incontinence which was treated medically using phenylpropanolamine.

scholarly journals Bernard-Soulier Syndrome with Unusual Presentation of Splenic Infarct

2021 ◽  
Vol 8 (07) ◽  
pp. 396-398
Author(s):  
Anjali Shankar ◽  
Siddharth Gosavi ◽  
Tracey Austin Anne ◽  
Anjitha Uthamarajan Nair
Keyword(s):  
Computed Tomography ◽  
Family History ◽  
Clinical Examination ◽  
Bleeding Time ◽  
Clotting Time ◽  
Contrast Enhanced ◽  
History Of ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography ◽  
Bernard Soulier Syndrome

A 26-year-old male presented to general medicine department on 16th March 2020 with complaints of 3 episodes of epistaxis for 2 days. The epistaxis was spontaneous, sudden in onset, recurring in nature, copious in amount, not relieved on its own. No history of nasal trauma, head injury, fever, joint pain, cough, breathlessness, difficulty in swallowing, pain abdomen, haematuria, rashes. No history of bleeding diathesis from any other site. Past history revealed similar complaints of nasal bleeding for past 2 - 3 months for which he used to get admitted and administered platelets transfusions after which the symptoms used to subside. No history of any bleeding disorders or other comorbidities. Family history revealed that the younger brother is a known case of Bernard-Soulier syndrome diagnosed at the age of 15 years. Drug history was insignificant. Based on patient’s presentation and family history, a congenital bleeding disorder was considered as provisional diagnosis. On clinical examination pallor was observed in lower palpebral conjunctiva and dorsum of tongue and crusts were present in nose. Moderate splenomegaly was also observed. His laboratory data revealed presence of microcytic hypo-chromic anaemia with hyponatremia, with prolonged bleeding time, normal clotting time and coagulation time. Complete blood count revealed severe microcytic hypochromic anaemia (haemoglobin - 5.8 gram / decilitre) (Figure 1) and giant platelets (Figure 2). Bleeding time was 12 minutes and clotting time was 8 minutes. Factor VIII levels were normal in the patient. Prothrombin time was prolonged with 13.9 seconds. Liver function test revealed only hypoalbuminemia with no derangement of liver enzymes. Renal function tests were normal. Serum electrolytes revealed hyponatremia with 130 millimole / litre. Ultrasound abdomen and pelvis revealed a heterogeneous focus which was noted in spleen with peripheral colour uptake and necrotic areas within it suggesting of splenic abscess / splenic haematoma / infarct. Contrast enhanced computed tomography of abdomen and pelvis revealed mild splenomegaly with heterogeneous foci with peripheral colour uptake and necrotic areas within it measuring 6.4 * 4.8 centimeters, areas were hypo dense and few enlarged retroperitoneal lymph nodes noted in para-aortic region. Computed tomography of brain plain was normal. Contrast enhanced computed tomography of thorax was normal. Platelet function tests revealed normal aggregation with adenosine diphosphate, collagen and arachidonic acid and markedly reduced with ristocetin. Flow cytometry could not be assessed. His clinical examination revealed findings suggestive of anaemia and splenomegaly was also present with vital parameters within normal limits. He underwent thorough work-up with working diagnosis of bleeding disorder under evaluation.

scholarly journals A rare case of huge retrosternal goiter

2019 ◽  
Vol 6 (12) ◽  
pp. 4543
Author(s):  
Atish Bansod ◽  
Khushbu Gandhi ◽  
Rohan Umalkar ◽  
Sarvagya Mishra ◽  
Priyanka Tayde ◽  
...  
Keyword(s):  
Median Sternotomy ◽  
Pressure Effects ◽  
Thoracic Inlet ◽  
Luminal Narrowing ◽  
Thyroid Mass ◽  
Contrast Enhanced ◽  
Retrosternal Goiter ◽  
History Of ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Retrosternal goiter is defined when more than or equal to 50% of the thyroid mass is below the thoracic inlet. A median sternotomy approach is required in selected cases especially those presenting with long standing history and radiological assessment is suggestive of thoracic component larger than thoracic inlet. The case reported by us was a 65 year old lady with huge retrosternal goiter with history of dyspnea. Her contrast-enhanced computed tomography neck and thorax suggested diffuse enlargement of both lobes with mediastinal extension and pressure effects in the form of luminal narrowing of trachea. A total thyroidectomy was performed with median sternotomy. No post-operative complications occurred and patient was discharged on 6th post-operative day. Histopathology suggested multinodular goiter.

scholarly journals On the Embryonic Development of the Nasal Turbinals and Their Homology in Bats

2021 ◽  
Vol 9 ◽  
Author(s):  
Kai Ito ◽  
Vuong Tan Tu ◽  
Thomas P. Eiting ◽  
Taro Nojiri ◽  
Daisuke Koyabu
Keyword(s):  
Convergent Evolution ◽  
Evolutionary History ◽  
Prenatal Development ◽  
Contrast Enhanced ◽  
History Of ◽  
Pars Anterior ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography ◽  
Nasal Capsule ◽  
Comprehensive Study

Multiple corrugated cartilaginous structures are formed within the mammalian nasal capsule, eventually developing into turbinals. Due to its complex and derived morphology, the homologies of the bat nasal turbinals have been highly disputed and uncertain. Tracing prenatal development has been proven to provide a means to resolve homological problems. To elucidate bat turbinate homology, we conducted the most comprehensive study to date on prenatal development of the nasal capsule. Using diffusible iodine-based contrast-enhanced computed tomography (diceCT), we studied in detail the 3D prenatal development of various bat species and non-bat laurasiatherians. We found that the structure previously identified as “maxilloturbinal” is not the true maxilloturbinal and is only part of the ethmoturbinal I pars anterior. Our results also allowed us to trace the evolutionary history of the nasal turbinals in bats. The turbinate structures are overall comparable between laurasiatherians and pteropodids, suggesting that pteropodids retain the ancestral laurasiatherian condition. The absence of the ethmoturbinal I pars posterior in yangochiropterans and rhinolophoids has possibly occurred independently by convergent evolution.

scholarly journals Multifocal facial Rosai Dorfman disease with postsurgical recurrence

2021 ◽  
Vol 7 (8) ◽  
pp. 1377
Author(s):  
Ishita Sen ◽  
Subhadeep Chowdhury ◽  
Tithi Debnath
Keyword(s):  
Past History ◽  
Fatal Outcome ◽  
Nasal Mass ◽  
Contrast Enhanced ◽  
Rosai Dorfman Disease ◽  
History Of ◽  
Postsurgical Recurrence ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

<p class="abstract">Rosai Dorfman disease (RDD) is a histiocytic proliferative disorder with massive painless lymphadenopathy that though is rare yet has been reported more than seldom. Our report aimed to emphasis on a case with multifocal facial involvement with postsurgical recurrence, which had not yet been reported and an approach to alleviate the patient’s symptoms and avert a fatal outcome. This study was a case report and literature review. A 19 year old female presented with swelling involving right sided cheek, periorbital region and bilateral nasal cavity with palatal perforation for last 6 months. She had a past history of debulking of orbital RDD. Contrast enhanced computed tomography revealed an extraconal mass of the right orbit and left nasal mass extending to the nasopharynx. Biopsy taken from the nasal masses showed RDD on histopathology and immunohistochemistry. Though the disease was self-resolving, this patient required radiotherapy as debulking was not sufficient for its multifocal presentation and was followed by palatal reconstruction.</p>

scholarly journals A Multinodular Mass of Abdominal Splenosis: Case Report of Uncommon Images of a Rare Disease

Diagnostics ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 111 ◽  
Author(s):  
Hiroyuki Matsubayashi ◽  
Etsuro Bando ◽  
Hiroyasu Kagawa ◽  
Keiko Sasaki ◽  
Hirotoshi Ishiwatari ◽  
...  
Keyword(s):  
Rare Disease ◽  
Traffic Accident ◽  
Abdominal Mass ◽  
Needle Aspiration ◽  
Splenic Trauma ◽  
Contrast Enhanced ◽  
Multiple Round ◽  
History Of ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Splenosis is a rare disease which typically forms single or multiple round masses. A 45-year-old male was referred for investigation of an abdominal mass. He had a history of splenic injury from a traffic accident at age 19. Contrast-enhanced computed tomography showed a well-enhanced, multi-nodular mass lesion, 3.5 cm in size, located below the stomach. An endoscopic ultrasound-guided fine needle aspiration biopsy (EUS-FNAB) for the mass was inconclusive. A surgery was performed, and pathology of the resected mass confirmed splenosis. Clinicians must bear in mind the possibility of occurrence of splenosis after splenic trauma and its image variations.

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