Preoperative diagnosis of primary aldosteronism, including a comparison of operative findings and preoperative tumor localization by adrenal phlebography

1969 ◽  
Vol 123 (2) ◽  
pp. 113-123 ◽  
Author(s):  
J. W. Conn
Keyword(s):  
Primary Aldosteronism ◽  
Preoperative Diagnosis ◽  
Tumor Localization ◽  
Operative Findings

Preoperative Tumor Localization by Adrenal Venography in Patients with Primary Aldosteronism: A Comparison with Operative Findings

1970 ◽  
Vol 103 (5) ◽  
pp. 521-528 ◽  
Author(s):  
Joseph C. Cerny ◽  
Reed M. Nesbit ◽  
Jerome W. Conn ◽  
Joseph J. Bookstein ◽  
David R. Rovner ◽  
...  
Keyword(s):  
Primary Aldosteronism ◽  
Tumor Localization ◽  
Operative Findings

scholarly journals Ultrasonogram in Acute Appendicitis, A Surgeon’s Perspective: Original Article

2020 ◽  
pp. 118-125
Author(s):  
Amar Verma ◽  
Rajesh Chaudhary ◽  
Ramesh Bharti ◽  
Kulbhushan Sharma ◽  
Rajesh Sharma ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Hospital Stay ◽  
Preoperative Diagnosis ◽  
Pathological Examination ◽  
Common Position ◽  
Operative Findings

Introduction: The diagnosis of acute appendicitis has essentially been clinical, but USG abdomen has been said to be highly accurate in diagnosing AA. The surgeon’s perspective may not always be the same. Materials and methods: Appendectomy data of 106 patients from two hospitals of Kangra region was retrospectively analysed. The data was collected for age, sex, initial pre-operative diagnosis, USG findings, intra-operative findings, Histo-pathological examination (HPE) report, post operative hospital stay. Observations: It revealed a sensitivity of about 54% and specificity of 100% for diagnosing AA with the help of USG abdomen. AA was seen most commonly in males as compared to females. Mean age of presentation was 29.34 +/- 14.4 years. Mean hospital stay was 3.68 +/- 2.25 days. Most common initial preoperative diagnosis was AA (84%). Most common position of the appendix during surgery was retrocecal (53.7%). HPE report revealed AA in 105 patients. Conclusion: USG abdomen is often falsely assuring, leading to unnecessary delay in effectively managing a patient of AA further leading to increased complications. Only the clinically equivocal cases require further radiological investigations where CECT abdomen is the preferred investigation, but it should be used judiciously.

scholarly journals Unusual Presentation of Meckel’s Diverticulum: Gangrene due to Axial Torsion

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ahmet Rencuzogullari ◽  
Kubilay Dalci ◽  
Orcun Yalav
Keyword(s):  
Congenital Anomaly ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Preoperative Diagnosis ◽  
Iliac Fossa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Life Threatening ◽  
Operative Findings ◽  
The Right

Meckel’s diverticulum is the most common congenital anomaly of the small bowel. The majority of cases are asymptomatic; however, life-threatening complications can also take place. We present a case of a 37-year-old male who was admitted with symptoms of acute, severe abdominal pain in the right iliac fossa. The patient was operated on with the preoperative diagnosis of acute appendicitis but the operative findings were consistent with torted Meckel’s diverticulum due to presence of mesodiverticular band and he was treated successfully with surgical resection.

scholarly journals Preoperative Tumor Localization by Adrenal Venography in Patients with Primary Aldosteronism

1979 ◽  
Vol 1 (4) ◽  
pp. 431-440
Author(s):  
Atsuo SUGITA ◽  
Kensuke OZU ◽  
Tomohiko OKAMURA ◽  
Masato MATSUSHITA ◽  
Senji HOSHI ◽  
...  
Keyword(s):  
Primary Aldosteronism ◽  
Tumor Localization

scholarly journals Cerebellar Abscess Mimicking Recurrent Pilocytic Astrocytoma: A Case Report

2016 ◽  
Vol 12 (2) ◽  
pp. 85-87
Author(s):  
Harihar Devkota ◽  
Rajiv Jha
Keyword(s):  
Case Report ◽  
Children And Adolescents ◽  
Pilocytic Astrocytoma ◽  
Preoperative Diagnosis ◽  
Rare Condition ◽  
Final Diagnosis ◽  
Cerebellar Abscess ◽  
Septic Focus ◽  
Operative Findings ◽  
Space Occupying Lesion

Cerebellar abscess is a rare condition occurring more commonly in children and adolescents usually caused by otitis media. They can occur following trauma or surgery or from septic focus directly or hematologically. It is sometime hard to distinguish from other space occupying lesion clinically or by imaging modalities. We report a case of an eight year boy who had undergone craniotomy and excision of a pilocytic astrocytoma two years back and now presented with headache and preoperative diagnosis of recurrent pilocytic astrocytoma was made. But, to our surprise, the operative findings showed an abscess which was confirmed with histopathology. The final diagnosis of cerebellar abscess was made.Nepal Journal of Neuroscience 12:85-87, 2015

scholarly journals The value of unenhanced CT in the diagnosis of acute appendicitis

1998 ◽  
Vol 116 (6) ◽  
pp. 1838-1845 ◽  
Author(s):  
Giuseppe D'Ippolito ◽  
Giselle Guedes Netto de Mello ◽  
Jacob Szejnfeld
Keyword(s):  
Acute Appendicitis ◽  
Predictive Value ◽  
Preoperative Diagnosis ◽  
University Hospital ◽  
Ct Diagnosis ◽  
Unenhanced Ct ◽  
Enhanced Ct ◽  
Accuracy Study ◽  
Operative Findings ◽  
The University

OBJECTIVE: To establish the accuracy of unenhanced CT in the preoperative diagnosis of acute appendicitis. DESIGN: Accuracy study, prospective and blinded. SETTING: The University Hospital. PARTICIPANTS: 52 patients with clinical and laboratorial manifestations of acute appendicitis. CT diagnosis was made by: presence of an abnormal appendix, appendiceal calculi with pericecal phlegmon or alterations in the pericecal appendicular site and absence of signs that may lead to other diagnosis. MAIN OUTCOME MEASURES: Overall accuracy, comparing the tomographic aspects with the intra-operative findings and pathological reports ("gold standard"). RESULTS: Acute appendicitis was confirmed in 44 cases. Efficacy was 92%, sensitivity was 91%, specificity was 100%, positive predictive value was 100% and negative predictive value was 67%. CONCLUSIONS: Unenhanced CT presents a similar overall accuracy to that reported by other authors who studied enhanced CT diagnosis of acute appendicitis.

scholarly journals Neuroendocrine gastric carcinoma in a young patient

2010 ◽  
Vol 67 (4) ◽  
pp. 332-335
Author(s):  
Petar Svorcan ◽  
Tamara Alimpijevic ◽  
Slavica Usaj ◽  
Danijela Bojic ◽  
Marjana Protic ◽  
...  
Keyword(s):  
Weight Loss ◽  
Gastric Carcinoma ◽  
Neuroendocrine Tumors ◽  
Preoperative Diagnosis ◽  
Case Reports ◽  
Rare Tumor ◽  
Appropriate Treatment ◽  
Gastric Neuroendocrine Carcinoma ◽  
Operative Findings ◽  
Histology And Immunohistochemistry

Background. Neuroendocrine tumors cover a spectrum of neoplasms showing wide variations in their clinicopathological and pathogenetic features, as well as prognosis. They may develop throughout the whole gastrointestinal tract. Case report. We described a case of gastric neuroendocrine carcinoma in a 29-year-old male. The patient presented with chronic continuous abdominal pain and weight loss over a 6- month period. Preoperative diagnosis, operative findings, histology and immunohistochemistry of the tumor confirmed the diagnosis of the rare neuroendocrine gastric carcinoma, stage T2N1. Conclusion. Case reports of this rare tumor are important, because of the paucity of studies noted in the gastrointestinal literature as a result of poor identification prior to the advent of modern immunohistochemistry. Significance of accurately diagnosing gastrointestinal neuroendocrine tumors is crucial for an appropriate treatment.

scholarly journals Challenges of Preoperative Diagnosis and Management of Scalene Intramuscular Angioma

2015 ◽  
Vol 5 (1) ◽  
pp. 20
Author(s):  
Lei Zhang ◽  
Beverly Wang ◽  
Julie Goddard
Keyword(s):  
Fine Needle Aspiration ◽  
Preoperative Diagnosis ◽  
Needle Aspiration ◽  
Fatty Tissue ◽  
Scalene Muscle ◽  
Fine Needle ◽  
Spindle Cells ◽  
Atrophic Muscle ◽  
History Of ◽  
Operative Findings

Intramuscular angioma of scalene muscle is rare with only five cases reported so far. Four of them have not been suspected before surgery; one was diagnosed preoperatively by core biopsy. Preoperative diagnosis is important for management. Awareness of cytologic features could help preoperative diagnosis when need of ruling out malignancy and coagulopathy make fine needle aspiration a choice. We herein demonstrate a new case of a 27 year old male with history of hepatocellular carcinoma, who presented with a 6 cm left supraclavicular mass. The fine needle aspiration was paucicellular; however, the bland ovoid to spindle cells with a whirling and luminal arrangement in the background of blood, fatty drops and degenerate muscle are suggestive of intramuscular angioma. The magnetic resonance imagines (MRI) demonstrate a T1 isointense and T2 hyperintense ill-defined lesion splaying anterior and mid scalene muscles with subtle vascular voids at periphery. These features in combination with cytology findings indicate intramuscular angioma. The pre-operative findings are correlated to the histologic picture of mixed capillaries and varying sized venues intervening with fatty tissue and atrophic muscle. Intraoperatively, the mass is adjacent to the brachial plexus rootlets, interdigitating with the scalene muscle and pushing the carotid sheath, left subclavicular artery and vein aside. Following embolization, the mass is resected with minimal bleeding. Our case suggests that scalene intramuscular angioma can be successfully managed by surgery after embolization; preoperative diagnosis rendered by cytologic features and imaging characters would aid the planning of surgery.

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