P.12.14 HIGH PREVALENCE OF HYPOSPLENISM IN PATIENTS WITH INCIDENTAL FINDING OF SMALL SPLEEN AT ABDOMINAL ULTRASOUND (US) PERFORMED FOR GASTROINTESTINAL (GI) DISORDERS

2012 ◽  
Vol 44 ◽  
pp. S165
Author(s):  
A. Di Sabatino ◽  
L. Brunetti ◽  
G. Carnevale Maffè ◽  
M. Guerci ◽  
P. Biancheri ◽  
...  
Keyword(s):  
Incidental Finding ◽  
Abdominal Ultrasound ◽  
High Prevalence ◽  
Small Spleen

Prevalence of Potentially Pathogenic Enteric Organisms in Clinically Healthy Kittens in the UK

2009 ◽  
Vol 11 (8) ◽  
pp. 655-662 ◽  
Author(s):  
Adam G. Gow ◽  
Deborah J. Gow ◽  
Edward J. Hall ◽  
Debra Langton ◽  
Chris Clarke ◽  
...  
Keyword(s):  
Gastrointestinal Disease ◽  
Incidental Finding ◽  
Elisa Test ◽  
Enzyme Linked Immunosorbent Assay ◽  
Negative Results ◽  
Test Kit ◽  
Faecal Samples ◽  
High Prevalence ◽  
Campylobacter Species ◽  
The Uk

Faecal samples were collected from 57 clinically healthy kittens presented for initial vaccination, in the UK. Routine bacteriological examination identified Salmonella species in one and Campylobacter species in five samples. Polymerase chain reaction (PCR) detected the presence of Campylobacter species in a further four samples. Routine parasitological examination revealed Toxocara species ova in nine (including four kittens stated to have been administered an anthelmintic) and Isospora species in four samples. No Giardia or Cryptosporidium species were detected by routine methods. A Giardia species enzyme-linked immunosorbent assay (ELISA) test kit designed for use in cats was positive in three kittens. A similar test kit designed for use in humans was negative in all samples and produced negative results even when known positive samples were tested. Potentially pathogenic enteric organisms were detected in 19 kittens by routine methods and 26 (prevalence 45%) by all methods. The high prevalence in asymptomatic kittens highlights the possibility that the detection of these organisms in kittens with gastrointestinal disease may be an incidental finding.

scholarly journals Incidental Finding of a PSMA-Positive Pancreatic Cancer in a Patient Suffering from a Metastasized PSMA-Positive Prostate Cancer

Diagnostics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 129
Author(s):  
Simon Sirtl ◽  
Andrei Todica ◽  
Harun Ilhan ◽  
Michal Zorniak ◽  
Peter Bartenstein ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Pancreatic Ductal Adenocarcinoma ◽  
Cancer Metastasis ◽  
Incidental Finding ◽  
Abdominal Ultrasound ◽  
Needle Aspiration ◽  
Uncinate Process ◽  
Ductal Adenocarcinoma ◽  
Extrahepatic Cholestasis ◽  
Psma Pet

An 82-year-old man suffering from prostate cancer that was scheduled for a radioreceptor-ligand therapy (RLT) presented with jaundice to our service. An abdominal ultrasound (US) revealed obstructive extrahepatic cholestasis due to a solid lesion located in the uncinate process of the pancreas. The Prostate Specific Membrane Antigen (PSMA) PET/CT prior to RLT showed multilocular PSMA positive tumor lesions in the lymph nodes, the lung and the pancreas. On request of the cancer board, an Endoscopic Ultrasound (EUS)-guided Fine-Needle Aspiration (FNA) of the pancreatic mass was performed revealing invasive pancreatic ductal adenocarcinoma incompatible with a prostate cancer metastasis leading to the diagnosis of a PSMA positive pancreatic ductal adenocarcinoma.

scholarly journals Prevalence and significance of transient enteroenteric intussusceptions in children with recurrent colic abdominal pain

2020 ◽  
Vol 148 (7-8) ◽  
pp. 469-473
Author(s):  
Domen Plut ◽  
Ziva Zupancic
Keyword(s):  
Abdominal Pain ◽  
Prospective Observational Study ◽  
Abdominal Ultrasound ◽  
Spontaneous Resolution ◽  
Study Group ◽  
Common Complaint ◽  
Experienced Pain ◽  
High Prevalence ◽  
The Us ◽  
Age Range

Introduction/Objective. Recurrent colic abdominal pain (RCAP) is a common complaint in children. Children with this complaint are often referred to abdominal ultrasound (US). Examining the children with RCAP by US in our outpatient clinic we occasionally noticed transient enteroenteric intussusceptions (TEIs) with spontaneous resolution. The objectives of our prospective observational study were to determine the prevalence and evaluate the significance of TEIs in children with RCAP. Methods. From January 2016 to December 2017 we examined 358 children with RCAP by US. Age range was 1?17 years (mean age 7.7 years). TEIs were detected and the prevalence determined. The sensation of pain at the time of the US examination was noted. Results. We detected TEI in 41 children; the prevalence was 11.5%. Abdominal pain at the time of the presence of TEI was reported in 17.1% of these children. In the group of children without TEI detected, pain at the time of the examination was reported in only 6%. A statistically significant relationship was found between the presence of TEI and the pain at the time of the examination (p = 0.046). No child had other significant abdominal pathology. Conclusion. TEIs happen more commonly in children than previously thought. A rather high prevalence of TEIs in our study group of children with RCAP and the fact that higher percentage of children with detected TEI experienced pain at the time of the examination, are suggestive that TEIs may be one of the causes for the RCAP in children.

scholarly journals Right ectopic intrathoracic kidney: Unusual clinical presentation in a young patient affected by scrotal varicocele

2017 ◽  
Vol 89 (4) ◽  
pp. 323 ◽  
Author(s):  
Lucio Dell'Atti ◽  
Andrea Benedetto Galosi
Keyword(s):  
Computed Tomography ◽  
Renal Function ◽  
Clinical Presentation ◽  
Incidental Finding ◽  
Abdominal Ultrasound ◽  
Kidney Tumors ◽  
First Case ◽  
History Of ◽  
Intrathoracic Kidney ◽  
Good Drainage

Intrathoracic kidney is a partial or complete displacement of the kidney above the hemidiaphragm into the mediastinal compartment of the thorax. It is usually seen as an incidental finding discovered on chest radiograph or abdominal ultrasound. However computed tomography consents the correct detection of intrathoracic masses and defines their shape, size, and extent. We here report a case of ectopic thoracic kidney in a 22-year-old man who had a long history of scrotal discomfort associated with right varicocele. Frequently, this ectopia does not affect renal function and the stretched ureter provides good drainage. In literature, a small number of cases shows that varicocele is a possible mode of presentation of kidney tumors, but this is the first case of varicocele secondary to intrathoracic kidney ectopia.

scholarly journals Torsion of a Wandering Spleen

2014 ◽  
Vol 31 (4) ◽  
pp. 219-222
Author(s):  
T Haque ◽  
S Hossain ◽  
KABMT Alam ◽  
MA Rahman
Keyword(s):  
Acute Abdomen ◽  
Clinical Condition ◽  
Clinical Presentation ◽  
Incidental Finding ◽  
Treatment Options ◽  
Abdominal Ultrasound ◽  
Clinical Findings ◽  
Young Lady ◽  
Wandering Spleen ◽  
Ligamentous Laxity

Wandering spleen is a rare clinical condition characterized by ectopic positioning of the spleen due to abnormal peritoneal attachments including the lienorenal and gastrosplenic ligaments. The spleen can “wander” or migrate into various positions within the abdomen or pelvis due to this ligamentous laxity. The clinical presentation of patients with this entity is variable and can range from an incidental finding to an acute abdomen associated with torsion. Various imaging modalities can be utilized for the diagnosis of this condition .A variable treatment options for torsion of wandering spleen include splenectomy or splenopexy. Here we described a case of 32 years young lady with acute abdomen due to torsion of a wandering spleen. Diagnosis was made on the basis of clinical findings and abdominal ultrasound. Laparotomy was performed and the infarcted spleen was removed. DOI: http://dx.doi.org/10.3329/jbcps.v31i4.21008 J Bangladesh Coll Phys Surg 2013; 31: 219-222

Giant torus mandibularis causing submandibular duct obstruction and sialadenitis

2020 ◽  
pp. 197140092097843
Author(s):  
Ajay A Madhavan ◽  
Robert J McDonald ◽  
Felix E Diehn ◽  
Carrie M Carr ◽  
Jared T Verdoorn
Keyword(s):  
Computed Tomography ◽  
Conservative Management ◽  
Clinical Setting ◽  
Incidental Finding ◽  
Symptomatic Improvement ◽  
Duct Obstruction ◽  
Submandibular Duct ◽  
High Prevalence ◽  
Mandibular Tori ◽  
Glandular Enlargement

Torus mandibularis is a benign osseous overgrowth arising from the lingual surface of the mandible. It is a common, incidental finding on imaging due to its relatively high prevalence. In the majority of cases, mandibular tori are asymptomatic. We report a novel presentation of a giant torus mandibularis causing bilateral obstruction of the submandibular ducts and consequent sialadenitis. Our patient presented with progressive pain centered in the floor of his mouth and had bilateral submandibular glandular enlargement on exam. Computed tomography showed a giant right torus mandibularis, which was causing obstruction and dilation of the bilateral submandibular ducts. Although conservative management was attempted, he ultimately underwent surgical resection of his torus with symptomatic improvement. This patient highlights a novel complication of torus mandibularis and illustrates successful treatment. Though not previously described, this complication may be underreported and should be considered in the appropriate clinical setting.

Primary Omental Abscessation or Omental Infarction in Four Dogs

2009 ◽  
Vol 45 (4) ◽  
pp. 168-175 ◽  
Author(s):  
Bonnie G. Campbell
Keyword(s):  
Incidental Finding ◽  
Abdominal Mass ◽  
Unknown Origin ◽  
Abdominal Ultrasound ◽  
Fat Necrosis ◽  
Gram Stain ◽  
Fine Needle Aspirate ◽  
Foreign Material ◽  
Vascular Compromise ◽  
Suppurative Inflammation

Primary omental abscessation was diagnosed in three dogs after laparotomy. Laparotomy was performed to explore an abdominal mass of unknown origin and chronic fat necrosis diagnosed in one dog as an incidental finding during ovariohysterectomy. Primarily hypoechoic masses not connected to any abdominal structures were visualized with abdominal ultrasound in three dogs. Suppurative inflammation was diagnosed from fine-needle aspirate evaluation in two dogs. Bacteria were cultured from two abscesses despite the absence of organisms on Gram stain, cytology, and histopathology. Foreign material was found in one abscess. All four dogs experienced weight loss and/or an episode of gastrointestinal signs. Primary omental abscessation may be preceded by omental vascular compromise and/or interaction of the omentum with foreign material.

scholarly journals Pulmonary Sequestration as an Incidental Finding of Pediatric Abdominal Ultrasound - Two Cases

2018 ◽  
Author(s):  
Jovan Lovrenski
Keyword(s):  
Incidental Finding ◽  
Pulmonary Sequestration ◽  
Abdominal Ultrasound ◽  
Previous Knowledge ◽  
Pulmonary Infections ◽  
Left Hemidiaphragm

Abdominal ultrasound (US) is a commonly indicated examination in pediatrics. However, lung bases are often notthoroughly examined. Pulmonary sequestration is mostly detected prenatally, but also postnatally – incidentally or withthe appearance of recurrent pulmonary infections. It can be detected by US, yet our research has not found a singlereported case where sequestration was incidentally detected by US, without any previous knowledge of its existence.Here, we report on 2 such cases of pulmonary sequestrations detected during routine pediatric abdominal US. Tubularanechogenic structure above the left hemidiaphragm should bring attention to the potential diagnosis of pulmonarysequestration.

scholarly journals Helminthiases in Montes Claros. Preliminary survey

1976 ◽  
Vol 10 (2) ◽  
pp. 59-64
Author(s):  
Rina Girard Kaminsky
Keyword(s):  
Incidental Finding ◽  
Low Cost ◽  
Health Hazard ◽  
Economic Loss ◽  
Preliminary Survey ◽  
Direct Smear ◽  
Concentration Method ◽  
High Prevalence ◽  
Comparative Results ◽  
The City

A preliminary survey was conducted for the presence of helminths in the city of Montes Claros, M. G., Brazil. Three groups of persons were examined by the direct smear, Kato thick film and MIFC techniques; one group by direct smear and Kato only. General findings were: a high prevalence of hookworm, followed by ascariasis, S. mansoni, S. stercoralis and very light infections with T. trichiurá. E. vermicularis and H. nana were ranking parasites at an orphanage, with some hookworm and S. mansoni infections as well. At a pig slaughter house, the dominant parasites were hookworm and S. mansoni. Pig cysticercosis was an incidental finding worth mentioning for the health hazard it represents for humans as well as an economic loss. From the comparative results between the Kato and the MIF the former proved itself again as a more sensitive and reliable concentration method for helminth eggs, of low cost and easy performance.

scholarly journals Rare tumor of the spleen - case report

2016 ◽  
Vol 3 (4) ◽  
pp. 37
Author(s):  
Rita Meireles ◽  
Joana Cordeiro Cunha ◽  
Violeta Iglesias ◽  
Paula Baptista
Keyword(s):  
Immunohistochemical Staining ◽  
Clinical Case ◽  
Incidental Finding ◽  
Benign Lesion ◽  
Abdominal Ultrasound ◽  
Clinical Impact ◽  
Definitive Treatment ◽  
Rare Tumor ◽  
Sclerosing Angiomatoid Nodular Transformation ◽  
Histological Appearance

Sclerosing angiomatoid nodular transformation was first described as a solitary angioma-like disease of the spleen by Martel et al. in 2004. It is a relatively new rare benign lesion. The authors present a clinical case of an asymptomatic, 48-year-old female. SANT has been an incidental finding in an abdominal ultrasound. Histological appearance and the immunohistochemical staining after spleen biopsy confirmed the diagnosis. As suggested in previously published articles, a splenectomy was performed for definitive treatment. This case contributes to the differential diagnosis of splenic tumors, its treatment and clinical impact.

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