Imaging of esophageal tuberculosis: A review of 23 cases

2003 ◽  
Vol 44 (3) ◽  
pp. 329-333
Author(s):  
B. Nagi ◽  
A. Lal ◽  
R. Kochhar ◽  
D. K. Bhasin ◽  
M. Gulati ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Spinal Tuberculosis ◽  
Mediastinal Lymphadenopathy ◽  
Barium Swallow ◽  
Surgical Biopsy ◽  
Ct Guided ◽  
Antituberculous Treatment ◽  
Esophageal Tuberculosis ◽  
Extrinsic Compression ◽  
Ct Guided Biopsy

Purpose: To evaluate the various radiological abnormalities in patients with proven esophageal tuberculosis. Material and Methods: The case records of 23 patients with proven esophageal tuberculosis were evaluated retrospectively for various radiological abnormalities. Twenty-two patients had secondary involvement of esophagus in the form of direct extension of mediastinal and pulmonary tuberculosis or spinal tuberculosis. Only 1 patient had primary involvement of the esophagus with no evidence of disease elsewhere. The diagnosis was confirmed by endoscopic and CT-guided biopsy/aspiration cytology in 7 and 6 cases, respectively. Diagnosis was made on the basis of surgical biopsy of lymph node and autopsy in 1 patient each. In the remaining 8 patients the diagnosis was based on radiological and endoscopic findings and the response to antituberculous treatment. Results: Chest radiography (CXR) was abnormal in 65% patients. While the findings were non-conclusive for esophageal tuberculosis, characteristic lesions of tuberculosis in lungs or spine were suggestive of tuberculous etiology. In 15 patients, CT of the chest confirmed the corresponding CXR findings and also showed additional findings of mediastinal lymphadenopathy when CXR was normal. Fourteen patients showed mediastinal lymphadenopathy on CT of the chest. In all these patients, more than one group of lymph nodes was involved. The characteristic hypodense center of lymph nodes suggestive of tuberculosis was seen in 12 patients. Radiological abnormalities seen in barium swallow examination were extrinsic compression, traction diverticula, strictures, sinus/fistulous tracts, kinking and pseudotumor mass of esophagus in decreasing order of frequency. The middle third of the esophagus was found to be the most frequent site of involvement.

CT-Guided Biopsy of Lesions of the Lung, Liver, Pancreas or of Enlarged Lymph Nodes

2010 ◽  
Vol 17 (10) ◽  
pp. 1275-1281 ◽  
Author(s):  
Helmut Schoellnast ◽  
Gerlinde Komatz ◽  
Helmut Bisail ◽  
Emina Talakic ◽  
Martin Fauster ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Ct Guided ◽  
Guided Biopsy ◽  
Ct Guided Biopsy

scholarly journals Tuberculous Spondylitis of the Craniovertebral Junction

2016 ◽  
Vol 1 (1) ◽  
pp. 31-33 ◽  
Author(s):  
Panayiotis D. Megaloikonomos ◽  
Vasilios Igoumenou ◽  
Thekla Antoniadou ◽  
Andreas F. Mavrogenis ◽  
Konstantinos Soultanis
Keyword(s):  
Craniovertebral Junction ◽  
Tuberculous Spondylitis ◽  
Mycobacterium Tuberculosis Infection ◽  
Halo Vest ◽  
Ct Guided ◽  
Antituberculous Treatment ◽  
Ct Guided Biopsy ◽  
Bony Lesions ◽  
Infection Recurrence

Abstract. Craniovertebral junction tuberculosis is rare, accounting for 0.3 to 1% of all tuberculous spondylitis cases. MR imaging is the modality of choice to detect bone involvement, abscess formation and subligamentous spreading of the pus, to differentiate from other lesions affecting the craniovertebral junction, and to determine the efficacy of treatment. Given the fact that surgical treatment of patients with craniovertebral junction tuberculosis has been associated with a high mortality rate ranging up to 10% and recurrence rate ranging up to 20%, conservative is the standard of treatment for most patients.This article presents a patient with craniovertebral junction Mycobacterium tuberculosis infection diagnosed with CT-guided biopsy. A halo vest was applied and antituberculous treatment with rifampicin, isoniazid and ethambutol was initiated. At 6-month follow-up, the patient was asymptomatic; CT of the cervical spine showed healing of the bony lesions. The halo vest was removed and physical therapy was recommended. Antituberculous treatment was continued for a total of 18 months, without any evidence of infection recurrence

scholarly journals A Case of Lung Adenocarcinoma Originating from an Old Posttraumatic Scar in a Young Patient

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Fatima Ahmed ◽  
Hassaan Yasin ◽  
Hesham E. Mohamed
Keyword(s):  
Lung Adenocarcinoma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Left Lung ◽  
Lower Lobe ◽  
Left Lower Lobe ◽  
Pulmonary Contusion ◽  
Mediastinal Lymphadenopathy ◽  
Ct Guided ◽  
Ct Guided Biopsy

A relationship between lung scarring and cancer has been recognized for many decades but more evidence is needed to strengthen this association. A 34-year-old nonsmoker male with a history of left lower lobe lung scar secondary to a pulmonary contusion from a motor vehicle accident in 2012 was admitted with shortness of breath and cough. A computed tomography (CT) angiography of the chest demonstrated bilateral pulmonary emboli, left lower lobe mass, left lung septal thickening, and mediastinal lymphadenopathy. A CT-guided biopsy of the mass was performed, and pathology was consistent with lung adenocarcinoma. Staging work-up revealed a widely metastatic disease. The patient developed severe complications requiring hospitalization after the first cycle of chemotherapy and subsequently passed away. Lung scar carcinoma originates around peripheral scars resulting from a variety of infections, injuries, and lung diseases. It has poor prognosis because it metastasizes from relatively small lesions. Our case further endorses that lung scarring can potentially lead to the development of cancer. Furthermore, we want to highlight the need to conduct studies to determine if monitoring this patient population with periodic imaging can have a survival benefit.

Use of an Abdominal Compression Device for CT-guided Biopsy of Enlarged Abdominal or Pelvic Lymph Nodes

1998 ◽  
Vol 9 (2) ◽  
pp. 353-357 ◽  
Author(s):  
Eric de Kerviler ◽  
Ali Guermazi ◽  
Dominique Gossot ◽  
Dominique Cazals-Hatem ◽  
Anne-Marie Zagdanski ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Abdominal Compression ◽  
Ct Guided ◽  
Pelvic Lymph Nodes ◽  
Compression Device ◽  
Guided Biopsy ◽  
Ct Guided Biopsy

scholarly journals Rare, post-periodontitis spondylodiscitis caused by Fusobacterium nucleatum in a patient with multiple sclerosis: challenge of diagnosis and treatment

2021 ◽  
Vol 14 (3) ◽  
pp. e239664
Author(s):  
Dritan Pasku ◽  
Siddharth Shah ◽  
Ahmed Aly ◽  
Nasir A Quraishi
Keyword(s):  
Multiple Sclerosis ◽  
Fusobacterium Nucleatum ◽  
Mri Scan ◽  
Surgical Biopsy ◽  
Ct Guided ◽  
Commensal Flora ◽  
Immunsuppressive Therapy ◽  
Ct Guided Biopsy ◽  
History Of

Fusobacterium nucleatum is part of the commensal flora of the oral cavity, frequently associated with periodontal infections. We describe the case of a 49-year-old woman, on immunsuppressive therapy for multiple sclerosis, who presented with a 3-month history of debilitating back pain. She had a recent episode of periodontitis, and was under regular dental review. Her MRI scan demonstrated findings suggestive of L2–L3 spondylodiscitis. Her CT-guided biopsy yielded negative cultures and the patient failed two courses of empirical antibiotic treatment. With clinical and radiological disease progression, she underwent a percutaneous disc washout and biopsy, which subsequently grew F. nucleatum. Treatment with clindamycin and metronidazole was commenced orally for 6 weeks. She improved gradually, and at 1 year follow-up was asymptomatic. The diagnosis of spondylodiscitis caused by F. nucleatum is challenging. The perseverance on identification by surgical biopsy, minimally invasive washout and targeted antibiotics are the mainstay of effective treatment.

scholarly journals Retroperitoneal Hodgkin Lymphoma with Giant Renal Cyst: Case Report

2021 ◽  
Vol 3 (2) ◽  
pp. 25-26
Author(s):  
H. Lachhab ◽  
H. Moudlige ◽  
C. Waffar ◽  
A. Moataz ◽  
M. Dakir ◽  
...  
Keyword(s):  
Lymph Node ◽  
Hodgkin Lymphoma ◽  
Renal Cyst ◽  
Lumbar Pain ◽  
Chemotherapy Treatment ◽  
Surgical Biopsy ◽  
Ct Guided ◽  
Classic Hodgkin Lymphoma ◽  
Ct Guided Biopsy ◽  
Reactive Lymph Node

Detection of Hodgkin’s lymphoma at earlier stages increases the chances of successful chemotherapy treatment. Retroperitoneal localization makes the diagnosis difficult, which can delay treatment. we report here the case of 65-year-old patient presenting right lumbar pain for 2 years, who was admitted for surgical exploration of a fluid retroperitoneal mass, after an inconclusive CT-guided biopsy and a surgical biopsy showing reactive lymph node tissue remodeled without tumor element. after operating the patient, the pre-cellar lymph node dissection concluded with classic Hodgkin lymphoma.

scholarly journals Synchronous BALT Lymphoma and Squamous Cell Carcinoma of the Lung: Coincidence or Linkage?

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Anastasia Oikonomou ◽  
Emanuelle Astrinakis ◽  
Ioannis Kotsianidis ◽  
Vassiliki Kaloutsi ◽  
Vassileios Didilis ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Squamous Cell ◽  
Lower Lobe ◽  
Middle Lobe ◽  
Left Lower Lobe ◽  
Cell Lung Carcinoma ◽  
Ct Guided ◽  
Guided Biopsy ◽  
Ct Guided Biopsy ◽  
Balt Lymphoma

A 72-year-old man presented with weight loss, fever, and malaise. Chest radiograph and CT revealed two large ill-defined masses in middle and left lower lobes. CT-guided biopsy of left lower lobe mass disclosed bronchus-associated lymphoid tissue (BALT) lymphoma. Middle lobe mass was considered second deposit in contralateral lung. The patient received chemotherapy for BALT. Followup CT disclosed regression of left lower lobe mass and stability of middle-lobe mass and of right paratracheal lymph nodes. CT-guided biopsy of middle-lobe mass revealed squamous cell lung carcinoma. Surgical biopsy of right paratracheal lymph nodes revealed malignancy. Disease was staged T3, N2, and M0. Combined chemotherapy for lung cancer and BALT lymphoma was initiated.

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