Case 8.7

2014 ◽  
pp. 384-385
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Bladder Wall ◽  
Anterior Wall ◽  
Gross Hematuria ◽  
Weighted Image ◽  
The Right

52-year-old man with an episode of gross hematuria Coronal fat-suppressed FSE T2-weighted image (Figure 8.7.1) demonstrates moderate thickening of the right lateral and inferior bladder wall. Axial postgadolinium 2D SPGR images (Figure 8.7.2) again show thickening and mild enhancement of the right bladder wall, as well as focal thickening and enhancement of the anterior wall....

Case 8.6

2014 ◽  
pp. 382-383
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Pelvic Pain ◽  
Bladder Wall ◽  
Wall Thickening ◽  
Urinary Frequency ◽  
Fluid Level ◽  
Gross Hematuria ◽  
Weighted Image

64-year-old woman with severe pelvic pain, dysuria and urinary frequency, and gross hematuria Axial fat-suppressed FSE T2-weighted image (Figure 8.6.1) shows prominent, diffuse bladder wall thickening. Note the fluid-fluid level in the bladder. Axial (Figure 8.6.2) and coronal (Figure ...

scholarly journals A Case of Early Stage Bladder Carcinosarcoma in Late Recurrence of Urothelial Carcinoma after Transurethral Resection

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Daisaku Hirano ◽  
Toshiyuki Yoshida ◽  
Daigo Funakoshi ◽  
Fuminori Sakurai ◽  
Shou Ohno ◽  
...  
Keyword(s):  
Urothelial Carcinoma ◽  
Transurethral Resection ◽  
Early Stage ◽  
Bladder Wall ◽  
Late Recurrence ◽  
Gross Hematuria ◽  
Pelvic Mri ◽  
History Of ◽  
The Right ◽  
Immunohistochemical Studies

Carcinosarcomas of the urinary bladder are rare biphasic neoplasms, consisting of both malignant epithelial and malignant mesenchymal components, and the prognosis of this tumor is unfavorable in most patients with even possibility of resection of disease. A 77-year-old male with a history of transurethral resection (TUR) of urothelial carcinoma (UC) of the bladder and adjuvant intravesical chemotherapy with pirarubicin 10 years ago revisited our department with a gross hematuria. Cystoscopy demonstrated an approximately 2.5 cm nonpapillary tumor on the right wall of the bladder. Pelvic MRI showed the tumor without extending the base of the bladder wall. The tumor could be completely removed with TUR. The malignant epithelial elements consisted of high-grade UC and the majority of mesenchymal components were fibrosarcomatous differentiation based on immunohistochemical studies. The tumor could be pathologically also suspected to be an early stage on TUR specimens. Although he has received no additional intervention due to the occurrence of myocardial infarction at three weeks after the TUR, he has been alive with no evidence of recurrence of the disease 27 months after the TUR. Some early stages of bladder carcinosarcoma might have a favorable prognosis without aggressive treatments.

scholarly journals Actinomycosis of the urinary bladder

2013 ◽  
Vol 7 (7-8) ◽  
pp. 502 ◽  
Author(s):  
Chun Huang ◽  
Turki Al-Essawi
Keyword(s):  
Urinary Bladder ◽  
Bladder Wall ◽  
Smoking History ◽  
Gross Hematuria ◽  
Inflammatory Mass ◽  
Gram Positive Bacteria ◽  
Ultrasound Computed Tomography ◽  
Actinomyces Species ◽  
History Of ◽  
The Right

Actinomycosis of the urinary bladder is a rare anaerobic bacterial infection caused by Actinomyces isrealii. Initial diagnosis is often difficult and this disease is easily misdiagnosed as a urothelial or urachal tumour. The definitive diagnosis is usually made postoperatively via tissue pathology. We discuss a case of a 54-year-old male with a smoking history and a 2.5-week history of gross hematuria. Ultrasound, computed tomography and cystoscopy revealed a large inflammatory mass adherent to the right, anterior bladder wall, suggesting malignancy. Transurethral resection and histological pathology subsequently confirmed inflammatory urothelium and gram-positive bacteria consistent with actinomyces species.

scholarly journals Radiofrequency ablation of lymphoma

Blood ◽  
2006 ◽  
Vol 107 (4) ◽  
pp. 1624-1626 ◽  
Author(s):  
Deepak Sudheendra ◽  
Mara M. Barth ◽  
Upendra Hegde ◽  
Wyndham H. Wilson ◽  
Bradford J. Wood
Keyword(s):  
Cell Lymphoma ◽  
Bladder Wall ◽  
B Cell Lymphoma ◽  
Rf Ablation ◽  
Image Guided ◽  
Large B Cell Lymphoma ◽  
Refractory Lymphoma ◽  
The Right ◽  
Posttransplantation Lymphoproliferative Disorder ◽  
Disease Free

Percutaneous minimally invasive radiofrequency (RF) ablation has not been described for lymphoma. This image-guided modality is presented in 3 different settings for the treatment of refractory lymphoma. The first patient received RF ablation for the curative treatment of a solitary residual hepatic mass following rituximab-based chemotherapy for a posttransplantation lymphoproliferative disorder (PTLD) and is disease-free 4 years later. The second patient received RF ablation for successful palliation of progressive follicular lymphoma adjacent to the bladder wall following chemotherapy and maximum radiation. The third patient received RF ablation for prevention of airway obstruction from progressive diffuse large B-cell lymphoma of the right neck following chemotherapy and maximum radiation. RF ablation may be clinically beneficial and should be considered for the treatment of local lymphoma that is refractory or not amenable to standard approaches.

scholarly journals Laparoscopic removal of a pelvic cyst associated with obstructedmegaureter and dysplastic renal remnant

2013 ◽  
Vol 3 (2) ◽  
pp. 159 ◽  
Author(s):  
Michael L. Pianezza ◽  
Eric P. Estey
Keyword(s):  
Lower Urinary Tract ◽  
Bladder Wall ◽  
Renal Tissue ◽  
Urinary Tract Symptoms ◽  
History Of ◽  
The Right ◽  
Laparoscopic Removal ◽  
Pelvic Cyst ◽  
Surgical Option ◽  
Lower Urinary

We report a case of a 41-year-old man with a solitary functioningleft kidney and history of chronic pelvic discomfort associatedwith lower urinary tract symptoms. Imaging revealed a largecystic structure in the pelvis attached to a dilated tortuous ureteron the right with congenital absence of the right kidney. The patientunderwent laparoscopic removal of the pelvic cyst and dilatedright ureter. Pathological assessment revealed mesonephric remnantsrepresenting dysplastic renal tissue attached to a dilated andobstructed megaureter, extending into the bladder wall and forminga large pelvic cyst. The patient’s symptoms resolved. A laparoscopicapproach represents an excellent surgical option for pelvicpathology.Nous décrivons le cas d’un homme de 41 ans porteur d’un seulrein fonctionnel (gauche) et ayant des antécédents de douleurspelviennes chroniques liées à des symptômes affectant les voiesurinaires inférieures. Les épreuves d’imagerie ont révélé une massekystique volumineuse au niveau du pelvis, une dilatation et unesinuosité urétérales du côté droit et l’absence congénitale derein droit. Le patient a subi une ablation par laparoscopie du kystepelvien et de la section dilatée de l’uretère droit. L’évaluationpathologique a révélé des vestiges mésonéphriques constituésde tissu rénal dysplasique lié à un méga-uretère obstrué avec dilatationkystique se prolongeant dans la paroi vésicale et formant ainsiun kyste pelvien volumineux. Les symptômes du patient ont disparu.Une approche laparoscopique représente une excellenteoption chirurgicale en présence de pathologie pelvienne.

scholarly journals The study of systemic hemodynamic disorders of patients with varicose and post-thrombotic diseases

2020 ◽  
Vol 19 (2) ◽  
pp. 32-37
Author(s):  
I. N. Shanaev
Keyword(s):  
Blood Flow ◽  
Right Ventricle ◽  
Right Atrium ◽  
Ultrasound Examination ◽  
Anterior Wall ◽  
Right Heart ◽  
Normal Limits ◽  
Flow Through ◽  
The Right ◽  
Restrictive Type

Aim. Study of heart function in the patients with CVD. Materials and methods. 46 patients with varicosity (VD) and 34 patients with post-thrombotic disease (PTD) were examined; the control group was represented by 15 healthy volunteers. The diagnosis was established using the CEAP basic classification. The study did not include patients with a diagnosed arterial hypertension, diabetes mellitus, chronic lung disease, significant hemodynamic heart defects, coronary heart disease. Ultrasound examination of the heart and veins of the lower extremities was performed on a Saote My Lab Alpha, Acuson Sequoia 512 apparatus. In addition to the standard protocol of heart ultrasound examination, the parameters of the right heart were calculated: sizes of the right ventricle (RV), right atrium, thickness of the anterior wall of the pancreas; to assess the ejection fraction (EF) of the pancreas the mobility of the lateral edge of the tricuspid ring was calculated, and the pressure on the tricuspid valve (TV) was measured. Diastolic ventricular function was studied by spectrograms of tricuspid and mitral blood flow. Results. Most of the indicators of cardiac activity in patients with VD were within normal limits, but a tendency to increase increasing of the right heart size was noted. In addition, the thickness of the interventricular septum and the right ventricle (RV) anterior wall was found to increase from 0.8 to 1.1 cm and from 0.3 to 0.5 cm, respectively, according clinical classes from C2 to C6 (CEAP). Eject fraction (EF) of both the RV and the left ventricle (LV) were also within normal limits, but with a tendency to decrease (67.8 % – C2, to 62 % – C6). The growth of the clinical class is followed by the increasing of percentage of non-restrictive blood flow through the tricuspid valve (TV). The restrictive type of blood flow in patients with VD had not been identified. Patients with PTD also showed a tendency to increase the right heart. However, whereas the size of the RV, as a rule, did not exceed 3.0 cm, the size of the right atrium was slightly higher than normal one in the clinical class C4 and C5.6. All the patients had EF of LV within normal limits, but it slightly decreased by the growth of class. Only patient classes C3 and C4 had EF of RV within the normal range. The 18 % of patient class C5.6 had EF lower than normal with value 48%. Diastolic dysfunction (DD) of the RV was detected in 73.3% of patients with class C3 and 100% with classes C4 and C5.6. Moreover, a restrictive type of blood flow through TV appeared from class C4 and the percentage increased up to 27.2% (class C5,6). Conclusions. DD of the RV was the main hemodynamic disorder.

Case 17.15

2014 ◽  
pp. 819-819
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Left Kidney ◽  
Weighted Image ◽  
The Right ◽  
P 53

53-year-old woman with chronic kidney disease Coronal SSFSE image (Figure 17.15.1) demonstrates massive enlargement of the right kidney, which contains multiple fatty lesions as well as several round nodules. The left kidney is surgically absent. Coronal respiratory-triggered FSE T2-weighted image (Figure ...

Case 12.7

2014 ◽  
pp. 577-578
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Penile Prosthesis ◽  
Penile Shaft ◽  
Weighted Image ◽  
The Right ◽  
T2 Weighted Images

74-year-old man with a penile prosthesis and a new enlargement and discomfort of the right penile shaft Sagittal fat-suppressed FSE T2-weighted image (Figure 12.7.1) through the right corporus cavernosum demonstrates fluid surrounding the cylinder of the penile prosthesis. Note also the focal angulation at the base of the cylinder with discontinuity of the prosthesis components. Sagittal oblique postinflation FSE T2-weighted images (...

Case 2.11

2014 ◽  
pp. 82-82
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Acute Myelogenous Leukemia ◽  
Myelogenous Leukemia ◽  
Weighted Image ◽  
Hepatic Lobe ◽  
Acute Myelogenous ◽  
The Right

45-year-old woman with acute myelogenous leukemia having undergone several chemotherapeutic regimens Axial fat-suppressed FSE T2-weighted image (Figure 2.11.1) demonstrates several lobulated splenic masses and a more subtle lesion in the periphery of the right hepatic lobe. Axial IP and OP T1-weighted 2D SPGR (...

Case 1.27

2014 ◽  
pp. 54-55
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Signal Intensity ◽  
Pulmonary Emboli ◽  
Axial Diffusion ◽  
Weighted Image ◽  
Hepatic Lobe ◽  
P 75 ◽  
History Of ◽  
The Right

75-year-old woman with a history of deep venous thrombosis and pulmonary emboli Coronal SSFSE (Figure 1.27.1) and axial fat-suppressed FSE T2-weighted (Figure 1.27.2) images reveal a large exophytic mass projecting inferiorly from the right hepatic lobe, with a few scattered foci of mildly increased signal intensity. Axial diffusion-weighted image (b=400 s/mm...

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