Trousseau’s syndrome associated with an ovarian borderline tumour

2021 ◽  
Vol 14 (8) ◽  
pp. e244249
Author(s):  
Tsubasa Betsuyaku ◽  
Toshinori Nishizawa ◽  
Naofumi Higuchi ◽  
Satoki Misaka
Keyword(s):  
Ovarian Tumour ◽  
Sudden Onset ◽  
Borderline Ovarian Tumour ◽  
Borderline Tumour ◽  
Trousseau’S Syndrome ◽  
Parietal Lobes ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Cystic Component ◽  
Abdominal Mri

A 71-year-old woman was admitted to our hospital because of sudden onset of weakness on the left side of her body. Her medical history was unremarkable, and on physical examination, hemiparesis and hyperreflexia on the left side were found. MRI of the brain showed multiple areas of restricted diffusion in both parietal lobes and in the cerebellum, consistent with embolic shower. Magnetic resonance angiography showed no abnormal findings. A contrast-enhanced CT scan revealed multiple pulmonary emboli. Abdominal MRI showed a 135 mm left ovarian tumour composed of a solid and a cystic component with liquid level formation. After a total hysterectomy and bilateral adnexectomy, the histopathology confirmed a seromucinous borderline tumour. Therefore, the patient was diagnosed with Trousseau’s syndrome associated with an ovarian seromucinous borderline tumour. To our knowledge, this is the first report mentioning a borderline ovarian tumour detected as Trousseau’s syndrome.

Diagnostic computed tomography in acute interscapular pain

Heart ◽  
2019 ◽  
Vol 106 (2) ◽  
pp. 126-163
Author(s):  
Shruti S Joshi ◽  
Mardi Hamra ◽  
David E Newby
Keyword(s):  
Left Ventricular Systolic Dysfunction ◽  
Systolic Dysfunction ◽  
Venous Pressure ◽  
Sudden Onset ◽  
Acute Onset ◽  
Left Ventricular ◽  
List Type ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct

Clinical introductionA man in his 60s with no medical history presented with sudden-onset, severe interscapular pain. He was in circulatory shock with a blood pressure of 65/30 mm Hg, heart rate of 115 beats per minute, respiratory rate of 32 breaths per minute and a room air oxygen saturation of 89%. Examination demonstrated weak peripheral pulses, an elevated jugular venous pressure, faint dual heart sounds, no cardiac murmurs and bilateral lung crepitations. An ECG was recorded which showed a broad QRS (figure 1A). There were no previous ECGs to compare this with. In view of his presentation with acute-onset interscapular pain, CT of the aorta was organised by the emergency department clinicians (figure 1B–D). After the CT result was obtained, the on-call cardiologist was contacted and a bedside echocardiogram performed. This demonstrated severe left ventricular systolic dysfunction with akinesia of the apex and lateral walls. The patient was then transferred to the catheter laboratory for an emergency invasive coronary angiogram.Figure 1ECG and CT images at presentation (A) 12 lead ECG. (B) Contrast enhanced CT aorta - coronal view. (C) Contrast enhanced CT aorta - axial view. (D) CT aorta showing 4 chamber view of the heart.What is the most likely diagnosis?Pulmonary embolism.Aortic dissection.Acute myocardial infarction.Cardiac tamponade.

Early diagnosis of poststernotomy mediastinitis: Are there typical findings in contrast-enhanced CT?

2009 ◽  
Vol 56 (S 01) ◽  
Author(s):  
C Schimmer ◽  
M Weininger ◽  
K Hamouda ◽  
C Ritter ◽  
SP Sommer ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct

IMAGING CHARACTERISTIS OF MDCT IN NASOPHARYNGEAL CARCINOMA

2014 ◽  
pp. 159-167
Author(s):  
Huu Thuan Ngo ◽  
Minh Loi Hoang ◽  
Van Dinh Nguyen ◽  
Dinh Duyen Nguyen
Keyword(s):  
Nasopharyngeal Carcinoma ◽  
Lymph Nodes ◽  
Lateral Wall ◽  
Cross Sectional Study ◽  
Slice Thickness ◽  
Cross Sectional ◽  
Lymph Nodes Metastasis ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Key Words Nasopharyngeal Carcinoma

Objectives: Imaging characteristis of MDCT in nasopharyngeal carcinoma. Subject and methods: Cross- sectional study in 51patients with nasopharyngeal carcinoma by MDCT at Danang Cancer Hospital from January 2013 to July 2014. Results: The findings reveal that the tumor in lateral wall (66.7%), diameter > 2cm (64.7%), hypodensity (98%), contrast- enhanced CT (62.7%). Blunting of fossa of Rosenmuller (96.1%), invasion of parapharyngeal space (62.7%), destruction of pterygoid bone (19.6%), invasion of skull base (17.6%), destruction of sphenoid bone (9.8%). Lymph nodes metastasis (96.1%), diameter (> 1- 3cm) is 58.8%. T-staging by CT showed T1 (35.3%), T2 (37.3%), T3 (17.6%) and T4 (9.8%). N- staging by CT showed N2 (66.7%), N3a- N3b (19.6%). Staging of Nasopharyngeal carcinoma: stage II-III (60.8%), stage IVA-IVB (23.5%) and stage IVC (11.8%). Conclusions: MDCT with a thinner slice thickness and high quality images is able to detect lymph nodes metastasis with small size and those in deep neck area and assess comprehensively the invasion of the tumor. Key words: Nasopharyngeal carcinoma, MDCT

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