scholarly journals Gossypiboma: Retained Surgical Sponge after a Gynecologic Procedure

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Aziz Sümer ◽  
M. Ali Çarparlar ◽  
Ömer Uslukaya ◽  
Vedat Bayrak ◽  
Çetin Kotan ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Abdominal Mass ◽  
Final Diagnosis ◽  
Resonance Imaging ◽  
Surgical Sponge ◽  
Abdominal Computed Tomography ◽  
The Right ◽  
Abdominal Quadrant

We report on a case of gossypiboma. A 54-year-old woman was admitted to our hospital with abdominal mass. She had undergone a caesarean operation 23 years previously. The mass in the right abdominal quadrant was suspected by abdominal computed tomography and magnetic resonance imaging. The mass was removed by laparotomy excision and the final diagnosis was gossypiboma.

scholarly journals HYPERCALCEMIC PATIENT DIAGNOSED WITH PRIMARY HYPERPARATHYROIDISM AFTER DAPAGLIFLOZIN TREATMENT

2020 ◽  
Vol 6 (6) ◽  
pp. e319-e321
Author(s):  
Pınar Akhanlı ◽  
Sema Hepsen ◽  
Bekir Ucan ◽  
Güleser Saylam ◽  
Erman Cakal
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Primary Hyperparathyroidism ◽  
Glucose Transporter ◽  
Calcium Excretion ◽  
Resonance Imaging ◽  
Glucose Transporter 2 ◽  
Laboratory Test Results ◽  
The Right

Objective: Hypercalcemia associated with the use of sodium-glucose transporter-2 (SGLT-2) inhibitors is very rare. Only 2 cases have been reported in the current literature. In these cases hypercalcemia occurred with the use of SGLT-2 inhibitors taken with thiazides and excessive calcium salts. We present a case of hypercalcemia and primary hyperparathyroidism diagnosed after dapagliflozin treatment. Methods: We describe the medical history, laboratory test results, parathyroid ultrasound, 4-dimensional computed tomography-magnetic resonance imaging, and histopathology findings of the patient. Results: A 49-year-old man with 5-year history of type 2 diabetes mellitus was found to have hypercalcemia with corrected calcium of 11.28 mg/dL (reference range [RR] is 8.8 to 10.6 mg/dL) 6 months after starting dapagliflozin. Previous records showed normocalcemia for many years. Parathyroid hormone level was 70.8 pg/mL (RR is 15 to 65 pg/mL) and 24-hour urinary calcium excretion level was 492 mg/day (RR is 100 to 300 mg/day). On parathyroid ultrasound, a 4 × 9 × 14-mm hypoechoic lesion inferior to the right thyroid lobe was detected. A 15 × 10 × 9-mm oval lesion was observed in the right paratracheal area. A lesion at T1 vertebra level was also seen on 4-dimensional computed tomography-magnetic resonance imaging. The patient underwent lower right parathyroidectomy. Histopathology confirmed the diagnosis of parathyroid adenoma. The patient was asymptomatic 3 months after the operation with a normal corrected calcium level of 9.2 mg/dL. Conclusions: SGLT-2 inhibitors could have unmasked an underlying mild hyperparathyroidism, as they can increase predisposition to hypercalcemia when used with medications causing it. Volume depletion caused by SGLT-2 inhibitors may also contribute to hypercalcemia. For these reasons, calcium levels should be monitored in patients taking SGLT-2 inhibitors.

Coalizão da articulação talocalcaneana com Os sustentaculum - Uma coalizão incomum / Coalition of the medial portion of the talocalcaneal with the associated Os sustentaculum – An uncommon coalition

2021 ◽  
Author(s):  
Luna Caroline Carolino Flores ◽  
Guilherme Tanaka ◽  
Márcio Luí­s Duarte ◽  
André de Queiroz Pereira da Silva
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Tarsal Coalition ◽  
Talocalcaneal Joint ◽  
Accessory Ossicle ◽  
X Ray Computed ◽  
Orthostatic Position ◽  
The Right

Introdução: O Os sustentaculum é um osso acessório raro localizado na extremidade posterior do sustentaculum tali. A coalizão tarsal pode ser considerada uma anomaliacongênita que pode se tornar sintomática. Frequentemente, é necessária a TC ou a RM para confirmar o diagnóstico de coalizão talo-calcânea quando os achados nas radiografiassão ambíguos. Objetivo: Relatar um caso incomum de Coalizão da articulação talocalcaneana com Os sustentaculum, diagnosticado por exames de imagem. Relatodo Caso: Mulher de 26 anos com “caroço” no tornozelo direito há 10 anos promovendo dor intermitente. Apresenta piora ao usar salto – independentemente do tempo, ao andar ou ao ficar em posição ortostática por mais de 1 hora, referindo dor a palpação e irradiação para o pé. A radiografia do tornozelo direito apresenta ossículo acessório na porção medial da articulação talo-calcânea – Os sustentaculum, confirmada pela tomografia computadorizada. A ressonância magnética diagnostica coalizão talo-calcânea extra-articular com Os  ustentaculum. Conclusão: É importante ressaltar que o Os sustentaculum não é apenasum ossículo acessório ou uma fratura antiga, ele é um componente de um tipo de coalizão talo-calcânea extra-articular, o que faz com que essa condição seja geralmente sintomática. Portanto, se um paciente com Os sustentaculum apresentar sintomas na área articular talo-calcânea medial, uma coalizão talo-calcânea extra-articular com Os sustentaculum deve ser considerada. Palavras-chave: Coalizão tarsal, Tomografia computadorizada por raios X, Imagem por ressonância magnética, Radiografia ABSTRACT Introduction: The Os sustentaculum is a rare accessory bone located at the posterior end of the sustentaculum tali. The tarsal coalition can be considered a congenital anomaly that can become symptomatic. Often, CT or MRI is required to confirm the diagnosis of the talo-calcaneus coalition when the findings on radiographs are ambiguous. Objective: To report an unusual case of a coalition of the talocalcaneal joint with Os sustentaculum, diagnosed by imaging exams. Case Report: A 26-year-old woman with a “lump” in her right ankle for 10 years causing intermittent pain. She worsens when wearing heels - regardless of the time when walking or standing in an orthostatic position for more than 1 hour, referring to pain on palpation and irradiation to the foot. The right ankle radiograph shows an accessory ossicle in the medial portion of the talocalcaneal joint – Os  Sustentaculum, confirmed by computed tomography. Magnetic resonance imaging diagnoses extra-articular talo-calcaneus coalition with Os sustentaculum. Conclusion: It is important to emphasize that the Os sustentaculum is not just an accessory ossicle or an old fracture, it is a component of a type of extra-articular talo-calcaneus coalition, which makes this condition generally symptomatic. Therefore, if a patient with Os sustentaculum shows symptoms in the medial talo-calcaneus joint area, an extra-articular talo-calcaneus  coalition with Os sustentaculum should be considered. Keywords: Tarsal coalition, X-ray computed tomography, Magnetic resonance imaging, Radiography

scholarly journals Fibromatosis colli: a rare left-sided presentation in a female infant

2020 ◽  
Vol 7 (1) ◽  
pp. 141
Author(s):  
Arthur Wong ◽  
Tengku Ezulia Tengku Nun Ahmad
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Benign Lesion ◽  
Fibrous Tissue ◽  
Final Diagnosis ◽  
Sternocleidomastoid Muscle ◽  
Female Infant ◽  
Resonance Imaging ◽  
Magnetic Resonance Imaging Mri ◽  
The Right

<p class="abstract">Fibromatosis colli is a rare benign lesion characterised by a proliferation of fibrous tissue within the sternocleidomastoid muscle. There is a slight preponderance to affect males and it occurs more frequently on the right side of the neck. Here, we report a 6-week-old girl who presented with a swelling on the left side of her neck, opposite to usual tendencies. Ultrasonography reported a left sternocleidomastoid muscle tumour of unknown specificity. A magnetic resonance imaging (MRI) was needed to ascertain the final diagnosis of a left fibromatosis colli. She was managed conservatively and the condition resolved by the age of 1 year. In most cases, fibromatosis colli is reliably diagnosable with ultrasonography alone. MRI may be considered as an adjunct in situations where diagnostic doubts still persist.</p>

scholarly journals Multimodality imaging and clinical significance of isolated congenital absence of the pericardium

2021 ◽  
Vol 29 (3) ◽  
pp. 116-124
Author(s):  
R.R. Komorovsky ◽  
Yu.O. Palamarchuk ◽  
O.I. Lubkovych ◽  
T.O. Palamar ◽  
F.V. Hladkykh
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Multimodality Imaging ◽  
Interventricular Septum ◽  
Congenital Absence ◽  
Left Heart ◽  
Resonance Imaging ◽  
Cardiac Apex ◽  
The Right

Background. Congenital absence of the pericardium is a rare anomaly characterized by variable and non-specific clinical manifestations. The prevalence of this pathology in the population is approximately 0.0001 – 0.044% and it is almost three times more common in men. However, the real prevalence, including asymptomatic and undiagnosed cases, may be higher. Purpose – highlighting the echocardiographic and tomographic signs of isolated congenital absence of the pericardium. Materials and methods. A 42-year-old patient M. Echocardiography did not permit to obtain standard echo images via typical echocardiographic approaches due to poor acoustic window. Magnetic resonance imaging and computed tomography of the heart revealed marked left heart rotation and confirmed the most common variant of congenital absence of the pericardium, that is complete left-sided absence pericardial agenesis. Results. The presented case illustrates the non-specificity of clinical symptoms in patients with congenital absence of the pericardium. The electrocardiogram of the patient showed right axis deviation, right bundle branch block, poor R wave progression in the precordial leads. Chest X-ray in the anterior-posterior projection typically shows a pronounced displacement of cardiac silhouette to the left without deviation of the trachea, elongated left border of the heart and inability to delineate the right border, indicating left heart rotation. Echocardiography revealed an unusual orientation of the heart in the chest, i.e. the displacement of the heart (particularly, of the apical segments) to the left and backwards. In cases when the pericardium is absent on the right and on both sides, the right ventricle can indeed be enlarged, sometimes there is a paradoxical motion of the interventricular septum, severe tricuspid regurgitation as well as the swinging motion of the cardiac apex. Magnetic resonance imaging and computed tomography of the heart enable detection of the displacement of the heart to the left half of the chest with cardiac apex directed backwards, the interposition of lung tissue between the ascending aorta and the pulmonary artery trunk. Conclusions. Congenital absence of the pericardium is a rare pathology and thus it can be challenging in terms of diagnosis, while sometimes it remains undiagnosed. The combination of echocardiography with magnetic resonance imaging and/or computed tomography allows to accurately diagnose congenital absence of the pericardium and assess the risks associated with it. Most patients with complete unilateral or bilateral congenital absence of the pericardium have a favorable prognosis and do not require treatment.

scholarly journals An extremely rare case of desmoplastic fibroblastoma exhibiting rapid growth in the chest wall: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Hideki Ota ◽  
Hirotaka Ishida ◽  
Hidekazu Matsumoto ◽  
Tomoharu Ishiyama
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Differential Diagnosis ◽  
Magnetic Resonance ◽  
Chest Wall ◽  
Rare Case ◽  
Resonance Imaging ◽  
Marginal Excision ◽  
Desmoplastic Fibroblastoma ◽  
The Right

Abstract Background Desmoplastic fibroblastoma is an uncommon, benign, fibrous tumor exhibiting infiltrative growth. Most of these tumors are small, slow-growing, and develop as subcutaneous lesions in the extremities. Cases of desmoplastic fibroblastoma in the chest wall are quite rare, and the preoperative diagnosis of such cases remains challenging as these tumors can mimic the characteristics of desmoid-type fibromatosis, which often occurs in the chest wall. We aimed to describe a rare case of desmoplastic fibroblastoma exhibiting rapid growth in the chest wall of a patient that was successfully treated with marginal excision only by diagnostic imaging before surgery. Case presentation A 79-year-old man was admitted to our hospital after experiencing right shoulder pain lasting for a few months. A 4 × 4 × 2 cm mass was incidentally detected at the right second rib two years prior. Chest computed tomography revealed a well-defined homogeneous mass with a muscle-like density along the right lateral chest wall, the size of which had increased to 12 × 10 × 4.5 cm in two years. Dynamic contrast-enhanced computed tomography revealed abundant vascularity at the periphery of the tumor. Magnetic resonance imaging revealed iso-intensity to muscle on T1-weighted images, slightly high intensity on T2-weighted images, and rim-like contrast enhancement at the periphery of the tumor, with uniform thickness on gadolinium-enhanced T1-weighted images with fat suppression. Rim-like contrast enhancement is an imaging feature that can distinguish cases of desmoplastic fibroblastoma from desmoid-type fibromatosis. We diagnosed the tumor as desmoplastic fibroblastoma by diagnostic imaging without tissue biopsy. Marginal excision with videoscopic assistance was performed through a small incision. The pathological diagnosis was desmoplastic fibroblastoma. The patient’s postoperative course was uneventful, and his shoulder pain was relieved after the surgery. Conclusions Desmoplastic fibroblastoma in the chest wall is extremely rare, but should be considered in the differential diagnosis when desmoid-type fibromatosis is clinically suspected. Gadolinium-enhanced magnetic resonance imaging is helpful in confirming the differential diagnosis.

Hydatid Cyst of Liver Ruptured in the Portal Vein

2020 ◽  
Author(s):  
Salah Berkane
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Portal Vein ◽  
Hydatid Cyst ◽  
Liver Cyst ◽  
Portal System ◽  
Resonance Imaging ◽  
Hydatid Cysts ◽  
The Right

Introduction: The rupture of a hydatid liver cyst in the portal system is an exceptional complication. It has been reported only few observations in the world literature. We report a case a patient that we operated on for a complicated hydatid liver cyst. Observation: This is a 46-year-old patient, a professional driver with a hunting dog hospitalized in the surgical department for obstructive jaundice. Abdominal ultrasonography, computed tomography and magnetic resonance imaging diagnosed 3 hydatid cysts in stage III of Gharbi accompanied by partial thrombosis of the portal vein with an absence of visualization of its right branch. The exploration operation revealed the existence of 3 hydatid cysts that communicate with each other and destroy half of the right liver. At the end of the total cystectomy, a communication of the cyst with the right branch of the portal vein was highlighted and the evacuation of the daughter vesicles followed by a major hemorrhage. The daughter vesicle was evacuated and the right branch of the portal vein was ligated and the bile ducts drained by a transcystic drain. The postoperative complications were complicated by a biliary fistula which dried up on the 19th postoperative day. The patient was discharged from the service on the 30th postoperative day. Currently, he is on Albendazole tablet 400mg / day with well health. Conclusion: The rupture of a hydatid cyst in the portal system remains rare and its diagnosis is well established by modern examinations such as ultrasound, computed tomography and magnetic resonance imaging. The treatment involves surgery and Albendazole but remains quite difficult.

Indications for and Accuracy of Magnetic Resonance Imaging and Computed Tomography in Orbital Disease

1992 ◽  
Vol 37 (1) ◽  
pp. 11-17 ◽  
Author(s):  
J.R. Ainsworth ◽  
D.M. Hadley ◽  
P. Macpherson ◽  
R. McFadzean ◽  
A. Lawrence ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Final Diagnosis ◽  
Accurate Information ◽  
Resonance Imaging ◽  
Presenting Symptoms ◽  
One Year ◽  
Orbital Imaging ◽  
Orbital Disease

All patients referred for orbital imaging to the neuroradiology department of the Institute of Neurological Sciences in Glasgow over a three year period were enrolled in the study and were scheduled to undergo both magnetic resonance imaging and computed tomography. A total of 101 of the 110 referred patients were deemed suitable for analysis. Details of key presenting symptoms, signs, and a pre-imaging diagnosis were recorded prospectively. A final diagnosis was obtained by histology in 65% of cases with an orbital abnormality, by a minimum of one year of clinical review in 19.5%, by response to antibiotic or steriod therapy in 8.5%, or by conclusive investigations such as carotid angiography in 7% of patients. 29% of the patients had no detectable orbital disease despite a minimum one years' follow-up, and so were regarded as a, “normal” group. The images were interpreted prospectively by separate masked observers. The diagnostic accuracies of the two techniques were compared to the final diagnosis. The two imaging methods were shown to be comparable in overall diagnostic accuracy, with a small and statistically non-significant advantage held by magnetic resonance imaging. Interpretation of the two investigations gave more accurate information in different types of disease.

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