scholarly journals Isolated Right-Sided Posttraumatic Diaphragmatic Hernia

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Ibrahim Amadou Magagi ◽  
Oumarou Habou ◽  
Harissou Adamou ◽  
Ousseini Adakal ◽  
Mahamoud Omid Ali Ada ◽  
...  
Keyword(s):  
Diaphragmatic Rupture ◽  
Pleural Drainage ◽  
Surgical Department ◽  
Computed Tomographic ◽  
Traumatic Diaphragmatic Rupture ◽  
Abdominal Content ◽  
Pedestrian Accident ◽  
Computed Tomographic Scan ◽  
Diagnostic Difficulties ◽  
Thoracic And Abdominal

Diaphragm is a compliant musculoaponeurotic barrier located between thoracic and abdominal cavities. Traumatic diaphragmatic rupture is a rare clinicopathological entity. We report a case of right-sided posttraumatic hernia in a child following blunt trauma to highlight diagnostic difficulties and therapeutic specific aspects. A 10-year-old boy was admitted to the emergency surgical department with thoracic trauma following pedestrian accident. At admission a haemothorax was suspected and treated by pleural drainage. The diagnosis of a right-sided diaphragmatic rupture was made after computed tomographic scan forty-eight hours later. At surgery, a reduction of herniated abdominal content and a suture of diaphragmatic defect were performed. The postoperative recoveries were uneventful and the patient was followed up for 12 months without symptoms. The possibility of a diaphragmatic rupture should be kept in mind and sought after any trauma of the thoracoabdominal junction as the diagnosis can be challenging in emergency department.

Subarachnoid Hemorrhage in the Presence of a Cerebral Arteriovenous Malformation and an Intraventricular Oligodendroglioma: Case Report

Neurosurgery ◽  
1986 ◽  
Vol 19 (1) ◽  
pp. 125-128 ◽  
Author(s):  
Juan F. Martinez-Lage ◽  
Máximo Poza ◽  
Juan A. Esteban ◽  
Joaquin Sola
Keyword(s):  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Arteriovenous Malformation ◽  
Parietal Lobe ◽  
Cerebral Arteriovenous Malformation ◽  
Computed Tomographic ◽  
Computed Tomographic Scan ◽  
Diagnostic Difficulties ◽  
The Right

Abstract The authors report a case of a ventricular oligodendroglioma associated with a cortical arteriovenous malformation. The patient presented with subarachnoid hemorrhage. Computed tomographic scan showed an intraventricular hyperdense lesion, mimicking a hematoma. Angiography revealed a superficial arteriovenous malformation in the right parietal lobe, unrelated to ventricular cavities. Both lesions were treated during the same operation. The diagnostic difficulties and the significance of this uncommon association are discussed.

The overshoot artifact as an aid in differentiating low densities on the computed tomographic scan

1978 ◽  
Vol 2 (2) ◽  
pp. 149-151 ◽  
Author(s):  
Francis J. Hahn ◽  
Charles G. Jacoby ◽  
James C. Ehrhardt
Keyword(s):  
Computed Tomographic ◽  
Computed Tomographic Scan

Unusual Transoral Penetrating Injury of the Foramen Magnum: Case Report

Neurosurgery ◽  
2003 ◽  
Vol 53 (4) ◽  
pp. 989-991 ◽  
Author(s):  
Bradley J. Bartholomew ◽  
Charla Poole ◽  
Emilio C. Tayag
Keyword(s):  
Cerebrospinal Fluid ◽  
Unusual Case ◽  
Spinal Injury ◽  
Foramen Magnum ◽  
Penetrating Injuries ◽  
Computed Tomographic ◽  
Foreign Objects ◽  
Computed Tomographic Scan ◽  
Posterior Pharynx ◽  
The Right

Abstract OBJECTIVE AND IMPORTANCE Penetrating injuries of the cranium and spine are frequent to the civilian neurosurgical practice. Although a variety of unusual objects have been reported, to our knowledge, there has never been a craniocerebral or spinal injury caused by a fish. An unusual case of transoral penetration of the foramen magnum by a billed fish is described. The history, radiographic studies, and treatment are presented. CLINICAL PRESENTATION A fisherman struck by a jumping fish initially presented with severe neck pain and stiffness, bleeding from the mouth, and a laceration in the right posterior pharynx. A computed tomographic scan of the cervical spine revealed a wedge-shaped, hyperdense object extending from the posterior pharynx into the spinal canal between the atlas and the occiput. Because of the time factor involved, the fisherman was brought directly to surgery for transoral removal of the object. INTERVENTION The patient was placed under general anesthesia, and with a tonsillar retractor, a kipner, and hand-held retractors, the object was visualized and identified as a fish bill. Further dissection above the anterior aspect of the atlas permitted removal of the object by means of a grabber from an arthroscopic set. No expression of cerebrospinal fluid was noted, and a Penrose drain was placed. CONCLUSION The patient was treated under the assumption that penetrating foreign objects in continuity with the cerebrospinal fluid space and the outside environment should be removed as soon as possible. The patient was provided appropriate antibiotics to treat potential infection of normal pharyngeal flora and organisms unique to the marine environment. The patient recovered and did not experience any residual neurological deficit.

Percutaneous Discectomy: An Anatomical Study

Neurosurgery ◽  
1985 ◽  
Vol 16 (2) ◽  
pp. 141-147 ◽  
Author(s):  
Steven L. Kanter ◽  
William A. Friedman
Keyword(s):  
Computed Tomography ◽  
Lumbar Spine ◽  
Vascular Injury ◽  
Anatomical Study ◽  
Intervertebral Discs ◽  
Viable Alternative ◽  
Percutaneous Discectomy ◽  
Computed Tomographic ◽  
Anatomical Analysis ◽  
Computed Tomographic Scan

Abstract Percutaneous discectomy is a viable alternative in the treatment of herniated intervertebral discs of the lumbar spine. Anatomical analysis of the retroperitoneal surgical path utilizing computed tomography suggests that the risk of vascular injury is negligible at the L-4, L-5 level, but substantial at the L-5, S-1 level. In addition, one-third of patients otherwise suitable for percutaneous discectomy have segments of bowel obstructing the surgical path. Obtaining an abdominal computed tomographic scan with the patient in the surgical position seems to be a valuable screening technique in the evaluation of candidates for this procedure.

Quantitative Computed Tomographic Scan and Polysomnographic Analysis of Patients with Syndromic Midface Hypoplasia before and after Le Fort III Distraction Advancement

2011 ◽  
Vol 127 (4) ◽  
pp. 1612-1619 ◽  
Author(s):  
Russell E. Ettinger ◽  
Richard A. Hopper ◽  
Gavin Sandercoe ◽  
Yemiserach Kifle ◽  
Babette Saltzman ◽  
...  
Keyword(s):  
Le Fort ◽  
Computed Tomographic ◽  
Midface Hypoplasia ◽  
Le Fort Iii ◽  
Computed Tomographic Scan ◽  
Before And After

Benign Myoepithelioma of the Lung

2001 ◽  
Vol 125 (11) ◽  
pp. 1494-1496
Author(s):  
Ravindra Veeramachaneni ◽  
Janis Gulick ◽  
Ari O. Halldorsson ◽  
Thanh T. Van ◽  
Ping L. Zhang ◽  
...  
Keyword(s):  
Positron Emission Tomography ◽  
Smooth Muscle ◽  
Smooth Muscle Actin ◽  
Emission Tomography ◽  
Muscle Actin ◽  
Computed Tomographic ◽  
Spindle Cells ◽  
Positron Emission ◽  
Computed Tomographic Scan ◽  
Wedge Biopsy

Abstract This report describes a benign myoepithelioma of the lung that occurred in a 60-year-old woman. The patient had experienced hoarseness for 6 weeks, and a computed tomographic scan showed a nodule of approximately 2 cm in diameter at the peripheral portion of her right upper lung. Positron emission tomography showed no uptake of F-18 fluorodeoxyglucose in the nodule. Wedge biopsy of the lesion showed benign spindle cells arranged in a whorled pattern. The cells were positive for both cytokeratin and smooth muscle actin, which corresponded to the presence of tonofilaments and myofilaments that were identified ultrastructurally. The features of the present case of benign myoepithelioma that differ from features of previously reported benign and malignant cases of myoepithelioma in the lung are discussed in the report.

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