scholarly journals Snapping Scapula Syndrome in the Setting of Elastofibroma Dorsi: A Case Report

2021 ◽  
pp. 229-235
Author(s):  
Ibrahim M. Nadeem ◽  
Muffaqam Shah ◽  
Naveen Parasu ◽  
Moin Khan ◽  
Sohaib Munir
Keyword(s):  
Case Report ◽  
Corticosteroid Injection ◽  
Nonoperative Treatment ◽  
Ultrasound Guided ◽  
Snapping Scapula ◽  
Treatment Techniques ◽  
Elastofibroma Dorsi ◽  
History Of ◽  
Surgical Options

A 54-year-old woman presented with a 15-year history of progressively worsening left snapping scapula syndrome (SSS) in the setting of ipsilateral elastofibroma dorsi. Her pain was refractory to multiple conservative measures. She was successfully treated with focal ultrasound-guided corticosteroid injection to the superomedial border of the scapula. There was demonstrable improvement in findings between pre- and post-procedural MRI examinations. Despite the underlying cause of SSS, trials of nonoperative treatment techniques are warranted before considering surgical options. Focal ultrasound-guided corticosteroid injection, in conjunction with physiotherapy, is one such example.

Diagnosis of Hepatosplenic Sarcoidosis by Contrast-Enhanced Ultrasound Guided Needle Biopsy

Ultrasound ◽  
2008 ◽  
Vol 16 (4) ◽  
pp. 196-198 ◽  
Author(s):  
Roberto Chiavaroli ◽  
Pierfrancesco Grima ◽  
Paola Calabrese ◽  
Piero Grima
Keyword(s):  
Case Report ◽  
Liver Biopsy ◽  
Needle Biopsy ◽  
Systemic Disease ◽  
Final Diagnosis ◽  
The Body ◽  
Contrast Enhanced Ultrasound ◽  
Ultrasound Guided ◽  
Contrast Enhanced ◽  
History Of

Sarcoidosis is a systemic disease characterised by non-caseating multiple granulomas involving virtually any organ in the body. The aetiology and natural history of sarcoidosis remains obscure. Hepatosplenic sarcoidosis is rare with image-based diagnosis difficult if no other organ is already involved. This case report describes a patient with asymptomatic liver and spleen involvement in which a final diagnosis was achieved with contrast enhanced ultrasound (CEUS) guided liver biopsy.

scholarly journals The Intrauterine Bigatti Shaver System: An Alternative Option for Focal Retained Products of Conception

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Neveta S. V. Sutherland ◽  
Hemashree Rajesh
Keyword(s):  
Uterine Cavity ◽  
Hemodynamic Instability ◽  
Effective Management ◽  
Ultrasound Guided ◽  
Retained Products Of Conception ◽  
Products Of Conception ◽  
History Of ◽  
Surgical Options ◽  
Definitive Management ◽  
Retained Products

The management of retained products of conception (RPOC) may be medical or surgical. Surgical options include blind curettage, ultrasound guided curettage, or curettage under direct vision via hysteroscopy. The definitive management of patients presenting with retained products of conception will depend on several factors: severity of bleeding, presence of hemodynamic instability or infection, and patient preference. Optimal management of retained products of conception should result in complete evacuation of the uterine cavity while minimizing endometrial trauma. This is of utmost importance in patients with reproductive desires. We report patients with RPOC managed via hysteroscopic removal using the Bigatti Morcellator. Both patients had complete evacuation of the visualized RPOC. The purpose of this paper is to present this approach as an effective management option particularly in patients with a history of subfertility and failed blind curettage.

scholarly journals Chronic Anterior Pelvic Instability

2021 ◽  
Vol 11 (3) ◽  
Author(s):  
Laura Rey-Fernández ◽  
Martí Bernaus-Johnson ◽  
Margarita Veloso ◽  
Francesc Angles ◽  
Alonso Zumbado ◽  
...  
Keyword(s):  
Physical Activity ◽  
Case Report ◽  
Corticosteroid Injection ◽  
Lower Abdominal Pain ◽  
Symphysis Pubis ◽  
X Rays ◽  
Chronic Instability ◽  
Iliac Bone Graft ◽  
Surgical Options ◽  
Pelvic Instability

Introduction: Chronic anterior pelvic instability means pathologic movement of the symphysis pubis with axial load. It is not a common pathology and its diagnosis is often delayed and difficult increasing the disability of affected patients. The pain is localized in the suprapubic area or groins, increasing with physical activity, direct palpation or compression. Main known causes are pregnancy, delivery, trauma, fractures, intense physical activity, infection, or previous surgeries. Treatment algorithms have not been standardized. Initially, it is managed with an orthosis, physical activity modification, medication, and rehabilitation. Surgical treatment with symphyseal arthrodesis is the last option. The literature on symphyseal plating for chronic instability found is sparse. Case Report: We report the case of a 33-year-old female presenting lower abdominal pain after her third delivery. Several months after, magnetic resonance imaging and scintigraphy suggested chronic symphysitis. Single leg stance pelvic X-rays indicated chronic anterior pelvic instability. Pain-relievers, physical rehabilitation, and local corticosteroid injection were noneffective; surgery was indicated, performing a double plate symphyseal arthrodesis with iliac bone graft. Conclusion: Pelvic instability should be ruled out when persistent abdominal or lower back pain are present. Thorough physical examination and specific provocative maneuvers need to be assessed. In our presented case, symphyseal arthrodesis was performed without complications. After a two-year follow-up, the patient has recovered her previous functional status and bone scintigraphy is negative. Radiologic controls rule out loosening or material breaking as a complication. We hope this case report may give a clue in surgical options management. Keywords: Arthrodesis, pelvic instability, symphysis.

scholarly journals Diagnosis and ultrasound-guided retrieval of a vaginal foreign body in a dog and a cat

2014 ◽  
Vol 83 (2) ◽  
pp. 55-59
Author(s):  
L. Gatel ◽  
G. Gory ◽  
B. De Pauw ◽  
D. N. Rault
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
General Anesthesia ◽  
Vaginal Discharge ◽  
Ultrasound Guided ◽  
Ultrasonographic Diagnosis ◽  
History Of ◽  
Inexpensive Procedure ◽  
Grass Awn

In this case report, the diagnosis and ultrasound-guided retrieval of an intravaginal grass awn in a dog and a cat are described. The dog was presented with chronic vaginal discharge for over two years. The cat was presented for acute lethargy and bloody vaginal discharge and a two-week history of a perivulvar leakage. Ultrasonographic diagnosis included the visualization of a linear, hyperechoic and spindle-shaped structure and mild thickness of the vagina. The grass awns were successfully retrieved non-invasively, under general anesthesia using ultrasoundguided Hartmann forceps inserted into the vagina. Ultrasound-guided grass awn retrieval from the vagina appears to be a safe and inexpensive procedure.

Cervical Thymic Cysts

1996 ◽  
Vol 75 (10) ◽  
pp. 678-680 ◽  
Author(s):  
Jacqueline E. Jones ◽  
Brian Hession
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Clinical Picture ◽  
Neck Mass ◽  
Cystic Mass ◽  
Pathologic Examination ◽  
Neck Masses ◽  
History Of ◽  
Surgical Options ◽  
Thymic Cysts

Cervical thymic cysts are a rare cause of neck masses in children. This case report describes a three-year-old child with a several-month history of an enlarging neck mass, who was emergently admitted due to airway obstruction. Computed tomography revealed a large cystic mass extending from the oropharynx to the level of the mediastinum. Excision of the mass with pathologic examination revealed a thymic cyst. The clinical picture, the theories regarding development of these cysts, as well as surgical options for treatment, are discussed.

Ultrasound guided vacuum aspiration treatment of caesarean scar ectopic pregnancy

2021 ◽  
Vol 86 (3) ◽  
pp. 184-188
Author(s):  
Adrián Totka ◽  
◽  
Martin Gábor ◽  
Martin Alföldi ◽  
Ivana Kunochová ◽  
...  
Keyword(s):  
Case Report ◽  
Caesarean Section ◽  
Ectopic Pregnancy ◽  
Previous Caesarean Section ◽  
Ultrasound Guided ◽  
Caesarean Scar ◽  
Vacuum Aspiration ◽  
Caesarean Scar Pregnancy ◽  
Aspiration Technique ◽  
History Of

Summary: Objective: To describe the case of ectopic pregnancy in the scar after caesarean section and its successful treatment using the technique of sonographically controlled vacuum aspiration. Case report: The case of a 35-year-old patient with a history of two caesarean sections referred by a district gynecologist in the 6th week of pregnancy with suspected pathological localization of pregnancy in a scar after a previous caesarean section. The procedure for the diagnosis and treatment of ectopic pregnancy in the scar after previous caesarean sections has been successfully resolved using sonographically controlled vaginal vacuum aspiration. Conclusion: Caesarean scar pregnancy occurs as a complication of previous caesarean section or other uterine instrumental performances. The use of the sonographically controlled vacuum aspiration technique appears to be a successful method of treating pregnancy in a scar after a caesarean section.

Laryngopyocoele: simple management of an acute airway crisis

2008 ◽  
Vol 123 (2) ◽  
pp. 248-249 ◽  
Author(s):  
A T M Mace ◽  
S Ravichandran ◽  
G Dewar ◽  
G L Picozzi
Keyword(s):  
Case Report ◽  
Ultrasound Guidance ◽  
Surgical Excision ◽  
Neck Mass ◽  
Radiology Department ◽  
Ultrasound Guided ◽  
Airway Emergency ◽  
Acute Airway Obstruction ◽  
History Of ◽  
Rare Diagnosis

AbstractObjective:We present the first reported case of ultrasound-guided aspiration of a laryngopyocoele in a patient with acute airway obstruction.Case report:A 71-year-old woman was diagnosed with a right-sided laryngocoele. Six weeks later, the patient was admitted as an emergency with a three-day history of increasing dyspnoea and stridor. Neck examination revealed a large, right-sided, soft neck mass, centred at level III, measuring approximately 10 × 5 cm. Fibre-optic laryngoscopy revealed a large, smooth, inflamed, right supraglottic mass obscuring the laryngeal inlet. The patient was taken directly to the radiology department, where ultrasound imaging confirmed a laryngopyocoele. Under ultrasound guidance, a 21-G needle was directed into the cyst and 30 ml of pus was aspirated. The dysphonia and stridor resolved immediately. Six weeks later, the patient underwent definitive surgical excision of the laryngocoele.Conclusion:Laryngopyocoele is a rare diagnosis. It can present as an acute airway emergency. We present the first reported case managed by ultrasound-guided aspiration, which averted the need for endotracheal intubation or tracheostomy.

scholarly journals Elastofibroma Dorsi as a Cause of Snapping Scapula - A Case Report -

2005 ◽  
Vol 8 (2) ◽  
pp. 154-157
Author(s):  
In-Hwan Hwang ◽  
Jong-Woo Kim ◽  
Sung-Kyun Oh ◽  
Hyung-Bin Park
Keyword(s):  
Case Report ◽  
Snapping Scapula ◽  
Elastofibroma Dorsi
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