Primary Hydatid Cyst of the Posterior Mediastinum

2007 ◽  
Vol 15 (5) ◽  
pp. e60-e62 ◽  
Author(s):  
El Hassane Kabiri ◽  
Abdelfettah Zidane ◽  
Fouad Atoini ◽  
Adil Arsalane ◽  
Hicham Bellamari
Keyword(s):  
Computed Tomography ◽  
Chest Pain ◽  
Mediastinal Mass ◽  
Inferior Vena ◽  
Vena Cava ◽  
Posterior Mediastinum ◽  
Cystic Disease ◽  
X Ray ◽  
Chest X Ray ◽  
Primary Hydatid Cyst

Hydatid cystic disease is still a health problem in Morocco. Mediastinal localization is very rare. We report the case of a 24-year-old man who presented with right chest pain and dyspnea. Chest X-Ray and computed tomography showed a mediastinal mass. The diagnosis was confirmed perioperatively by macroscopic and histologic investigations. Resection of the cyst was performed, and a small part intimately adherent to the inferior vena cava and oesophagus was left in place. There were no complications or recurrence.

scholarly journals Complications of X-ray endovascular treatment of the May–Thurner syndrome

2019 ◽  
Vol 20 (3) ◽  
pp. 93-100
Author(s):  
O. B. Zhukov ◽  
B. G. Alekyan ◽  
A. E. Vasiliev
Keyword(s):  
Computed Tomography ◽  
Clinical Case ◽  
Inferior Vena ◽  
Vena Cava ◽  
Iliac Vein ◽  
Delivery Device ◽  
Spiral Computed ◽  
X Ray ◽  
Repeat Examination ◽  
Pelvic Congestion

The article describes a clinical case of treatment of complications of the May–Thurner syndrome. Asymmetry of blood flow in the iliac veins and signs of their narrowing were observed. Phlebography showed special characteristics of pelvic vessels, trajectory of the surgery was planned. Stenting of the left iliac vein is considered the optimal treatment for such patients if the pressure in it is above 5 mmHg compared to the inferior vena cava. Specialized venous self-expanding stents are an efficient choice for stenting. Access can be performed through the popliteal vein on the unilateral side and / or the femoral or humeral artery, jugular or subclavian access can be used depending on the patient’s anatomy and the size of the delivery device. The female patient underwent coil embolization of varicocele of the lower pelvic veins. At repeat examination after 3 months, pelvic pain was minimal, no pain during sex, no varicocele in the groin and lower extremities. Contrastenhanced spiral computed tomography with 3D reconstruction of the pelvic veins didn’t show any signs of pelvic congestion syndrome.

scholarly journals Case Report Mediastinal Teratoma Resembling Vascular Tumor with Rapid Growth Accompanied by Vena Cava Superior Syndrome and Bilateral Paramalignant Pleural Effusion

2020 ◽  
Vol 2 (1) ◽  
pp. 68-75
Author(s):  
Ni Rini ◽  
◽  
Suryanti Pratiwi ◽  
Imam Bayuadi ◽  
Dini Erawati ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Pleural Effusion ◽  
Mediastinal Tumor ◽  
Vena Cava ◽  
Vascular Tumor ◽  
Vascular Lesions ◽  
X Ray ◽  
Mediastinal Teratoma ◽  
Vena Cava Superior ◽  
Chest X Ray

Background: Teratomas are tumors originate from germ cells, consist of well differentiated tissue from more than one of three layers of embryonic cells: ectoderm, mesoderm and endoderm. Teratomas are generally slow-growing and asymptomatic. Mediastinal teratoma is the most common extra-gonadal germ cell tumor. Superior vena cava syndrome and bilateral paramaligant pleural effusion are complications which can occur in mediastinal teratomas. Case: We report a 37-year-old woman presented with shortness of breath since 1 month before admission, chest pain, cough, weight loss, swolen of face, neck, and right arm. Chest x-ray showed mediastinal tumor. However, no mediastinal tumor had been detected by chest x-ray to examine her heart disease 3 years earlier. Chest computed tomography scan showed anterosuperior mediastinal tumor surrounding great blood vessels and bilateral pleural effusion. Computed tomography guided transthoracic fine needle aspiration biopsy revealed tumor containing mature squamous epithelial component. Patient underwent open biopsy by sternotomy and histological assessment confirmed the diagnosis as mediastinal teratoma with vascular lesions predominantly resembling vascular tumor. Conclusion: Establishing the diagnosis of mediastinal teratoma is challenging and it requires multi modality approaches.

scholarly journals Large posterior mediastinal goiter post total cervical thyroidectomy: a case report

2020 ◽  
Vol 7 (8) ◽  
pp. 2722
Author(s):  
Maria Fesatidou ◽  
Vasiliki Fesatidou ◽  
Georgios Tsoulfas ◽  
Ioannis T. Fessatidis
Keyword(s):  
Computed Tomography ◽  
Mediastinal Mass ◽  
Thyroid Tissue ◽  
Ct Guided ◽  
X Ray ◽  
Surgical Safety ◽  
Chest X Ray ◽  
Posterior Mediastinal ◽  
Lateral Thoracotomy ◽  
Mediastinal Goiter

Thoracotomy approach is indicated for a complete and safe posterior mediastinal goitre removal. A 68 years old male was hospitalized due to a right mediastinal mass found in a chest X-ray and confirmed by computed tomography. The patient had undergone total cervical thyroidectomy thirty years ago. A computed tomography (CT) guided percutaneous needle biopsy of the mass revealed thyroid tissue. Subsequently, the mass was completely resected through a right posterolateral thoracotomy. The histopathology confirmed a large mediastinal goitre with no signs of malignancy. The patient had an uncomplicated recovery. We present a relatively rare case of a successful resection of a posterior mediastinal goitre, occurring thirty years post-total cervical thyroidectomy. We advocate lateral thoracotomy to achieve a broad operative field and enhance surgical safety.

scholarly journals Impact of the bronchopulmonary sequestration on endobronchial tuberculosis: the case report and the review of literature

2021 ◽  
Vol 15 (11) ◽  
pp. 1766-1769
Author(s):  
Tatjana Adzic-Vukicevic ◽  
Ana Petkovic ◽  
Nemanja Menkovic ◽  
Maja Stosic ◽  
Milos Bracanovic ◽  
...  
Keyword(s):  
Case Report ◽  
Inferior Vena ◽  
Vena Cava ◽  
X Ray ◽  
Bronchopulmonary Sequestration ◽  
Thoracic Ct ◽  
Chest X Ray ◽  
Endobronchial Tuberculosis ◽  
The Right

Introduction: We describe the rare case of endobronchial tuberculosis (EBTB) and chronic pulmonary atelectasis with mediastinal distortion. Finding of the concomitant venous anomaly of inferior vena cava revealed the diagnosis of bronchopulmonary sequestration. Case Report: A 22-year-old Caucasian woman presented with a history of chronic cough, initially treated as bronchial asthma for a year. Chest X-ray showed fibrocaseous cavernous tuberculosis on the right lung. Acid Fast Bacilli (AFB) were found in sputum samples. Patient was treated for 6 months with usual antituberculous regiment. Control chest X-ray showed subatelectasis of the upper right lobe. Six months later the first thorax computed tomography (CT) showed complete atelectasis of the right lung. Patient was admitted to the hospital again after 6 years due to the persistent fever and cough. Endoscopic finding and histopathological analysis confirmed EBTB. Thoracic CT scan revealed duplication of inferior vena cava which led to profound vascular analysis and aberrant arterial vascularization of aortic origin that contributed to the diagnosis of bronchopulmonary sequestrations. Antituberculous treatment was initiated (streptomycin, isoniazid, rifampicin, ethambutol and pyrazinamide) and lasted for 8 months. After 8 months a follow-up fiberoptic bronchoscopy showed the progression of endoscopic finding with 60-70% tracheal stenosis. Histopathological finding of the mid-trachea showed non-specific granulations. During 7 years of follow-up repeated bronchoscopy and thoracic CT scans were unchanged and patient was well-shaped. Conclusions: The clinician should consider bronchopulmonary sequestration in the cases of recurrent EBTB.

scholarly journals A case of laparoscopic anterior resection for rectal cancer with duplication of the inferior vena cava using preoperative 3D computed tomography angiography

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Akinobu Furutani ◽  
Sachiko Yoshida ◽  
Toshihiko Yoshida ◽  
Masayasu Nishi ◽  
Takashi Yamagishi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Rectal Cancer ◽  
Inferior Vena Cava ◽  
Inferior Vena ◽  
Laparoscopic Resection ◽  
Vena Cava ◽  
Laparoscopic Anterior Resection ◽  
3D Ct Angiography ◽  
Chest X Ray ◽  
Double Inferior Vena Cava

Abstract We report the case of a patient with duplication of the inferior vena cava (DIVC) who underwent anterior laparoscopic resection for rectal cancer. A 66-year-old woman presented with abnormal lung shadows on a chest x-ray during a routine health checkup. She was diagnosed with rectal cancer and lung metastasis using colonoscopy and thoracoabdominal computed tomography (CT). In addition, a 3D CT angiography revealed double inferior vena cava, one on either side of the aorta. The preoperative diagnosis was rectal cancer cT3N0M1a(Lung) cStage IVA with DIVC, and a two-stage surgery was planned. The first stage was high anterior laparoscopic resection. This was safely performed because the pre-hypogastric nerve fascia was preserved and the left inferior vena cava was not visualized during the surgery. During the second stage of the surgery, video-assisted thoracoscopic left lower lobectomy was performed and no recurrence was observed for >6 months after the second surgery.

scholarly journals Incidental Mediastinal Thyroid Cancer

2019 ◽  
pp. 1-2
Author(s):  
Keith D. Mortman ◽  
Nicole Law ◽  
Taraneh Hashemi-Zonouz
Keyword(s):  
Computed Tomography ◽  
Thyroid Cancer ◽  
Mediastinal Mass ◽  
Cystic Mass ◽  
Papillary Thyroid ◽  
Thoracoscopic Resection ◽  
Chest Computed Tomography ◽  
Robotic Assisted ◽  
X Ray ◽  
Chest X Ray

Cystic mediastinal masses are most commonly benign congenital lesions. Rarely, a cystic mediastinal mass will prove to be malignant. The patient, a 50-year-old woman who initially presented with uveitis, was incidentally found to have a right paratracheal opacity on chest X-ray (CXR). Chest computed tomography (CT) demonstrated a 5cm right paratracheal hypodense cystic mass. The patient underwent a right robotic-assisted thoracoscopic resection of the mediastinal mass. Final pathology revealed a 4.5cm mass consistent with metastatic papillary thyroid carcinoma (similar histology in 2 excised lymph nodes). The patient subsequently had a total thyroidectomy with central and right neck dissections.

scholarly journals Efficacy of chest X-ray in the diagnosis of COVID-19 pneumonia: comparison with computed tomography through a simplified scoring system designed for triage

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Akın Çinkooğlu ◽  
Selen Bayraktaroğlu ◽  
Naim Ceylan ◽  
Recep Savaş
Keyword(s):  
Computed Tomography ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Scoring System ◽  
Imaging Modality ◽  
Ground Glass Opacity ◽  
Initial Presentation ◽  
X Ray ◽  
Chest X Ray

Abstract Background There is no consensus on the imaging modality to be used in the diagnosis and management of Coronavirus disease 2019 (COVID-19) pneumonia. The purpose of this study was to make a comparison between computed tomography (CT) and chest X-ray (CXR) through a scoring system that can be beneficial to the clinicians in making the triage of patients diagnosed with COVID-19 pneumonia at their initial presentation to the hospital. Results Patients with a negative CXR (30.1%) had significantly lower computed tomography score (CTS) (p < 0.001). Among the lung zones where the only infiltration pattern was ground glass opacity (GGO) on CT images, the ratio of abnormality seen on CXRs was 21.6%. The cut-off value of X-ray score (XRS) to distinguish the patients who needed intensive care at follow-up (n = 12) was 6 (AUC = 0.933, 95% CI = 0.886–0.979, 100% sensitivity, 81% specificity). Conclusions Computed tomography is more effective in the diagnosis of COVID-19 pneumonia at the initial presentation due to the ease detection of GGOs. However, a baseline CXR taken after admission to the hospital can be valuable in predicting patients to be monitored in the intensive care units.

scholarly journals Diagnosing gastric volvulus in chest X-ray: report of three cases

2020 ◽  
Vol 2020 (7) ◽  
Author(s):  
Narendra Pandit ◽  
Abhijeet Kumar ◽  
Tek Narayan Yadav ◽  
Qamar Alam Irfan ◽  
Sujan Gautam ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Abdomen ◽  
Gastric Volvulus ◽  
X Ray ◽  
Pain Abdomen ◽  
Life Threatening ◽  
Chest X Ray ◽  
High Index Of Suspicion ◽  
Specific Symptoms ◽  
Prompt Diagnosis

Abstract Gastric volvulus is a rare abnormal rotation of the stomach along its axis. It is a surgical emergency, hence requires prompt diagnosis and treatment to prevent life-threatening gangrenous changes. Hence, a high index of suspicion is required in any patients presenting with an acute abdomen in emergency. The entity can present acutely with pain abdomen and vomiting, or as chronic with non-specific symptoms. Chest X-ray findings to diagnose it may be overlooked in patients with acute abdomen. Here, we report three patients with gastric volvulus, where the diagnosis was based on the chest X-ray findings, confirmed with computed tomography, and managed successfully with surgery.

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