Emphysematous pyelonephritis: A rare cause of sepsis in hepatocellular carcinoma

The association between emphysematous pyelonephritis (EPN) and diabetes mellitus is well known. EPN as the cause of sepsis in hepatocellular carcinoma (HCC) is rare and unreported. We report a case of EPN in a non-diabetic HCC patient, in which the clinical features of decompensated chronic liver disease masked the more sinister urological emergency to a certain degree. A computed tomography scan of the abdomen revealed a mixture of gas and fluid in the left retrorenal space, in keeping with left EPN. Nevertheless, the course of clinical deterioration was rather rapid that any surgical intervention was not feasible.

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Accuracy of Multi-Detector Computed Tomography in Detection of Esophageal Varices in Chronic Liver Disease

Journal of Islamabad Medical & Dental College ◽

10.35787/jimdc.v9i1.346 ◽

2020 ◽

Vol 9 (1) ◽

pp. 4-9

Author(s):

Syeda Zakia Shah ◽

Umair Ajmal ◽

Shahabuddin Siddiqui

Keyword(s):

Computed Tomography ◽

Liver Disease ◽

Diagnostic Accuracy ◽

Chronic Liver Disease ◽

Esophageal Varices ◽

Chronic Liver ◽

Computed Tomography Scan ◽

Predictive Values ◽

Tomography Scan ◽

Multi Detector Computed Tomography

Background: Patients with chronic liver disease should undergo screening endoscopy, but this approach places a heavy burden upon endoscopy units along with other limitations. The aim of this study was to determine the diagnostic accuracy of multi-detector computed tomography scan in detecting esophageal varices taking endoscopy as gold standard.Material and Methods: This cross-sectional study was done from 1st Jan 2018 to 31st Dec 2018 at Department of Radiology, PIMS Hospital Islamabad. A total of 180 patients of both gender with chronic liver disease for at least 12 months were included in this study with an age range of 25-65 years. Patients with active gastrointestinal hemorrhage, hypersensitivity to iodinated contrast agent, chronic renal failure, claustrophobic and pregnant females were excluded. All the patients underwent endoscopy and computed tomography of lower chest and the upper abdomen before and after intravenous contrast administration. Multi detector computed tomography (MDCT) scan findings for esophageal varices were compared with endoscopy findings.Results: In MDCT positive patients (n=102), 98 were true positive and 04 were false positive. Among 78 MDCT negative patients, 07 were false negative, whereas 71 were true negative. Overall sensitivity and specificity were 93.33%, and 94.67% respectively. The positive and negative predictive values were 96.08% and 91.03% respectively, while diagnostic accuracy of MDCT in detecting esophageal varices in chronic liver disease patients was 93.89%, taking endoscopy as gold standard.Conclusions: Multi-detector computed tomography scan is a highly sensitive and accurate non-invasive modality for detecting esophageal varices in chronic liver disease patients.Key words: Accuracy, Chronic liver disease, Esophageal varices, Multi-detector computed tomography

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Diagnostic value for extrahepatic metastases of hepatocellular carcinoma in positron emission tomography/computed tomography scan

World Journal of Gastroenterology ◽

10.3748/wjg.v18.i23.2979 ◽

2012 ◽

Vol 18 (23) ◽

pp. 2979 ◽

Cited By ~ 14

Author(s):

Ji Eun Lee

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Positron Emission Tomography ◽

Diagnostic Value ◽

Emission Tomography ◽

Computed Tomography Scan ◽

Positron Emission ◽

Extrahepatic Metastases ◽

Tomography Scan

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Accessory Right Hepatic Artery Arising from Splenic Artery Supplying Hepatocellular Carcinoma Identified by Computed Tomography Scan and Conventional Angiography: A Rare Anatomic Variant

Annals of Vascular Surgery ◽

10.1016/j.avsg.2016.05.096 ◽

2017 ◽

Vol 38 ◽

pp. 316.e1-316.e5 ◽

Cited By ~ 2

Author(s):

Yousof Al Zahrani ◽

AbdulAziz AlMat'hami ◽

Hatim Alobaidi ◽

Daniele Wiseman ◽

Amol Mujoomdar

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Hepatic Artery ◽

Splenic Artery ◽

Computed Tomography Scan ◽

Conventional Angiography ◽

Right Hepatic Artery ◽

Anatomic Variant ◽

Rare Anatomic Variant ◽

Tomography Scan

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Metastatic hepatocellular carcinoma presenting as a pancreatic mass by computed tomography scan and mimicking a primary neuroendocrine tumor: A potential pitfall in aspiration cytology

Diagnostic Cytopathology ◽

10.1002/dc.21132 ◽

2009 ◽

Vol 37 (12) ◽

pp. 915-919

Author(s):

Valerie A. Fitzhugh ◽

Stacey A. Kim ◽

Anthony Borcich ◽

Hongfa Zhu ◽

Maoxin Wu ◽

...

Keyword(s):

Computed Tomography ◽

Hepatocellular Carcinoma ◽

Neuroendocrine Tumor ◽

Pancreatic Mass ◽

Computed Tomography Scan ◽

Aspiration Cytology ◽

Potential Pitfall ◽

Metastatic Hepatocellular Carcinoma ◽

Tomography Scan

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Stroke in CT-scan Department of Khartoum Hospital, Sudan

Tropical Doctor ◽

10.1258/004947507782332829 ◽

2007 ◽

Vol 37 (4) ◽

pp. 244-245 ◽

Cited By ~ 1

Author(s):

Ahmed M El Zein ◽

Elfateh A Bukhari ◽

Susan Homeida ◽

Ishag Adam

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Computed Tomography ◽

Clinical Characteristics ◽

Stroke Risk ◽

Haemorrhagic Stroke ◽

Computed Tomography Scan ◽

Prospective Data ◽

Stroke Risk Factors ◽

Tomography Scan

Prospective data were collected on consecutive patients admitted to Khartoum Teaching Hospital with a diagnosis of stroke. Risk factors and clinical characteristics were assessed by neurological examination and computed tomography scan. A total of 128 patients were enrolled in the study, of whom 74 (57.8%) were men. The age (mean±standard deviation) of the patients was 53±18.5 years. Eighty-five (66.4%) and 43 (33.6%) patients had ischaemic and haemorrhagic stroke, respectively. Hypertension, diabetes mellitus, smoking, heart disease and hypercholesterolaemia were the risk factors for stroke. Thus, further studies are needed on stroke. Hypertension should be discovered early and treated effectively.

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