scholarly journals A case report of asymptomatic aortic thrombosis incidentally detected by computed tomography in apparently healthy subject with a history of cancer surgery

2016 ◽  
Vol 14 (1) ◽  
Author(s):  
Tomonori Sugiura ◽  
Yasuaki Dohi ◽  
Sumiyo Yamashita ◽  
Shunsuke Murai ◽  
Nobuyuki Ohte
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Healthy Subject ◽  
Cancer Surgery ◽  
Aortic Thrombosis ◽  
History Of ◽  
History Of Cancer ◽  
Apparently Healthy

scholarly journals A141 SPONTANEOUS ESOPHAGEAL PERFORATION: AN UNREPORTED COMPLICATION OF LYMPHOCYTIC ESOPHAGITIS

2021 ◽  
Vol 4 (Supplement_1) ◽  
pp. 128-129
Author(s):  
A LAGROTTERIA ◽  
A W Collins ◽  
A Someili ◽  
N Narula
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Case Report ◽  
Proton Pump Inhibitor ◽  
Proton Pump ◽  
Esophageal Perforation ◽  
Distal Esophagus ◽  
Chest Discomfort ◽  
History Of ◽  
Lymphocytic Esophagitis

Abstract Background Lymphocytic esophagitis is a new and rare clinicopathological entity. It is a histological pattern characterized by lymphocytic infiltrate without granulocytes. Its etiology and clinical significance remains unclear. The clinical manifestations are typically mild, with reflux and dysphagia the most commonly reported symptoms. Aims We describe a case report of spontaneous esophageal perforation associated with lymphocytic esophagitis. Methods Case report Results A previously well 31-year-old male presented to the emergency department with acute food impaction. His antecedent symptoms were acute chest discomfort and continuous odynophagia following his most recent meal, with persistent globus sensation. The patient had no reported history of allergies, atopy, rhinitis, or asthma. A previous history of non-progressive dysphagia was noted after resuscitation. Emergent endoscopy revealed no food bolus, but a deep 6 cm mucosal tear in the upper-mid esophagus extending 24 to 30 cm from the incisors. Chest computed tomography observed small volume pneumoperitoneum consistent with esophageal perforation. The patient’s recovery was uneventful; he was managed conservatively with broad-spectrum antibiotics, proton pump inhibitor therapy, and a soft-textured diet. Endoscopy was repeated 48 hours later and revealed considerable healing with only a residual 3-4cm linear laceration. Histology of biopsies taken from the mid and distal esophagus demonstrated marked infiltration of intraepithelial lymphocytes. There were no eosinophils or neutrophils identified, consistent with a diagnosis of lymphocytic esophagitis. Autoimmune indices including anti-nuclear antibodies and immunoglobulins were normal, ruling out a contributory autoimmune or connective tissue process. The patient was maintained on a proton pump inhibitor (pantoprazole 40 mg once daily) following discharge. Nearly six months following his presentation, the patient had a recurrence of symptoms prompting representation to the emergency department. He described acute onset chest discomfort while eating turkey. Computed tomography of the chest redemonstrated circumferential intramural gas in the distal esophagus and proximal stomach. Conclusions Esophageal perforation is a potentially life-threatening manifestation of what had been considered and described as a relatively benign condition. From isolated dysphagia to transmural perforation, this case significantly expands our current understanding of the clinical spectrum of lymphocytic esophagitis. Funding Agencies None

Managing Incidentalomas Safely: Do Computed Tomography Requisitions Tell Us What We Need to Know?

2017 ◽  
Vol 68 (4) ◽  
pp. 387-391
Author(s):  
Matthew Walker ◽  
Joy Borgaonkar ◽  
Daria Manos
Keyword(s):  
Computed Tomography ◽  
Incidental Findings ◽  
Tertiary Care ◽  
Clinical History ◽  
Patient Questionnaire ◽  
Prior History ◽  
Care Hospital ◽  
History Of ◽  
Patient’S History ◽  
History Of Cancer

Purpose Technological advancements and the ever-increasing use of computed tomography (CT) have greatly increased the detection of incidental findings, including tiny pulmonary nodules. The management of many “incidentalomas” is significantly influenced by a patient's history of cancer. The study aim is to determine if CT requisitions include prior history of malignancy. Methods Requisitions for chest CTs performed at our adult tertiary care hospital during April 2012 were compared to a cancer history questionnaire, administered to patients at the time of CT scan. Patients were excluded from the study if the patient questionnaire was incomplete or if the purpose of the CT was for cancer staging or cancer follow-up. Results A total of 569 CTs of the chest were performed. Of the 327 patients that met inclusion criteria, 79 reported a history of cancer. After excluding patients for whom a history of malignancy could not be confirmed through a chart review and excluding nonmelanoma skin cancer, dysplasia, and in situ neoplasm, 68 patients were identified as having a history of malignancy. We found 44% (95% confidence interval [0.32-0.57]) of the chest CT requisitions for these 68 patients did not include the patient's history of cancer. Of the malignancies that were identified by patient questionnaire but omitted from the clinical history provided on the requisitions, 47% were malignancies that commonly metastasize to the lung. Conclusions A significant number of requisitions failed to disclose a history of cancer. Without knowledge of prior malignancy, radiologists cannot comply with current guidelines regarding the reporting and management of incidental findings.

scholarly journals Occurrence of canine mammary and skin/ subcutaneous neoplasms in and around Thrissur district of Kerala during 2017-2020: A review of 265 cases

2021 ◽  
Vol 52 (4) ◽  
Author(s):  
Sudheesh S. Nair ◽  
Narayanan M. K. ◽  
Anoop S. ◽  
Dhanush Krishna B. ◽  
Usha Narayana Pillai ◽  
...  
Keyword(s):  
Previous History ◽  
Mammary Glands ◽  
Cancer Surgery ◽  
Mixed Diet ◽  
Age Group ◽  
Dog Food ◽  
Mammary Neoplasms ◽  
History Of ◽  
Maximum Occurrence ◽  
History Of Cancer

The study was conducted in 265 clinical cases of mammary and skin/ subcutaneous neoplasms in dogs presented to University Veterinary Hospitals Mannuthy and Kokkalai during a period of 36 months from October 2017 to September 2020. Mammary neoplasms were found more in females (51.7 per cent) than in males whereas skin and subcutaneous neoplasms were found more in male dogs (48.3 per cent). The maximum occurrence of neoplasms was recorded in the age group of eight to twelve years (38.5 per cent) whereas least occurrence was noticed in the age group up to four years (9 per cent). Labrador and Rottweiler breeds were found more affected with neoplasms (38 per cent each) with highest occurrence of mammary neoplasms in inguinal mammary glands (35.03 per cent) and highest occurrence of skin/ subcutaneous neoplasms on sites involving trunk region (14.06 per cent cases). Eighty-three per cent of the neoplasm cases in the present study were pet dogs with a greater number of dogs maintained in outdoor kennels and 17 per cent of neoplasm was found in free-roaming dogs rescued from streets. Out of total 265 dogs, 37.73 per cent dogs were found to be having commercial dog food as their main feed and 32 per cent dogs were fed with a mixed diet of homemade food and commercial dog food. Among the cases, 14.71 per cent dogs had a previous history of cancer surgery

Olfactory ganglioneuroblastoma in a dog: case report and literature review

2021 ◽  
pp. 104063872110228
Author(s):  
Ashley M. Romano ◽  
Chad B. Frank
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Ganglion Cells ◽  
Soft Tissue Mass ◽  
Neoplastic Cell ◽  
Cell Populations ◽  
Intact Male ◽  
Tissue Mass ◽  
Immunohistochemical Markers ◽  
History Of

A 7-y-old, intact male Alaskan Malamute was presented with a 3-mo history of stertor and epistaxis. Computed tomography of the skull revealed generalized loss of gas throughout both nasal passages with replacement by a soft tissue mass that traversed the cribriform plate. Histopathology revealed neoplastic neuroblast cells arranged in anastomosing cords, as well as separately located aggregates of ganglion cells. Both neoplastic cell populations demonstrated immunoreactivity to MAP-2, TuJ-1, and synaptophysin. Neuroblastic cells additionally exhibited punctate immunoreactivity to MCK and CK8/18. We document here both the positive neural immunohistochemical markers for this neoplasm, as well as propose possible histomorphologic variants.

scholarly journals Liver Cirrhosis and Hepatocellular Carcinoma Diagnosed from Chylothorax: A Case Report

2021 ◽  
Vol 11 (3) ◽  
pp. 582-586
Author(s):  
Kenta Ito ◽  
Yoshimasa Hachisu ◽  
Mitsuhiko Shibasaki ◽  
Kazuma Ezawa ◽  
Hiroshi Iwashita ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Hepatocellular Carcinoma ◽  
Liver Cirrhosis ◽  
Case Report ◽  
Pleural Effusion ◽  
Malignant Lymphoma ◽  
Review Of The Literature ◽  
Left Pleural Effusion ◽  
History Of

A 71-year-old man visited our hospital with dyspnea and left pleural effusion. Left pleural effusion was diagnosed as chylothorax by thoracentesis. He had no history of trauma or surgery, and there were no findings of malignant lymphoma or thrombosis. Furthermore, he was diagnosed with liver cirrhosis and hepatocellular carcinoma by computed tomography and hematological examinations, and the chylothorax was considered to be caused by liver cirrhosis. We report a review of the literature with this case since it is relatively rare for cirrhosis and hepatocellular carcinoma diagnosed from chylothorax.

scholarly journals Spontaneous Postpartum Subacute Subdural Hematoma: A Case Report of Probable Compilation of Eclampsia

2016 ◽  
Vol 13 (2) ◽  
pp. 109-111
Author(s):  
Sachidanand Gautam ◽  
Shyam C Meena ◽  
Bhawana Gautam
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Computed Tomography Scan ◽  
Normal Delivery ◽  
Postoperative Course ◽  
Motor Aphasia ◽  
History Of ◽  
Tomography Scan

The author presents a patient who developed a subacute subdural hematoma approximately 2 weeks after normal delivery with history of postnatal convulsion and lateralizing neurological symptoms. On day 12, she started to feel a nonpostural and severe throbbing headache with motor aphasia and right hemiparesis power grade 4, she was referred to our department. Left subacute subdural hematoma was confirmed by a computed tomography scan. Physical examination revealed only mild right hemiparesis. Left burr hole trepanation was performed and this was followed by uneventful postoperative course, and it completely recovered after 4 weeks. Chronic subdural hematoma should be considered when postpartum patients who have history of ecclampsia with mild to severe, persistent, and non-postural headache.Nepal Journal of Neuroscience. Vol. 13, No. 2, 2016, Page: 109-111

scholarly journals Invasive cervical resorption: case report

2021 ◽  
Vol 10 (14) ◽  
pp. e39101421787
Author(s):  
Matheus Almeida Rodrigues ◽  
Marcely Reis da Silva ◽  
Adolfo de Matos de Carvalho ◽  
Caio Cesar Souza ◽  
Cesar Augusto Perini Rosas ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Orthodontic Treatment ◽  
Clinical Case ◽  
Cone Beam ◽  
Cervical Region ◽  
Radiographic Examination ◽  
Repair Material ◽  
Tooth Whitening ◽  
History Of

Invasive cervical resorption (ICR) is an insidious, aggressive, and asymptomatic form that can lead to destruction and even loss of the dental unit. ICR is somewhat uncommon, but it can affect any tooth, with the maxillary central incisors being the most affected. Even after numerous studies, the etiology is still unclear. There are some predisposing factors, including orthodontic treatment, trauma, and internal tooth whitening, which may occur in isolation or in conjunction with each other. This article reports a clinical case of ICR class 3 with a rosy discoloration at the cervical margin and the presence of a fistula associated with a history of trauma. This suspicion was raised after radiographic examination and confirmed by cone-beam computed tomography (CBCT), with treatment via an internal approach and endodontic treatment involving debridement of the resorptive areas and filling with a bioceramic repair material and suturing. After treatment, the patient remained asymptomatic, but the fistula was no longer present. Prospective observation at 10 months showed bone formation in the middle third and well-adapted material in the cervical region, with no resorptive tissue present.

scholarly journals Diagnosis of a horizontal root fracture during retreatment of a maxillary canine utilizing an electronic apex locator and monitoring with CBCT: a case report

2013 ◽  
Vol 16 (4) ◽  
pp. 99
Author(s):  
Maria Rachel Monteiro ◽  
Caio Cesar Randi Ferraz ◽  
Emmanuel João Nogueira Leal Silva ◽  
José Flávio Affonso Almeida
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Root Canal ◽  
Treatment Plan ◽  
Dental Trauma ◽  
Subsequent Treatment ◽  
Root Fracture ◽  
History Of ◽  
Horizontal Root Fracture ◽  
Electronic Apex Locator

<p><strong>Introduction: </strong>The aim of this case report is todemonstrate the retreatment of a maxillary caninediagnosed with a horizontal root fracture utilizingan electronic apex locator and monitored with conebeam computed tomography. <strong>Case Report: </strong>A 35year old African American male was referred for rootcanal retreatment of a maxillary right canine prior toprosthetic rehabilitation. Following removal of guttapercha, an apex locator was utilized to determine thelength of the root canal. After a more comprehensivedental history, the patient confirmed a previouslyunreported history of dental trauma at this time,leading to the suspicion of a horizontal root fracture.Clinical microscopy detected a connective tissue in theapical third of the root canal and multiple periapicaland occlusal radiographs enhanced visualizationof a horizontal root fracture. The coronal segmentwas filled with an MTA apical plug and the apicalsegment remained stable. A recall after 1.5 yearswas performed with CBCT, which showed no apicalradiolucency. <strong>Discussion: </strong>The present case reportreinforces the precept that detailed dental history andcareful observation of radiographs are critical factorsfor obtaining an accurate diagnosis. Fundamentaladjuncts, such as microscopy, apex locators andCBCT imaging, can potentially aid in the diagnosisand the subsequent treatment plan of horizontal rootfracture.</p><p>Keywords<br />Cone-beam computed tomography; Apex locator Cuspid; Radiography; horizontal root fracture.</p>

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