scholarly journals Bilateral subdiaphragmatic kidneys with right-sided renal malrotation

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Al Shaimaa Fathi Elshetry
Keyword(s):  
Magnetic Resonance Imaging ◽  
Anatomical Variation ◽  
Abdominal Ultrasound ◽  
Resonance Imaging ◽  
Renal Anomalies ◽  
Case Presentation ◽  
Renal Ectopia ◽  
Abdominal Magnetic Resonance Imaging ◽  
Magnetic Resonance Imaging Mri ◽  
Radiological Examinations

Abstract Background The subdiaphragmatic kidney is a positional variant of the uncommon cephalad renal ectopia, whereas renal malrotation refers to the anomalous renal hilar position. Both anomalies are rare, possibly under-reported, discovered incidentally on radiological examinations since patients are often asymptomatic. Case presentation This case report presents a unique renal anatomical variation in a 71-year-old female patient. A bilateral subdiaphragmatic renal ectopia coupled with right-sided renal malrotation, discovered accidentally on abdominal ultrasound (US), and confirmed by abdominal magnetic resonance imaging (MRI). Conclusions The presented case of bilateral subdiaphragmatic kidneys associated with right-sided renal malrotation is rare and not previously described in the literature. Radiologists must be familiar with these renal anomalies that can be discovered on imaging performed for other indications. MRI can provide more anatomical data compared to US.

scholarly journals Lymphangiography and focal pleurodesis treatment of chylothorax with an aberrant thoracic duct following oesophagectomy: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Tomoyuki Ishida ◽  
Jun Kanamori ◽  
Hiroyuki Daiko
Keyword(s):  
Magnetic Resonance Imaging ◽  
Interventional Radiology ◽  
Case Report ◽  
Magnetic Resonance ◽  
Thoracic Duct ◽  
Rare Case ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Thoracostomy Tube ◽  
Magnetic Resonance Imaging Mri

Abstract Background Management of postoperative chylothorax usually consists of nutritional regimens, pharmacological therapies such as octreotide, and surgical therapies such as ligation of thoracic duct, but a clear consensus is yet to be reached. Further, the variation of the thoracic duct makes chylothorax difficult to treat. This report describes a rare case of chylothorax with an aberrant thoracic duct that was successfully treated using focal pleurodesis through interventional radiology (IVR). Case presentation The patient was a 52-year-old man with chylothorax after a thoracoscopic oesophagectomy for oesophageal cancer. With conventional therapy, such as thoracostomy tube, octreotide or fibrogammin, a decrease in the amount of chyle was not achieved. Therefore, we performed lymphangiography and pleurodesis through IVR. The patient appeared to have an aberrant thoracic duct, as revealed by magnetic resonance imaging (MRI); however, after focal pleurodesis, the leak of chyle was diminished, and the patient was discharged 66 days after admission. Conclusions Chylothorax remains a difficult complication. Focal pleurodesis through IVR can be one of the options to treat chylothorax.

scholarly journals Radiological Manifestations of Obstructed Hemivagina and Ipsilateral Renal Anomaly Syndrome: A Rare Complex Müllerian and Wolffian Duct Anomaly

2016 ◽  
Vol 02 (01) ◽  
pp. 033-039
Author(s):  
Tushar Patil ◽  
Devarati Khurjekar ◽  
Vikash Ojha
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Pelvic Pain ◽  
Wolffian Duct ◽  
Resonance Imaging ◽  
Renal Anomalies ◽  
Renal Anomaly ◽  
Ohvira Syndrome ◽  
Obstructed Hemivagina ◽  
Magnetic Resonance Imaging Mri

AbstractObstructed hemivagina and ipsilateral renal anomaly (OHVIRA) syndrome is a rare complex Müllerian and Wolffian duct anomaly. It is also known as Herlyn–Werner–Wunderlich syndrome (HWWS). It includes unilateral renal anomalies and uterine didelphys. It generally occurs at puberty and exhibits non-specific and variable symptoms with acute or pelvic pain shortly following menarche, causing a delay in the diagnosis. We report here a 16-year-old female presenting with progressive cyclical pelvic pain, where magnetic resonance imaging (MRI) suggested the diagnosis of the OHVIRA syndrome. She was managed by surgical resection of the septum and draining of the obstructed vagina.

scholarly journals Cervical Intramedullary Cavernoma in Children: Case report and literature review

2019 ◽  
Vol 29 (4) ◽  
pp. 690-696
Author(s):  
Catarine Cavalcante Ary ◽  
Sebastião Carlos de Sousa Oliveira ◽  
Joaquim Francisco Cavalcante Neto ◽  
Mateus Aragão Esmeraldo ◽  
Francisco Abdoral Brito Júnior ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Vascular Malformations ◽  
Pediatric Population ◽  
Single Layer ◽  
Complete Regression ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Vascular Channels ◽  
Magnetic Resonance Imaging Mri ◽  
Spinal Cavernomas

Case presentation: A 10-year-old male patient was admitted due to posterior cervicalgia, vomiting and progressive generalized weakness. Physical examination showed difficulty in ambulation and tetraparesis. Magnetic resonance imaging (MRI) of the cervical medulla enhanced by the contrast agent, gadolinium, showed a poorly contrasted mass with a hemorrhagic center. We undertook a posterior cervicotomy (C1-C3). Post-operative evolution was satisfactory with complete regression of the deficits 90 days after surgery. Control MRI at intervals of 1 and 4 years confirmed absence of the tumor. Discussion: Cavernomas are vascular malformations, consisting of coarsely dilated vascular channels and coated by a single layer of endothelial cells, devoid of endothelium and myothelium. They represent only 5-12% of all vascular pathologies of the medulla, with only 10% affecting the pediatric population. There are only thirty cases of pediatric intramedullary spinal cavernomas in the literature, with predominance among males (2.1:1). Thoracic and cervical spinal cavernomas consist in 55% and 45% of the cases, respectively. In six cases (20%) cavernomatous lesions were associated with synchronic intracranial cavernoma. Among the reported cases, only one had poor evolution after surgery, whereas six patients persisted with prior symptoms. Conclusion: Spinal intramedullary cavernomas are rare entities, especially in the pediatric population, and are treated with surgery which improves prior neurologic deficits, besides preventing rebleeding

scholarly journals The main criteria for ASL-perfusion of the liver in viral hepatitis

2021 ◽  
Vol 25 (1) ◽  
pp. 73-79
Author(s):  
T. G. Morozova ◽  
E. N. Simakina ◽  
T. D. Gelt
Keyword(s):  
Magnetic Resonance Imaging ◽  
Blood Flow ◽  
Viral Hepatitis ◽  
Minimum Degree ◽  
Liver Perfusion ◽  
Reference Method ◽  
Abdominal Ultrasound ◽  
Liver Parenchyma ◽  
Resonance Imaging ◽  
Magnetic Resonance Imaging Mri

Objective. Evaluate the main criteria for ASL-liver perfusion in viral hepatitis.Material and methods. 111 patients with viral hepatitis, including 69 (62.2%) men and 42 (37.8) women, were examined on the basis of “Clinical hospital N 1”, Smolensk. The average age of patients was 48 ± 5.4 years. All subjects (n = 111) underwent abdominal ultrasound with Doppler vascular examination, clinical elastography, and ASL-liver perfusion with magnetic resonance imaging (MRI). The reference method was trepan liver biopsy in 69 (62.1%) people.Results. Patients were observed for 9 months. A proportion of the prognosis of the course of the viral hepatitis was compiled, followed by a coefficient-PHBF/PABF, where PHBF is the coefficient of blood flow in the liver parenchyma, PABF is the blood flow in the hepatic artery or abdominal aorta. According to the results of observation of patients, it was found that 54 (48.6%) received more than 1, and 57 (51.3%) had a prognosis coefficient of less than 1. There was a high correlation between positive clinical and laboratory dynamics and an increase in ASL-perfusion of the liver (r = 0.889), as well as negative clinical and laboratory dynamics and a decrease in ASL-perfusion of the liver (r = 0.887). it was found that in patients with a minimum degree of VH activity, the volume of hepatic blood flow (HBF) according to ASL-perfusion of the liver during MRI was from 140 – 159 ml/100 g/min, with a moderate – 118–139 ml/100 g/min, with high – 40–117 ml/100 g/min.Conclusion. Thus, if the ratio of forecast of more than 1 predict a favorable course (AUC = 0,897 (95% CI 0,884– 0,951)), with a coefficient less than 1 is unfavorable (AUC = 0,895 (95% CI 0,881–0,953)). 

scholarly journals Uterine Rupture of a Patient With Rudimentary Horn Pregnancy at 26th Gestational Weeks Diagnosed via Magnetic Resonance Imaging: a Case Report

2022 ◽  
Author(s):  
SEVCAN SARIKAYA ◽  
MUHSİN NUH AYBAY
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Ectopic Pregnancy ◽  
Sudden Onset ◽  
Free Fluid ◽  
Cervical Canal ◽  
Resonance Imaging ◽  
Rudimentary Horn ◽  
Abdominal Magnetic Resonance Imaging ◽  
Magnetic Resonance Imaging Mri

Abstract Objective: Pregnancy of Rudimentary Horn is a type of ectopic pregnancy, that is recognized almost always during surgical treatment of a rupture of the rudimentary horn. This is an obstetric case diagnosed preoperatively by magnetic resonance imaging (MRI).Case: We report the case of a 19-years-old primigravida patient with rupture of rudimentary horn in 26th gestational week. The patient presented with sudden onset severe abdominal pain in the emergency room. Intraabdominal free fluid is detected. To evaluate the etiology of free fluid and location of the gestational sac, an abdominal magnetic resonance imaging (MRI) scan was planned. The decision of emergent laparotomy is made because of sonographic detection of abdominal excessive -concentrated- free fluid, abdominal tenderness, and 2 points decrease of hemoglobin value in the control hemogram. A rudimentary horn pregnancy and fundal rupture of the rudimentary part of the uterus are diagnosed during the surgical procedure. A baby -live- weighing 450 grams was delivered. The ruptured rudimentary horn and same-sided tuba uterina were surgically removed.Conclusion: Rudimentary horn pregnancy is a rare ectopic pregnancy. Diagnosis is difficult clinically, even with diagnostic imaging modalities. Identifying both cornuas systematically in all patients increases the detection rate. The absence of continuity between the gestational sac’s lumen and the cervical canal on imaging is an important finding. Due to the serious maternal and fetal complications, its detection at an early week may be life-saving.

scholarly journals Vulvar lipoma: So giant and rare?

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Ayşegül Karadayı Büyüközsoy ◽  
Ömer Aydıner
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Tumor Localization ◽  
Rare Tumor ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Inguinal Hernias ◽  
Magnetic Resonance Imaging Mri ◽  
Vulvar Mass

Abstract Background Lipomas are often small tumors and rarely reach a size larger than 2 cm. Vulvar lipoma is a rare tumor localization, and only a few cases have been reported. It is important to distinguish lipomas from other vulvar masses like liposarcomas, Nuck canal cyst, Bartholin’s cyst, and inguinal hernias. Case presentation We report on a case of a 43-year-old woman who presented with a giant left vulvar mass and discuss the magnetic resonance imaging (MRI) results. Conclusions MRI is useful in evaluating vulvar lipomas and differentiating them from other vulvar pathologies.

scholarly journals Giant Abdominal Lipoma in Adult

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Nihal Cinar Ozcan ◽  
Akay Edizsoy ◽  
Tahsin Colak
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Acute Abdomen ◽  
Abdominal Ultrasound ◽  
Abdominal Discomfort ◽  
Resonance Imaging ◽  
Abdominal Symptoms ◽  
Giant Lipoma ◽  
Magnetic Resonance Imaging Mri

Lipomas arising from the omentum are extremely rare in adults. Omental lipomas are typically asymptomatic, but very large ones may cause nonspecific abdominal symptoms and discomfort. Rarely they can cause omental torsion and present with an acute abdomen. We report a 41-year-old female patient with a giant lipoma ( 40 × 26 × 8   cm and 11,520 g) who presented with mild abdominal discomfort. Workup included abdominal ultrasound (USG) and magnetic resonance imaging (MRI). Surgical resection was performed without complication. No recurrence was observed during 4-year follow-up.

scholarly journals CT and MRI findings of bronchopulmonary endometriosis: a case presentation

2018 ◽  
Vol 7 (10) ◽  
pp. 205846011880116 ◽  
Author(s):  
Tomohide Sanada ◽  
Jinho Park ◽  
Masaru Hagiwara ◽  
Norihiko Ikeda ◽  
Takeshi Nagai ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Left Lung ◽  
Lung Nodules ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Case Presentation ◽  
Magnetic Resonance Imaging Mri ◽  
Ct And Mri

Intrathoracic endometriosis is classified into pleurodiaphragmatic endometriosis and bronchopulmonary endometriosis. Bronchopulmonary endometriosis is rare. Computed tomography (CT) findings of bronchopulmonary endometriosis are lung nodules, with or without cavities, or surrounding ground-glass opacities. Features vary with menstrual status. Recently, the usefulness of magnetic resonance imaging (MRI) was reported for diagnosis of intrathoracic endometriosis, but most published reports were about pleurodiaphragmatic endometriosis. We present CT and MRI findings of bronchopulmonary endometriosis in the left lung that showed a gradually enlarging nodule with enhancing area.

scholarly journals Unruptured Basilar Tip Aneurysm with Internal Septation: Coiling Implications?

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Ayman Khalil ◽  
Hong Kuan Kok ◽  
Mark Schembri ◽  
Paul Brennan ◽  
Mohsen Javadpour ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Anatomical Variation ◽  
Artery Aneurysm ◽  
Digital Subtraction ◽  
Resonance Imaging ◽  
Coil Embolisation ◽  
Basilar Artery Aneurysm ◽  
Basilar Tip Aneurysm ◽  
Magnetic Resonance Imaging Mri ◽  
Selection Of

An internal septum within a basilar artery aneurysm is an infrequent anomaly and is very rarely reported in the literature. We report a 62-year-old lady that was incidentally diagnosed with basilar tip aneurysm. Further imaging with magnetic resonance imaging (MRI) revealed internal septation within this aneurysm which was later confirmed with digital subtraction angiography (DSA). She underwent coil embolisation, which involved technical manipulation of the microcatheter and the balloon to enable coiling of each separate aneurysm compartment. We present this case to illustrate the effect of this anatomical variation on the selection of endovascular treatment strategy.

scholarly journals Gastric Perforation During MRI After Ingestion of Ferromagnetic Foreign Bodies

2021 ◽  
Vol 5 (3) ◽  
pp. 362-364
Author(s):  
Nicholas Glover ◽  
Ryan Roten
Keyword(s):  
Magnetic Resonance Imaging ◽  
Foreign Bodies ◽  
Medical Literature ◽  
Surgical Repair ◽  
Gastric Perforation ◽  
Resonance Imaging ◽  
Case Presentation ◽  
Magnetic Resonance Imaging Mri ◽  
Mri Study ◽  
Metal Foreign Body

Case Presentation: A 65-year-old male with schizophrenia and intellectual disability ingested what was reported to be two AA batteries, prior to a scheduled magnetic resonance imaging (MRI) study. He developed severe abdominal pain and presented to the emergency department the following day with hypovolemic/septic shock. General surgery retrieved two metal sockets and a clevis pin from the stomach prior to surgical repair of a gastric perforation. This case highlights a rare yet critical outcome of ingesting ferromagnetic foreign bodies prior to an MRI study. Discussion: Medical literature on this subject is scarce as indwelling metal foreign bodies are a contraindication to obtaining an MRI. Yet some patients with indwelling metallic foreign bodies proceed with MRI studies due to either challenges in communication such as age, psychiatric/mental debility, or unknowingly having an indwelling metal foreign body. In this case, the patient surreptitiously ingested metal objects prior to obtaining an MRI.

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