scholarly journals Pancreatic Lipoma: A Pancreatic Incidentaloma Diagnosis with Computed Tomography

Author(s):  
Amina Beddi ◽  
Aicha Merzem ◽  
Meryem Harmak ◽  
Hasna Belgadir ◽  
Omar Amriss ◽  
...  

Lipoma of the pancreas is a rare benign tumour which is usually discovered incidentally on imaging. We present a case of an incidentally discovered pancreatic lipoma in a 79-year-old man with non-metastatic prostate adenocarcinoma who was referred to radiology for follow-up imaging. Fat-containing tumours originating from the pancreas are very rare. Most lipomas show characteristic features on imaging that allow their differentiation. We present the imaging features of a pancreatic lipoma on ultrasound, CT and MRI, discuss the differential diagnosis, and provide a brief review of the literature.

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Giovanni Centonze ◽  
Alessandro Mangogna ◽  
Tiziana Salviato ◽  
Beatrice Belmonte ◽  
Laura Cattaneo ◽  
...  

Gastroblastoma (GB) is a rare gastric epithelial-mesenchymal neoplasm, first described by Miettinen et al. So far, all reported cases described the tumor in children or young adults, and similarities with other childhood blastomas have been postulated. We report a case of GB in a 43-year-old patient with long follow up and no recurrence up to 100 months after surgery. So far, this is the second case of GB occurring in the adult age >40-year-old. Hence, GB should be considered in the differential diagnosis of microscopically comparable conditions in adults carrying a worse prognosis and different clinical approach.


2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
George Marios Makris ◽  
Doris Macchiella ◽  
Dennis Vaidakis ◽  
Charalampos Chrelias ◽  
Marco Johannes Battista ◽  
...  

Background. Abdominal masses in female adolescents are uncommon. A rare cause of this condition is hematocolpos due to imperforate hymen.Case. We present a case of an unusually massive asymptomatic abdominal bulk in a 14-year-old female patient, who sought for medical advice after unusual abdominal pain lasting for few weeks. The patient was otherwise asymptomatic, apart from an unusual dramatic expansion of her abdominal wall during the last month. We describe the surgical management and the follow-up of the patient.Summary and Conclusion. Clinicians should keep in mind that an imperforate hymen can cause abdominal growth due to hematocolpos and include it in the differential diagnosis of such a clinical entity in female adolescents. 2D ultrasound is usually efficient for the confirmation of the diagnosis of hematocolpos, but 3D ultrasound is more accurate. Wide excision should be undertaken, as an initial approach, to avoid recurrence.


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Nasifa Nur ◽  
Cameron Lang ◽  
Juanita K. Hodax ◽  
Jose Bernardo Quintos

Systemic pseudohypoaldosteronism (PHA) type I is a rare genetic disorder resulting from mutations in the subunits of the epithelial sodium channel that manifests as severe salt wasting, hyperkalemia, and metabolic acidosis in infancy. In this article we report a patient with systemic PHA type I presenting with severe dehydration due to salt wasting at 6 days of life. She was found to have a known mutation in the SCNN1A gene and subsequently required treatment with sodium supplementation. We also review the clinical presentation, differential diagnosis, and treatment of systemic PHA type I and summarize data from 27 cases with follow-up data.


2005 ◽  
Vol 114 (5) ◽  
pp. 376-380 ◽  
Author(s):  
Luis Junquera ◽  
Aintza Torre ◽  
Luis García-Consuegra ◽  
Juan C. Vicente ◽  
Manuel F. Fresno

Merkel cell carcinoma (MCC) is a very aggressive primary cutaneous neoplasm most often occurring on the head and neck of the elderly. Spontaneous regression of MCC was first described in 1986. A 79-year-old woman with MCC on the right cheek underwent spontaneous regression of the malignancy, documented by photographic follow-up, computed tomography, and histologic studies. A review of the literature is presented. Complete clinical and histologic regression of MCC was observed in the present case. Although the literature documents 11 similar cases, only 6 can be regarded as complete spontaneous regressions following exclusive performance of a biopsy (primary complete spontaneous regression). Primary complete spontaneous regression of MCC is infrequent, and most case reports describe this phenomenon in women with MCC on the cheek. The reasons underlying regression are unknown.


2001 ◽  
Vol 38 (4) ◽  
pp. 401-404 ◽  
Author(s):  
Bach T. Le ◽  
James M. Eyre ◽  
Monica C. Wehby ◽  
Michael J. Wheatley

Objective: Distraction osteogenesis is a well-accepted technique in the treatment of patients with hypoplastic craniofacial components. Complications of distraction osteogenesis are well described in the literature. We describe a complication of using an external distraction device in a 9-year-old girl with Pfeiffer. Intervention and Results: A modified Lefort III osteotomy was performed for maxillary hypoplasia with application of an external distraction halo device by a pediatric neurosurgeon. A postoperative computed tomography (CT) scan showed 0.5-cm skull penetration of the cranial pins. The pins were repositioned and the patient was followed up on a regular basis until discharge from the hospital. At 3-week follow-up, a CT scan of the head showed migration of the pins 1.5 cm intracranially. The halo was removed and repositioned at a different site. No detectable neurological sequelae from the pin penetration were noted. The patient developed cellulitis at the site of the penetration and was admitted to the hospital for a course of intravenous antibiotics. There were no other complications, and the rest of her treatment course proceeded as planned. A review of the literature on complications of halo usage as well as suggestions for their management in association with distraction osteogenesis is described.


2018 ◽  
Vol 63 (No. 4) ◽  
pp. 175-180
Author(s):  
A. Foglia ◽  
S. Del Magno ◽  
M. Pietra ◽  
V. Cola ◽  
M. Joechler ◽  
...  

A 7-year-old intact male Rottweiler dog was evaluated for recurrent dysphagia and regurgitation. Physical examination was unremarkable and routine blood works were within normal limits. Computed tomography revealed a defined lesion in the caudal mediastinum arising from the oesophagus. The lesion was excised using intercostal thoracotomy and the histological diagnosis was oesophageal duplication cyst. The dog recovered uneventfully and at a 3-year follow-up no clinical signs were reported. Although extremely rare, oesophageal duplication cysts should be considered in the differential diagnosis in cases of chronic regurgitation and dysphagia associated with evidence of an oesophageal lesion.


2021 ◽  
pp. 153857442110040
Author(s):  
Luis H. Arzola ◽  
Javier E. Anaya-Ayala ◽  
Gabriel Lopez-Pena ◽  
Lizeth Luna ◽  
Christopher Ruben-Castillo ◽  
...  

Primary aortitis (PA) secondary to Listeria monocytogenes is extremely rare with only a few cases reported in the literature. Presently, there is no consensus concerning the best treatment when no complications are found in the thoracic computed tomography (CT) imaging. This report illustrates the clinical presentation and favorable clinical course of a rare case of PA secondary to Listeria monocytogenes in an 82-year-old diabetic woman, successfully treated with conservative management with 18 months of follow up. Included in this article, we additionally present a review of the literature of this uncommon etiology of infectious aortitis.


Author(s):  
Sedat Altay

INTRODUCTION: Seventy-five adult patients with retrospectively detected incidental choroid plexus xanthogranulomas (CPX) were evaluated with non-contrast brain computed tomography (CT) and contrast-enhanced brain magnetic resonance imaging (MRI) images. In this study, we aim to determine the imaging properties of CPX with CT and MRI, to evaluate the difference between white matter and CPX with diffusion-weighted imaging (DWI) and apparent diffusion coefficient (ADC), and ensure its potential use in the follow-up and treatment of CPX patients. METHODS: In this study, lesions between 5-25 mm were evaluated. CPX and white matter ADC measurements were performed on CT and MRI images in all lesions. An independent sample t-test was used for statistics. Cases with a history of cranial operation and any malignancy were excluded due to the possibility of metastasis. RESULTS: Bilateral CPX was detected in 41 and unilateral CPX in 34 patients. On CT, bilateral CPX calcifications were observed in 21 and unilateral calcifications in 44 patients. Calcification was not observed in brain CT in 10 patients. ADC (apparent diffusion coefficients) measurement was made from the widest and non-calcific parts of all lesions. ADC measurements were between 1.33-1.69x10-3/mm2/s and the mean value was 1.48x10-3/mm2/s. In all cases, the ADC value was lower relative to the white matter. ADC value was found to be higher and closer to the white matter ADC values than cases with a homogenous appearance in CPX patients with heterogeneous internal structure. DISCUSSION AND CONCLUSION: ADC value is useful in the diagnosis of CPX. In conclusion, the follow-up of the ADC value is useful in the diagnosis and follow-up of CPX.


2017 ◽  
Vol 19 (1) ◽  
pp. 111 ◽  
Author(s):  
Emre Unal ◽  
Meryem Keles ◽  
Sibel Yazgan ◽  
Musturay Karcaaltincaba

We present a large hydatid cyst located midline and posterior to prostatic gland and seminal vesicles in an asymptomatic patient. Computed tomography (CT) scan revealed a large retrovesical mass and the transrectal ultrasonography idetified a degenerated hydatid cyst with “ball of wool’’ appearance. Although extremely rare, hydatid disease should be kept in mind in the differential diagnosis of pelvic particularly retrovesical midline masses.


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