scholarly journals Iliopsoas Abscess in Children – A Forgotten Diagnosis

2021 ◽  
Vol 7 (2) ◽  
Keyword(s):  
Ct Scan ◽  
Correct Diagnosis ◽  
Atypical Presentation ◽  
Imaging Studies ◽  
Incision And Drainage ◽  
Iliopsoas Abscess ◽  
Invasive Techniques ◽  
High Degree ◽  
Rare Diagnosis ◽  
Fixed Flexion Deformity

Iliopsoas abscess is a rare diagnosis in children. We recently encountered two cases which were managed at our institution. A 11-year female presented with thigh and inguinal swelling while 3-year male child presented with limp and fixed flexion deformity of right leg. Due to the differing presentation, imaging studies are often important before management is planned. Ultrasound scan is the most common investigation followed by computerized tomography (CT) scan in a selected few. The girl underwent a CT scan followed by incision and drainage (I&D) of the iliopsoas abscess while the boy underwent ultrasound-guided pigtail catheter insertion. Both cases were successfully treated. Atypical presentation of iliopsoas abscess makes the diagnosis difficult and requires a high degree of clinical suspicion for making correct diagnosis. Imaging studies help with diagnosis in such cases. Less invasive techniques like image-guided aspiration and catheter drainage can be helpful in carefully selected cases. Keywords: Iliopsoas abscess, Atypical presentation, Percutaneous drainage, Pediatric.

scholarly journals A Patient with Fixed Flexion Deformity of Hip and Knee

2012 ◽  
Vol 23 (1) ◽  
pp. 25-28
Author(s):  
P Das ◽  
A Basak ◽  
D Ghorai ◽  
P P Pan ◽  
D K Khatua
Keyword(s):  
Ct Scan ◽  
Left Knee ◽  
Flexion Deformity ◽  
Rheumatic Arthritis ◽  
X Ray ◽  
Inflammatory Arthropathy ◽  
Pathological Report ◽  
Rare Diagnosis ◽  
Fixed Flexion Deformity ◽  
Rule Out

Abstract A 17 years old female patient presented to PMR OPD with fixed flexion deformity of left hip and knee and cachexia. Five years back a severe pain was suddenly developed in her left knee and thigh which was investigated for juvenile inflammatory arthropathy and rheumatic arthritis. At that time all the serological markers (ANA, RF, ASO titre) and x-ray of knee were normal. Subsequently left hip pain and restricted ROM were developed which made it clear that the knee pain was actually referred from hip. A plain x-ray of hip was done to rule out Perthe's disease which was reported as avascular necrosis of femur. When the patient was examined at PMR OPD, a CT scan of hip, routine hemogram, CXR, Manteux test was advised considering a provisional diagnosis of infective pathology like TB hip with a differential of neoplaia in or around hip keeping in mind about cachexia and weight loss. Surprisingly CT scan showed a big mass originating from glutei muscles evading back of the thigh and even left sphincter ani muscle. Fortunately patient was continent at that time. Interestingly the pathological report suggested a relatively rare diagnosis which practically made the patient bedridden with commonly featured fixed flexion deformity.

Aumento de coroa estética sem elevação de retalho – abordagem minimamente invasiva

2020 ◽  
Vol 12 (45) ◽  
pp. 34-39
Author(s):  
Flavia Sukekava ◽  
Julia Helena Luiz ◽  
Paloma Palma ◽  
Jaques Luiz
Keyword(s):  
Minimally Invasive ◽  
Correct Diagnosis ◽  
Case Series ◽  
Minimally Invasive Techniques ◽  
Bone Removal ◽  
Use Of Technology ◽  
Treatment Plans ◽  
Invasive Techniques ◽  
Crown Lengthening ◽  
Gummy Smile

Gummy smile is a characteristic in which the patient exposes more than 2 mm of keratinized gingiva in forced smile. With a multifactorial cause, its correct planning depends directly on the correct diagnosis. Usually, the procedures that involve manipulation and the enlargement of the aesthetical crown lengthening are surgical. The objective of this case series was to show the advantages of surgical crown augmentation surgery in aesthetic areas with minimally invasive techniques. Three cases of gummy smile were presented, with different treatment plans and techniques for execution. In the 3 cases, bone removal was performed with piezoelectric ultrasound, which made the postoperative more comfortable for patients. These cases illustrate the use of technology to reduce morbidity in patients who need to undergo bone removal to treat gingival smile.

scholarly journals Tuberculosis presenting as dacryoadenitis in the USA

2019 ◽  
Vol 12 (11) ◽  
pp. e231694 ◽  
Author(s):  
Harry Ross Powers ◽  
Mark Anthony Diaz ◽  
Julio C Mendez
Keyword(s):  
Correct Diagnosis ◽  
Developed Countries ◽  
Histopathological Analysis ◽  
Orbital Mass ◽  
Antituberculosis Therapy ◽  
The Usa ◽  
History Of ◽  
Patient’S History ◽  
High Degree ◽  
Filipino Woman

A 25-year-old Filipino woman living in the USA was evaluated for a 5-month history of left eye pain and a subsequent orbital mass. Histopathological analysis of the lacrimal mass showed a mixed inflammatory process with necrotising granulomas and positive cultures for Mycobacterium tuberculosis. She was treated with antituberculosis therapy, with resolution of symptoms. Tuberculosis dacryoadenitis is extremely rare in the USA and other developed countries. It requires a high degree of clinical suspicion with special attention to the patient’s history to make the correct diagnosis. It can be treated successfully with antituberculosis therapy.

The contrast-enhanced CT scan in the diagnosis of isodense subdural hematoma

1979 ◽  
Vol 50 (1) ◽  
pp. 64-69 ◽  
Author(s):  
Fong Y. Tsai ◽  
James E. Huprich ◽  
Hervey D. Segall ◽  
James S. Teal
Keyword(s):  
Cerebral Cortex ◽  
Ct Scan ◽  
Subdural Hematoma ◽  
Correct Diagnosis ◽  
Content Type ◽  
Subdural Hematomas ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Fine Print

✓ The authors review 29 cases of surgically-proven isodense subdural hematomas examined by non-contrast and contrast-enhanced computerized tomography scans. Three types of isodense collections were noted: homogeneous isodense collections, mixed-density collections, and gravitational layering within subdural collections. Contrast enhancement within the cerebral cortex, cortical vessels, and subdural membranes led to the correct diagnosis in each case. Contrast-enhanced scans are essential for the evaluation of isodense subdural hematomas.

CT scan and 3D reconstructions of Pre-Dynastic child mummy 527 B* (Museum of Anthropology and Ethnography of Turin)

1970 ◽  
Vol 80 (1) ◽  
Author(s):  
Raffaella Bianucci ◽  
Rosa Boano ◽  
Gino Carnazza ◽  
Rudy Lallo ◽  
Grazia Mattutino ◽  
...  
Keyword(s):  
Ct Scan ◽  
Spiral Ct ◽  
Whole Body ◽  
Age At Death ◽  
Non Invasive ◽  
Thin Slices ◽  
Invasive Techniques ◽  
The University ◽  
Reconstruction Interval

Mummy 527 B* belongs to the “Giovanni Marro” Egyptian Collection of the Museum of Anthropology and Ethnography of the University of Turin. This mummy of a oneyear- old pre-dynastic child was found in Gebelein in 1935 in a small necropolis discovered during excavations of the “Missione Archeologica Italiana” led by G. Farina, the new Director of the Egyptian Museum of Turin, with the participation of Prof. G. Marro as anthropologist. A whole body spiral CT scan with thin slices (1,00 mm thickness, 0,5 mm reconstruction interval) was followed by multiplanar and 3D reconstruction. The aim was to evaluate the child’s age at death and the presence of lethal pathologies. This study confirms the fundamental role of non-invasive techniques in the study of such rare pre-dynastic specimens.

scholarly journals Rare Occurrence of Inhibitors in Von Willebrand Disease: A Case Report

2022 ◽  
Vol 8 ◽  
Author(s):  
Bipin P. Kulkarni ◽  
Kirti Ghargi ◽  
Chandrakala Shanmukhaiah ◽  
Shrimati D. Shetty
Keyword(s):  
Correct Diagnosis ◽  
Severe Form ◽  
Von Willebrand Disease ◽  
Rare Occurrence ◽  
Standard Assay ◽  
Type 3 ◽  
Von Willebrand ◽  
High Degree ◽  
Willebrand Factor ◽  
Inhibitor Titer

Introduction: Type 3 Von Willebrand Disease (VWD) is the least common but the most severe form of a disease, with a prevalence of about 0. 5 to 1 per million in Western countries. The prevalence of type 3 VWD in the developing countries, with a high degree of consanguinity, is about 6 per million. Moreover, due to underdiagnosis of the milder cases, the prevalence of type 3 VWD is about 50% of the cases. Rarely, some patients develop the Von Willebrand Factor (VWF) inhibitors, which may subsequently develop severe anaphylactic reactions on further exposure to the VWF containing factor replacement therapy. The prevalence of inhibitor development in patients with type 3 VWD has been shown to be in the range of 5.8 to 9.5%. In the absence of a gold standard assay for the quantitation of VWF inhibitors, a correct diagnosis and management of these patients are often challenging.Objectives: The objective of this study is to standardize the Bethesda assay for the VWF inhibitors and to estimate the VWD inhibitor titer in two cases of congenital type 3 VWD, which developed the VWF inhibitors.Results and Conclusions: We could successfully standardize the Bethesda assay for the quantitation of VWF inhibitors in two patients with congenital type 3 VWD with inhibitors.

Digital Imaging Techniques for Assessment of Homogeneity of Granular Materials

1996 ◽  
Vol 1526 (1) ◽  
pp. 121-128 ◽  
Author(s):  
Khalid Al-Shibli ◽  
Emir José Macari ◽  
Stein Sture
Keyword(s):  
Granular Materials ◽  
Digital Imaging ◽  
Void Ratio ◽  
Imaging Techniques ◽  
Particle Orientation ◽  
Specimen Preparation ◽  
Preparation Technique ◽  
Fine Grained ◽  
Invasive Techniques ◽  
High Degree

This study focuses on the use of digital image techniques to evaluate and develop quantitative measures of fabric for fine-grained granular materials to assess degrees of homogeneity and isotropy. The description of a procedure performed to prepare homogeneous cylindrical sand specimens is presented. Two techniques were performed to investigate the homogeneity. The specimens were preserved with an ultralow viscosity embedding epoxy resin, and they were allowed to cure prior to dissection for subsequent detailed analysis of the internal fabric. Digital imaging techniques were used to process and analyze various sections of the specimens. The analysis consisted of studying two specific fabric characteristics of the soil: particle orientation and local void ratio. Frequency distribution charts were plotted to assess the degrees of homogeneity and isotropy. Other invasive techniques were also used in some cases to assess the repeatability of the specimen preparation technique. Results indicate that the specimens were prepared with a high degree of homogeneity. Some degree of spatial variation was observed in the local void ratio evaluation.

scholarly journals Cerebellar glioblastoma multiforme in an adult

2006 ◽  
Vol 64 (1) ◽  
pp. 132-135 ◽  
Author(s):  
João Paulo Mattos ◽  
Horacio Armando Marenco ◽  
José Maria Campos ◽  
Andréa Vasconcellos Faria ◽  
Luciano Souza Queiroz ◽  
...  
Keyword(s):  
Glioblastoma Multiforme ◽  
Literature Review ◽  
Treatment Options ◽  
Rare Tumor ◽  
Imaging Studies ◽  
Brazilian Literature ◽  
The Third ◽  
Pathological Characteristics ◽  
Cerebellar Glioblastoma ◽  
High Degree

Cerebellar glioblastoma multiforme (GBM) is a rare tumor. This is the third case published in Brazilian literature and, the last one has been described more than 15 years ago. The aggressive behavior of GBM prompts for fast treatment, which can be hampered by the fact that the diagnosis of GBM requires a high degree of suspicion. We describe a case of GBM in a 46 years old man. In conjunction, we present a literature review including particular issues, clinical data, advances in imaging studies, pathological characteristics, treatment options and the behavior of such malignant tumor.

Primary B-Cell lymphoma of the mandible: a potentially difficult diagnosis

Dental Update ◽  
2019 ◽  
Vol 46 (7) ◽  
pp. 672-674
Author(s):  
Hudson King ◽  
Simon Rogers
Keyword(s):  
Case Report ◽  
B Cell ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Definitive Diagnosis ◽  
Lower Lip ◽  
Difficult Diagnosis ◽  
The Right ◽  
High Degree ◽  
Rare Diagnosis

There are many causes of a persistent unilateral numbness of the lower lip. A case report of a 34-year-old normally fit and well male, whose symptoms of numbness of the mandibular division of the right trigeminal nerve represented the rare diagnosis of a primary B-cell lymphoma of the mandible, is presented here. The patient's presentation and management, reasons for the difficulty in ascertaining a definitive diagnosis, as well as invaluable points to be reflected on from this case, are discussed. CPD/Clinical Relevance: Numbness should be treated with a high degree of suspicion, with urgent imaging, biopsy and specialist histopathology staining being carried out to exclude malignancy.

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