scholarly journals Surgical treatment of a thoracic oesophageal duplication cyst causing recurrent dysphagia in an adult dog

2018 ◽  
Vol 63 (No. 4) ◽  
pp. 175-180
Author(s):  
A. Foglia ◽  
S. Del Magno ◽  
M. Pietra ◽  
V. Cola ◽  
M. Joechler ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Physical Examination ◽  
Clinical Signs ◽  
Duplication Cyst ◽  
Intact Male ◽  
Normal Limits ◽  
Oesophageal Duplication Cyst

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.

Thyroidectomy in a patient with a giant multinodular nontoxic cervical retrosternal goiter

2020 ◽  
pp. 97-99
Author(s):  
U. V. Kukhtenko ◽  
O. A. Kosivtsov ◽  
L. A. Ryaskov ◽  
E. I. Abramian
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Clinical Signs ◽  
Disease Relapse ◽  
Cardiac Pathology ◽  
Nontoxic Goiter ◽  
Retrosternal Goiter

A clinical case of successful surgical treatment of a patient with a giant cervical retrosternal nontoxic goiter with severe cardiac pathology is presented. Thyroidectomy from cervical access without sternotomy was performed. At the follow-up examination 5 months after the operation, instrumental and clinical signs of disease relapse were not detected.

scholarly journals Natural evolution of cardiac sarcoidosis in an asymptomatic patient: a case report

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Ganna Degtiarova ◽  
Olivier Gheysens ◽  
Johan Van Cleemput ◽  
Wim Wuyts ◽  
Jan Bogaert
Keyword(s):  
Computed Tomography ◽  
Late Gadolinium Enhancement ◽  
Cardiac Involvement ◽  
Cardiac Sarcoidosis ◽  
Clinical Signs ◽  
Steroid Treatment ◽  
Lung Pathology ◽  
Gadolinium Enhancement ◽  
18F Fdg

Abstract Background Sarcoidosis is a multi-organ granulomatous disease of unknown aetiology. Adverse outcome related with cardiac involvement, makes early diagnosis of cardiac sarcoidosis crucial. Case summary In a 55-year-old man presenting with recurrent pulmonary infections, computed tomography (CT) showed several enlarged mediastinal lymph nodes and no lung pathology. Subsequent mediastinoscopy revealed the diagnosis of sarcoidosis. Further screening for organ involvement showed multifocal cardiac involvement both on cardiac magnetic resonance (CMR) and 18-F-fluorodeoxyglucose-positron emission tomography-computed tomography (18F-FDG PET-CT). Because of the lack of functional deterioration and clinical symptoms, no steroid treatment was initiated and regular follow-up of cardiac abnormalities was performed by CMR. Unremarkable progression of cardiac involvement during the first 2 years of follow-up turned into a dramatic involvement after 4 years, with the increase in the number and size of lesions at late gadolinium enhancement (LGE) CMR. Late gadolinium enhancement areas matched the regions of strongly increased 18F-FDG uptake. For the first time, the patient started complaining on shortness of breath, electrocardiography showed an atrioventricular block Grade 1. Cardiac biomarkers and cardiac function were still preserved. Steroid treatment was started. Although an electrophysiology study was negative, Holter monitoring showed ventricular arrhythmia. Cardioverter-defibrillator was implanted. Discussion This case shows the progression of cardiac sarcoidosis on CMR in an asymptomatic untreated patient over a 4-year period, and rises the awareness of possible severe cardiac damage even in the absence of clinical signs of cardiac involvement. Combination of PET and CMR is appealing to better understand the evolution of cardiac sarcoidosis and may help in the management of such patients.

Bilateral External Carotid Artery Aneurysms

Vascular ◽  
2004 ◽  
Vol 12 (6) ◽  
pp. 387-389 ◽  
Author(s):  
Vladimir Grigoryants ◽  
Matthew J. Eagleton ◽  
Gilbert R. Upchurch
Keyword(s):  
Computed Tomography ◽  
Cerebral Ischemia ◽  
Carotid Artery ◽  
Physical Examination ◽  
Cranial Nerve ◽  
External Carotid Artery ◽  
External Carotid ◽  
Local Pain ◽  
Neck Masses

A 60-year-old female was found on a physical examination to have bilateral palpable pulsatile neck masses. She denied local pain, cranial nerve compressive symptoms, or symptoms of cerebral ischemia. Duplex ultrasonography demonstrated bilateral 1.5 x 2.2 cm external carotid artery aneurysms. Isolated bilateral external carotid artery aneurysms were confirmed by computed tomography and angiography. The patient has been treated conservatively, and at 4-year follow-up, she remains asymptomatic, and the carotid artery aneurysms are unchanged in size.

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

2021 ◽  
Author(s):  
Amina Beddi ◽  
Aicha Merzem ◽  
Meryem Harmak ◽  
Hasna Belgadir ◽  
Omar Amriss ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Prostate Adenocarcinoma ◽  
Imaging Features ◽  
Review Of The Literature ◽  
Characteristic Features ◽  
Rare Benign Tumour ◽  
Pancreatic Incidentaloma ◽  
Ct And Mri

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.

scholarly journals Primary omental infarction: a rare cause of acute abdomen

2020 ◽  
Vol 7 (6) ◽  
pp. 2019
Author(s):  
Neeraj Pawar ◽  
Anand Kishore
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Physical Examination ◽  
Acute Abdomen ◽  
Leucocyte Count ◽  
Diagnostic Laparoscopy ◽  
Total Leucocyte Count ◽  
Vascular Pedicle ◽  
Omental Infarction

Primary omental infarction (POI) is a rare cause of acute abdomen. It frequently mimics other causes of acute abdomen. It is being diagnosed more frequently with the advancement of radiology. Here we report a case of a 35 years old man admitted in emergency with pain right side abdomen since past 2 days. On physical examination patient was febrile with tenderness and guarding over right side of abdomen, TLC (total leucocyte count) - 13.2×109/l, mild rise in bilirubin with rest blood investigations being normal. CT (computed tomography) abdomen was s/o omental infarction. On diagnostic laparoscopy gangrenous omentum with torsion over a vascular pedicle was noted, omentectomy was performed laparoscopically. In conclusion omental infarction should be kept as a differential diagnosis in acute abdomen especially right-side abdominal pathologies. It can be managed conservatively but if signs of sepsis are there it is wise to perform a diagnostic laparoscopy.

scholarly journals Shoulder Septic Arthritis

2018 ◽  
pp. 17-22
Author(s):  
Ivan Copete-González ◽  
Joan Ferràs-Tarragó ◽  
Manuel Ángel Angulo Sánchez
Keyword(s):  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Septic Arthritis ◽  
Protein Chain ◽  
Hematogenous Spread ◽  
Chain Reaction ◽  
Intravenous Antibiotic ◽  
Direct Inoculation ◽  
Process Material

Background: Septic arthritis is an emergency in orthopedics. Several mechanisms have been described: hematogenous spread, extension from an adjacent focus and direct inoculation, being the first one the most frequent mechanism. If not handled properly neither early, what can lead to the destruction of the articular cartilage and the production of sequelae. In an incipient case, good results can be got with conservative treatment, but usually surgical management is necessary for the resolution of the process. Material and Methods: We present a case of a 5 year old child who suffered an episode of arthritis after the administration of vaccine against serogroup B Neisseria Meningitidis. Symptoms began 2 hours after vaccination with pain and fever of up to 39ºC. At this moment, arthrocentesis was performed and intravenous antimicrobial therapy was initiated. Results: The evolution was favorable with no need of surgical treatment. Symptoms continued going down after the management with arthrocentesis and intravenous antibiotic treatment, until disappearing completely in a few days. During the follow-up, no signs of recurrence have appeared after 12 months. Conclusions: despite the fact that the hematogenous spread is the most frequent mechanism of establishment of arthritis septic, direct inoculation can justify a case of arthritis after vaccination in the deltoid region. We must be careful during vaccination with bacteria toxoids in the deltoid region, due to the risk of reactive arthritis and its differential diagnosis with septic arthritis. More studies are needed to clarify the diagnoses in the borderline cases, being molecular biology techniques as protein chain reaction a fast and useful tool.

scholarly journals Left coronary button aneurysm presenting with progressive enlargement after aortic root replacement

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Kimihiro Kobayashi ◽  
Yoshinori Kuroda ◽  
Masahiro Mizumoto ◽  
Atsushi Yamashita ◽  
Eiichi Ohba ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Aortic Root ◽  
Postoperative Recovery ◽  
Aortic Root Replacement ◽  
Case Presentation ◽  
Life Threatening ◽  
Conservative And Surgical Treatment ◽  
Progressive Enlargement

Abstract Background Aneurysmal degeneration of the coronary button after aortic root replacement using the button technique is a rare but potentially life-threatening complication. However, the appropriate management of this complication, including the indications for conservative and surgical treatment, is still unknown. Case presentation Here we present a 38-year-old woman who successfully underwent surgical repair of a left coronary button aneurysm using the graft interposition technique 24 years after aortic root replacement. Because follow-up computed tomography after aortic root replacement showed a progressively enlarging left coronary button aneurysm, the patient was judged an acceptable candidate for surgical treatment, considering the potential risk of aneurysmal rupture and subsequent myocardial infarction. The postoperative recovery was uneventful. The patient is doing well 1 year after the surgery. Conclusions We believe that serial follow-up using computed tomography is mandatory for coronary button aneurysms, and surgical intervention may be considered if progressive enlargement of the aneurysm is observed, especially in younger patients.

scholarly journals Diagnostic imaging of migrating kebab (sosatie) sticks – a review of 8 cases

2011 ◽  
Vol 82 (3) ◽  
Author(s):  
N. Stander ◽  
R. M. Kirberger
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Diagnostic Imaging ◽  
Clinical Signs ◽  
Patient Survey ◽  
Clinical Syndrome ◽  
Small Animals ◽  
Secondary Complications ◽  
Younger Age ◽  
Variable Duration

Complications related to extraluminal migration of ingested kebab (sosatie) sticks are infrequently diagnosed in small animals. A total of 8 cases diagnosed with extragastric migration of ingested kebab sticks were retrospectively evaluated. No significant breed or sex predilection was found but there was a tendency for animals to present at a younger age (less than 3 years). Clinical signs (of variable duration) were non-specific and included haemoptysis, abdominal pain, regurgitation, subcutaneous abscessation and chronic draining sinus tracts, making a clinical diagnosis difficult. Ultrasonography proved invaluable in facilitating the diagnosis of kebab stick migration in 6 of the cases and computed tomography unexpectedly identified a kebab stick that had migrated into the thorax in 1 patient. Survey radiography was generally found to be insensitive in identifying the kebab sticks. The aim of this article is to alert veterinarians to a clinical syndrome that may not be considered a differential diagnosis in patients with non-specific inflammatory disease of the thorax, abdomen or pelvic regions and to illustrate the usefulness of the various diagnostic imaging modalities in facilitating a diagnosis of kebab stick ingestion and its possible secondary complications.

Letter to the Editor

PEDIATRICS ◽  
1978 ◽  
Vol 61 (2) ◽  
pp. 330-331
Author(s):  
Frederic N. Silverman
Keyword(s):  
Child Abuse ◽  
Physical Examination ◽  
Clinical Signs ◽  
Radiographic Examination ◽  
Skeletal Injury ◽  
Necessary And Sufficient ◽  
Prior Injury ◽  
Roentgenographic Examination ◽  
Careful Physical Examination

There are several reasons for a roentgenographic examination of the suspected child abuse victim, including radiographic confirmation and evaluation of obvious trauma for purposes of medical management as well as diagnosis; screening to identify clinically silent, recent injury or evidence of prior injury; and to provide a baseline for comparison with follow-up films. Under no circumstances should a radiographic examination be a substitute for a careful physical examination. Assuming that all areas of the child's body where clinical signs can be found have been examined, what constitutes a necessary and sufficient roentgenographic examination to complement the medically indicated examination or to identify occult evidence of skeletal injury where clinical signs are lacking?

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