scholarly journals Retroperitoneal lymphangiectasia: a great clinical masquerade

Author(s):  
Siddhant Uttam Manwar ◽  
Manisha Vishnu Joshi ◽  
Devdas Sudhakar Shetty ◽  
Upendra Diwakar Bhalerao

Retroperitoneal lymphangiectasia is a very rare lymphatic disorder characterized by abnormal proliferation of lymphatics. We present series of 3 cases of retroperitoneal lymphangiectasia which are diagnosed in our institute with the help of Ultrasonography (USG), Computed Tomography (CT) and Magnetic resonance imaging (MRI) of abdomen and pelvis with unusual clinical presentation. We include clinical features and imaging findings of this disorder with its pathogenesis and diagnosis. Two of the cases were clinically masquerading as hernia and one case was mimicking varicocele. Thorough clinical examination and USG, colour Doppler, CT and MRI are extremely helpful imaging investigation that aid in differentiating these lesions from hernia/ varicocele and the cross sectional imaging like CT and MRI can  depict the anatomical extent of the disease.

2020 ◽  
Vol 93 (1111) ◽  
pp. 20200049 ◽  
Author(s):  
Anitha Mandava ◽  
Veeraiah Koppula ◽  
Gaurav Sharma ◽  
Meghana Kandati ◽  
K.V.V.N. Raju ◽  
...  

Objective: Genitourinary fistulas in pelvic malignancies are abnormal communications occurring due to either locally advanced tumours invading the surrounding organs or post-therapeutic complications of malignancies. In this article we review and describe the role of cross-sectional imaging findings in the management of genitourinary fistulas in pelvic malignancies. Methods: A retrospective study, for the period January 2012 to December 2018, was undertaken in patients with pelvic malignancies having genitourinary fistulas. The cross-sectional (CT and MRI) imaging findings in various types of fistulas were reviewed and correlated with the primary malignancy and the underlying etiopathology. Results: Genitourinary fistulas were observed in 71 patients (6 males, 65 females). 11 types of fistulas were identified in carcinomas of cervix, rectum, ovary, urinary bladder, sigmoid colon, vault, endometrium and prostate. The commonest were rectovaginal and vesicovaginal fistulas. 13 patients had multiple fistulas. The sensitivity, specificity, positive and negative predictive values of CT and MRI are 98%, 100%, 66%, 98% and 95%, 25%, 88% and 50% respectively. Contrast-enhanced CT with oral and rectal contrast is more sensitive and specific than MRI in the evaluation of genitourinary fistulas. Conclusion: Imaging findings significantly influence the management and outcome of genitourinary fistulas in pelvic malignancies. Contrast-enhanced CT is the imaging modality of choice in the evaluation of pelvic fistulas associated with malignancies and MRI is complimentary to it. Advances in knowledge: To our knowledge, this study is the first of its kind wherein the mean duration of occurrence of fistulas in pelvic malignancies is correlated with the underlying etiopathology.


1996 ◽  
Vol 86 (3) ◽  
pp. 123-125 ◽  
Author(s):  
PM Logan ◽  
DG Connell ◽  
DL Janzen

The authors presented the computed tomography and magnetic resonance imaging appearances of a painful os cuboideum secundarium. To the authors' knowledge, this is the first report of the cross-sectional imaging appearance of this condition, and serves to underline the utility of computed tomography and magnetic resonance imaging in the investigation of foot pain.


2014 ◽  
Vol 65 (1) ◽  
pp. 9-18 ◽  
Author(s):  
Vivek Virmani ◽  
Vineeta Sethi ◽  
Najla Fasih ◽  
John Ryan ◽  
Ania Kielar

This article focuses on the cross-sectional imaging spectrum of abnormalities that affect the abdominal wall, with emphasis on magnetic resonance imaging (MRI). Cross-sectional imaging is valuable for diagnosing and evaluating the extent of abdominal-wall masses. With the increasing use of MRI, it is often possible to reach a diagnosis or narrow the differential diagnosis, thereby guiding effective management. Neoplastic and non-neoplastic pathologies will be illustrated, and the distinctive imaging characteristics of these entities will be highlighted.


2019 ◽  
Vol 05 (02) ◽  
pp. 078-081
Author(s):  
Sumit Pandita ◽  
Irfan Bashir ◽  
Manish Sharma ◽  
Swarnita Sahu

AbstractAngiomyxomas are soft tissue tumors that are exceedingly rare with very few cases described in literature. They are classified into a less aggressive superficial variant and a deeper aggressive variant commonly called aggressive angiomyxomas (AA). The cross-sectional imaging, particularly magnetic resonance imaging (MRI), plays an essential role in the diagnosis and management of AA. We report a rare case of Aggressive angiomyxoma in a 28-year-old female.


2003 ◽  
Vol 13 (8) ◽  
pp. 1916-1919 ◽  
Author(s):  
K. Steinke ◽  
L. Terraciano ◽  
W. Wiesner

2005 ◽  
Vol 184 (4) ◽  
pp. 1103-1110 ◽  
Author(s):  
Ceyla Basaran ◽  
Musturay Karcaaltincaba ◽  
Deniz Akata ◽  
Nevzat Karabulut ◽  
Devrim Akinci ◽  
...  

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