scholarly journals A rare case of an asymptomatic mesenteric hemangioma: an incidental finding

2019 ◽  
Vol 6 (10) ◽  
pp. 3810
Author(s):  
Stephanie A. Luster ◽  
Mai D. Gandhi ◽  
Michael R. Reich
Keyword(s):  
Differential Diagnosis ◽  
Ventral Hernia ◽  
Incidental Finding ◽  
Exploratory Laparotomy ◽  
Gi Tract ◽  
Radiographic Evidence ◽  
Complete Excision ◽  
Mesenteric Mass ◽  
Initial Imaging ◽  
Work Up

A 60-year-old female patient presented with incidental finding of duodenal mesenteric hemangioma during the work up for a ventral hernia. Our patient presented at the age of 60-years-old with complaints of a ventral hernia. After initial imaging on CT showed an incidental finding of a mesenteric mass, an MRI confirmed the diagnosis, in this otherwise asymptomatic female. The patient underwent an exploratory laparotomy with complete excision of the mesenteric mass. Final pathology shows findings of a mesenteric hemangioma. The finding of a mesenteric mass requires further investigation. While benign and rare, mesenteric hemangiomas should be considered as a possible differential diagnosis in patients with radiographic evidence of a mesenteric mass, especially if the patient has symptoms of gastrointestinal hemorrhage. The literature on mesenteric hemangiomas is reviewed. Hemangioma of the GI tract mesentery is a rare pathology but should be included in the differential diagnosis in patients presenting with an intraabdominal mass.

Skull lesions

2019 ◽  
pp. 229-240
Author(s):  
Giorgio Gioffre ◽  
Ivan Timofeev
Keyword(s):  
Differential Diagnosis ◽  
Clinical Presentation ◽  
Incidental Finding ◽  
Classification Systems ◽  
Basic Knowledge ◽  
Imaging Findings ◽  
Radiological Features ◽  
Skull Vault ◽  
Form Part ◽  
Work Up

Skull vault lesions are rare and represent 1–2% of all bone masses. They are commonly an incidental finding or may be discovered during staging work-up for other diseases. Different classification systems can be employed in order to categorize such lesions: primary (benign and malignant) or secondary as well as neoplastic and non-neoplastic (inflammatory and proliferative). For many of these lesions the clinical and radiological features are often non-specific making the diagnosis cumbersome. Rather than being defined clinical entities, they frequently form part of a spectrum of disease where ruling out an unfavourable progression is of paramount importance. Combining a basic knowledge of the epidemiology, clinical presentation, imaging findings, and histopathology is essential to differentiate these pathologies. The aim of this chapter is to define the important features of each lesion, to offer an overview of the investigations and treatment, and to provide guidance for the differential diagnosis based on imaging. Therefore, pathological entities with similar radiological appearances are grouped together.

scholarly journals Neonate born with ischemic limb to a COVID-19 positive mother: management and review of literature

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Shahana Perveen ◽  
Karmaine A. Millington ◽  
Suchitra Acharya ◽  
Amit Grag ◽  
Vita Boyar
Keyword(s):  
Differential Diagnosis ◽  
Compartment Syndrome ◽  
Upper Extremity ◽  
Preterm Neonate ◽  
Review Of Literature ◽  
Case Presentation ◽  
Ischemic Limb ◽  
History Of ◽  
Hand Amputation ◽  
Work Up

AbstractObjectivesTo describe challenges in diagnosis and treatment of congenital neonatal gangrene lesions associated with history of maternal coronavirus disease 2019 (COVID-19) infection.Case presentationA preterm neonate was born with upper extremity necrotic lesions and a history of active maternal COVID-19 infection. The etiology of his injury was challenging to deduce, despite extensive hypercoagulability work-up and biopsy of the lesion. Management, including partial forearm salvage and hand amputation is described.ConclusionsNeonatal gangrene has various etiologies, including compartment syndrome and intrauterine thromboembolic phenomena. Maternal COVID-19 can cause intrauterine thrombotic events and need to be considered in a differential diagnosis.

Immunochemistry in the work‐up of mesothelioma and its differential diagnosis and mimickers

2021 ◽  
Author(s):  
Wadad S. Mneimneh ◽  
Yuying Jiang ◽  
Aparna Harbhajanka ◽  
Claire W. Michael
Keyword(s):  
Differential Diagnosis ◽  
Work Up

MR imaging of ventriculus terminalis of the conus medullaris: A report of two operated patients and review of the literature

2003 ◽  
Vol 44 (4) ◽  
pp. 444-446
Author(s):  
R. Dullerud ◽  
A. Server ◽  
J. Berg-Johnsen
Keyword(s):  
Spinal Cord ◽  
Mr Imaging ◽  
Signal Intensity ◽  
Incidental Finding ◽  
Conus Medullaris ◽  
Review Of The Literature ◽  
Per Se ◽  
Specific Symptoms ◽  
Work Up

We report on 2 patients in whom a cystic dilation of the conus medullaris was incidentally found at MR imaging carried out in the work-up for sciatica. The cysts were well circumscribed and had signal intensity identical to the CSF on both T1- and T2-weighted images. There was no evidence of contrast enhancement. None of the patients had specific symptoms related to the spinal cord. At surgery, no evidence of malignancy was seen in any of the patients. A benign cystic dilation, also called dilated ventriculus terminalis, occasionally can be seen in the conus medullaris as an incidental finding at thoracolumbar MR imaging. Unless the expansion per se indicates cyst drainage, these patients may be monitored by clinical and MR follow-up, avoiding surgery in a substantial number of cases.

scholarly journals Pulvinar sign in a case of anti-HU paraneoplastic encephalitis

2016 ◽  
Vol 29 (6) ◽  
pp. 436-439 ◽  
Author(s):  
Pierre-Luc Gamache ◽  
Maude-Marie Gagnon ◽  
Martin Savard ◽  
François Émond
Keyword(s):  
Magnetic Resonance Imaging ◽  
Differential Diagnosis ◽  
Magnetic Resonance ◽  
Clinical Manifestations ◽  
Resonance Imaging ◽  
Paraneoplastic Encephalitis ◽  
Jakob Disease ◽  
Magnetic Resonance Imaging Mri ◽  
Work Up

This article reports the case of a 68-year-old patient with anti-HU antibodies paraneoplastic encephalitis. The clinical manifestations were atypical and the paraclinical work-up, notably the magnetic resonance imaging (MRI) showing bilateral posterior thalamic hyperintensities (pulvinar sign), misleadingly pointed towards a variant Creutzfeld–Jakob disease. After presenting the case, the differential diagnosis of the pulvinar sign is discussed along with other important diagnostic considerations.

scholarly journals Metastatic adrenal pheochromocytoma to the thoracic spine

2010 ◽  
Vol 9 (3) ◽  
pp. 343-346 ◽  
Author(s):  
Michael T. Scalfani ◽  
Paul M. Arnold ◽  
Karen K. Anderson
Keyword(s):  
Differential Diagnosis ◽  
Surgical Intervention ◽  
Hepatic Metastases ◽  
Posterior Fixation ◽  
Original Diagnosis ◽  
Average Survival ◽  
Progression Of Disease ◽  
Adrenal Pheochromocytoma ◽  
History Of ◽  
Work Up

To report on a case of pheochromocytoma metastases to the spine occurring more than 20 years after initial diagnosis. A 34-year-old female with a history of metastatic pheochromocytoma diagnosed at age 12 presented with weakness, heart palpitations, and circumferential back pain of five months duration. The patient had undergone multiple laparatomies for abdominal and hepatic metastases. Work-up revealed a destructive lesion at T9. After two weeks of preoperative phenoxybenzamine to control her hypertension, she underwent decompression, posterior fixation and fusion. Surgical intervention was followed by radiation therapy, zoledronic acid, and only one cycle of chemotherapy due to intolerance of side effects. The patient survived 25 years after original diagnosis, which far exceeds the average survival of less than 15 years. The patient died 26 months postoperatively due to progression of disease. Pheochromocytoma with spine metastases occurring more than 20 years after diagnosis is very uncommon, and should be considered in the differential diagnosis of a patient with a history of pheochromocytoma.

The Differential Diagnosis in Nonlymphoproliferative Malignant Pleural Effusion Cytopathology and Its Correlation with Patients’ Demographics

2018 ◽  
Vol 62 (5-6) ◽  
pp. 436-442 ◽  
Author(s):  
Erika F. Rodriguez ◽  
Sayanan Chowsilpa ◽  
Zahra Maleki
Keyword(s):  
Differential Diagnosis ◽  
African American ◽  
Pleural Effusion ◽  
Malignant Pleural Effusion ◽  
Primary Site ◽  
Gi Tract ◽  
Asian Patients ◽  
Caucasian Patients ◽  
The Impact ◽  
Upper Gastrointestinal

Background: We report our experience with malignant pleural effusion (MPE) and the impact of patients’ demographics on the differential diagnosis at the primary site. Methods: After IRB approval, we searched our pathology database from January 2013 to January 2017 for patients with positive pleural effusions (PEs). Patients’ demographics and clinical histories were noted. Results: 474 patients were identified (288 females [61%] and 186 males [39%]), ranging in age from 19 to 64 years old. Ethnicity was distributed as follows: Caucasian (n = 330, 70%), African American (n = 114, 24%) and Asian (n = 30, 6%). The most common primary sites were the lung (n = 180, 37%), followed by the breast (n = 81, 17%), and the gynecologic system (67, 13%). The lung was the most common primary for all ethnicities (n = 190, 40%). The second-most common primary site was the breast in African Americans and Caucasians and upper gastrointestinal (GI) tract in Asians. In 5 cases (1%), the primary tumor could not be determined. Conclusion: Cytology examination is a useful method to diagnose primary sites of PE. Pulmonary primary is the most common cause of effusion in all ethnicities. In African American and Caucasian patients, the breast was the second-most common site of MPE, while in Asian patients it was the upper GI tract.

scholarly journals Age-related aspects of differential diagnosis of acute cough in children and adults

2018 ◽  
Vol 28 (4) ◽  
pp. 461-468
Author(s):  
I. V. Leshchenko ◽  
S. A. Tsar’kova ◽  
A. D. Zherebtsov
Keyword(s):  
Differential Diagnosis ◽  
Anatomical Location ◽  
Pathological Changes ◽  
Review Of Literature ◽  
Acute Cough ◽  
Age Related ◽  
Common Causes ◽  
Diagnostic Work ◽  
Work Up ◽  
Diagnostic Work Up

Cough is one of the most common causes of seeking the primary medical care, especially during the autumn and the spring. This article is a review of literature  aimed at differential diagnosis of possible causes of acute cough in children and  adults. Given a vast majority of diseases associated with cough, differential diagnosis  have to consider several issues. The key issue is cough duration and possible  anatomical location of the pathological changes. An algorithm of differential diagnosis  of acute cough in children and adults and description of most common diseases  associated with acute cough are given in the review. Further diagnostic work-up  should be driven by the duration of cough as soon as the acute cough could be first  manifestation of a chronic disease.

Diffuse alveolar haemorrhage: a rare complication of clopidogrel use

2021 ◽  
Vol 14 (8) ◽  
pp. e244314
Author(s):  
Rachelle Soriano ◽  
Saud Al-Rawaf ◽  
Khalil Diab
Keyword(s):  
Differential Diagnosis ◽  
Native American ◽  
Rare Complication ◽  
American Woman ◽  
Alveolar Haemorrhage ◽  
High Dose ◽  
Diffuse Alveolar Haemorrhage ◽  
Carotid Artery Stent ◽  
Hypoxic Respiratory Failure ◽  
Work Up

Diffuse alveolar haemorrhage (DAH) has been reported as a rare complication of clopidogrel use and is usually a diagnosis of exclusion. We describe the case of an 88-year-old Native American woman who presented with acute hypoxic respiratory failure with CT scan of the chest showing diffuse bilateral ground-glass opacities. She had been on clopidogrel for 6 months for a carotid artery stent. Bronchoscopy with bronchoalveolar lavage and transbronchial biopsies revealed DAH. Infectious and autoimmune work-up were all negative. Clopidogrel was stopped and high-dose steroids were started. Her symptoms gradually improved until she was discharged from the hospital. The differential DAH is broad. Anticoagulant-induced DAH should be part of the differential diagnosis, and is usually a diagnosis of exclusion.

Sign in / Sign up

Export Citation Format

Share Document