scholarly journals Pulmonary Sequestration as an Incidental Finding of Pediatric Abdominal Ultrasound - Two Cases

2018 ◽  
Author(s):  
Jovan Lovrenski
Keyword(s):  
Incidental Finding ◽  
Pulmonary Sequestration ◽  
Abdominal Ultrasound ◽  
Previous Knowledge ◽  
Pulmonary Infections ◽  
Left Hemidiaphragm

Abdominal ultrasound (US) is a commonly indicated examination in pediatrics. However, lung bases are often notthoroughly examined. Pulmonary sequestration is mostly detected prenatally, but also postnatally – incidentally or withthe appearance of recurrent pulmonary infections. It can be detected by US, yet our research has not found a singlereported case where sequestration was incidentally detected by US, without any previous knowledge of its existence.Here, we report on 2 such cases of pulmonary sequestrations detected during routine pediatric abdominal US. Tubularanechogenic structure above the left hemidiaphragm should bring attention to the potential diagnosis of pulmonarysequestration.

scholarly journals Adult Intra-Thoracic Kidney: A Case Report of Bochdalek Hernia

2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
Valeria Fiaschetti ◽  
Luca Velari ◽  
Eleonora Gaspari ◽  
Roberta Mastrangeli ◽  
Giovanni Simonetti
Keyword(s):  
Sagittal Plane ◽  
Left Kidney ◽  
Abdominal Ultrasound ◽  
Bochdalek Hernia ◽  
X Ray ◽  
Left Hemidiaphragm ◽  
Chest X Ray ◽  
Intrathoracic Kidney ◽  
The Right ◽  
High Index Of Suspicion

Introduction. Bochdalek hernia is a congenital posterior lateral diaphragmatic defect that allows abdominal viscera to herniate into the thorax. Intrathoracic kidney is a very rare finding representing less than 5% of all renal ectopias with the least frequency of all renal ectopias.Case Presentation. We report a case of a 62-year-old man who had a left thoracic kidney associated with left Bochdalek hernia. Abdominal X-ray and chest X-ray revealed dilated loops of the colon above left hemidiaphragm. Abdominal ultrasound (US) showed the right kidney with many fluid and esophytic cysts; left kidney was unfeasible to study because of the impossibility to find it. Computed Tomography (CT) basal scan demonstrated a left-sided Bochdalek hernia with dilatated colon loops and the left kidney within the pleural space. Magnetic Resonance (MR) confirmed a defect in left hemidiaphragm with herniation of left kidney, omento, spleen and colon flexure, and intrarotation with posterior hilum on sagittal plane.Conclusion. The association of a Bochdalek hernia and an intrathoracic renal ectopia is very rare, that pose many diagnostic and management dilemmas for clinicians. Our patient has been visualized by CT and MR imaging. A high index of suspicion can result in early diagnosis and prompt intervention with reduced morbidity and mortality.

scholarly journals Congenital Cystic Adenomatoid Malformation Of The Lung: A Case Report And Review Of The Literature

2015 ◽  
Vol 8 (2) ◽  
pp. 160-163
Author(s):  
Doroteya V. Malinova ◽  
Penka L. Kolova ◽  
Radoslav S. Radev
Keyword(s):  
Lung Development ◽  
Incidental Finding ◽  
Ct Scanning ◽  
Final Diagnosis ◽  
Congenital Cystic Adenomatoid Malformation ◽  
Pulmonary Infections ◽  
Cystic Adenomatoid Malformation ◽  
Clinical Presentations ◽  
The Right

Summary Congenital cystic adenomatoid malformation (CCAM) is a rare abnormality of lung development. It was classified into 5 types by Stocker in 2002 and is also known under the name of congenital pulmonary airway malformation (CPAM). Cases are typically identified prenatally by routine ultrasonography screening. CCAM may present in the older child and adult as an incidental finding. The case presented is of a 21-year-old male patient who suffered from pulmonary infections with a recurrent productive cough 3-4 times the last 4 years. CT scanning of the thorax showed multiple cystic lesions in the right middle and lower lobes. The areas with the lesions were resected. The macroscopic and histological findings were typical for congenital cystic adenomatoid malformation type 2, which was the final diagnosis. Clinical presentations and prognosis depend on the type of lesion and its sequelae. The diagnosis is confirmed histologically.

scholarly journals Incidental Finding of a PSMA-Positive Pancreatic Cancer in a Patient Suffering from a Metastasized PSMA-Positive Prostate Cancer

Diagnostics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 129
Author(s):  
Simon Sirtl ◽  
Andrei Todica ◽  
Harun Ilhan ◽  
Michal Zorniak ◽  
Peter Bartenstein ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Pancreatic Ductal Adenocarcinoma ◽  
Cancer Metastasis ◽  
Incidental Finding ◽  
Abdominal Ultrasound ◽  
Needle Aspiration ◽  
Uncinate Process ◽  
Ductal Adenocarcinoma ◽  
Extrahepatic Cholestasis ◽  
Psma Pet

An 82-year-old man suffering from prostate cancer that was scheduled for a radioreceptor-ligand therapy (RLT) presented with jaundice to our service. An abdominal ultrasound (US) revealed obstructive extrahepatic cholestasis due to a solid lesion located in the uncinate process of the pancreas. The Prostate Specific Membrane Antigen (PSMA) PET/CT prior to RLT showed multilocular PSMA positive tumor lesions in the lymph nodes, the lung and the pancreas. On request of the cancer board, an Endoscopic Ultrasound (EUS)-guided Fine-Needle Aspiration (FNA) of the pancreatic mass was performed revealing invasive pancreatic ductal adenocarcinoma incompatible with a prostate cancer metastasis leading to the diagnosis of a PSMA positive pancreatic ductal adenocarcinoma.

scholarly journals An Unusual Left Upper Quadrant Mass: A Bronchopulmonary Foregut Malformation

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
R. L. McDermott ◽  
D. O. Kavanagh ◽  
W. Bartosik ◽  
C. Quinn ◽  
P. R. O'Connell
Keyword(s):  
Preoperative Evaluation ◽  
Pulmonary Sequestration ◽  
Postoperative Recovery ◽  
Thoracic Cavity ◽  
En Bloc ◽  
Epigastric Discomfort ◽  
Bronchopulmonary Foregut Malformation ◽  
Left Hemidiaphragm ◽  
Uneventful Postoperative Recovery ◽  
Foregut Malformation

We report a case of a lady who presented with epigastric discomfort. Physical examination revealed a large left upper quadrant mass filling the left upper quadrant. Following extensive preoperative evaluation, she underwent resection of this centimeter mass withen blocexcision of a portion of the left hemidiaphragm. She made an uneventful postoperative recovery. Histopathology revealed a bronchopulmonary foregut malformation with pulmonary sequestration. This developmental anomaly of the foregut typically occurs in the thoracic cavity; however, it can occur below the diaphragm. Herein we report a case and a detailed review of the embryology, clinical features, and management of these extremely rare clinical entities.

scholarly journals Right ectopic intrathoracic kidney: Unusual clinical presentation in a young patient affected by scrotal varicocele

2017 ◽  
Vol 89 (4) ◽  
pp. 323 ◽  
Author(s):  
Lucio Dell'Atti ◽  
Andrea Benedetto Galosi
Keyword(s):  
Computed Tomography ◽  
Renal Function ◽  
Clinical Presentation ◽  
Incidental Finding ◽  
Abdominal Ultrasound ◽  
Kidney Tumors ◽  
First Case ◽  
History Of ◽  
Intrathoracic Kidney ◽  
Good Drainage

Intrathoracic kidney is a partial or complete displacement of the kidney above the hemidiaphragm into the mediastinal compartment of the thorax. It is usually seen as an incidental finding discovered on chest radiograph or abdominal ultrasound. However computed tomography consents the correct detection of intrathoracic masses and defines their shape, size, and extent. We here report a case of ectopic thoracic kidney in a 22-year-old man who had a long history of scrotal discomfort associated with right varicocele. Frequently, this ectopia does not affect renal function and the stretched ureter provides good drainage. In literature, a small number of cases shows that varicocele is a possible mode of presentation of kidney tumors, but this is the first case of varicocele secondary to intrathoracic kidney ectopia.

scholarly journals Torsion of a Wandering Spleen

2014 ◽  
Vol 31 (4) ◽  
pp. 219-222
Author(s):  
T Haque ◽  
S Hossain ◽  
KABMT Alam ◽  
MA Rahman
Keyword(s):  
Acute Abdomen ◽  
Clinical Condition ◽  
Clinical Presentation ◽  
Incidental Finding ◽  
Treatment Options ◽  
Abdominal Ultrasound ◽  
Clinical Findings ◽  
Young Lady ◽  
Wandering Spleen ◽  
Ligamentous Laxity

Wandering spleen is a rare clinical condition characterized by ectopic positioning of the spleen due to abnormal peritoneal attachments including the lienorenal and gastrosplenic ligaments. The spleen can “wander” or migrate into various positions within the abdomen or pelvis due to this ligamentous laxity. The clinical presentation of patients with this entity is variable and can range from an incidental finding to an acute abdomen associated with torsion. Various imaging modalities can be utilized for the diagnosis of this condition .A variable treatment options for torsion of wandering spleen include splenectomy or splenopexy. Here we described a case of 32 years young lady with acute abdomen due to torsion of a wandering spleen. Diagnosis was made on the basis of clinical findings and abdominal ultrasound. Laparotomy was performed and the infarcted spleen was removed. DOI: http://dx.doi.org/10.3329/jbcps.v31i4.21008 J Bangladesh Coll Phys Surg 2013; 31: 219-222

Primary Omental Abscessation or Omental Infarction in Four Dogs

2009 ◽  
Vol 45 (4) ◽  
pp. 168-175 ◽  
Author(s):  
Bonnie G. Campbell
Keyword(s):  
Incidental Finding ◽  
Abdominal Mass ◽  
Unknown Origin ◽  
Abdominal Ultrasound ◽  
Fat Necrosis ◽  
Gram Stain ◽  
Fine Needle Aspirate ◽  
Foreign Material ◽  
Vascular Compromise ◽  
Suppurative Inflammation

Primary omental abscessation was diagnosed in three dogs after laparotomy. Laparotomy was performed to explore an abdominal mass of unknown origin and chronic fat necrosis diagnosed in one dog as an incidental finding during ovariohysterectomy. Primarily hypoechoic masses not connected to any abdominal structures were visualized with abdominal ultrasound in three dogs. Suppurative inflammation was diagnosed from fine-needle aspirate evaluation in two dogs. Bacteria were cultured from two abscesses despite the absence of organisms on Gram stain, cytology, and histopathology. Foreign material was found in one abscess. All four dogs experienced weight loss and/or an episode of gastrointestinal signs. Primary omental abscessation may be preceded by omental vascular compromise and/or interaction of the omentum with foreign material.

scholarly journals Incidental Finding and Management of Intralobar Sequestration of the Lung in A 24-Year-Old Man

2013 ◽  
Vol 20 (6) ◽  
pp. 403-405 ◽  
Author(s):  
Dhanjit Litt ◽  
Sumeet Gandhi ◽  
Sacha Bhinder ◽  
Maurice Blitz ◽  
Kieran McIntyre
Keyword(s):  
Present Article ◽  
Blood Supply ◽  
Lung Tissue ◽  
Incidental Finding ◽  
Pulmonary Sequestration ◽  
Tracheobronchial Tree ◽  
Arterial Blood Supply ◽  
Intralobar Sequestration ◽  
Arterial Blood ◽  
Pulmonary Arterial

Pulmonary sequestration is described as a dysplastic mass of lung tissue that lacks communication with the tracheobronchial tree and receives systemic rather than pulmonary arterial blood supply. Two distinct classifications, intralobar and extralobar, have been described. The present article discusses the etiology, clinical and radiographic features of pulmonary sequestration as well as the management of this condition when it is discovered incidentally.

scholarly journals Rare tumor of the spleen - case report

2016 ◽  
Vol 3 (4) ◽  
pp. 37
Author(s):  
Rita Meireles ◽  
Joana Cordeiro Cunha ◽  
Violeta Iglesias ◽  
Paula Baptista
Keyword(s):  
Immunohistochemical Staining ◽  
Clinical Case ◽  
Incidental Finding ◽  
Benign Lesion ◽  
Abdominal Ultrasound ◽  
Clinical Impact ◽  
Definitive Treatment ◽  
Rare Tumor ◽  
Sclerosing Angiomatoid Nodular Transformation ◽  
Histological Appearance

Sclerosing angiomatoid nodular transformation was first described as a solitary angioma-like disease of the spleen by Martel et al. in 2004. It is a relatively new rare benign lesion. The authors present a clinical case of an asymptomatic, 48-year-old female. SANT has been an incidental finding in an abdominal ultrasound. Histological appearance and the immunohistochemical staining after spleen biopsy confirmed the diagnosis. As suggested in previously published articles, a splenectomy was performed for definitive treatment. This case contributes to the differential diagnosis of splenic tumors, its treatment and clinical impact.

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