scholarly journals Recurrence of Primary Aldosteronism 10 Years After Left Adrenalectomy for Aldosterone-Producing Adenoma: A Case Report

2021 ◽  
Vol 12 ◽  
Author(s):  
Linghui Kong ◽  
Jin Zhang ◽  
Lei Dong ◽  
Jianzhong Xu ◽  
Ping-Jin Gao ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Primary Aldosteronism ◽  
Sanger Sequencing ◽  
Computed Tomography Scan ◽  
Tissue Slices ◽  
Aldosterone Producing Adenoma ◽  
Hematoxylin And Eosin ◽  
Left And Right ◽  
The Right ◽  
Tomography Scan

A 29-year-old female patient diagnosed with primary aldosteronism (PA) in 2004 underwent complete adrenalectomy for left aldosterone-producing adenoma (APA) confirmed by hematoxylin and eosin (HE) and CYP11B2 staining. Her hypokalemia was corrected, and her blood pressure (BP) normalized and maintained without medication for 10 years. In 2014, her BP became elevated again, and a recurrence of PA with an adenoma on the right adrenal gland was discovered by computed tomography scan. She underwent partial right adrenalectomy in 2018 due to unsatisfactory BP control with medication and gradually enlarging adenoma. The resected adrenal tissue contained a CYP11B2 staining positive APA. Her BP was then controlled by two drugs. Sanger sequencing of DNA extracted from tissue slices revealed that both left and right adenomas carried the same aldosterone-driver KCNJ5 gene mutation, but with different nucleotide changes. We suggest that patients who undergo adrenalectomy for APA should be followed up for life.

An Infant with COVID-19-Associated Intussusception

2021 ◽  
pp. 000313482110474
Author(s):  
Gwyneth A. Sullivan ◽  
Nicholas J. Skertich ◽  
Kody B. Jones ◽  
Michael Williams ◽  
Brian C. Gulack ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Lymphoid Hyperplasia ◽  
Computed Tomography Scan ◽  
Ileocolic Intussusception ◽  
Common Cause ◽  
Caregiver Education ◽  
Intermittent Abdominal Pain ◽  
The Right ◽  
Tomography Scan

Intussusception is the most common cause of bowel obstruction in infants four to ten months old and is commonly idiopathic or attributed to lymphoid hyperplasia. Our patient was a 7-month-old male who presented with two weeks of intermittent abdominal pain associated with crying, fist clenching and grimacing. Ultrasound demonstrated an ileocolic intussusception in the right abdomen. Symptoms resolved after contrast enemas, and he was discharged home. He re-presented similarly the next day and was found to be COVID-19 positive. Computed tomography scan demonstrated a left upper quadrant ileal-ileal intussusception. His symptoms spontaneously resolved, and he was discharged home. This suggests that COVID-19 may be a cause of intussusception in infants, and infants presenting with intussusception should be screened for this virus. Additionally, recurrence may happen days later at different intestinal locations. Caregiver education upon discharge is key to monitor for recurrence and need to return.

Spontaneous Regression of a Mandibular Plasmacytoma in a Juvenile Dog: A Case Report

2020 ◽  
Vol 56 (3) ◽  
Author(s):  
Erika Villedieu ◽  
Samuel Beck ◽  
Laurent Findji
Keyword(s):  
Computed Tomography ◽  
Spontaneous Regression ◽  
Round Cell ◽  
Computed Tomography Scan ◽  
Computed Tomography Scanning ◽  
Cell Neoplasm ◽  
Poorly Differentiated ◽  
The Right ◽  
Tomography Scan ◽  
Tomography Scanning

ABSTRACT A 4 mo old female Finnish lapphund presented for further investigation of a swelling of the right rostral mandible. A computed tomography scan showed the swelling to be an expansile and osteolytic mandibular lesion. Histopathology revealed a poorly differentiated, moderately well-demarcated, unencapsulated, highly infiltrative round cell neoplasm, and immunohistochemistry was supportive of a plasmacytoma. Performance of a rostral partial mandibulectomy was initially discussed with the owners, but the lesion improved spontaneously both clinically and on repeated computed tomography scanning before surgery could be performed. It subsequently almost completely resolved 6 mo after diagnosis. Hypotheses for spontaneous regression of the lesion are discussed and the human literature is briefly reviewed.

An unexpected cause of upper airway obstruction

1995 ◽  
Vol 109 (3) ◽  
pp. 252-254 ◽  
Author(s):  
A. A. W. M. Meulenbroeks ◽  
G. D. Vos ◽  
J. M. H. Van der Beek ◽  
P. J. E. H. M. Kirslaar
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Upper Airway ◽  
Computed Tomography Scan ◽  
Parapharyngeal Abscess ◽  
The Right ◽  
Tomography Scan

AbstractA three-year old bot wiht a swelling on the right side of his neck was suspected of having parapharyngeal abscess after clinical examination and CT scan(computed tomography scan) of this region. Later it became clear, that the swelling was caused by an aneurysm of the internal carotid artery. This case report describes the pitfalls and difficulties encountered in the diagnostic course and treatment planning.

scholarly journals Diagnosis and Management of a Large Adrenal Myelolipoma

2020 ◽  
Vol 6 (02) ◽  
pp. 70-73
Author(s):  
Imad Ghantous ◽  
Melissa Kyriakos Saad ◽  
Toufic Saber ◽  
Elissa Mahfouz ◽  
Imad Matta ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Rare Condition ◽  
Abdominal Distension ◽  
Mass Effect ◽  
Caucasian Patient ◽  
Computed Tomography Scan ◽  
Adrenal Myelolipoma ◽  
The Right ◽  
Real Challenge ◽  
Tomography Scan

AbstractAdrenal myelolipoma is a rare condition. Although benign in nature, these tumors can increase in size and cause a mass effect to nearby structures presenting as abdominal distension and pain. In 90% of cases, adrenal myelolipomas are unilateral. However, the real challenge in management is when bilateral adrenal myelolipoma is present. Herein, we present a case of a 51-year-old male Caucasian patient with bilateral adrenal myelolipoma. The patient had a large left adrenal myelolipoma (23 × 13 cm) and a small one on the right (4.4 × 4 cm). We opted for an open left adrenalectomy due to classical features on computed tomography scan and the mass effect of the tumor.

scholarly journals Right Sinus of Valsalva Aneurysm Mimicking Right Coronary Artery Ischemia

Aorta ◽  
2020 ◽  
Vol 08 (05) ◽  
pp. 141-143
Author(s):  
Antonio Bivona ◽  
Vincenzo Caruso ◽  
Samir Shah
Keyword(s):  
Computed Tomography ◽  
Heart Disease ◽  
Back Pain ◽  
Coronary Artery ◽  
Surgical Repair ◽  
Sinus Of Valsalva ◽  
Computed Tomography Scan ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right ◽  
Tomography Scan

AbstractAn aneurysm of a single sinus of Valsalva is rare. It is usually asymptomatic and rarely discovered, unless it compresses the adjacent cardiac structures, or it presents in association with other pathology. We herein describe a case of a male, with known ischemic heart disease, collapsing after sudden back pain. A computed tomography scan demonstrated an aneurysm of the right sinus of Valsalva. The surgical repair aimed to exclude the aneurysm, preserving and reconstructing the aortic root.

scholarly journals Spontaneous cholecystocutaneous fistula: a rare complication of gallbladder disease

2006 ◽  
Vol 124 (4) ◽  
pp. 234-236 ◽  
Author(s):  
Ruy Jorge Cruz Junior ◽  
Jorge Nahas ◽  
Luiz Francisco Poli de Figueiredo
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Abdominal Wall ◽  
Rare Complication ◽  
Gallbladder Disease ◽  
Computed Tomography Scan ◽  
The Past ◽  
The Right ◽  
High Degree ◽  
Tomography Scan

CONTEXT: Spontaneous cholecystocutaneous abscess or fistula is an extremely uncommon complication secondary to cholecystitis. Over the past 50 years fewer than 20 cases of spontaneous cholecystocutaneous fistulas have been described in the medical literature. We here report a case of subcutaneous gallstone as a rare clinical presentation of the already uncommon cholecystocutaneous fistula. CASE REPORT: An 81-year-old man presented with a large subcutaneous abscess in the right subcostal area with surrounding cellulitis and crepitus. An abdominal computed tomography scan showed two subcutaneous gallstones and communication between the abscess and the gallbladder. Cholecystectomy was performed and the abdominal wall abscess was drained externally. This case report demonstrates that maintaining a high degree of suspicion of this rare entity is helpful in achieving correct preoperative diagnosis, and that computed tomography scan should be performed in all cases of unexplained abdominal wall suppuration or cellulitis.

scholarly journals An Unexpected Case of Malignant Mesothelioma in a Young Woman

2021 ◽  
Vol 9 ◽  
pp. 232470962199724
Author(s):  
Umaima Dhamrah ◽  
Nadia Solomon ◽  
Olive C. Osuoji
Keyword(s):  
Computed Tomography ◽  
Clinical Investigation ◽  
Past Medical History ◽  
Computed Tomography Scan ◽  
Laboratory Findings ◽  
Pleural Thickening ◽  
Vein Occlusion ◽  
The Right ◽  
Patient Presentation ◽  
Tomography Scan

A 41-year-old female with a past medical history significant only for right retinal vein occlusion presented with chest pain, cough, and shortness of breath. After being found to have a large right-sided pleural effusion and undergoing a nondiagnostic thoracentesis, a noncontrast chest computed tomography scan revealed multiple diffuse nodules in the right lung with irregular paraspinal pleural thickening. An extensive workup followed, with computed tomography–guided biopsy ultimately revealing the diagnosis. The following report describes the patient presentation, laboratory findings, and extensive clinical investigation, and provides a discussion of the epidemiology, imaging findings, prognosis, and differential diagnoses for the illness in question.

scholarly journals A giant tonsillolith camouflaging as a peritonsillar abscess

2020 ◽  
Vol 6 (6) ◽  
pp. 1224
Author(s):  
Vikas Vijayan ◽  
Susan K. Sebastian ◽  
Abhijeet Raj ◽  
Priyanka S. Amar
Keyword(s):  
Computed Tomography ◽  
Peritonsillar Abscess ◽  
Rare Clinical Entity ◽  
Computed Tomography Scan ◽  
Provisional Diagnosis ◽  
Contrast Enhanced ◽  
The Right ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography ◽  
Tomography Scan

<p>Giant tonsillolith is a rare clinical entity. We present the case of a 7 years old male who presented with sore throat and difficulty in swallowing. Right tonsil was bulging into the oropharynx with marked peritonsillar swelling and inflammation and a provisional diagnosis of peritonsillar abscess was made. Contrast enhanced computed tomography scan revealed a large-sized tonsillolith on the right side. The patient underwent elective stone removal and tonsillectomy.</p>

scholarly journals Gallbladder volvulus and hernia through the foramen of Winslow: a case report

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Toan Huy Nguyen ◽  
Kinh Huy Tran ◽  
Xuan Anh Le ◽  
Huong Van Nguyen ◽  
Quyet Van Ha
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Clinical Signs ◽  
Computed Tomography Scan ◽  
Foramen Of Winslow ◽  
First Case ◽  
Hypochondriac Region ◽  
Uncommon Condition ◽  
The Right ◽  
Tomography Scan

Abstract Gallbladder hernia through the foramen of Winslow is an uncommon condition and gallbladder hernia combined with volvulus is even rarer. A 70-year-old patient was hospitalized with the clinical signs of pain in the right hypochondriac region associated with fever. The computed tomography scan images showed some signs of gallbladder herniation through the foramen of Winslow. We decided to remove the gallbladder and found the gallbladder infundibulum twisted and necrotic. This was the first case of a male patient who suffered from gallbladder herniation with volvulus after three cases of female patients reported in the literature.

scholarly journals Isolated Traumatic Dislocation of the Malleus into the External Auditory Canal

2021 ◽  
pp. 014556132110265
Author(s):  
Jong Hwan Lee ◽  
Ji Woong Choi ◽  
Do Yoon Jeong ◽  
Sultan Mohammed Alanazy ◽  
Gi-Sung Nam
Keyword(s):  
Computed Tomography ◽  
Physical Examination ◽  
External Auditory Canal ◽  
Rare Condition ◽  
Computed Tomography Scan ◽  
Ossicular Replacement ◽  
The Right ◽  
Diagnostic Step ◽  
Replacement Prosthesis ◽  
Tomography Scan

We report a rare case of isolated malleus dislocation into the external auditory canal with lateralized intact tympanic membrane following a head trauma. The patient was a 63-year-old woman who presented at the outpatient department of our institute with hearing loss of 10 years’ duration after a bicycle accident. During physical examination of the patient, total dislocation of the malleus-like bony structure into the external auditory canal on the right side was observed. In the computed tomography scan, an isolated malleus dislocation with intact incus-stapes articulation was identified. The patient was successfully treated with endoscopic exploratory tympanotomy and partial ossicular replacement prosthesis. The isolated malleus dislocation can rarely occur after trauma. A careful diagnostic step through history, physical examination, and temporal bone computed tomography scan are needed to confirm this rare condition.

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