scholarly journals A RARE PRESENTATION OF CHOLEDOCHAL CYST IN ADULT.

2021 ◽  
pp. 92-93
Author(s):  
Neelendra Yesaswy MNV ◽  
Sankar Subramanian ◽  
Niket M Shah ◽  
Suresh Kumar P
Keyword(s):  
Choledochal Cyst ◽  
Adult Population ◽  
Rare Condition ◽  
Etiologic Factor ◽  
Gall Bladder Carcinoma ◽  
Rare Presentation ◽  
Cross Sectional ◽  
Cross Sectional Imaging ◽  
Asymptomatic Individuals ◽  
Cyst Development

Choledochal cyst (CC) is a relative rare condition in adult population. Only 20% of CC presents in adult population, of these 80% presents with additional hepatobiliary pathology (1,2). With widespread usage of cross sectional imaging, more cysts are likely being identified incidentally in asymptomatic individuals. The development of cancer arising from cysts increases from <0.7% in first decade of life to >11.4% after 2nd decade of life. Anatomic abnormality pancreaticbiliary maljunction (PBM) is a noted etiologic factor for cyst development and even for development of cancer in cysts. We report a rare adult presentation of choledochal cyst with underlying abnormal pancreaticobiliary maljunction with gall bladder carcinoma.

scholarly journals Adrenal lesions encountered in current medical practice − a review of their radiological imaging

2013 ◽  
Vol 17 (4) ◽  
pp. 128-138
Author(s):  
Vanesha Naidu ◽  
Bhugwan Singh
Keyword(s):  
Adult Population ◽  
Adrenal Incidentaloma ◽  
Current Medical ◽  
Radiological Imaging ◽  
Cross Sectional ◽  
Current Medical Practice ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
Radiological Studies ◽  
Adrenal Disease

Modern radiological technology has transformed the way that adrenal lesions are currently investigated. The contemporary radiologist has been catapulted to the forefront in the management of adrenal disease. With the increasing use of cross-sectional imaging, adrenal lesions are being serendipitously discovered in radiological studies undertaken for non-adrenal-related conditions – the so-called adrenal ‘incidentaloma’. This review discusses the imaging modalities available for characterising these lesions, highlighting current concepts and controversies in differentiating benign from malignant pathology. The article also provides a brief overview of the spectrum of adrenal pathology commonly encountered in the adult population.

scholarly journals Pilimiction, A Rare Manifestation of Ovarian Teratoma: A Case Report

2021 ◽  
Author(s):  
Feysel Hassen Issack ◽  
Seid Mohammed Hassen ◽  
Seid Kedir Hassen ◽  
Kaleab Habtemichael Gebreselassie ◽  
Ferid Ousman Mummed ◽  
...  
Keyword(s):  
Mature Teratoma ◽  
Bladder Wall ◽  
Lower Abdominal Pain ◽  
Rare Condition ◽  
Ovarian Teratoma ◽  
Cross Sectional ◽  
Patient Reported ◽  
Rare Manifestation ◽  
Cross Sectional Imaging ◽  
Enhanced Computed Tomography

Abstract Introduction: Adnexal teratoma involving the urinary bladder is a very rare condition. Presentation is variable ranging from irritative LUTS (lower urinary tract symptoms) to pilimiction or trichiuria (passage of hair in the urine).Case presentation: We report a case of 42-year-old woman who presented with pilimiction and lower abdominal pain. Contrast enhanced computed tomography scan (CECT) and Cystoscopy were used for the diagnosis. Tumor markers were negative. Right side salpingo-oophorectomy and partial bladder wall excision were performed. Histopathology of the specimen showed features consistent with mature teratoma. The Patient reported improvement of symptoms in the subsequent follow up visits.Conclusion: Pilimiction is a pathognomonic sign of bladder teratomas. Therefore, it is wise to think of this pathology in patients who report passage of hair through the urine (trichiuria or pilimiction), as in our case. Cystoscopy and cross-sectional imaging aided in the initial diagnosis. However, definitive diagnosis was provided by histopathology.

scholarly journals Pilimiction, A Rare Presentation of Ovarian Teratoma: A Case Report

2022 ◽  
Author(s):  
Feysel Hassen Issack ◽  
Seid Mohammed Hassen ◽  
Seid Kedir Hassen ◽  
Kaleab Habtemichael Gebreselassie ◽  
Ferid Ousman Mummed ◽  
...  
Keyword(s):  
Mature Teratoma ◽  
Bladder Wall ◽  
Lower Abdominal Pain ◽  
Rare Condition ◽  
Ovarian Teratoma ◽  
High Recurrence Rate ◽  
Rare Presentation ◽  
Cross Sectional ◽  
Patient Reported ◽  
Enhanced Computed Tomography

Abstract Background: Adnexal teratoma involving the urinary bladder is a very rare condition. Presentation is variable ranging from irritative LUTS (lower urinary tract symptoms) to pilimiction or trichiuria (passage of hair in the urine).Case presentation: We report a case of a 42-year-old woman who presented with pilimiction and lower abdominal pain. Contrast-enhanced computed tomography scan (CECT) and Cystoscopy were used for the diagnosis. Tumor markers were negative. Right side salpingo-oophorectomy and partial bladder wall excision were performed. Histopathology of the specimen showed features consistent with mature teratoma. The Patient-reported improvement of symptoms in the subsequent follow-up visits.Conclusion: Pilimiction is a pathognomonic sign of bladder teratomas. Therefore, it is wise to think of this pathology in patients who report the passage of hair through the urine (trichiuria or pilimiction), as in our case. Cystoscopy and cross-sectional imaging aided in the initial diagnosis. However, a definitive diagnosis was provided by histopathology.We performed right-side salpingo-oophorectomy and partial cystectomy. Transurethral resection is associated with a high recurrence rate and is not recommended for secondary bladder teratomas.

scholarly journals Carotidynia: A Rare Diagnosis for Unilateral Neck Pain Revealed by Cross-Sectional Imaging

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Corrado Santarosa ◽  
Salvatore Stefanelli ◽  
Roman Sztajzel ◽  
Pravin Mundada ◽  
Minerva Becker
Keyword(s):  
Neck Pain ◽  
Correct Diagnosis ◽  
Rare Condition ◽  
Carotid Bifurcation ◽  
Emergency Setting ◽  
Imaging Features ◽  
Cross Sectional ◽  
Characteristic Imaging ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Idiopathic carotidynia (IC) is a rare and poorly understood syndrome consisting of unilateral neck pain, tenderness, and increased pulsations over the affected carotid bifurcation. A growing body of evidence supports the hypothesis that IC is a distinct clinicopathologic entity with characteristic imaging features. We report the case of a 34-year-old Caucasian male presenting with intense unilateral neck pain in the emergency setting. Computed tomography and ultrasonography revealed fusiform eccentric thickening of the ipsilateral carotid bifurcation without vessel narrowing. Contrast-enhanced magnetic resonance imaging depicted major perivascular enhancement without evidence of dissection. Further imaging and laboratory work-up excluded vasculitis. The diagnosis of IC was made. The patient was treated with nonsteroidal anti-inflammatory drugs and symptoms and imaging findings disappeared within a few weeks. Cross-sectional imaging allows not only ruling out IC mimickers but also making the correct diagnosis of this rare condition, in particular, as the clinical presentation of IC is often nonspecific.

scholarly journals Occult spontaneous lateral intrasphenoidal encephalocele: A rare presentation

2013 ◽  
Vol 04 (S 01) ◽  
pp. S109-S111 ◽  
Author(s):  
Shahina Bano ◽  
Vikas Chaudhary ◽  
Sachchida N Yadav ◽  
Umesh C Garga
Keyword(s):  
Congenital Malformations ◽  
Interesting Case ◽  
Bony Defect ◽  
Resonance Imaging ◽  
Rare Presentation ◽  
Cross Sectional ◽  
Basal Encephalocele ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
Intrasphenoidal Encephalocele

ABSTRACTBasal encephaloceles are extremely rare congenital malformations. Advanced cross-sectional imaging modalities like computed tomography and magnetic resonance imaging are necessary for diagnosing the asymptomatic, occult basal encephalocele and planning the surgical approach. We present an interesting case of clinically silent right-sided lateral intrasphenoidal encephalocele through a large bony defect.

Herniography (Peritoneography) for Diagnosis of Spigelian Hernia

2005 ◽  
Vol 50 (3) ◽  
pp. 124-125 ◽  
Author(s):  
G Sen ◽  
R Lochan ◽  
B V Joypaul
Keyword(s):  
Clinical Signs ◽  
Rare Condition ◽  
Spigelian Hernia ◽  
Contrast Study ◽  
Ultrasound Scan ◽  
Review Of Literature ◽  
Cross Sectional ◽  
Non Invasive ◽  
Cross Sectional Imaging

Background: Spigelian hernia is a rare clinical condition. It is difficult to diagnose in absence of obvious clinical signs. Ultrasound scan, cross-sectional imaging and contrast studies like herniography have been widely used for detecting occult abdominal wall hernias in symptomatic patients. Aim and methods: We present our experience of detecting a clinically occult Spigelian hernia in a 56-year-old symptomatic male patient, who had concomitant left sided inguinal and Spigelian hernias. In this patient, the Spigelian hernia was not detected on ultrasound scan. We also present a review of literature on the role of herniography in the diagnosis of this rare condition. Results and Conclusion: Herniography is a sensitive investigation for evaluation of occult hernias. However, it is an invasive contrast study and therefore must be used selectively. Non-invasive real-time imaging like ultrasonography remains the first line of investigation for detecting occult hernias.

scholarly journals A Rare Presentation of Lymphoma of the Cervix with Cross-Sectional Imaging Correlation

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Brinda Rao Korivi ◽  
Corey T. Jensen ◽  
Madhavi Patnana ◽  
Keyur P. Patel ◽  
Tharakeswara K. Bathala
Keyword(s):  
Computed Tomography ◽  
Humeral Head ◽  
Treatment Protocol ◽  
B Cell Lymphoma ◽  
Rare Presentation ◽  
Cross Sectional ◽  
Positron Emission ◽  
Cross Sectional Imaging ◽  
Sectional Imaging ◽  
Clinical Awareness

Non-Hodgkin’s lymphoma of the cervix is an extremely uncommon entity, with no standard established treatment protocol. A 43-year-old asymptomatic female with a history of dual hit blastic B-cell lymphoma/leukemia in complete remission presented with an incidental cervical mass, which was initially felt to represent a cervical fibroid on computed tomography (CT). It was further evaluated with ultrasound, biopsy, and positron emission tomography-computed tomography (PET-CT), which demonstrated a growing biopsy-proven lymphomatous mass and new humeral head lesion. The patient was started on chemotherapy to control the newly diagnosed humeral head lesion, which then regressed. She then underwent radiation to the cervix with significant improvement in the cervical lymphoma. A review of cross-sectional imaging findings of lymphoma of the cervix is provided, including how to differentiate it from other more common diseases of the cervix. Clinical awareness of rare cervical masses such as lymphoma is very important in order to achieve timely diagnosis and appropriate treatment.

State-of-the-art pulmonary arterial imaging – Part 2

VASA ◽  
2018 ◽  
Vol 47 (5) ◽  
pp. 361-375 ◽  
Author(s):  
Harold Goerne ◽  
Abhishek Chaturvedi ◽  
Sasan Partovi ◽  
Prabhakar Rajiah
Keyword(s):  
Pulmonary Artery ◽  
State Of The Art ◽  
Therapy Monitoring ◽  
Pulmonary Arteries ◽  
Imaging Modalities ◽  
Cross Sectional ◽  
Multiple Imaging ◽  
Cross Sectional Imaging ◽  
Pulmonary Arterial ◽  
Arterial Imaging

Abstract. Although pulmonary embolism is the most common abnormality of the pulmonary artery, there is a broad spectrum of other congenital and acquired pulmonary arterial abnormalities. Multiple imaging modalities are now available to evaluate these abnormalities of the pulmonary arteries. CT and MRI are the most commonly used cross-sectional imaging modalities that provide comprehensive information on several aspects of these abnormalities, including morphology, function, risk-stratification and therapy-monitoring. In this article, we review the role of state-of-the-art pulmonary arterial imaging in the evaluation of non-thromboembolic disorders of pulmonary artery.

State-of-the-art aortic imaging: Part II - applications in transcatheter aortic valve replacement and endovascular aortic aneurysm repair

VASA ◽  
2014 ◽  
Vol 43 (1) ◽  
pp. 6-26 ◽  
Author(s):  
Fabian Rengier ◽  
Philipp Geisbüsch ◽  
Paul Schoenhagen ◽  
Matthias Müller-Eschner ◽  
Rolf Vosshenrich ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Replacement ◽  
Surgical Repair ◽  
Imaging Modality ◽  
Open Surgical Repair ◽  
Cross Sectional ◽  
Transcatheter Aortic Valve ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Transcatheter aortic valve replacement (TAVR) as well as thoracic and abdominal endovascular aortic repair (TEVAR and EVAR) rely on accurate pre- and postprocedural imaging. This review article discusses the application of imaging, including preprocedural assessment and measurements as well as postprocedural imaging of complications. Furthermore, the exciting perspective of computational fluid dynamics (CFD) based on cross-sectional imaging is presented. TAVR is a minimally invasive alternative for treatment of aortic valve stenosis in patients with high age and multiple comorbidities who cannot undergo traditional open surgical repair. Given the lack of direct visualization during the procedure, pre- and peri-procedural imaging forms an essential part of the intervention. Computed tomography angiography (CTA) is the imaging modality of choice for preprocedural planning. Routine postprocedural follow-up is performed by echocardiography to confirm treatment success and detect complications. EVAR and TEVAR are minimally invasive alternatives to open surgical repair of aortic pathologies. CTA constitutes the preferred imaging modality for both preoperative planning and postoperative follow-up including detection of endoleaks. Magnetic resonance imaging is an excellent alternative to CT for postoperative follow-up, and is especially beneficial for younger patients given the lack of radiation. Ultrasound is applied in screening and postoperative follow-up of abdominal aortic aneurysms, but cross-sectional imaging is required once abnormalities are detected. Contrast-enhanced ultrasound may be as sensitive as CTA in detecting endoleaks.

Sign in / Sign up

Export Citation Format

Share Document