Arco aórtico derecho con arteria subclavia izquierda aberrante: Presentación de un caso [Right-sided aortic arch with aberrant left subclavian artery: Case report]

2021 ◽  
Vol 40 (03) ◽  
Author(s):  
Adrían Torres ◽  
Rolando Reyna
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Aortic Arch ◽  
Mediastinal Mass ◽  
Left Subclavian Artery ◽  
X Rays ◽  
Anatomical Variant ◽  
History Of ◽  
The Right ◽  
Arteria Subclavia

<p>Se presenta caso de un paciente con historia de 2 meses de evolución de presentar disfagia, astenia, debilidad generalizada y deposiciones melénicas asociado a dolor abdominal tipo cólico en mesogastrio/epigastrio no irradiado, con dispepsia ocasional exacerbado con la ingesta de alimentos. La placa de tórax revela opacidad paratraqueal derecha con ausencia del boton aórtico izquierdo, con diagnóstico probable de  masa mediastínica. La tomografía de torax contrastata muestra variante anatómica del arco aórtico de ubicación del lado derecho.</p><p> </p><p>Abstract</p><p>We present a case of a patient with a history of 2 months of evolution of having dysphagia, asthenia, generalized weakness and melanin depositions associated with colic-like abdominal pain in non-irradiated mesogastrium / epigastrium, with occasional dyspepsia exacerbated with food intake. The Chest X rays reveals band opacity paratracheal right with absence of the left aortic button, with probable diagnostic of mediastinal mass. The thoracic contrast tomography shows an anatomical variant of the aortic arch located on the right side.</p>

scholarly journals Unusual localizations of hydatid cysts: a rare case report from Syria

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Zain Douba ◽  
Judy A Sinno ◽  
Haya Jawish ◽  
Nour Hakim ◽  
Abdullah Mouselli ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
South America ◽  
Rare Case ◽  
Eastern Mediterranean ◽  
Left Lung ◽  
Hydatid Cysts ◽  
Rare Case Report ◽  
History Of ◽  
The Right

Abstract Hydatid disease (HD) is an infection with the metacestode stage of the tapeworm Echinococcus. It is commonly seen in South America, The Middle East, Eastern Mediterranean, Africa and China. Hydatid cysts usually affect the liver followed by the lungs. Involvement in other organs has been reported. However, in the majority of the cases, cysts are localized in one organ or one region. We report a rare case of a 36-year-old woman who presented to the hospital in Syria with long-standing history of non-specific abdominal pain. Computerized tomography showed several hydatid cysts in the liver, spleen, left lung, mediastinum (adjacent to the aortic arch), both breasts and above the right gluteal muscles.

scholarly journals Subhepatic appendix: an ectopic topography not to be disregarded: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Abdoul Kadir Ibrahim Mamadou ◽  
Souleymane Mounkaila ◽  
Nouhou Hama Aghali ◽  
Mahaman Laouali Harouna Amadou ◽  
Ousseini Adakal
Keyword(s):  
Elderly Patient ◽  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Case Report ◽  
Surgical Intervention ◽  
Quadrant Pain ◽  
Case Presentation ◽  
Perforated Appendix ◽  
History Of ◽  
The Right

Abstract Introduction Subhepatic appendix is most often due to an anomaly of rotation of the primary intestine occurring during embryogenesis. This ectopic topography associated with advanced age can be a serious diagnosis problem at the stage of appendicitis or appendicular peritonitis. Case presentation We report the case of a 60-year-old melanoderm man, with a history of urinary pathology and peptic ulcer, referred from a health district for abdominal pain of the right hypochondrium evolving for about 5 days, secondarily generalized, in whom we suspected peritonitis, the etiology of which remains to be determined. During the surgical intervention, after preoperative resuscitations measures, a phlegmonous perforated appendix was found under the liver. No postoperative complication was noted, and he was discharged home 8 days after his operation. Conclusion Subhepatic appendicular peritonitis occurring in an elderly patient poses enormous diagnostic problems. When faced with right upper quadrant pain, considering acute ectopic appendicitis would significantly reduce complications.

scholarly journals Pulmonary puzzle: A rare case of dysphagia

2016 ◽  
Vol 22 (3) ◽  
pp. 73
Author(s):  
S Sinha Roy ◽  
Coenraad F N Koegelenberg ◽  
E M Isusen
Keyword(s):  
Aortic Arch ◽  
Chest Radiograph ◽  
Left Subclavian Artery ◽  
Significant Past Medical History ◽  
Descending Aorta ◽  
Specialist Physician ◽  
Abnormal Chest ◽  
Kommerell’S Diverticulum ◽  
History Of ◽  
The Right

<p>A 58-year-old man presented with a longstanding history of dysphagia and sensation of something lodged in the back of his throat. He had no significant past medical history, was a smoker (30 pack-years) and used &gt;60 units of alcohol per week. A physical examination was unremarkable. The patient was referred to the respiratory clinic at Tygerberg Hospital, Cape Town, by a specialist physician who was concerned about the patient’s abnormal chest radiograph (Fig. 1). The chest radiograph showed that the normal left-sided aortic arch and the usual companion descending aorta were absent. The arch coursed to the right with the descending aorta also on the right. A computed tomography (CT) scan (Figs 2 and 3) and reconstructions (Figs 4 and 5) confirmed the right-sided aortic arch with a retrooesophageal aberrant left subclavian artery and formation of a Kommerell’s diverticulum at the origin. In the absence of major complications, he was managed conservatively.</p>

scholarly journals Coccidioidomycosis in Brazil. A case report

1997 ◽  
Vol 39 (5) ◽  
pp. 299-304 ◽  
Author(s):  
Marilena dos Anjos MARTINS ◽  
Evangelina da Motta Pacheco Alves de ARAÚJO ◽  
Marcelo Hisato KUWAKINO ◽  
Elisabeth Maria HEINS-VACCARI ◽  
Gilda Maria Bárbaro DEL NEGRO ◽  
...  
Keyword(s):  
Case Report ◽  
Complement Fixation Test ◽  
The United States ◽  
X Rays ◽  
Double Immunodiffusion ◽  
Loss Of Weight ◽  
History Of ◽  
Microscopic Morphology ◽  
The Right ◽  
Thickened Wall

Coccidioidomycosis is an endemic infection with a relatively limited geographic distribution: Mexico, Guatemala, Honduras, Colombia, Venezuela, Bolivia, Paraguai, Argentina and the southwest of the United States. In these countries, the endemic area is restricted to the semiarid desert like regions which are similar to the northeast of Brazil. Case report: The patient is a 32 year-old male, born in the state of Bahia (Northeast of Brazil) and has been living in São Paulo (Southeast) for 6 years. He was admitted at Hospital das Clínicas, at the Department of Pneumology in October 1996, with a 6 month history of progressive and productive cough, fever, malaise, chills, loss of weight, weakness and arthralgia in the small joints. Chest x-rays and computerized tomography disclosed an interstitial reticulonodular infiltrate with a cavity in the right upper lobe. The standard potassium hydroxide preparation of sputum and broncoalveolar lavage demonstrated the characteristic thickened wall spherules in various stages of development. Sabouraud dextrose agar, at 25° C and 30° C showed growth of white and cottony aerial micelium. The microscopic morphology disclosed branched hyphae characterized by thick walled, barrel shaped arthroconidia alternated with empty cells. The sorological studies with positive double immunodiffusion test, and also positive complement fixation test in 1/128 dilution confirmed the diagnosis. The patient has been treated with ketoconazole and presents a favorable clinical and radiological evolution

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

An unusual presentation of epigastric pain due to thrombophlebitis of a recanalised umbilical vein – case report

2019 ◽  
Vol 98 (8) ◽  
pp. 326-327 ◽  
Keyword(s):  
Liver Cirrhosis ◽  
Abdominal Pain ◽  
Case Report ◽  
Portal Hypertension ◽  
Liver Disease ◽  
Epigastric Pain ◽  
Umbilical Vein ◽  
History Of ◽  
Clinically Significant ◽  
Inflammatory Changes

Introduction: The umbilical vein can become recanalised due to portal hypertension in patients with liver cirrhosis but the condition is rarely clinically significant. Although bleeding from this enlarged vein is a known complication, the finding of thrombophlebitis has not been previously described. Case report: We report the case of a 62-year-old male with a history of liver cirrhosis due to alcoholic liver disease presenting to hospital with epigastric pain. A CT scan of the patient’s abdomen revealed a thrombus with surrounding inflammatory changes in a recanalised umbilical vein. The patient was managed conservatively and was discharged home the following day. Conclusion: Thrombophlebitis of a recanalised umbilical vein is a rare cause of abdominal pain in patients with liver cirrhosis.

scholarly journals Pushing behavior and hemiparesis: which is critical for functional recovery in pusher patients ? Case report

2007 ◽  
Vol 65 (2b) ◽  
pp. 536-539 ◽  
Author(s):  
Taiza E.G. Santos-Pontelli ◽  
Octávio M. Pontes-Neto ◽  
José Fernando Colafêmina ◽  
Dráulio B. de Araújo ◽  
Antônio Carlos Santos ◽  
...  
Keyword(s):  
Case Report ◽  
Barthel Index ◽  
Functional Improvement ◽  
Chronic Hypertension ◽  
Acute Hemorrhage ◽  
Lateral Posterior ◽  
History Of ◽  
Lateral Posterior Nucleus ◽  
Neuroimaging Study ◽  
The Right

We report a sequential neuroimaging study in a 48-years-old man with a history of chronic hypertension and lacunar strokes involving the ventral lateral posterior nucleus of the thalamus. The patient developed mild hemiparesis and severe contraversive pushing behavior after an acute hemorrhage affecting the right thalamus. Following standard motor physiotherapy, the pusher behavior completely resolved 3 months after the onset and, at that time, he had a Barthel Index of 85, although mild left hemiparesis was still present. This case report illustrates that pushing behavior itself may be severely incapacitating, may occur with only mild hemiparesis and affected patients may have dramatic functional improvement (Barthel Index 0 to 85) after resolution pushing behavior without recovery of hemiparesis.

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