scholarly journals Psoas muscle tuberculosis in Greece: report of two cases

2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Leonidas Grigorakos ◽  
Vassilis Sgountzos ◽  
Sophia Simopoulou ◽  
Daria Lazarescu ◽  
Domenica Mavropanou ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Laboratory Tests ◽  
Clinical Symptoms ◽  
Psoas Abscess ◽  
Psoas Muscle ◽  
X Rays ◽  
Radiological Findings ◽  
Muscular Disease ◽  
High Incidence

Between January 2013 and January 2014, two patients with lower left abdominal pain were admitted to Sotiria Chest Diseases Hospital, Athens, Greece. They were diagnosed with psoas muscle tuberculosis based on the results of clinical evaluation, laboratory tests and radiological findings from chest X-rays and computed tomography. Administration of antitubercular chemotherapy reduced the inflammation, while clinical symptoms significantly improved within the first three weeks. Patients were discharged from the hospital two months later. Their follow-up consists of monthly check-ups, while continuing the anti-tuberculosis treatment successfully. We underline the importance of keeping a high suspicion of muscle tuberculosis in patients with psoas abscess, which, although not a seldom phenomenon, it should be taken into consideration as an etiology of muscular disease not only in regions where tuberculosis is endemic but also in countries with high incidence of immigrants or refugees originating from such areas.

Follow-up results in tuberculous cervical lymphadenitis

2005 ◽  
Vol 120 (2) ◽  
pp. 129-132 ◽  
Author(s):  
Mehmet F Oktay ◽  
Ismail Topcu ◽  
Abdurrahman Senyigit ◽  
Aslan Bilici ◽  
Adem Arslan ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Residual Disease ◽  
Surgical Excision ◽  
X Rays ◽  
Test Results ◽  
Cervical Lymphadenitis ◽  
Antituberculous Treatment ◽  
High Incidence ◽  
The Mean

Objective: To investigate the efficacy of medical antituberculous treatment in patients with tuberculous cervical lymphadenitis (TCL).Methods: In the period 1996–2002, 73 TCL patients were reviewed and the results of clinical and laboratory testing were documented. The efficacy of a four-drug chemotherapy regimen was investigated.Results: Purified protein derivatives (PPD) skin test results were positive in 58 (79 per cent) patients. Chest X-rays revealed changes consistent with tuberculosis in nine (12.3 per cent) patients. The mean duration of medical treatment was 10.04 months. In follow-up evaluation, 14 (20 per cent) patients were considered suspicious for resistant TCL and total excision of all nodes was performed. Histopathology confirmed TB in only 10 of these cases.Conclusion: The high incidence of residual disease in our study indicates that medical treatment (at least nine months of four combined antituberculous drugs) did not seem to be effective. If lymphadenopathy persists, total surgical excision of lymph nodes should be the treatment of choice.

scholarly journals Non-resolving Findings in a Long-term Radiographic Follow-up of an Infant with Acute Paraffin Oil Aspiration

2014 ◽  
Vol 4 ◽  
pp. 2 ◽  
Author(s):  
George Stathis ◽  
Konstantinos N. Priftis ◽  
Maria Moustaki ◽  
Efthymia Alexopoulou
Keyword(s):  
Clinical Symptoms ◽  
Male Infant ◽  
Mineral Oil ◽  
Imaging Findings ◽  
Radiological Findings ◽  
Lipoid Pneumonia ◽  
Paraffin Oil ◽  
Computed Tomography Scans

Acute lipoid pneumonia (LP) in children is a rare disorder caused by the aspiration of oil-based substances and is difficult to diagnose due to non-specific clinical symptoms and radiological findings. We report the case of a 5-month-old male infant with acute LP caused by accidental aspiration of a large amount of mineral oil. We present the imaging findings in the computed tomography scans performed during his hospitalization and focus on the residual abnormalities seen on a scan performed 7-years after the incident. This, to the best of our knowledge, is the longest follow-up report of an acute exogenous LP patient and the only case that demonstrates non-resolving abnormalities in a pediatric patient after a single acute episode of mineral oil aspiration.

Translumbar Embolization of Type II Endoleaks: 12 Years of Experience at a Regional Vascular Centre

2020 ◽  
Vol 54 (5) ◽  
pp. 389-394 ◽  
Author(s):  
Wiliam Rhodri Thomas ◽  
Salil Karkhanis ◽  
Jonathan Hopkins ◽  
Martin Duddy
Keyword(s):  
Computed Tomography ◽  
Psoas Abscess ◽  
Endovascular Aneurysm Repair ◽  
Major Complication ◽  
Type Ii ◽  
Technical Success Rate ◽  
Feeding Vessels ◽  
Major Complication Rate ◽  
Aneurysm Repair

Background and Aims: The management of persistent type II endoleaks (T2E) is often problematic for the endovascular specialist, with a lack of clear evidence for the best approach for embolization. The aim of this study was to evaluate the safety and efficacy of translumbar embolization (TLE) for T2E following endovascular aneurysm repair (EVAR). Methods: This retrospective review included 27 embolizations performed on 23 patients with a median age of 78 (range 67-94 years; male: female 15:9), during the period September 2006 to July 2018. Primary outcome was freedom from aneurysm sac growth defined as <2 mm sac diameter increase on subsequent computed tomography. Results: The initial technical success rate was 100%, with complete “on table” embolization of the T2E on fluoroscopy; however, 4 (15%) patients needed repeat TLE due to persistent endoleak identified on follow-up computed tomography or because of further sac expansion. Satisfactory stasis was achieved in these 4 cases following a second embolization. The mean volume of embolic injected was 7.4 mL per case. Feeding vessels were identified on angiography in all cases; the nidus was supplied by lumbar branches in 21 cases, by the inferior mesenteric artery in 1 case and by both in a further 5 cases. Freedom from aneurysm sac growth (defined as < 2 mm) following 1 or 2 separate TLE was achieved in 18 (78%) and 20 (86%) patients, respectively. The major complication rate was <5% with one case of psoas abscess presenting 7 months following embolization; there were 2 minor complications in the form of intraprocedural transient abdominal pain. Conclusion: The translumbar approach is a safe and effective technique to treat T2E, as evidenced by the low complication and reintervention rate.

Are Follow-up X-rays Necessary

PEDIATRICS ◽  
1979 ◽  
Vol 64 (1) ◽  
pp. 123-124
Author(s):  
Wilbur L. Smith
Keyword(s):  
Data Base ◽  
Clinical Improvement ◽  
Pediatric Patient ◽  
Clinical Symptoms ◽  
Time Interval ◽  
X Rays ◽  
Significant Time ◽  
Interesting Study ◽  
Acute Pneumonia

Grossman, Wald, Nair, and Papiez have reported an interesting study on roentgenographic follow-up of acute pneumonia (Pediatrics 63:30, 1979). Their data suggest that routine follow-up radiographs are not reliably normal until six weeks to three months after initial diagnosis despite the patient's clinical improvement. Their emphasis on not radiographing a clinically well pediatric patient until a significant time interval after onset of disease is certainly reasonable. From this data base they go on, however, to recommend that routine follow-up radiographs in pneumonia patients are only needed if clinical symptoms persist.

scholarly journals Cerebrovascular disease in neonates: evaluation of four cases

1999 ◽  
Vol 57 (1) ◽  
pp. 84-87 ◽  
Author(s):  
MARIA VALERIANA LEME DE MOURA-RIBEIRO ◽  
MONICA A. PESSOTO ◽  
SÉRGIO TADEU MARTINS MARBA
Keyword(s):  
Computed Tomography ◽  
Laboratory Tests ◽  
Clinical Course ◽  
Cranial Ultrasound ◽  
Careful Evaluation ◽  
Neurological Sequelae ◽  
Ultrasound Computed Tomography ◽  
One Year ◽  
Etiologic Diagnosis

The clinical and neurological study in four neonates infants with cerebral infarction are reported. The purpose of this study is to call attention for the clinical course, cranial ultrasound, computed tomography and laboratories tests, in order to evaluate the neurological sequelae. A careful evaluation has be taken in order to determine the significance of clinical and laboratory tests for syndromic, topographic and etiologic diagnosis after one year ambulatorial follow-up.

Post-Procedure CT Follow-up after Percutaneous Automated Lumbar Nucleotomy

1996 ◽  
Vol 2 (4) ◽  
pp. 283-286 ◽  
Author(s):  
R. Dullerud ◽  
J.G. Johansen
Keyword(s):  
Cohort Study ◽  
Clinical Symptoms ◽  
Subcutaneous Fat ◽  
Psoas Muscle ◽  
Ct Scans ◽  
Complication Rates ◽  
Post Procedure ◽  
Tissue Changes ◽  
Soft Tissue Changes

In order to evaluate the incidence of soft tissue changes after automated lumbar nucleotomy, a prospective cohort study was performed with follow-up CT within four to six hours after treatment of 97 discs in 88 patients. The CT scans were normal at 47 levels and abnormal at 50. At 11 levels traces of blood were seen along the trajectory, of which nine were located in the subcutaneous fat, one in the extensor and one in the psoas muscle. Small gas collections were observed at 42 levels. Twenty-one of them were located in the extensor and two in the psoas muscle, seven in the subcutaneous fat, two in the epidural space and ten in multiple locations. The abnormal scans were not associated with clinical symptoms different from those with normal scans. The results support previous reports indicating that this procedure is associated with low morbidity and complication rates.

The Use of Transcutaneous Thermal Convection Analysis to Assess Shunt Function in the Pediatric Population

2011 ◽  
Vol 70 (suppl_2) ◽  
pp. ons181-ons183 ◽  
Author(s):  
Arthur E. Marlin ◽  
Sarah J. Gaskill
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Thermal Convection ◽  
Clinical Symptoms ◽  
Pediatric Population ◽  
Shunt Malfunction ◽  
Resonance Imaging ◽  
Shunt Series

ABSTRACT BACKGROUND: The diagnosis of shunt malfunction is largely made by subjective clinical history and assessment in association with neurodiagnostic imaging. OBJECTIVE: To evaluate the use of a transcutaneous thermal convection device for the diagnosis of shunt malfunction. METHODS: We present the results of a trial of a commercially available device under an Institutional Review Board--approved protocol. All patients had neurodiagnostic studies that defined their shunt function at the time of transcutaneous thermal convection measurement. Thirty-seven shunts were studied in 35 patients. To be included, patients had to be between 0 to 18 years of age, had to be due within a 3-month period for routine follow-up evaluations, and had to have neurodiagnostic imaging (computed tomography or magnetic resonance imaging) as part of this visit and a shunt series. All patients were seen in routine follow-up, and none had clinical symptoms of shunt malfunction. RESULTS: Three patients had fractured shunts. The remaining 32 patients had functioning shunts as determined by clinical criteria, computed tomography or magnetic resonance imaging scans, and, when appropriate, a shunt series. In these remaining patients, flow was initially confirmed in only 40%. After some filtering of the data, this was increased to 51%. Although these results are disappointing, they outline the current issues with the technique and the state of its utility and point to the need for further refinement. CONCLUSION: Our current research suggests that cerebrospinal fluid flow as detected by thermoconvection analysis is not a reliable indicator of shunt function in the pediatric population.

scholarly journals A difficult case of Hodgkin Lymphoma with differential diagnosis of tuberculosis and sarcoidosis

2015 ◽  
Vol 7 (2) ◽  
Author(s):  
Nilüfer Göknar ◽  
Erkan Çakır ◽  
Fatma Betül Çakır ◽  
Ozgur Kasapcopur ◽  
Gulcin Yegen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Lymph Node ◽  
Clinical Symptoms ◽  
Lymph Node Biopsy ◽  
Mediastinal Lymphadenopathy ◽  
Diagnostic Process ◽  
Difficult Case ◽  
X Rays ◽  
Laboratory Findings ◽  
Positron Emission

We report here the case of a 14-year-old boy with history of fever, weight loss, and mediastinal lymphadenopathy. The clinical symptoms and laboratory findings mimicking tuberculosis and sarcoidosis complicated the diagnostic process. He was diagnosed with Hodgkin’s lymphoma after several X-rays, computed tomography, positron emission tomography-computed tomography, laboratory tests and three lymph node biopsy. Clinicians should be alerted on new lesions and symptoms in high risk patients and should repeat diagnostic tests and lymph node biopsies as indicated.

scholarly journals Comparative Evaluation of Ultrasonography and Computed Tomography in Pancreatic Lesions

2016 ◽  
Vol 17 (2) ◽  
pp. 66-78
Author(s):  
Samita Gupta ◽  
Amit Mittal ◽  
Raj Kumar Arion ◽  
Rikki Singal
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Comparative Evaluation ◽  
Laboratory Tests ◽  
Needle Aspiration ◽  
Aspiration Cytology ◽  
Inflammatory Lesions ◽  
Needle Aspiration Cytology ◽  
Made In

Background: Aims and Objectives - 1) to do a comparative evaluation of ultrasonography and computed tomography in pancreatic lesions and assess their role as a useful diagnostic tool. 2) To correlate the USG and CT findings with fine needle aspiration cytology (FNAC)/ histopathological findings/ laboratory tests / therapeutic follow up wherever performed,Material and Methods: The present study was carried out in the Department of Radio-diagnosis, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala. Thirty patients presenting with signs and symptoms of suspected pancreatic lesions referred from various wards and outpatient departments were included in the study.Results: On USG, inflammatory lesions were diagnosed in 15 cases (50%), and on CT scan, the diagnosis was made in 18 patients (60%). Combining the USG & CT findings of inflammatory lesions, the provisional radiological diagnosis of focal pancreatitis was made in 1 case but it was proven to be adenocarcinoma on FNAC. Provisional diagnosis of adenocarcinoma was made in 8 cases, lymphoma in 2 cases, macrocystic adenoma in 1 case and cystadenocarcinoma in 1 case on both USG and CT scan. However on FNAC, adenocarcinoma was proved in 10 patients, lymphoma was found in one case. Thus the provisional radiological diagnosis was correct in 28 patients (93.7%).Conclusion: Sonography detected pancreatic pathology in 27 cases (90%) but CT scan detected pancreatic lesions in all the 30 patients (100%). Present study had been undertaken to do a comparative evaluation of ultrasonography and computed tomography in pancreatic lesions and correlated the findings with fine needle aspiration cytology (FNAC) / HPE / laboratory tests / therapeutic follow up wherever performed. A need thus exists for multiple studies to produce significant in – road towards the appropriate imaging diagnosis of pancreatic pathologies as despite the rapid advances in imaging techniques, the overall impact of these modalities on the management and outcome of patients is still debatableJ MEDICINE July 2016; 17 (2) : 66-78

Pitfalls in the follow-up of cervical and mediastinal goitres: role of CT imaging

1992 ◽  
Vol 106 (1) ◽  
pp. 65-70 ◽  
Author(s):  
Ohad Cohen ◽  
Pearl Herskovitz ◽  
Bella Shindell ◽  
Sara Leiba ◽  
Herzlia Hadar
Keyword(s):  
Computed Tomography ◽  
Thyroid Gland ◽  
Ct Imaging ◽  
X Rays ◽  
Routine Investigation ◽  
Urgent Surgery ◽  
Pros And Cons ◽  
Diagnostic Modalities

AbstractFour patients with cervical and mediastinal goitres were described. Routine investigation in these patients, including chest X-rays, oesophageal and tracheal X-rays and scintigraphy of the thyroid gland, failed to show significant changes over the years, or underestimated the true extent of the goitres. Three of the goitres caused severe mediastinal compression, evident only on computed tomography (CT) imaging, and requiring urgent surgery. The pros and cons of different diagnostic modalities for imaging cervical and mediastinal gotires are discussed, stressing the importance of CT imaging as exemplified in the cases presented.

Sign in / Sign up

Export Citation Format

Share Document