scholarly journals Fulminant amoebic colitis in the era of computed tomography scan: A case report and review of the literature

2018 ◽  
Vol 22 (1) ◽  
Author(s):  
Suman Mewa Kinoo ◽  
Vikesh V. Ramkelawon ◽  
Jaynund Maharajh ◽  
Bugwan Singh
Keyword(s):  
Computed Tomography ◽  
Bowel Wall ◽  
Abdominal Distension ◽  
Review Of The Literature ◽  
Computed Tomography Scan ◽  
Fulminant Colitis ◽  
Bowel Necrosis ◽  
Amoebic Colitis ◽  
History Of ◽  
Tomography Scan

Amoebic colitis, caused by ingestion of water or food contaminated with the protozoan Entamoeba histolytica, can progress to a fulminant colitis. Computed tomography (CT) findings reported in the literature on this type of colitis are sparse. We present a 59-year-old male patient with a one-week history of progressive abdominal pain, abdominal distension and associated watery and bloody diarrhoea. A CT scan revealed deep ulcerations with submucosal and intramural tracking of contrast. Colonoscopy and biopsy confirmed a diagnosis of Amoebic colitis. The patient required a laparotomy and demised. Deep ulcerations with submucosal and intramural tracking of contrast on CT are diagnostic of fulminant amoebic colitis. Although not demonstrated at CT in this case, discontinuous bowel necrosis, omental wrapping (seen at laparotomy in our case) and neovascularisation of the bowel wall may be other features to look out for.

scholarly journals Non-Hodgkin’s Lymphoma Presenting as Isolated Peritoneal Lymphomatosis: A Case Report and Literature Review

2021 ◽  
Vol 11 ◽  
Author(s):  
Min Zhu ◽  
Zhixuan Wu ◽  
Zhaoxia Yang ◽  
Bo Ning ◽  
Shengjie Yu ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Peritoneal Carcinomatosis ◽  
Poor Prognosis ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Abdominal Distension ◽  
Review Of The Literature ◽  
Computed Tomography Scan ◽  
The Right ◽  
Tomography Scan

Peritoneal lymphomatosis is extremely rare and associated with poor prognosis. Most practitioners only pay more attention to peritoneal carcinomatosis. However, peritoneal lymphomatosis can be neglected and misdiagnosed. We report a teenager with 10 days of abdominal distension and pain accompanied by computed tomography scan suggesting diffuse thickening of the peritoneum and omentum and abdominopelvic effusion. Tuberculous peritonitis and peritoneal carcinomatosis were initially suspected. However, it was finally confirmed as non-Hodgkin’s B-cell lymphoma by omentum biopsies. He achieved complete remission after chemotherapy and autologous stem cell transplantation. But unfortunately, he suffered a relapse and died 10 months after diagnosis. Following a review of the literature, it can be concluded that the discovery of lymphomatosis in peritoneum is a rare finding. Lymphoma should be considered in the differential diagnosis of unexplained peritoneal thickening on computed tomography, and this case emphasizes the importance of early pathological diagnosis to make sure that the right treatment can be started opportunely.

scholarly journals Are RNA-Based Tests Sufficient for COVID-19 Diagnosis? An Inspiration of Three Asymptomatic Cases

2021 ◽  
Vol 30 ◽  
pp. 096368972098545
Author(s):  
Tao Hu ◽  
Xiao Liu ◽  
Qinan Yin ◽  
Xingting Duan ◽  
Li Yan
Keyword(s):  
Computed Tomography ◽  
Nucleic Acid ◽  
Virus Infection ◽  
Severe Acute Respiratory Syndrome ◽  
The Other ◽  
Computed Tomography Scan ◽  
Health Authorities ◽  
History Of ◽  
Tomography Scan ◽  
Nucleic Acid Tests

In this work, we discovered a new phenomenon—asymptomatic COVID-19 infection, or covert case, during the pandemic. All the 3 patients had a history of exposure, with no symptoms, and no abnormalities were found in computed tomography scan or lab tests. Except for case 2, the other patients’ severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) nucleic acid tests were negative. But their anti-SARS-COV-2 nucleocapsid antibody showed a dynamic trend, consistent with the process of virus infection and clearance. A growing number of asymptomatic or covert cases need more attention. Lack of surveillance may lead to another outbreak. We hope to demonstrate our cases to attract the attention of governments or health authorities that covert cases should be the focus as well.

scholarly journals A successfully treated primary tracheal synovial sarcoma

2020 ◽  
pp. 201010582094853
Author(s):  
Mohamed Faisal Abdul Hamid ◽  
Sopian Wahab ◽  
Nik Nuratiqah Nik Abeed ◽  
Ng Boon Hau ◽  
Andrea Ban Yu-Lin
Keyword(s):  
Computed Tomography ◽  
Airway Obstruction ◽  
Synovial Sarcoma ◽  
Successful Treatment ◽  
Initial Evaluation ◽  
Computed Tomography Scan ◽  
History Of ◽  
Rare Malignancy ◽  
Tomography Scan

Primary tracheal synovial sarcoma is a rare malignancy and is usually found incidentally. Tumours can present with cough, dyspnoea, stridor and intermittent haemoptysis. The diagnosis is challenging because it is rare, and the symptoms may mimic other diseases of airway obstruction. A previously well 53-year-old man presented with an eight-month history of cough. He had a history of minimal haemoptysis a few months prior to presentation. Spirometry showed an obstructive pattern, and a computed tomography scan of the thorax revealed an intraluminal tracheal mass. This case highlights that a thorough initial evaluation, including spirometry, leads to an earlier diagnosis and successful treatment of this rare sarcoma.

scholarly journals Volumetric analysis of the initial index computed tomography scan can predict the natural history of acute uncomplicated type B dissections

2015 ◽  
Vol 62 (4) ◽  
pp. 893-899 ◽  
Author(s):  
Kedar S. Lavingia ◽  
Sebastion Larion ◽  
Sadaf S. Ahanchi ◽  
Chad P. Ammar ◽  
Mohit Bhasin ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Natural History ◽  
Volumetric Analysis ◽  
Type B ◽  
Computed Tomography Scan ◽  
History Of ◽  
Tomography Scan

Laryngolith

2009 ◽  
Vol 123 (2) ◽  
Author(s):  
A H Hegab
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Interesting Case ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Computed Tomography Scan ◽  
Unique Case ◽  
The Past ◽  
Tomography Scan ◽  
Biochemical Examination

AbstractObjective:To report an extremely rare and interesting case of a woman who developed a laryngeal stone.Case report:A 44-year-old woman was referred to our ENT clinic complaining of dyspnoea and stridor. She had been treated for chest problems for approximately 30 years. On examination, she had a large, spiky, subglottic lesion compromising the airway. A laryngeal computed tomography scan and histopathological and biochemical examination showed the lesion to be a calcium phosphate stone. Review of the literature from the past 50 years, using several search engines, revealed no similar cases.Conclusion:To the author's knowledge, this is a unique case of a stone that developed in the subglottis. This rare entity was the cause of long-standing chest problems unresponsive to medical treatment. The patient recovered completely from all her symptoms after removal of the laryngolith.

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 Appendiceal diverticulitis presenting as acute appendicitis diagnosed postoperatively

2019 ◽  
Vol 2019 (12) ◽  
Author(s):  
Majid Z Albeeshi ◽  
Abdullah A Alwanyan ◽  
Alaa A Salim ◽  
Ibrahim T Albabtain
Keyword(s):  
Computed Tomography ◽  
Acute Appendicitis ◽  
Diverticular Disease ◽  
Laparoscopic Appendectomy ◽  
Rare Entity ◽  
Computed Tomography Scan ◽  
History Of ◽  
Appendiceal Diverticulitis ◽  
Tomography Scan

Abstract Appendiceal diverticular disease is a rare entity. We report a case of appendiceal diverticulitis mimicking acute appendicitis and diagnosed postoperatively on histopathology. A 28-year-old female presented with a 2-day history of shifting periumbilical pain associated with nausea and anorexia. A computed tomography scan of the abdomen demonstrated acute appendicitis. She was taken to laparoscopic appendectomy. Histopathology showed appendiceal diverticulitis, and perforation of an inflamed diverticulum with periappendicitis. Diverticulosis of the appendix is classified as congenital and acquired. Diagnosis can be made preoperatively by imaging. In this case, diverticulosis was not radiologically evident, and was interpreted as acute appendicitis. Gross appearance of the resected appendix was not suggestive of diverticulitis. Other cases reported that the gross specimen had evidence of diverticular disease. Surgeons should be aware that inflamed appendixes may harbor different pathologies warranting further management.

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