scholarly journals A Rare Case of Chronic Ectopic Pregnancy Presenting as Large Hematosalpinx

2014 ◽  
Vol 8 ◽  
pp. CMRH.S13110 ◽  
Author(s):  
Madhavi Nacharaju ◽  
Venkata Sujatha Vellanki ◽  
Sarath Babu Gillellamudi ◽  
Vamsi Krishna Kotha ◽  
Abhinaya Alluri
Keyword(s):  
Ectopic Pregnancy ◽  
Unusual Case ◽  
Adnexal Mass ◽  
Subsequent Development ◽  
Resonance Imaging ◽  
Diagnostic Dilemma ◽  
Menstrual Cycles ◽  
South Indian ◽  
Wide Range ◽  
Magnetic Resonance Imaging Mri

Ectopic pregnancy is defined as implantation and subsequent development of an embryo outside the uterine lining. It has wide range of presentation from acute hemoperitoneum to chronic ectopic pregnancy. This is an unusual case of chronic ectopic pregnancy with large hematosalpinx without classical symptoms. A 22-year-old South Indian woman reported to the outpatient clinic with irregular spotting for a duration of 2 months which was not associated with pain. There was no preceding amenorrhea and previous menstrual cycles were regular. Clinically, the patient was hemodynamically stable but severely anemic. The abdomen was soft on palpation, cervical movements were not tender, and human chorionic gonadotropin was absent in the urine. Ultrasound revealed a complex adnexal mass. Magnetic resonance imaging (MRI) revealed a large hematosalpinx. Laparoscopic left salpingectomy was conducted and histopathology confirmed ectopic pregnancy. Ectopic pregnancy presents diagnostic dilemmas in the absence of classical symptoms. MRI and laparoscopy are important tools in such a diagnostic dilemma.

scholarly journals The Largest Tubal Pregnancy: 14th Week

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Amr Elmoheen ◽  
Waleed Salem ◽  
Mahmoud Eltawagny ◽  
Rehab Elmoheen ◽  
Khalid Bashir
Keyword(s):  
Ectopic Pregnancy ◽  
Inflammatory Diseases ◽  
Lower Abdominal Pain ◽  
Subsequent Development ◽  
Tubal Pregnancy ◽  
Free Fluid ◽  
Pathology Report ◽  
Point Of Care Ultrasound ◽  
Wide Range ◽  
Gestational Sac

Subsequent development and implantation of embryo outside the uterine lining are defined as an ectopic pregnancy. Ectopic pregnancies have a wide range of presentations, for example, acute hemoperitoneum to chronic ectopic pregnancy. The case presented is an unusual case of ectopic pregnancy with large hematosalpinx with classic symptoms. To the best of the authors’ knowledge, this case is the largest intact tubal ectopic pregnancy reported ever in the 14th week of gestation. A 40-year-old patient presented to the emergency department with lower abdominal pain, mild dysuria, and loose motion. The patient’s previous menstrual cycles were regular till four months ago, then started to be irregular, and she had no history of chronic diseases except repeated pelvic inflammatory diseases (PID). Clinically, the patient was hemodynamically stable. On palpation, the abdomen was tender, and cervical movements were not tender. BHCG in the blood came very high. The bedside point-of-care ultrasound (POCUS) showed free fluid in the abdomen and a sac in the left adnexa with a living fetus (visible heartbeats). The conventional ultrasound showed 14 weeks of an extrauterine gestational sac with visible early pregnancy. Differential diagnosis was either an abdominal pregnancy versus a complicated tubal pregnancy. The surgical pathology report confirmed the diagnosis of ectopic tubal pregnancy as the tube was dilated in the middle portion containing chorionic villi, decidual reaction, and the whole gestational sac consistent with the ectopic tubal pregnancy. The patient had a successful laparotomy with salpingectomy and hemostasis and did well after the operation. So, an intact ectopic tubal pregnancy may last until the 14th week of gestation.

Sudden hearing loss in intralabyrinthine haemorrhage in a child

2004 ◽  
Vol 118 (6) ◽  
pp. 450-452 ◽  
Author(s):  
Chul Ho Jang ◽  
Young Ho Kim
Keyword(s):  
Magnetic Resonance Imaging ◽  
Hearing Loss ◽  
Unusual Case ◽  
Previous History ◽  
Sudden Hearing Loss ◽  
Sudden Sensorineural Hearing Loss ◽  
Bleeding Disorders ◽  
Resonance Imaging ◽  
History Of ◽  
Magnetic Resonance Imaging Mri

This paper reports an unusual case in which aseptic meningitis presented with sudden sensorineural hearing loss (SSNHL) associated with intralabyrinthine haemorrhage (ILH). A seven-year-old girl presented with sudden right-sided hearing loss with dizziness. She did not have a previous history of bleeding disorders. This child was assessed using audiograms and magnetic resonance imaging (MRI). The patient's hearing loss was irreversible. Steroid therapy was not effective. SSNHL associated with ILH can be one of the negative prognostic factors in children.

scholarly journals An unusual case of unilateral limb hypertrophy: Lipoma of sacral roots

2012 ◽  
Vol 03 (01) ◽  
pp. 89-92 ◽  
Author(s):  
Archana B Netto ◽  
Sanjib Sinha ◽  
Arun B Taly ◽  
Chandrajit Prasad ◽  
A Mahadevan ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Unusual Case ◽  
Tethered Cord ◽  
Leg Pain ◽  
Lumbosacral Spine ◽  
Resonance Imaging ◽  
Chronic Denervation ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Progressive Enlargement

ABSTRACTWe report an unusual case of unilateral limb pseudo hypertrophy in a 21-year-old lady who developed progressive enlargement of the right calf followed by thigh in association with chronic leg pain. Magnetic resonance imaging (MRI) of the affected limb confirmed enlargement of various muscles. Electromyography revealed neurogenic features consistent with S1 radiculopathy. MRI of the lumbosacral spine showed tethered cord with a lipoma infiltrating multiple sacral roots. Our case illustrates that muscular pseudo hypertrophy may follow chronic denervation as a consequence of spinal neural compressive disease. The various mechanisms postulated for this distinct condition are outlined.

Infiltration into soils, with particular reference to its visualization and measurement by magnetic resonance imaging (MRI)

1998 ◽  
Vol 22 (2) ◽  
pp. 135-165 ◽  
Author(s):  
M. H.G. Amin ◽  
L. D. Hall ◽  
R. J. Chorley ◽  
K. S. Richards
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Temporal Distribution ◽  
Water Infiltration ◽  
Spatial And Temporal Distribution ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Macropore Flow ◽  
Wide Range ◽  
Magnetic Resonance Imaging Mri

This article draws attention to the potential of magnetic resonance imaging (MRI) for studies of patterns and mechanisms of water infiltration into soils, and stresses the vitally important need for collaboration between hydrologists, soil physicists and MRI experts. A brief introduction of the principles of MRI is given. This is followed by a review of the literature relating to nonpreferential infiltration, preferential infiltration exhibiting fingering and preferential infiltration involving a wide range of macropore flow. These differing degrees of complexity of infiltration dynamics require the employment of noninvasive and nondestructive techniques for their detailed investigation. Finally, an overview of applications of MRI to the detection of the spatial and temporal distribution of soil moisture and its changes is given. General conclusions are drawn from previous and current research, and the potential of the application of MRI to infiltration studies is summarized.

scholarly journals Craniosynostosis: prenatal diagnosis by 2D/3D ultrasound, magnetic resonance imaging and computed tomography.

2016 ◽  
Vol 18 (3) ◽  
pp. 378 ◽  
Author(s):  
Talita Micheletti Helfer ◽  
Alberto Borges Peixoto ◽  
Gabriele Tonni ◽  
Edward Araujo Júnior
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Prenatal Diagnosis ◽  
Magnetic Resonance ◽  
Three Dimensional ◽  
3D Ultrasound ◽  
Resonance Imaging ◽  
Perinatal Complications ◽  
Wide Range ◽  
Magnetic Resonance Imaging Mri

Craniosynostosis is defined as the process of premature fusion of one or more of the cranial sutures.  It is a common condition that occurs in about 1 to 2,000 live births. Craniosynostosis may be classified in primary or secondary. It is also classified as nonsyndromic or syndromic. According to suture commitment, craniosynostosis may affect a single suture or multiple sutures. There is a wide range of syndromes involving craniosynostosis and the most common are Apert, Pffeifer, Crouzon, Shaethre-Chotzen and Muenke syndromes. The underlying etiology of nonsyndromic craniosynostosis is unknown. Mutations in the fibroblast growth factor (FGF) signalling pathway play a crucial role in the etiology of craniosynostosis syndromes. Prenatal ultrasound`s detection rate of craniosynostosis is low. Nowadays, different methods can be applied for prenatal diagnosis of craniosynostosis, such as two-dimensional (2D) and three-dimensional (3D) ultrasound, magnetic resonance imaging (MRI), computed tomography (CT) scan and, finally, molecular diagnosis. The presence of craniosynostosis may affect the birthing process. Fetuses with craniosynostosis also have higher rates of perinatal complications. In order to avoid the risks of untreated craniosynostosis, children are usually treated surgically soon after postnatal diagnosis.

scholarly journals Uterine Rupture of a Patient With Rudimentary Horn Pregnancy at 26th Gestational Weeks Diagnosed via Magnetic Resonance Imaging: a Case Report

2022 ◽  
Author(s):  
SEVCAN SARIKAYA ◽  
MUHSİN NUH AYBAY
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Ectopic Pregnancy ◽  
Sudden Onset ◽  
Free Fluid ◽  
Cervical Canal ◽  
Resonance Imaging ◽  
Rudimentary Horn ◽  
Abdominal Magnetic Resonance Imaging ◽  
Magnetic Resonance Imaging Mri

Abstract Objective: Pregnancy of Rudimentary Horn is a type of ectopic pregnancy, that is recognized almost always during surgical treatment of a rupture of the rudimentary horn. This is an obstetric case diagnosed preoperatively by magnetic resonance imaging (MRI).Case: We report the case of a 19-years-old primigravida patient with rupture of rudimentary horn in 26th gestational week. The patient presented with sudden onset severe abdominal pain in the emergency room. Intraabdominal free fluid is detected. To evaluate the etiology of free fluid and location of the gestational sac, an abdominal magnetic resonance imaging (MRI) scan was planned. The decision of emergent laparotomy is made because of sonographic detection of abdominal excessive -concentrated- free fluid, abdominal tenderness, and 2 points decrease of hemoglobin value in the control hemogram. A rudimentary horn pregnancy and fundal rupture of the rudimentary part of the uterus are diagnosed during the surgical procedure. A baby -live- weighing 450 grams was delivered. The ruptured rudimentary horn and same-sided tuba uterina were surgically removed.Conclusion: Rudimentary horn pregnancy is a rare ectopic pregnancy. Diagnosis is difficult clinically, even with diagnostic imaging modalities. Identifying both cornuas systematically in all patients increases the detection rate. The absence of continuity between the gestational sac’s lumen and the cervical canal on imaging is an important finding. Due to the serious maternal and fetal complications, its detection at an early week may be life-saving.

scholarly journals Magnetic resonance imaging as a surrogate outcome for multiple sclerosis relapses

2008 ◽  
Vol 14 (6) ◽  
pp. 770-778 ◽  
Author(s):  
J Petkau ◽  
SC Reingold ◽  
U Held ◽  
GR Cutter ◽  
TR Fleming ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Multiple Sclerosis ◽  
Magnetic Resonance ◽  
Clinical Outcomes ◽  
Surrogate Marker ◽  
Biological Marker ◽  
Resonance Imaging ◽  
Surrogate Outcome ◽  
Wide Range ◽  
Magnetic Resonance Imaging Mri

Background Magnetic resonance imaging (MRI) of lesions in the brain may be the best current candidate for a surrogate biological marker of clinical outcomes in relapsing remitting multiple sclerosis (MS), based on its role as an objective indicator of disease pathology. No biological surrogate marker has yet been validated for MS clinical outcomes. Objective The objective of this study was to use a multi-phased study to determine if a valid surrogate relationship could be demonstrated between counts of contrast enhancing lesions (CELs) and occurrence of relapses in MS. Methods We examined correlations for the concurrent and predictive relationship between CELs over 6 months and MS relapses over the same 6 months and an additional 6 months (total: 12 months), using available data on untreated patients from a large clinical trial and natural history database. Results Concurrent and predictive correlations were inadequate to justify continuation of this study to the planned additional phases required to demonstrate a surrogate relationship between CELs and MS relapses. Conclusions Confidence intervals for correlations between CELs and MS relapses exclude the possibility that CELs can be a good surrogate for relapses over the time scales we investigated. Further exploration of surrogacy between MRI measures and MS clinical outcomes may require improved datasets, the development of MRI techniques that couple better to clinical disease, and the ability to test a wide range of imaging- and clinically-based hypotheses for surrogacy.

scholarly journals Unusual Sclerosing Orbital Pseudotumor Infiltrating Orbits and Maxillofacial Regions

2014 ◽  
Vol 4 ◽  
pp. 30 ◽  
Author(s):  
Huseyin Toprak ◽  
Ayşe Aralaşmak ◽  
Temel Fatih Yılmaz ◽  
Huseyin Ozdemir
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Unusual Case ◽  
Differential Diagnoses ◽  
Inflammatory Condition ◽  
Resonance Imaging ◽  
Orbital Pseudotumor ◽  
Orbital Involvement ◽  
Mri Features ◽  
Magnetic Resonance Imaging Mri

Idiopathic orbital pseudotumor (IOP) is a benign inflammatory condition of the orbit without identifiable local or systemic causes. Bilateral massive orbital involvement and extraorbital extension of the IOP is very rare. We present an unusual case of IOP with bilateral massive orbital infiltration extending into maxillofacial regions and discuss its distinctive magnetic resonance imaging (MRI) features that help to exclude other entities during differential diagnoses.

Magnetic Resonance Imaging in the Diagnosis of Localized Pigmented Villonodular Synovitis of the Ankle: A Case Report

1994 ◽  
Vol 15 (2) ◽  
pp. 84-89 ◽  
Author(s):  
Gregory A. Konrath ◽  
Louis Z. Shifrin ◽  
Kevin Nahigian
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Unusual Case ◽  
Pigmented Villonodular Synovitis ◽  
Cartilage Destruction ◽  
Villonodular Synovitis ◽  
Resonance Imaging ◽  
Magnetic Resonance Imaging Mri ◽  
Localized Pigmented Villonodular Synovitis ◽  
Pigmented Villonodular

The use of magnetic resonance imaging (MRI) in pigmented villonodular synovitis (PVS) has been well described in the literature. MRI has been used predominantly with diffuse PVS lesions. We recently had a patient with an unusual case of localized PVS of the ankle with bone and cartilage destruction. Preoperative MRI was useful in the diagnosis of localized PVS and in the planning for surgery. MRI in a patient with this lesion had not been documented previously, but should be considered whenever PVS, either diffuse or localized PVS, is suspected.

Primary brain stem tethering: a rare cause of geniculate neuralgia

1999 ◽  
Vol 113 (10) ◽  
pp. 945-947 ◽  
Author(s):  
Geert G. Buyse ◽  
Jo Caekebeke ◽  
Philippe Demaerel ◽  
Chris Plets
Keyword(s):  
Brain Stem ◽  
Unusual Case ◽  
Cranial Nerves ◽  
Resonance Imaging ◽  
Considerable Decrease ◽  
Magnetic Resonance Imaging Mri ◽  
Fitting In ◽  
Lower Cranial Nerves ◽  
The Brain ◽  
Subcutaneous Lipoma

AbstractThis rare case of brain stem tethering presented with chronic and progressive geniculate neuralgia. In view of the fact that an occipital subcutaneous lipoma had been resected in childhood, it probably concerned a primary tethering, fitting in with an occult occipital dysraphism.Magnetic resonance imaging (MRI) clearly demonstrated an underlying tethering, causing a distortion of the brain stem. Consequently, this led to the hypothesis that the geniculate neuralgia could be explained by traction on the lower cranial nerves secondary to the brain stem displacement. Untethering resulted in a considerable decrease of the neuralgia.MRI proved to be essential in the diagnosis and treatment of this unusual case.

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