scholarly journals Different Clinical Presentation of Appendicolithiasis. The Report of Three Cases and Review of the Literature

2011 ◽  
Vol 4 ◽  
pp. CPath.S6757 ◽  
Author(s):  
Bulent Kaya ◽  
Cengiz Eris
Keyword(s):  
Computed Tomography ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Perforated Appendicitis ◽  
Clinical Findings ◽  
Complicated Appendicitis ◽  
The Other ◽  
Mineral Deposits ◽  
Review Of The Literature ◽  
Abdominal Computed Tomography

An appendicolith is composed of firm feces and some mineral deposits. After increased use of abdominal computed tomography, appendicoliths are more frequently detected. Most of the patients with appendicolith are asymptomatic. However, an appendicolith may be associated with complicated appendicitis with serious outcomes. We reported three patients who exhibited different clinical symptoms due to appendicolithiasis. While one of the patients was confused with urolithiasis, the other two patients presented with phlegmenous and perforated appendicitis. We submit that appendicoliths may present different clinical findings and can mimic several pathologies including urinary disorders.

Jugular Bulb Diverticula: Clinical and Radiologic Aspects

2003 ◽  
Vol 128 (3) ◽  
pp. 382-386 ◽  
Author(s):  
Cem Bilgen ◽  
Tayfun Kirazli ◽  
Fatih Ogut ◽  
Secil Totan
Keyword(s):  
High Resolution ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Jugular Bulb ◽  
Clinical Findings ◽  
The Other ◽  
Reference Line ◽  
Ct Scans ◽  
Number Of Patients ◽  
Axial Ct

OBJECTIVE: This study was performed to determine the clinical presentation of jugular diverticulum and its relevance with the extension of the lesion. STUDY DESIGN: The records and high-resolution CT scans of 1474 patients, with otologic symptoms or related clinical findings, were evaluated retrospectively. In 17 cases in which CT scans revealed the presence of jugular diverticulum, sensorineural symptoms were evaluated with respect to a reference line, perpendicular to the basal turn of the cochlea and tangent to the vestibule in axial CT scan images. RESULTS: When the extension of jugular diverticulum was posterior to the reference line, sensorineural symptoms with vertigo were dominant in most patients (72.7%) in this group. On the other hand, for the patients with anterior-extending jugular diverticulum, sensorineural symptoms without vertigo were detected in 50% of patients, whereas 33.3% had sensorineural symptoms with vertigo. CONCLUSION: This study revealed a relationship between the extension of jugular diverticulum and clinical symptoms. However, this relationship lacks statistical evidence because of the limited number of patients.

Abdominal Computed Tomography in the Evaluation of Acute and Perforated Appendicitis in the Community Setting

2007 ◽  
Vol 73 (10) ◽  
pp. 1002-1005 ◽  
Author(s):  
D.O. Vu Huynh ◽  
Fariborz Lalezarzadeh ◽  
Shokry Lawandy ◽  
David T. Wong ◽  
Victor C. Joe
Keyword(s):  
Computed Tomography ◽  
Acute Appendicitis ◽  
Predictive Value ◽  
Perforated Appendicitis ◽  
Community Setting ◽  
Diagnostic Value ◽  
Academic Community ◽  
Negative Appendectomy ◽  
Community Based ◽  
Abdominal Computed Tomography

Several studies report sensitivity and specificity of abdominal computed tomography scans (CT) for the evaluation of acute appendicitis as high as 98 per cent. Despite increased utilization of CT, the rate of negative appendectomy has remained constant at 10 to 20 per cent. The objective of this study was to assess the effectiveness of CT in the evaluation of acute and perforated appendicitis in an academic community-based setting. A retrospective review of 550 patient charts with International Classification of Diseases-9 (ICD-9) codes for acute and perforated appendicitis from January 2002 to October 2005 was performed. Sensitivity of CT was 87 per cent with a positive predictive value of 92 per cent. Specificity was 42 per cent with a negative predictive value of 29 per cent. Negative appendectomy rates were similar with or without CT (11% vs 13%, respectively). Our data suggests that CT used liberally in everyday practice in a community-based setting to evaluate acute appendicitis may not have as strong of a diagnostic value as those used in protocol-driven research studies. Further prospective studies are needed to formulate criteria to better delineate the role of CT in the evaluation of acute appendicitis.

scholarly journals Clinical versus computed tomography evaluation in the diagnosis and management of deep neck infection

2004 ◽  
Vol 122 (6) ◽  
pp. 259-263 ◽  
Author(s):  
Agricio Nubiato Crespo ◽  
Carlos Takahiro Chone ◽  
Adriano Santana Fonseca ◽  
Maria Carolina Montenegro ◽  
Rodrigo Pereira ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Clinical Evaluation ◽  
Clinical Symptoms ◽  
Clinical Signs ◽  
Clinical Findings ◽  
Deep Neck Infection ◽  
Disease Extent ◽  
Neck Infection ◽  
Increased Temperature ◽  
Deep Neck Infections

CONTEXT: Deep neck infections have high potential for severe complications and even death, if not properly managed. The difference between clinical and computed tomography findings may demonstrate that clinical evaluation alone underestimates disease extent, which may lead to conservative treatment with worse prognosis. OBJECTIVE: To compare clinical and computed tomography findings from neck spaces affected by deep neck infections and to determine the main clinical and radiological features associated with these. TYPE OF STUDY: Non-randomized retrospective study. SETTING: Department of Otolaryngology and Head and Neck, Universidade Estadual de Campinas. METHODS: Medical charts of 65 patients with deep neck infections were evaluated. Age, gender, clinical complaints, physical findings, computed tomography scan and x-ray imaging, microbiology, treatment and outcome were analyzed. All clinical signs and symptoms were evaluated and stratified in order of frequency. The frequency of neck space involvement in such infections was also assessed from the clinical and tomographic evaluation. All clinical and computed tomography findings were compared with surgical observation. RESULTS: The most frequent clinical findings were neck swelling, local pain, erythema and locally increased temperature. Physical evaluation showed that the most affected site was the submandibular triangle (49.2% of cases). However, computed tomography showed this to be the lateropharyngeal space (65% of cases) and that more than one deep cervical space was compromised in 90% of cases, as demonstrated by the extent of swelling and increased contrast signs in soft tissue. DISCUSSION: The most frequent clinical symptoms of deep cervical infections were cervical pain, increased cervical volume and fever. The important signs seen via computed tomography were increased contrast in soft neck tissues and swelling. Such examination is the most important method for correct evaluation of cervical spaces involved in infection, and thus for correct surgical drainage. CONCLUSIONS: The most frequent clinical findings were cervical mass, neck pain, local erythema and locally increased temperature. Computed tomography demonstrated that the lateropharyngeal space was the most affected neck space. More than one deep neck space was compromised in 90% of cases. Clinical evaluation underestimated the extent of deep neck infection in 70% of patients.

scholarly journals Eosinophilic gastroenteritis: a case report and review of the literature

2012 ◽  
Author(s):  
Paolo Biagi ◽  
Luigi Abate ◽  
Carmine Mellone ◽  
Stefania Salvadori ◽  
Andrea Peccetti ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Eosinophilic Gastroenteritis ◽  
Unknown Etiology ◽  
Peripheral Eosinophilia ◽  
Review Of The Literature ◽  
Radiological Findings ◽  
Complex Disorder ◽  
Colonic Involvement ◽  
Histologic Pattern

BackgroundEosinophilic gastroenteritis (EoG) is a rare disease of unknown etiology characterized by patchy or diffuse eosinophilic infiltration of the gastrointestinal tract wall. As clinical presentation and endoscopic/ radiological findings are nonspecific, diagnosis may only be ascertained by histologic findings.Clinical case This article presents a case of EoG with associated colonic involvement but without peripheral eosinophilia. Although no allergy could be demonstrated, the clinical symptoms and histologic pattern of diffuse eosinophilic mucosal infiltration disappeared after steroid therapy, as discovered by a careful endoscopic follow-up.Discussion Current concepts of this complex disorder and a review of the literature are presented.

Favorable Conservative Management of a Rare Primary Aortitis Secondary to Listeria Monocytogenes: Case Report and Review of the Literature

2021 ◽  
pp. 153857442110040
Author(s):  
Luis H. Arzola ◽  
Javier E. Anaya-Ayala ◽  
Gabriel Lopez-Pena ◽  
Lizeth Luna ◽  
Christopher Ruben-Castillo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Listeria Monocytogenes ◽  
Conservative Management ◽  
Rare Case ◽  
Clinical Presentation ◽  
Clinical Course ◽  
Diabetic Woman ◽  
Review Of The Literature ◽  
Thoracic Computed Tomography

Primary aortitis (PA) secondary to Listeria monocytogenes is extremely rare with only a few cases reported in the literature. Presently, there is no consensus concerning the best treatment when no complications are found in the thoracic computed tomography (CT) imaging. This report illustrates the clinical presentation and favorable clinical course of a rare case of PA secondary to Listeria monocytogenes in an 82-year-old diabetic woman, successfully treated with conservative management with 18 months of follow up. Included in this article, we additionally present a review of the literature of this uncommon etiology of infectious aortitis.

Abstract 2491: Cerebral Amyloid Angiopathy without Hemorrhagic Stroke: MRI Findings Associated with Transient Focal Symptoms

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Jenelle A Jindal ◽  
Alison M Ayres ◽  
Mahmut E Gurol ◽  
Kristin Schwab ◽  
Jonathan Rosand ◽  
...  
Keyword(s):  
Cerebral Amyloid Angiopathy ◽  
Hemorrhagic Stroke ◽  
Clinical Presentation ◽  
Clinical Symptoms ◽  
Massachusetts General Hospital ◽  
The Other ◽  
Superficial Siderosis ◽  
Amyloid Angiopathy ◽  
Neurologic Symptoms ◽  
Cerebral Amyloid

Background: The clinical presentation of cerebral amyloid angiopathy (CAA) includes not only hemorrhagic stroke, but also diverse syndromes such as transient focal neurologic symptoms, progressive cognitive dysfunction, subacute confusion, and seizures. We performed a systematic analysis of the neuroimaging features of these presentations to help elucidate their underlying pathophysiologies. Methods: We performed a retrospective review of all patients seen at Massachusetts General Hospital from 2000-2011 with 1) diagnosis of probable/definite CAA by Boston criteria, 2) clinical presentation other than hemorrhagic stroke, and 3) available MR images (including T2*-weighted, diffusion-weighted, and FLAIR). Review of clinical data for 44 subjects meeting these criteria (performed blinded to neuroimaging) yielded 3 categories of presentation: transient focal motor, sensory, or language symptoms (n=15; mean±SD age 74.4±8.1), memory/cognitive impairment over months-years (n=15; age 71.2±10.7), and subacute headache, confusion, generalized seizure, or syncope (n=14; age 73.6±9.8). Images were analyzed without knowledge of clinical symptoms for hemorrhagic lesions, acute infarcts, and regional T2-hyperintensities. Results: Superficial siderosis in cortical sulci (Panel A) was present in 10 of 15 (67%) patients presenting with transient focal symptoms versus 7 of 29 (24%) in the other subgroups (p<0.01). Most locations of superficial siderosis corresponded with the localization of the patient’s transient symptoms. Conversely, a pattern of T2-hyperintensities extending to subcortical white matter and overlying cortex (Panel B) was present in 8 of 14 (57%) patients presenting with headache, confusion, or seizure/syncope versus 3 of 30 (10%) in the other subgroups (p<0.005). Conclusions: These results suggest that the underlying trigger for CAA-related transient focal neurologic symptoms may often be superficial siderosis. They also support an association between the alternative presentation of headache, confusion, or seizure/syncope and T2-hyperintensities suggestive of the inflammatory subtype of CAA.

Yellow Nail Syndrome Presenting With a Pericardial Effusion: A Case Report and Review of the Literature

2017 ◽  
Vol 22 (2) ◽  
pp. 190-193 ◽  
Author(s):  
Laura C. Soong ◽  
Richard M. Haber
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pleural Effusion ◽  
Pericardial Effusion ◽  
Respiratory Tract ◽  
Clinical Findings ◽  
Review Of The Literature ◽  
Pleural Effusions ◽  
Yellow Nail Syndrome ◽  
Tract Involvement

Yellow nail syndrome (YNS) is a constellation of clinical findings including at least 2 of the 3 features of thickened yellow nails, respiratory tract involvement, and lymphedema. We report the case of a middle-aged man presenting with dystrophic, thickened yellow nails; an idiopathic pericardial effusion in the absence of pleural effusion(s); and unilateral apical bronchiectasis found on computed tomography of the chest. This represents a unique presentation of YNS as the first report of a patient with YNS and a pericardial effusion in the absence of pleural effusions and lymphedema and is the 11th case report of YNS with pericardial effusion.

scholarly journals Somatostatin-producing duodenal carcinoma: Clinicopathological description of a case

2013 ◽  
Vol 60 (3) ◽  
pp. 61-64
Author(s):  
Dragan Masulovic ◽  
Ruza Stevic ◽  
A. Filipovic ◽  
Marjan Micev ◽  
Aleksandar Ivanovic
Keyword(s):  
Computed Tomography ◽  
Lymph Node ◽  
Lymph Node Metastases ◽  
Clinical Symptoms ◽  
Immunohistochemical Analysis ◽  
Abdominal Computed Tomography ◽  
Endoscopic Biopsies ◽  
Duodenal Carcinoma ◽  
Node Metastases ◽  
Immunohistochemical Studies

Somatostatinomas are rare functioning neoplasms usually arising in the pancreas and duodenum. They are seldom associated with typical clinical symptoms. Their diagnosis is confirmed only by histological and immunohistochemical studies and the presence of specific hormones. Two distinct clinicopathological forms of somatostatinoma exist: duodenal and pancreatic somatostatinomas. Clinically, compared to pancreatic somatostatinomas, duodenal somatostatinomas are more often associated with nonspecific symptoms and neurofibromatosis, but less often with somatostatinoma syndrome or metastasis. We report a case of somatostatin-producing duodenal carcinoma in a 45-year-old female with neither neurofibromatosis nor somatostatinoma syndrome. Abdominal computed tomography showed a 18-mm mass in the duodenum which had given rise to multiple lymph node metastases. Although the endoscopic biopsies were free of malignancy, the patient subsequently underwent Whipple?s operation for the duodenal mass. Immunohistochemical analysis confirmed the diagnosis of somatostatin-producing carcinoma.

A Critical Review of Subclinical Hypothyroidism in Ayurveda

2017 ◽  
Vol 1 (4) ◽  
Author(s):  
Vidyadhar Balikai ◽  
S. G. Chavan ◽  
Prashanth A. S.
Keyword(s):  
Thyroid Gland ◽  
Thyroid Hormones ◽  
Subclinical Hypothyroidism ◽  
Clinical Presentation ◽  
Clinical Findings ◽  
Clinical Syndrome ◽  
The Other ◽  
Insidious Onset ◽  
Male To Female ◽  
Chronic Course

Subclinical Hypothyroidism is a clinical syndrome which result from the deficiency of Thyroid hormones. Usually, it runs a chronic course with slow and insidious onset. Sometimes it is only accidentally diagnosed. Thyroid gland abnormality where, on one hand influences body metabolism up to a great extent, on the other hand, it is found more in females with ratio of male to female being 1:6, if left untreated it can lead to severe complication. In Ayurveda there is no direct comparison regarding symptoms of Subclinical Hypothyroidism but on the basis of clinical presentation it can be correlated with different entities as syndrome, so it is difficult to give a single Ayurvedic term for it, as there are many systems which are involved in the pathogenesis of Subclinical Hypothyroidism. Hence the symptoms of Pre-clinical and post clinical findings are compared with Rasapradoshaja Vikaras.

scholarly journals Abdominal alterations in disseminated paracoccidioidomycosis: computed tomography findings

2015 ◽  
Vol 48 (2) ◽  
pp. 81-85 ◽  
Author(s):  
Marli Batista Fernandes Vermelho ◽  
Ademir Silva Correia ◽  
Tânia Cibele de Almeida Michailowsky ◽  
Elizete Kazumi Kuniyoshi Suzart ◽  
Aline Santos Ibanês ◽  
...  
Keyword(s):  
Computed Tomography ◽  
The Other ◽  
Significant Finding ◽  
Imaging Findings ◽  
Computed Tomography Imaging ◽  
Tomography Imaging ◽  
Abdominal Computed Tomography ◽  
Computed Tomography Images ◽  
Relevant Role

Objective:To evaluate the incidence and spectrum of abdominal computed tomography imaging findings in patients with paracoccidioidomycosis.Materials and Methods:Retrospective analysis of abdominal computed tomography images of 26 patients with disseminated paracoccidioidomycosis.Results:Abnormal abdominal tomographic findings were observed in 18 patients (69.2%), while no significant finding was observed in the other 8 (30.8%) patients.Conclusion:Computed tomography has demonstrated to play a relevant role in the screening and detection of abdominal abnormalities in patients with disseminated paracoccidioidomycosis.

Sign in / Sign up

Export Citation Format

Share Document