scholarly journals Self-Limited Pneumoporta in the Era of Computed Tomography: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-7
Author(s):  
Yu-Tso Liao ◽  
Hong-Shee Lai ◽  
Rey-Heng Hu ◽  
Po-Huang Lee ◽  
Cheng-Maw Ho
Keyword(s):  
Computed Tomography ◽  
Complete Resolution ◽  
Emergency Treatment ◽  
Bowel Resection ◽  
Exploratory Laparotomy ◽  
Prophylactic Therapy ◽  
Review Of The Literature ◽  
Short Term ◽  
Ischemic Bowel

Pneumoporta in patients with abdominal pain has been thought to be suggestive of fatal underlying conditions, such as mesenteric infarct, requiring emergency treatment. Widespread use of computed tomography (CT) has increased the frequency of detection of pneumoporta in patients with diseases other than mesenteric infarct. The natural course of resolution of pneumoporta has been rarely discussed in the literature and mainly focused on patients with iatrogenic diseases. Herein, we report the case of a 64-year-old woman who presented at our emergency department with positive peritoneal signs and pneumoporta. A 10 cm long segment of resolved ischemic bowel was detected on exploratory laparotomy, and bowel resection was not performed. Follow-up CT performed 62 hours later revealed complete resolution of pneumoporta. The patient was discharged uneventfully and was administered short-term prophylactic therapy with enoxaparin for thromboembolism. The epidemiology, etiology, and resolution of pneumoporta are also reviewed.

scholarly journals Meningitis due to non-steroidal anti-inflammatory drugs: an often-overlooked complication of a widely used medication

2019 ◽  
Vol 12 (11) ◽  
pp. e231619 ◽  
Author(s):  
Florian Desgranges ◽  
Nathalie Tebib ◽  
Olivier Lamy ◽  
Antonios Kritikos
Keyword(s):  
Complete Resolution ◽  
Viral Infections ◽  
Empirical Therapy ◽  
Neurological Sequela ◽  
Review Of The Literature ◽  
Acute Meningitis ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Tension Type Headaches

A 40-year-old man developed aseptic meningitis after ibuprofen consumption for tension-type headaches. After a thorough diagnostic workup and lack of improvement on empirical therapy for common aetiologies of meningitis (bacterial and viral infections), we suspected non-steroidal anti-inflammatory drug (NSAID) induced meningitis due to the temporal relationship between drug administration and symptom onset. Two days after NSAID suppression, the evolution was progressively favourable with complete resolution of fever and symptoms. On follow-up, symptoms did not recur and there was no neurological sequela. This article summarises the clinical picture and the complementary exams that led to the difficult-to-make diagnosis of NSAID-induced acute meningitis, in parallel with a brief review of the literature.

scholarly journals Idiopathic Scrotal Hematoma in Neonate: A Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Bioku Muftau Jimoh ◽  
Eziechila Bessie Chinwe ◽  
Adewumi Oluwafemi Adebisi ◽  
Igwilo Chinwe Ifeoma ◽  
Maduka Ogechi ◽  
...  
Keyword(s):  
Case Report ◽  
Complete Resolution ◽  
Testicular Torsion ◽  
Imaging Techniques ◽  
Birth Trauma ◽  
Adrenal Hemorrhage ◽  
Review Of The Literature ◽  
Good Imaging ◽  
Scrotal Hematoma

Neonatal scrotal hematoma is a rare genitourinary emergency. Some cases have underlining aetiologic factors such as testicular torsion, adrenal hemorrhage, or birth trauma, and others are idiopathic. Previously, immediate scrotal exploration was considered imperative for diagnosis and treatment. With good imaging techniques, some patients are managed nonoperatively. We report a case of idiopathic scrotal hematoma in a neonate. He was managed conservatively with clinical and radiological follow-up. There was complete resolution of hematoma within two months, thus, avoiding unnecessary exploration.

scholarly journals Pancreatic Lipoma: A Pancreatic Incidentaloma Diagnosis with Computed Tomography

2021 ◽  
Author(s):  
Amina Beddi ◽  
Aicha Merzem ◽  
Meryem Harmak ◽  
Hasna Belgadir ◽  
Omar Amriss ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Prostate Adenocarcinoma ◽  
Imaging Features ◽  
Review Of The Literature ◽  
Characteristic Features ◽  
Rare Benign Tumour ◽  
Pancreatic Incidentaloma ◽  
Ct And Mri

Lipoma of the pancreas is a rare benign tumour which is usually discovered incidentally on imaging. We present a case of an incidentally discovered pancreatic lipoma in a 79-year-old man with non-metastatic prostate adenocarcinoma who was referred to radiology for follow-up imaging. Fat-containing tumours originating from the pancreas are very rare. Most lipomas show characteristic features on imaging that allow their differentiation. We present the imaging features of a pancreatic lipoma on ultrasound, CT and MRI, discuss the differential diagnosis, and provide a brief review of the literature.

Complete Spontaneous Regression of Merkel Cell Carcinoma

2005 ◽  
Vol 114 (5) ◽  
pp. 376-380 ◽  
Author(s):  
Luis Junquera ◽  
Aintza Torre ◽  
Luis García-Consuegra ◽  
Juan C. Vicente ◽  
Manuel F. Fresno
Keyword(s):  
Computed Tomography ◽  
Cell Carcinoma ◽  
Merkel Cell Carcinoma ◽  
Spontaneous Regression ◽  
Case Reports ◽  
The Elderly ◽  
Merkel Cell ◽  
Review Of The Literature ◽  
The Right

Merkel cell carcinoma (MCC) is a very aggressive primary cutaneous neoplasm most often occurring on the head and neck of the elderly. Spontaneous regression of MCC was first described in 1986. A 79-year-old woman with MCC on the right cheek underwent spontaneous regression of the malignancy, documented by photographic follow-up, computed tomography, and histologic studies. A review of the literature is presented. Complete clinical and histologic regression of MCC was observed in the present case. Although the literature documents 11 similar cases, only 6 can be regarded as complete spontaneous regressions following exclusive performance of a biopsy (primary complete spontaneous regression). Primary complete spontaneous regression of MCC is infrequent, and most case reports describe this phenomenon in women with MCC on the cheek. The reasons underlying regression are unknown.

Intracranial Migration of Halo Fixation Pins: A Complication of Using an Extraoral Distraction Device

2001 ◽  
Vol 38 (4) ◽  
pp. 401-404 ◽  
Author(s):  
Bach T. Le ◽  
James M. Eyre ◽  
Monica C. Wehby ◽  
Michael J. Wheatley
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Distraction Osteogenesis ◽  
Review Of The Literature ◽  
Neurological Sequelae ◽  
Maxillary Hypoplasia ◽  
Distraction Device ◽  
Intravenous Antibiotics ◽  
Halo Device

Objective: Distraction osteogenesis is a well-accepted technique in the treatment of patients with hypoplastic craniofacial components. Complications of distraction osteogenesis are well described in the literature. We describe a complication of using an external distraction device in a 9-year-old girl with Pfeiffer. Intervention and Results: A modified Lefort III osteotomy was performed for maxillary hypoplasia with application of an external distraction halo device by a pediatric neurosurgeon. A postoperative computed tomography (CT) scan showed 0.5-cm skull penetration of the cranial pins. The pins were repositioned and the patient was followed up on a regular basis until discharge from the hospital. At 3-week follow-up, a CT scan of the head showed migration of the pins 1.5 cm intracranially. The halo was removed and repositioned at a different site. No detectable neurological sequelae from the pin penetration were noted. The patient developed cellulitis at the site of the penetration and was admitted to the hospital for a course of intravenous antibiotics. There were no other complications, and the rest of her treatment course proceeded as planned. A review of the literature on complications of halo usage as well as suggestions for their management in association with distraction osteogenesis is described.

scholarly journals Blue Rubber Bleb Nevus Syndrome with Long-Term Follow-Up: A Case Report and Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Hideaki Nakajima ◽  
Hiroshi Nouso ◽  
Naoto Urushihara ◽  
Koji Fukumoto ◽  
Masaya Yamoto ◽  
...  
Keyword(s):  
Clinical Course ◽  
Case Reports ◽  
Complete Resection ◽  
Review Of The Literature ◽  
Gi Tract ◽  
Short Term ◽  
Long Term Follow Up ◽  
Body Organ

Blue rubber bleb nevus syndrome (BRBNS) is a rare disease in which venous malformations (VMs) involve any body organ, most commonly the skin and the gastrointestinal (GI) tract. Treatment of BRBNS aims at preserving the GI tract as much as possible. Although there are several dozen case reports about BRBNS that describe short-term clinical courses, a few provide an account of long-term clinical course. Here, we report a case of BRBNS in a girl that required multiple abdominal surgeries due to the GI VMs and a recurrence at an interval of 14 years. The preferred approach for gastrointestinal VMs involves the complete resection of all lesions without residual VMs. It is important to bear in mind the possibility of delayed recurrence of GI VMs after surgical or endoscopic treatment.

scholarly journals Tracheal leiomyoma mimicking asthma for over 20 years

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Oliver J Harrison ◽  
Mark Jackson ◽  
Emily Shaw ◽  
Aiman Alzetani
Keyword(s):  
Computed Tomography ◽  
Complete Resolution ◽  
Upper Airway ◽  
Flow Volume ◽  
Invasive Treatment ◽  
Posterior Aspect ◽  
Laser Resection ◽  
Asthma Symptoms ◽  
Flow Volume Loop

Abstract Benign tracheal tumours have an incidence of 1 in 1,000,000, of which leiomyomas represent only 1%. We report a case of tracheal leiomyoma masquerading as asthma for over 20 years. A 48-year-old man presented aged 26 years with asthma symptoms unresponsive to treatments and an obstructive spirometry pattern. Symptoms were not particularly troubling but suddenly exacerbated 22 years later. Flow-volume studies were consistent with upper airway obstruction. Computed tomography chest revealed a 2.3 cm mass arising from the posterior aspect of the trachea 2 cm above the carina. Bronchoscopic resection was performed using a Nd:YAG laser. Histology confirmed leiomyoma. Follow-up after 6 weeks revealed complete resolution of symptoms with normal spirometry. Tracheal masses should be considered in any patient with atypical asthma. A flow-volume loop may provide a clue to diagnosis and bronchoscopic laser resection is a minimally invasive treatment option.

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.

scholarly journals Intraoperative Endoscopy in Transient Adult Jejunojejunal Intussusception

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Takeshi Okamoto ◽  
Hidekazu Suzuki ◽  
Katsuyuki Fukuda
Keyword(s):  
Computed Tomography ◽  
Bowel Resection ◽  
Epigastric Pain ◽  
Adult Intussusception ◽  
Lead Point ◽  
Intraoperative Endoscopy ◽  
Spontaneous Reduction ◽  
History Of ◽  
Exploratory Laparoscopy

Despite improvements in imaging modalities, causative lead points in adult intussusception may be difficult to diagnose. Such lead points can be malignant, causing recurrence or metastases if left unresected. We describe a case of transient adult jejunojejunal intussusception, in which intraoperative endoscopy was used to confirm the absence of a lead point. A 39-year-old woman with a history of laparoscopic oophorectomy presented with epigastric pain, nausea, and vomiting. Contrast computed tomography revealed jejunojejunal intussusception, with no visible lead point. Spontaneous reduction was confirmed during exploratory laparoscopy. After lysis of adhesions, intraoperative peroral jejunoscopy was performed with the surgeons’ assistance. Endoscopy confirmed the absence of tumor, and bowel resection was avoided. No recurrence has been observed during 24 months of follow-up. Intraoperative endoscopy may provide additional reassurance for the absence of a lead point in cases where preoperative enteroscopy cannot be performed and no lead points can be identified on imaging.

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