Imaging of Complete Vertebral Duplication with Normal Neurological Status: A Rare Case

Vertebral Duplication represents the most severe aspect of the spectrum of Split Cord Malformations. It is a rare anomaly with very few reported cases. Associated other spinal anomalies along with severe neurovascular and genitourinary anomalies may also co-exist. We are reporting a case of a 21 years old adult female patient, who presented with history of trauma, incidentally detected to be having complete lumbar duplication along with dural sac duplication and multiple complex segmentation anomalies in the form of incarcerated lateral hemi-vertebra, butterfly vertebra and non-segmented lateral hemi-vertebra at D10 to D12 vertebrae. On Computed Tomography (CT) imaging these anomalies become well evident while the patient presented with no neurological manifestations or abnormalities. This is a rarely reported scenario in literature where no neurological symptoms are seen in a case of vertebral duplication.

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Refractory Ascites as the Only Presenting Symptom of Chronic Calcified Constrictive Pericarditis: A Diagnostic Challenge

The Heart Surgery Forum ◽

10.1532/hsf98.2013251 ◽

2014 ◽

Vol 17 (1) ◽

pp. 42

Author(s):

Shi-Min Yuan

Keyword(s):

Computed Tomography ◽

Liver Cirrhosis ◽

Female Patient ◽

Constrictive Pericarditis ◽

Delayed Diagnosis ◽

Young Female ◽

Refractory Ascites ◽

Diagnostic Challenge ◽

Massive Ascites ◽

History Of

Extracardiac manifestations of constrictive pericarditis, such as massive ascites and liver cirrhosis, often cover the true situation and lead to a delayed diagnosis. A young female patient was referred to this hospital due to a 4-year history of refractory ascites as the only presenting symptom. A diagnosis of chronic calcified constrictive pericarditis was eventually established based on echocardiography, ultrasonography, and computed tomography. Cardiac catheterization was not performed. Pericardiectomy led to relief of her ascites. Refractory ascites warrants thorough investigation for constrictive pericarditis.

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Left-Sided Bochdalek's Hernia in a Young Adult: A Case Report and Literature Review

The Surgery Journal ◽

10.1055/s-0041-1731443 ◽

2021 ◽

Vol 07 (03) ◽

pp. e124-e126

Author(s):

Mark Portelli ◽

Mark Bugeja ◽

Charles Cini

Keyword(s):

Computed Tomography ◽

Young Adult ◽

Rare Case ◽

Surgical Repair ◽

Bochdalek Hernia ◽

Case Presentation ◽

Atypical Case ◽

Accident And Emergency ◽

History Of ◽

Accident And Emergency Department

Abstract Purpose Bochdalek's hernia is a type of congenital diaphragmatic hernia occurring secondary to a defect in the posterior attachment of diaphragm. This condition commonly presents with respiratory insufficiency in infants. To date, there are less than 100 cases of Bochdalek's hernia presenting in adults published in the literature. The mainstay treatment of Bochdalek's hernia involves reduction of hernial contents back into the peritoneal cavity with a tensionless graft repair closing the diaphragmatic defect. Case Presentation We present an atypical case of the Bochdalek hernia presenting in a previously healthy 16-year-old male who presented to the Accident and Emergency department with a 2-day history of dysphagia and loss of breath. The Bochdalek hernia was confirmed on computed tomography (CT) imaging and the patient underwent surgical repair with Gore-Tex mesh. Conclusion The report shows a rare case of the Bochdalek hernia in a young adult, successfully managed with a laparotomy.

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A Rare Case of Vault Angiofibroma

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/250 ◽

2021 ◽

Vol 10 (16) ◽

pp. 1177-1178

Author(s):

Jayanthi R. ◽

Iysverya G.T ◽

Nishanthi Chandru

Keyword(s):

Female Patient ◽

Rare Case ◽

Vital Signs ◽

Vaginal Vault ◽

Vaginal Examination ◽

Speculum Examination ◽

Normal Limits ◽

Surgical Menopause ◽

History Of ◽

Foul Smell

A 52-year-old female patient, para 2 live 2, who attained surgical menopause 10 years back, presented to the outpatient department (OPD) with complaints of white discharge per vagina for 6 months, which was watery in consistency and was not associated with foul smell or itching vulva. She had history of hysterectomy done for fibroid uterus 10 years back. On examination, she was afebrile and vital signs were within normal limits. Per abdomen examination, was normal, while, per speculum examination revealed a watery discharge per vaginum. The per vaginal examination revealed a firm, non-tender, globular mass felt arising from the vaginal vault and the mass did not bleed on touch. A globular mass of size 3 x 4 cms, pinkish white in colour, was seen occupying the whole of the vaginal vault with curdy white precipitates in the vaginal rugosities as well as over the mass.

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A Rare Case of Osteomyelitis Caused by Haemophilus Parainfluenzae

Journal of Bone and Joint Infection ◽

10.7150/jbji.17387 ◽

2017 ◽

Vol 2 (2) ◽

pp. 104-106 ◽

Cited By ~ 2

Author(s):

Fernando Cobo ◽

Gemma Jiménez ◽

Javier Rodríguez-Granger ◽

Antonio Sampedro ◽

Luis Aliaga-Martínez

Keyword(s):

Computed Tomography ◽

Rare Case ◽

Surrounding Tissue ◽

Surgical Drainage ◽

Joint Infections ◽

Computed Tomography Images ◽

Haemophilus Parainfluenzae ◽

Bone Biopsies ◽

History Of ◽

History Of Pain

Abstract. Haemophilus parainfluenzae is a rare cause of bone and joint infections. We report a case of calcaneal osteomyelitis due to this microorganism with a review of all published. A 23-year-old woman presented with a 1-month history of pain and inflammation in the calcaneus area. Osteomyelitis was suspected at this location based on computed tomography images. Culture of six bone biopsies and surrounding tissue resulted in the isolation of H. parainfluenzae. Surgical drainage and debridement was performed, and antibiotic treatment was prescribed, resolving the infection.

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PARATHYROMATOSIS: A RARE CASE OF RECURRENT HYPERPARATHYROIDISM LOCALIZED BY FOUR-DIMENSIONAL COMPUTED TOMOGRAPHY

AACE Clinical Case Reports ◽

10.4158/accr-2019-0225 ◽

2019 ◽

Vol 5 (6) ◽

pp. e384-e387 ◽

Cited By ~ 1

Author(s):

Abraham E. Wei ◽

Matthew R. Garrett ◽

Ankur Gupta

Keyword(s):

Computed Tomography ◽

Rare Case ◽

Clinical Laboratory ◽

Parathyroid Tissue ◽

Severe Hypercalcemia ◽

Positron Emission ◽

Affected Tissue ◽

History Of ◽

The Right ◽

Recurrent Hyperparathyroidism

Objective: To present a rare case of parathyromatosis. Methods: We present the clinical, laboratory, and imaging findings, along with a review of the literature. Results: A 33-year-old man with a history of right upper parathyroid adenoma removal 5 years prior due to hyperparathyroidism was admitted for severe hypercalcemia (15.6 mg/dL; normal, 8.5 to 10.5 mg/dL) with elevated plasma parathyroid hormone (PTH) (882 pg/mL; normal, 15 to 65 pg/mL). Ultrasound, computed tomography (CT), sestamibi, and positron emission tomography scans were unremarkable; however, a four-dimensional CT (4DCT) of the neck showed an area of increased signal enhancement and hypervascularity without discrete nodule in the posterior right thyroid region. The patient underwent parathyroid surgical exploration with right hemithyroidectomy and compartment neck dissection to remove the affected tissue. PTH levels dropped to 208 pg/mL postoperatively; calcium decreased but remained elevated at 12.7 mg/dL. Pathology revealed the presence of several small nodular foci of atypical hyperplastic parathyroid tissue in the right thyroid and soft tissue in the left central neck compartment consistent with parathyromatosis. Conclusion: This case report represents the first-time use of 4DCT to localize parathyromatosis. Parathyromatosis is a rare but problematic cause of recurrent hyperparathyroidism. Ultrasound and 4DCT may represent the best imaging modalities for identification and perioperative management to remove all affected tissue without reseeding.

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Concomitant bilateral elastofibroma in the infrascapular and gluteal regions: a report of a rare case

BMC Musculoskeletal Disorders ◽

10.1186/s12891-020-3037-7 ◽

2020 ◽

Vol 21 (1) ◽

Cited By ~ 1

Author(s):

Omran Al Dandan ◽

Ali Hassan ◽

Mona Al Muhaish ◽

Jumanah AlMatrouk ◽

Haidar Almuhanna ◽

...

Keyword(s):

Computed Tomography ◽

Rare Case ◽

Surgical Excision ◽

Elastic Fibers ◽

Histopathological Diagnosis ◽

Imaging Features ◽

Serratus Anterior ◽

History Of ◽

Benign Soft Tissue Tumor ◽

Enhanced Computed Tomography

Abstract Background Elastofibroma is a benign soft tissue tumor characterized by the presence of elastic fibers in a stroma of collagen and mature adipose tissue. It is reported to have a prevalence of 2.73%, as shown by a study through computed tomography (CT) images. However, multiple elastofibromas are uncommon. Case presentation We report a case of concomitant bilateral elastofibroma in the infrascapular and gluteal regions. A 63-year-old male patient presented with a 6-month history of gradually increasing painless swellings in the upper back. On physical examination, firm, painless bilateral infrascapular masses were identified; these masses were more noticeable on forward arm flexion. Contrast-enhanced computed tomography showed well-defined bilateral infrascapular masses deep to the serratus anterior muscles as well as poorly defined bilateral gluteal masses with attenuation similar to that of the adjacent skeletal muscle. Magnetic resonance imaging revealed heterogenous masses with internal fatty streaks, consistent with elastofibroma. The histopathological diagnosis of elastofibroma was established based on the results of image-guided core-needle biopsy. The patient underwent surgical excision of both infrascapular elastofibromas with no post-operative complications. As the gluteal masses were incidental, surgical management was not warranted. Conclusion The presence of multiple elastofibromas is unusual. This report describes a rare case of multiple elastofibromas and its typical imaging features, and alerts us that elastofibromas are not exclusive to the periscapular region.

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A Rare Case of Hemoptysis: Intrapulmonary Cavitary Lesion Appearing as a Thoracic Endometriosis

Case Reports in Pulmonology ◽

10.1155/2012/351305 ◽

2012 ◽

Vol 2012 ◽

pp. 1-2 ◽

Cited By ~ 1

Author(s):

Ali Celik ◽

Ertan Aydın ◽

Ulku Yazıcı ◽

Yetkin Agackıran ◽

Nurettin Karaoglanoglu

Keyword(s):

Computed Tomography ◽

Female Patient ◽

Rare Case ◽

Lung Parenchyma ◽

Cavitary Lesion ◽

Pulmonary Endometriosis ◽

Thoracic Endometriosis

Pulmonary endometriosis is a rarely seen disease of the lung. On computed tomography, a cavitary lesion of 15 × 26 in size was detected in the lung parenchyma of a 38-year-old female patient who was examined due to hemoptysis. The pathologic result of the surgically excised cavitary lesion was reported as pulmonary endometriosis.

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Transthoracic ultrasound: an essential diagnostic tool in a very rare case of thoracic lymphangiomatosis

Medical Ultrasonography ◽

10.11152/mu-2499 ◽

2020 ◽

Author(s):

Romeo Ioan Chira ◽

Alina Florea ◽

Doru Pârvu ◽

Alexadra Chira ◽

Doiniţa Crişan ◽

...

Keyword(s):

Young Adult ◽

Female Patient ◽

Diagnostic Tool ◽

Rare Case ◽

Lymphatic Vessels ◽

Ultrasound Guided ◽

Immunohistochemistry Staining ◽

Lymphatic Diseases ◽

Transthoracic Ultrasound ◽

Adult Female Patient

Thoracic lymphangiomatosis (proliferation of anastomosing lymphatic vessels, of different sizes, in pulmonary, pleural and mediastinal regions) is an extremely rare disorder occurring mostly in childhood. We present a diffuse pulmonary lymphangiomatosis (DPL) case in a young adult female patient in which repeated surgical biopsies were inconclusive and transthoracic ultrasound-guided (TUS) biopsy led to the diagnosis. Even histologically, DPL is very difficult to differentiate from other lymphatic diseases such as lymphangioma and lymphangiomyomatosis, requiring an experienced pathologist and proper immunohistochemistry staining. This case highlights the importance of TUS-guided biopsies in the armamentarium of imagistic techniques in this very rare case

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Surgical, Orthodontic and Prosthodontic Rehabilitation of a Patient with Follicular Ameloblastoma: A Case Report

European Journal of Dentistry ◽

10.1055/s-0039-1697829 ◽

2010 ◽

Vol 04 (02) ◽

pp. 192-196 ◽

Cited By ~ 1

Author(s):

Herman F. Sailer ◽

Fadi Tarawneh ◽

Panagiotis Fourkas ◽

Dimitrios Z. Antoniades ◽

Athanasios E. Athanasiou

Keyword(s):

Case Report ◽

Bone Graft ◽

Female Patient ◽

Adult Female ◽

Orthodontic Treatment ◽

Previous History ◽

Calvarial Bone ◽

History Of ◽

Sufficient Space ◽

Adult Female Patient

This case report describes the combined surgical, orthodontic and prosthodontic rehabilitation of an adult female patient with a previous history of follicular ameloblastoma, which was treated through partial mandibulectomy and an immediate replacement of missing bone with an autologous calvarial bone graft. Orthodontic treatment was undertaken in order to restore occlusal disturbances and obtain sufficient space for two dental implants and an optimum prosthodontic rehabilitation. (Eur J Dent 2010;4:192-196)

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