ABSTRACT
Esophageal foreign body [EFB] ingestion is of ubiquitous occurrence in pediatric population. Diagnosis and precise localization of non-radio opaque FB poses considerable challenge. Delayed presentation, poor history, and inconclusive esophagoscopic findings often lead to diagnostic delay. Multidetector computed tomography [MDCT] could be a great option in these situations. We present a case of EFB in a child who presented with failure to thrive, had negative fibreoptic endoscopy, ultimately diagnosed conclusively on MDCT examination
Subject(s)
Humans , Female , Foreign Bodies/diagnostic imaging , Esophageal Diseases/diagnosis , Tomography, X-Ray Computed , Endoscopy, Digestive System , Child , EsophagusABSTRACT
A rare and unusual case is described of multiple lower limb fractures and complete closed tendon ruptures, following trivial trauma, in a 50 years old woman who had been complaining of low back pain and generalised weakness for two years. She had generalised osteoporosis and bilateral nephrolithiasis. Investigations revealed hyperparathyroidism as the underlying cause. The diagnosis of the cause was difficult. It was elucidated by blood biochemical and hormonal assays. The parathyrod adenoma was detected only by ultrasonography of the neck. The pathological manifestations rapidly improved after surgical reconstruction of the skeletal and tendinous lesions, and after excision of the hyperactive parathyroid adenoma, together with appropriate medical and supportive treatment