ABSTRACT
Inflammatory pseudotumor is a benign disease entity, which is histologically composed of inflammatory cells and fibrotic stroma. It is mainly found in the respiratory tract, but it has also been reported in the liver, central nervous system, soft tissues, urological system, and gastrointestinal tract. It is extremely rare in the spleen and there have been no cases of splenic inflammatory pseudotumor associated with autoimmune thyroiditis in Korea. The pathogenesis or etiology is unknown, but hypotheses include infection, autoimmunity, and parenchymal necrosis with hemorrhage. Because inflammatory pseudotumor may mimic malignant tumors on radiologic findings, pathologic confirmation is necessary to distinguish it from lymphoproliferative disorders of the spleen and other malignant tumors. We report a case of inflammatory pseudotumor of the spleen associated with autoimmune thyroiditis in a patient who complained of periumbilical pain.
Subject(s)
Humans , Autoimmunity , Central Nervous System , Gastrointestinal Tract , Granuloma, Plasma Cell , Hemorrhage , Korea , Liver , Lymphoproliferative Disorders , Necrosis , Respiratory System , Spleen , Thyroiditis, AutoimmuneABSTRACT
Coronary artery perforation (CAP) after percutaneous coronary intervention is a rare, but serious complication. It can cause cardiac tamponade, acute myocardial infarction or death. The treatments of CAP involve prolonged balloon inflation, emergent surgery, coil embolization, and implantation of covered stent. We have successfully performed the emergent microcoil embolization in a patient with uncontrolled Ellis grade 3 guidewire-induced CAP resulting in delayed cardiac tamponade. Contrasting our usual expectation, the 1-year follow-up angiography showed a patent flow at the embolized site.
Subject(s)
Humans , Angiography , Angioplasty, Balloon, Coronary , Cardiac Tamponade , Coronary Vessels , Embolization, Therapeutic , Follow-Up Studies , Inflation, Economic , Myocardial Infarction , Percutaneous Coronary Intervention , StentsABSTRACT
Actinomyces israelii is a normal flora of the oral cavity and gastrointestinal tract, and can cause chronic suppurative granuloma. We report here on a case of tongue actinomycosis. The patient was a 71-year old woman who had undergone surgery for rectal cancer 4 years previously. During the follow-up study using PET-CT, hypermetabolic activities were recognized at the lung hilum, mediastinum and tongue base. Bronchoscopic biopsy sample of the tongue base ulcer revealed histopathologically sulfur granule and aggregations of filamentous bacteria was diagnosed as actinomycosis of the tongue.