Computed tomography findings in bilateral perinephric lymphangiomatosis

Perinephric lymphangioma is rare disorder that may be confused with various forms of renal cystic diseases and urinomas. In this disorder a developmental malformation results in failure of developing lymphatic tissue to establish normal communication with the rest of lymphatic system. Once there is restricted drainage of lymphatic fluid the lymphatic channels dilate to form cystic masses that may be unilocular or multilocular and may be seen unilaterally or bilaterally. This condition presents with various signs and symptoms or can be just an incidental finding which in presence of misleading clinical history may be confused with other diseases. CT scan with delayed cuts and USG guided aspiration with biochemical analysis of fluid will help us in arriving to final diagnosis

Primary mediastinal hydatid disease leading to popliteal artery hydatid cyst embolization

Hydatid disease is a zoonosis caused by Echinococcus granulosus. Infected dogs release eggs through their feces and the eggs infect humans through food and water. The most common locations of hydatid cysts are the liver and lungs, but primary mediastinal involvement, though rare, can be encountered. We report on a 16-year-old female with a primary mediastinal hydatid cyst leading to popliteal arterial embolization. The mediastinal lesion was treated with partial pericystectomy with removal of the germinal membrane and prophylactic albendazole. In endemic areas, it is important to consider hydatid cysts in the differential diagnosis of an acute arterial occlusion

Bleeding per rectum in a patient with an amputated finger

A 42-year-old female who had her right index finger amputated 13 months back now presented to the department of gastroenterology with symptoms of abdominal pain and bleeding per rectum. On examination the patient had iron deficiency anemia and features of cachexia. Upper gastrointestinal [GI] endoscopy and colonoscopy were done but did not reveal any lesion. The patient underwent computed tomography [CT] scan on a Siemens 64-slice CT scanner, which showed multiple rounded, markedly enhancing, small gut [jejunal] lesions, along with an enteroenteric intussusception [Figures 1-3]. A similarly enhancing lesion was also found in the left gluteus medius muscle