RESUMO
Kirner's deformity or dystelephalangy is a rare entity which presents with painless, progressive, bilateral radiovolar curving of the terminal phalanges of the little fingers. It is a clinicoradiological diagnosis. Herein, we present a case where the patient was being treated as having a fracture of the distal phalanx because of misdiagnosis of Kirner's deformity. Given the rarity of the deformity, we believe it useful to present our case report as a contribution to the literature
Assuntos
Humanos , Masculino , Adolescente , Dedos/diagnóstico por imagem , Articulações dos Dedos/anormalidades , Articulações dos Dedos/diagnóstico por imagem , Fraturas Ósseas/diagnóstico , Erros de DiagnósticoRESUMO
Diaphragmatic injury following blunt thoracoabdominal trauma is rare and is usually associated with key radiological features like dependent viscera sign, collar sign, diaphragmatic thickening and defects. It may also be associated with secondary signs like intrathoracic herniation of abdominal viscera. Diaphragmatic crura, which are attached to the upper lumbar vertebra represent prominently thickened folds along the posterior diaphragm, are usually inconspicuous on routine Computed Tomography [CT] scans. We present a case of a young patient who sustained a motor vehicle accident and developed difficulty in breathing. CT scan of the patient revealed bilateral crural hematomas, with splenic and renal lacerations and no other sign of diaphragmatic injury. The patient was operated and blunt diaphragmatic rupture was confirmed at surgery
RESUMO
Angiomyolipomas are benign neoplasms of the kidney which can clinically mimic renal malignancy. The imaging features are quite characteristic, and diagnosis can be clinched solely based on radiological investigations. Although mostly asymptomatic, they can be a cause of significant morbidity due to size and hemorrhage. We report a case of giant angiomyolipoma with a dilated vessel susceptible to hemorrhage