RESUMO
A 55-year female presented with left breast lump. Her sonomammography was unremarkable. Core biopsy showed it to be metastatic hepatocellular carcinoma [HCC]. Biphasic computerized tomography [CT] of liver confirmed presence of primary liver masses while CT chest showed involvement of left anterior chest wall, rather than primary breast mass. F18-Fluorodeoxyglucose [FDG] positron emission tomography CT [PET-CT] imaging confirmed primary liver tumor with bony metastases
RESUMO
Developmental anomalies of the pancreas have been reported; but among these, agenesis of dorsal pancreas is an extremely rare congenital pancreatic anomaly. It may be asymptomatic and incidentally detected on imaging or may be associated with diabetes mellitus or attacks of pancreatitis. We report a rare case of agenesis of dorsal pancreas that was detected incidentally on imaging and there was no other co-existing anomaly
Assuntos
Humanos , Masculino , Feminino , Cirrose Hepática/cirurgia , Hepatite B/patologia , Esplenomegalia , Pancitopenia , Criança , AdolescenteRESUMO
Biliary Atresia [BA] is a well-known entity and can present with multiple congenital anomalies. BA is one of the most common conditions in which pediatric liver transplant is performed. Identification of Biliary atresia with situs inversus [SI] has not been documented in Pakistan. We report two such cases. First was an eighty-day-old baby boy, icteric from day of birth. On further evaluation had dextrocardia, SI, gross hydronephrosis [HN] of left kidney and stasis at pelvi ureteric junction [PUJ]. Liver biopsy showed biliary cirrhosis secondary to extra hepatic biliary atresia [EHBA]. The second baby presented at two months of age. Ultrasound abdomen and hepatobiliary scintigraphy confirmed liver in left hypochondrium [SI] and findings suggestive of BA. Echocardiography confirmed SI with mesocardia. In this paper we have described the association of BA with SI in two patients presenting at the pediatric Gastroenterology, hepatology and nutrition unit