RESUMO
We present a case of multifocal epithelioid hemangioendothelioma occurring in an adolescent boy who presented with massive hemoptysis and showed a pulmonary perihilar mass with multiple lesions in the liver and two lytic lesions in the ribs on imaging. The diagnosis was confirmed by lung and liver biopsy. He was treated with oral steroids.
Assuntos
Biópsia , Neoplasias Ósseas/diagnóstico , Neoplasias Ósseas/tratamento farmacológico , Criança , Diagnóstico Diferencial , Glucocorticoides/administração & dosagem , Glucocorticoides/uso terapêutico , Hemangioendotelioma Epitelioide/diagnóstico , Hemangioendotelioma Epitelioide/tratamento farmacológico , Hemoptise/tratamento farmacológico , Hemoptise/etiologia , Humanos , Neoplasias Hepáticas/diagnóstico , Neoplasias Hepáticas/tratamento farmacológico , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/tratamento farmacológico , Masculino , Neoplasias Primárias Múltiplas/diagnóstico , Neoplasias Primárias Múltiplas/tratamento farmacológico , Costelas/patologia , Resultado do TratamentoRESUMO
Pancreatic tuberculosis is very rare, especially in immunocompetent patients, and represents a diagnostic challenge. The clinical features in patients with pancreatic tuberculosis are usually non-specific. The radiological features mimic pancreatic malignancy or pancreatitis. We describe a case of pancreatic tuberculosis mimicking carcinoma on Computed tomography scan. Ultrasound guided fine needle aspiration cytology (FNAC) showed caseating granulomatous inflammation. The diagnosis of pancreatic tuberculosis was made and the patient was put on anti-tubercular therapy. Five months later, a repeat CT scan of the abdomen revealed resolution of the pancreatic lesion. We emphasize that tuberculosis should now be included in the differential diagnosis of a pancreatic mass. Diagnostic indicators include the association of a pancreatic mass with fever, the presence of abdominal pain and a cystic pancreatic mass in a younger patient coming from a region where tuberculosis is endemic.
Assuntos
Adulto , Biópsia por Agulha Fina , Humanos , Masculino , Pancreatopatias/etiologia , Tuberculose/etiologiaRESUMO
Pancreatic divisum is the most common congenital anomaly of the pancreas but its association with choledochal cyst is extremely rare. We describe here a case of pancreatic divisum with choledochal cyst with a stone which was successfully treated at surgery. The common congenital pancreaticobiliary abnormalities are briefly discussed.
Assuntos
Adulto , Cisto do Colédoco/diagnóstico , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Pâncreas/anormalidadesRESUMO
As laparoscopic cholecystectomy has become one of the most commonly performed operations, radiologists increasingly encounter complications resulting from these. Late abdominal abscesses developing as a result of dropped gallstones albeit unusual, have been described. Abdominal wall tuberculosis following laparoscopy has also been reported. We report a rare case of intraabdominal and abdominal wall abscesses of tubercular aetiology associated with dropped stones following laparoscopic cholecystectomy.
Assuntos
Abscesso Abdominal/diagnóstico , Colecistectomia Laparoscópica/efeitos adversos , Colelitíase/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Mycobacterium tuberculosis/isolamento & purificação , Reação em Cadeia da Polimerase , Tomografia Computadorizada por Raios X , Tuberculose/diagnósticoRESUMO
Vaginal arteriovenous malformations are rare entities and their most common presentation is vaginal haemorrhage. This case report describes a 22-year-old woman who presented at 20 weeks of gestation with slow growing soft and tender swelling at anterior vaginal wall. Diagnosis was confirmed as vaginal vascular malformation on contrast enhanced magnetic resonance imaging. The mass did not subside after delivery and patient developed dyspareunia. It was successfully treated by angioembolisation using polyvinyl alcohol particles. Angioembolisation being safe and effective should be the treatment of first choice for symptomatic vaginal vascular malformation.
Assuntos
Adulto , Malformações Arteriovenosas/diagnóstico , Embolização Terapêutica , Feminino , Humanos , Artéria Ilíaca , Veia Ilíaca , Imageamento por Ressonância Magnética , Gravidez , Resultado do Tratamento , Doenças Vaginais/diagnósticoRESUMO
Leiomysosarcoma of the pancreas is rare. Radiological findings of four patients with this condition were reviewed. CT scan appearances were those of a predominantly homogenous, large, solid, enhancing mass with few areas of necrosis. A cystic appearance with thickened and nodular enhancing walls was seen in one case. A constellation of imaging findings including large size at presentation, greater vascular enhancement and absence of biliary dilatation should suggest leiomyosarcoma.
Assuntos
Adulto , Evolução Fatal , Seguimentos , Humanos , Laparotomia , Leiomiossarcoma/diagnóstico , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/diagnóstico , Sensibilidade e Especificidade , Tomografia Computadorizada por Raios XRESUMO
Ultrasonography with colour Doppler is the initial modality in the work-up of a suspected hepatic tumour. Dual phase spiral CT is the next investigation for characterisation and assessment about the anatomic extent. The combined use of CT and angiography (CTA and CTAP) is the most precise imaging technique but being an invasive method it is indicated to provide vascular mapping before surgery and for transarterial embolisation of unresectable tumours. MRI is indicated in evaluation of diffuse liver disease and sometimes as a problem solving modality in focal liver lesions. Angiography is performed mainly for therapeutic interventions and for preoperative embolisation of the tumour to reduce bleeding during surgery. Inoperable HCCs, vascular metastases and symptomatic hemangiomas can be well treated by various percutaneous and angiographic interventional techniques.
Assuntos
Diagnóstico por Imagem , Humanos , Neoplasias Hepáticas/diagnósticoRESUMO
The computed tomography (CT) and sonographic appearance of primary pulmonary neurofibroma is presented where the diagnosis was suggested by ultrasound guided fine needle aspiration cytology and was subsequently confirmed on surgery.