ABSTRACT
Renal injury is observed in 10 percent of cases of abdominal trauma, and the majority (80 percent to 90 percent) of these are attributable to blunt trauma. Intravenous urography and ultrasonography of the abdomen were previously the modalities of choice in the imaging of renal injuries. However, computed tomography (CT) is currently the imaging modality of choice in the evaluation of blunt renal injury, since it provides the exact staging of renal injuries. The purpose of this article is to describe the CT staging of renal injuries observed in blunt abdominal trauma based on the Federle Classification and the American Association for the Surgery of Trauma renal injury severity scale.
Subject(s)
Kidney/diagnostic imaging , Kidney/injuries , Tomography, X-Ray Computed/methods , Abdominal Injuries/diagnosis , Abdominal Injuries/diagnostic imaging , Adolescent , Adult , Child , Diagnostic Imaging/methods , Female , Hemorrhage/diagnosis , Hemorrhage/diagnostic imaging , Humans , Kidney/blood supply , Male , Wounds, Nonpenetrating/diagnosis , Wounds, Nonpenetrating/diagnostic imagingABSTRACT
Melioidosis is caused by Burkholderia pseudomallei, a Gram-negative bacillus. Melioidosis can affect many organs, including the prostate. However, prostatic abscess due to melioidosis is uncommon. We describe five cases of melioidosis with prostatic abscess. Four of five patients had diabetes mellitus and had more than one organ involvement. The diagnosis of prostatic abscess in our patients was only made with computed tomography of the abdomen and pelvis. None of our patients underwent surgical drainage and all remained well after treatment with antibiotics, except for one mortality secondary to severe septicaemia.
Subject(s)
Abscess/diagnosis , Melioidosis/diagnosis , Prostatic Diseases/diagnosis , Tomography, X-Ray Computed , Abscess/drug therapy , Adult , Anti-Bacterial Agents/therapeutic use , Diabetes Mellitus, Type 2/complications , Drug Therapy, Combination , Follow-Up Studies , Humans , Malaysia , Male , Medication Adherence , Melioidosis/drug therapy , Middle Aged , Prostatic Diseases/drug therapy , Recurrence , Risk FactorsABSTRACT
Inverted papilloma is a rare, benign tumour representing only 0.5 to 4 per cent of all sinonasal neoplasms; its involvement of the middle ear is extremely rare. We present a case of multicentric inverted papilloma in the sinonasal region and middle ear in a 54-year-old man. The patient later developed neck metastasis secondary to malignant transformation of the inverted papilloma in the middle ear.
