ABSTRACT
OBJECTIVE: Describe a rare localization of spontaneous cerebrospinal fistula. CASE REPORT: A 75-year-old women was admitted for bacterial meningitis arising from a sinus infection. She had not experienced facial or head trauma. The CT-scan revealed pneumocephaly and a defect in the posterior part of the sphenoid sinus. DISCUSSION: Spontaneous cerebrospinal fistula is uncommon. The exact etiology remains unknown.
Subject(s)
Fistula/diagnostic imaging , Paranasal Sinus Diseases/diagnostic imaging , Sphenoid Sinus/diagnostic imaging , Aged , Female , Fistula/surgery , Humans , Paranasal Sinus Diseases/surgery , Sphenoid Sinus/surgery , Tomography, X-Ray ComputedABSTRACT
A congenital arteriovenous fistula of the kidney was discovered in a 75-year-old man presenting with hematuria and a silent kidney on I.V.U. The diagnosis had been suggested from the results of pre-operative arteriography examination. Treatment consisted of a total nephrectomy, because of the age of the patient and the hilar site of the "angioma". Reports in the published literature confirm the rare nature of this type of lesion and the difficulties encountered when trying to classify them in precise nosological groups.
Subject(s)
Arteriovenous Malformations/diagnosis , Kidney/blood supply , Adult , Aged , Angiography , Arteriovenous Malformations/complications , Arteriovenous Malformations/surgery , Female , Hematuria/etiology , Humans , Kidney/diagnostic imaging , Male , Middle Aged , Nephrectomy , Renal Artery/diagnostic imagingABSTRACT
The authors describe a case of post-traumatic arterio-portal fistula (APF), discovered on the 12th day after coeliomesenteric arteriography performed because of a postoperative complication, and emphasize the rare nature of this lesion, as shown by a review of the published literature. They stress the value of coeliomesenteric arteriography after urgent laparatomy for hepatic trauma for investigation of any possible lesions.
