ABSTRACT
Bow hunter's syndrome (BHS) is a rare cause of vertebrobasilar insufficiency that occurs when the vertebral artery (VA) is occluded on rotation of the head and neck. This dynamic occlusion of the VA can occur anywhere along its course after it arises from the subclavian artery. Although most cases are associated with compression by osteophytes, cervical spondylosis, or lateral disc herniation, BHS has a highly variable clinical course that depends on the patient's specific anatomy. Therefore, it may be important for clinicians to be aware of anatomical variants that predispose individuals to BHS. Here, we report on a patient with BHS who was found to have two uncommon anatomical anomalies: an atretic right VA and a left-sided arcuate foramen.
Subject(s)
Azygos Vein , Endovascular Procedures/instrumentation , Pulmonary Embolism/prevention & control , Varicose Veins/therapy , Aged , Azygos Vein/diagnostic imaging , Computed Tomography Angiography , Equipment Design , Humans , Magnetic Resonance Imaging , Male , Phlebography/methods , Pulmonary Embolism/diagnostic imaging , Pulmonary Embolism/etiology , Treatment Outcome , Varicose Veins/complications , Varicose Veins/diagnostic imagingABSTRACT
The diagnosis of abdominal wall pathology is often obvious on clinical physical examination; however, multimodality imaging often yields incidental, and occasionally important, findings aiding in assessing the overall clinical picture. While various hernias are common, there are numerous other causes of abdominal wall pathology. Knowledge of these entities is crucial to avoid misinterpretation and assure proper radiological judgment.
Subject(s)
Abdominal Wall/pathology , Hernia, Abdominal/diagnosis , Multimodal Imaging/methods , Radiographic Image Enhancement/methods , Abdominal Wall/anatomy & histology , Contrast Media , Female , Humans , Imaging, Three-Dimensional/methods , Magnetic Resonance Imaging/methods , Male , Sensitivity and Specificity , Tomography, X-Ray Computed/methods , Ultrasonography, Doppler/methodsABSTRACT
Primary gastric lymphoma (PGL) accounts for less than 4% of gastric neoplasms. 18F-FDG PET with simultaneously acquired CT (18F-FDG PET/CT) allows for staging and differentiation from other gastric cancers. Rapid diagnosis and staging are important because chemotherapeutic response is generally favorable. We describe a case of an 83-y-old woman with stage II1 PGL. 18F-FDG PET/CT can be helpful to differentiate various gastric masses and is an important factor in the staging of PGL.
Subject(s)
Fluorodeoxyglucose F18 , Lymphoma, Non-Hodgkin/diagnostic imaging , Positron Emission Tomography Computed Tomography , Stomach Neoplasms/diagnostic imaging , Aged, 80 and over , Female , Humans , Lymphoma, Non-Hodgkin/pathology , Neoplasm Staging , Stomach Neoplasms/pathologyABSTRACT
Secondary pseudoainhum is an autoamputation that develops in individuals aged approximately 20 to 50 years and is caused by diseases such as keratodermas, trauma, or congenital factors. The authors report a novel case of secondary pseudoainhum in a patient with Turner syndrome (45,X) who presented with bandlike constrictions in the toes bilaterally. To the authors' knowledge, secondary pseudoainhum has not been reported to be associated with Turner syndrome. However, physicians should be aware of this potentially deforming disease in patients with Turner syndrome.
