Subject(s)
Humans , Female , Adult , Abdominal Pain , Angioedema/diagnosis , Intestine, Small/diagnostic imaging , Diagnosis, Differential , Vomiting/etiologyABSTRACT
We present the case of a 35-year-old woman with a prior history of hereditary angioedema (HA) who was admitted to the emergency department with epigastric pain, vomiting and sweating. Laboratory tests showed raised APR levels (CRP and leukocytosis).
Subject(s)
Angioedema , Abdominal Pain , Adult , Angioedema/diagnosis , Diagnosis, Differential , Female , Humans , Intestine, Small/diagnostic imaging , Vomiting/etiologyABSTRACT
We describe the imaging findings of a case of an intra-abdominal gossypiboma (retained surgical sponge) in an asymptomatic 61-year-old man who underwent an emergency nephrectomy because of a Wunderlich syndrome secondary to a renal cell carcinoma. A follow-up computed tomography was performed 4 months after the emergency surgery and showed an extraperitoneal lesion with gas bubbles and radiopaque markings in the left hemiabdomen, consistent with a retained surgical sponge ("gossypiboma" or "textiloma") in the anterior pararenal space. The patient underwent scheduled surgery for extraction of the textiloma.
ABSTRACT
No disponible
Subject(s)
Child, Preschool , Female , Humans , Sturge-Weber Syndrome/diagnosis , Sturge-Weber Syndrome/epidemiology , Sturge-Weber Syndrome/drug therapy , Angiomatosis/diagnosis , Anticonvulsants/therapeutic use , Epilepsy/epidemiology , Positron-Emission Tomography , Magnetic Resonance SpectroscopyABSTRACT
Mediastinal angiolipomas are extremely rare tumors within the thorax, and only 6 cases have been previously reported in the literature. We describe the case of a lipid-poor angiolipoma within the posterior mediastinum of a 63-year-old man who complained of chest pain. Interestingly, initial imaging of the posterior mediastinal mass of our patient suggested a nerve sheath tumor. A specimen from a percutaneous transthoracic core needle biopsy confirmed an angiolipoma. We decided to preoperatively embolize the posterior mediastinal mass to reduce intraoperative bleeding and to facilitate the excision of the tumor.
Subject(s)
Angiolipoma/diagnosis , Angiolipoma/therapy , Embolization, Therapeutic , Mediastinal Neoplasms/diagnosis , Mediastinal Neoplasms/therapy , Nerve Sheath Neoplasms/diagnosis , Preoperative Care , Diagnosis, Differential , Humans , Male , Middle AgedABSTRACT
En la última década se ha descrito la asociación entre enfermedad celíaca, epilepsia y calcificaciones cerebrales. La morfología y localización de estas calcificaciones son similares a las observadas en el síndrome de Sturge-Weber, por lo que muchos pacientes epilépticos con enfermedad celíaca silente han sido diagnosticados de síndrome de Sturge-Weber atípico. Presentamos un caso de enfermedad celíaca en un varón de 35 años de edad que mostró calcificaciones cerebrales, haciendo hincapié en los signos radiológicos que ayudan al diagnóstico diferencial con el síndrome de Sturge-Weber atípico. La instauración temprana del tratamiento adecuado (dieta sin gluten), mejora en muchos casos el cuadro clínico epiléptico, lo que da mayor relevancia al diagnóstico (AU)
