Subject(s)
Choledochal Cyst/diagnostic imaging , Tomography, X-Ray Computed , Adolescent , Adult , Child, Preschool , Cholangiopancreatography, Endoscopic Retrograde , Choledochal Cyst/pathology , Choledochal Cyst/surgery , Common Bile Duct/diagnostic imaging , Common Bile Duct/pathology , Diagnosis, Differential , Female , HumansABSTRACT
An atypical form of a pulmonary hydatid cyst is described. This was a solitary super-infected pseudo-tumoral cyst and the membrane was incarcerated which has enabled us to propose as a description for this new morphological aspect of a cyst, with a filled margin of the proliferative membrane. We propose the term "Rosebud".
Subject(s)
Echinococcosis, Pulmonary/diagnostic imaging , Adult , Anti-Bacterial Agents/therapeutic use , Echinococcosis, Pulmonary/classification , Echinococcosis, Pulmonary/therapy , Humans , Male , Radiography , ThoracotomyABSTRACT
Computer tomography (CT), a noninvasive method of high complexity, compelled recognition in pneumological practice, becoming indispensable. The present study deals with 59 patients suspected of bronchopulmonary cancer, who were submitted to computer tomography, besides other examinations. CT contribution in establishing the diagnosis, the therapeutical line (particularly in determining the surgery moment) as well as the correlations (concordance and discordance) between the information offered by CT and by other conventional (radiological, bronchological) methods are analysed. The association of thin needle trans-thoracic biopsy (TNB) to CT ensures an important histologic confirmation which amounts to 75% of investigated cases, according to our statistical data.
Subject(s)
Carcinoma, Bronchogenic/diagnostic imaging , Lung Neoplasms/diagnostic imaging , Lung/diagnostic imaging , Tomography, X-Ray Computed , Adolescent , Adult , Aged , Biopsy , Bronchoscopy , Carcinoma, Bronchogenic/pathology , Carcinoma, Bronchogenic/surgery , Female , Humans , Lung/pathology , Lung Neoplasms/pathology , Lung Neoplasms/surgery , Male , Middle AgedABSTRACT
The dynamic computed tomography (CT) is used by the authors in a complex system of investigations. It is preceded by a diagnosis stage which determines the "normal" character of the liver and it is followed by the angiographic exploration for the cases with surgical indication. 36 patients with CT diagnosis of prehepatic portal hypertension were studied; from these patients, 24 had an angiographic confirmation and 16 of them were operated. The most valuable CT signs which have been found by the authors were: the study of the portal vein at the hilum level and in the distal parapancreatic region, the hypoplasia of the left hepatic lobe and the absence of the ascites. The other signs were considered less important, only the localization of the porto-systemic shunts being to a certain degree important for surgery. It is underlined the early age of the patients (69% are under 30 years old). The diagnosis concordance was in the studied group 100% for the positive diagnosis of the syndrome, but only 79% for the localization of the obstruction. CT is the most innocuous diagnostic procedure which obtains a maximum of data on the portal system morphology.
