ABSTRACT
Little is known about the detailed computed tomography (CT) features of acute gastric anisakiasis. Our two cases showed transiently swollen gastric folds comprised of the remarkably thickened contrast little-enhanced submucosal layer with little-thickened contrast-enhanced mucosal and muscular-serosal layers on multi-detector row CT. When CT demonstrates the swollen gastric folds in acute abdomen, acute gastric anisakiasis should be included in the differential diagnosis.
Subject(s)
Anisakiasis/diagnostic imaging , Stomach Diseases/diagnostic imaging , Stomach Diseases/parasitology , Tomography, X-Ray Computed/methods , Acute Disease , Adult , Aged , Biopsy , Diagnosis, Differential , Female , Humans , MaleABSTRACT
A 49-year-old male was admitted to Sendai Saiseikai Hospital with a complaint of upper abdominal pain. Perforative rectal cancer was diagnosed, and an emergency laparotomy was done. Transient colostomy and drainage for peritonitis were performed. Preoperatively rectal cancer was assessed to invade the sacral bone and prostate. A total of 50 Gy radiation therapy with low dose CDDP+5-FU chemotherapy was conducted for five weeks. Remarkable shrinkage of the tumor was found, and elective surgery for curative intent was done on April 2000. The tumor seemed to invade the adjacent tissues such as prostate and urine bladder, so extensive resection of the urine bladder and sacral bone was done in addition to abdominal perineal resection. Pathological exploration showed complete regression of the tumor and no tumor invasion to the prostate and sacral bone. He is well without tumor relapse. Once complete regression of the rectal cancer by chemo-radiation therapy has been achieved, relapse of the tumor was reported to be rare. Preoperative chemo-radiation therapy is an effective tool to control the advanced rectal cancer.
Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Pelvic Exenteration , Preoperative Care , Rectal Neoplasms/drug therapy , Rectal Neoplasms/radiotherapy , Rectum/surgery , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Cisplatin/administration & dosage , Colostomy , Combined Modality Therapy , Drug Administration Schedule , Fluorouracil/administration & dosage , Humans , Male , Middle Aged , Radiotherapy Dosage , Rectal Neoplasms/pathology , Rectal Neoplasms/surgery , Remission InductionABSTRACT
Adrenal myelolipoma is a benign tumor composed of fat and bone marrow tissues and is usually found incidentally. Spontaneous retroperitoneal hemorrhage from this tumor is rare. To our knowledge, there have been only 11 reported cases of ruptured adrenal myelolipoma in the literature. We report a 37-year-old female patient who underwent transcatheter arterial embolization using gelatin sponge particles for retroperitoneal hemorrhage from adrenal myelolipoma, 8x6x6 cm in size. This case, which is the second in the literature, illustrates the usefulness of embolization to achieve hemostasis prior to subsequent tumor resection.
Subject(s)
Adrenal Gland Neoplasms/complications , Embolization, Therapeutic , Hemorrhage/etiology , Hemorrhage/therapy , Myelolipoma/complications , Adrenal Gland Neoplasms/diagnosis , Adrenal Gland Neoplasms/diagnostic imaging , Adult , Female , Hemorrhage/diagnosis , Hemorrhage/diagnostic imaging , Humans , Magnetic Resonance Imaging , Myelolipoma/diagnosis , Myelolipoma/diagnostic imaging , Retroperitoneal Space , Rupture, Spontaneous , Tomography, X-Ray ComputedABSTRACT
We reported computed tomography (CT) and magnetic resonance imaging (MRI) findings of brain damage of a 61-year-old man who attempted suicide by hanging. Unenhanced CT demonstrated multiple hyperdense areas indicating subcortical and subarachnoid hemorrhages and brain swelling. MRI demonstrated not only hemorrhagic findings, but also ischemic findings in the middle brain and cerebral cortex. Multifocal cerebral hemorrhages might be caused by venous hypertension due to compression of the jugular veins.
