ABSTRACT
A case of emphysematous cholecystitis is presented in which computerized tomography helped to confirm the diagnosis and the extent of disease preoperatively. This unusual disorder is briefly reviewed and the clinical and radiographic findings are discussed.
Subject(s)
Cholecystitis/diagnostic imaging , Emphysema/diagnostic imaging , Tomography, X-Ray Computed , Aged , Humans , MaleABSTRACT
A case of fibro-inflammatory thickening of the mesosigmoid simulating pelvic carcinomatosis on barium enema and ultrasound examination is presented. Histologic features of this case and cases of retractile mesenteritis and mesenteric panniculitis are discussed.
Subject(s)
Mesentery , Pelvic Neoplasms/diagnosis , Aged , Barium Sulfate , Colon, Sigmoid/pathology , Diagnosis, Differential , Female , Humans , Inflammation/diagnosis , Inflammation/diagnostic imaging , Mesentery/diagnostic imaging , Pelvic Neoplasms/diagnostic imaging , Radiography , UltrasonographyABSTRACT
As of 1975, forty-nine cases of adenocarcinoma arising in the columnar-lined lower esophagus (CLLE) were reported in the literature. We add three more cases, including the youngest male to our knowledge. All survived esophagogastrectomy and radiotherapy, but each had metastatic disease and a guarded prognosis. Review of the literature revealed a male/female ratio of 3:1 for this disorder with a mean age for men of 53 years, less than that for women, (61 women). Columnar-lined lower esophagus is seen in up to 11% of patients with reflux esophagitis and probably does not regress, once present. Adenocarcinoma later develops in 2.4% to 8.5%. The CLLE is not rare and should be followed up as carefully as any other premalignant lesion.
