ABSTRACT
We report the case of a 44-year-old man presenting with abdominal pain and leukocytosis. His initial computed tomography demonstrated a pancreatic head mass concerning for pancreatic adenocarcinoma. However, on further review of the patient's imaging, the mass was determined to be an abscess caused by foreign body ingestion and gastric perforation rather than cancer. This report describes the clinical and radiographic distinctions between pancreatic neoplasia and abscess. It also reviews the pertinent medical literature on how such viscus perforations affect subsequent prognostication and clinical management.
Subject(s)
Abscess/etiology , Foreign Bodies/complications , Foreign-Body Migration/complications , Intestinal Perforation/etiology , Pancreatic Neoplasms/diagnosis , Abscess/diagnostic imaging , Abscess/surgery , Adult , Diagnosis, Differential , Foreign Bodies/diagnostic imaging , Foreign Bodies/surgery , Foreign-Body Migration/diagnostic imaging , Foreign-Body Migration/surgery , Humans , Intestinal Perforation/complications , Intestinal Perforation/diagnostic imaging , Male , Pancreatic Neoplasms/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
The roles and responsibilities of the ringside physician are complex and have evolved into a unique specialty in sport medicine. In addition to the medical aspects of ringside medicine, the doctor is now responsible for many administrative, ethical, and legal considerations. This article reviews and details the numerous roles the ringside physician plays in the sport of boxing.
Subject(s)
Athletic Injuries/prevention & control , Boxing/injuries , Boxing/legislation & jurisprudence , Ethics, Medical , Safety/legislation & jurisprudence , Sports Medicine/legislation & jurisprudence , Humans , Safety/standards , Sports Medicine/ethics , Sports Medicine/standards , United StatesABSTRACT
OBJECTIVE: Our objective was to study the presence of a characteristic appearance of metastatic disease to the gastrointestinal tract on contrast-enhanced CT in patients with known malignancies and to investigate its clinical implications. CONCLUSION: Twenty-five patients with scirrhous metastases had a malignant CT target sign. Careful observation and correlation with clinical history are required to differentiate this unique sign from a benign target sign.
