ABSTRACT
A 38-year-old man was admitted to our hospital because of right chest pain and high fever. Chest X-ray and computed tomography scan revealed right pleural effusion and pleural thickness. Diagnosis of malignant mesothelioma was established by pleural biopsy. Serum level of granulocyte colony stimulating factor (G-CSF) was high. We performed extrapleural pneumonectomy which improved high fever and inflammation, however the patient died three months after surgery.
Subject(s)
Granulocyte Colony-Stimulating Factor/blood , Mesothelioma, Malignant , Mesothelioma , Pleural Neoplasms , Adult , Humans , Male , Mesothelioma/diagnostic imaging , Mesothelioma/surgery , Pleural Neoplasms/diagnostic imaging , Pleural Neoplasms/surgeryABSTRACT
Clinicians should be careful when examining a case with endobronchial hamartoma with concurrent malignant disease because radiographic imaging and symptoms cannot clearly differentiate between both diseases.
Subject(s)
Aortic Diseases/etiology , Dermatomyositis/complications , Vascular Calcification/etiology , Aortic Diseases/diagnostic imaging , Dermatomyositis/diagnosis , Dermatomyositis/drug therapy , Disease Progression , Female , Humans , Immunosuppressive Agents/therapeutic use , Middle Aged , Severity of Illness Index , Steroids/therapeutic use , Time Factors , Vascular Calcification/diagnostic imagingABSTRACT
Portal vein stenosis (PVS) after living donor liver transplantation (LDLT) is a serious complication that can lead to graft failure. Few studies of the diagnosis and treatment of late-onset (> or = 3 months after liver transplantation) PVS have been reported. One hundred thirty-three pediatric (median age 7.6 years, range 1.3-26.8 years) LDLT recipients were studied. The patients were followed by Doppler ultrasound (every 3 months) and multidetector helical computed tomography (once a year). Twelve patients were diagnosed with late-onset PVS 0.5-6.9 years after LDLT. All cases were successfully treated with balloon dilatation. Five cases required multiple treatments. Early diagnosis of late-onset PVS and interventional radiology therapy treatment may prevent graft loss.
