ABSTRACT
This is a case of retroperitoneal hematoma and hypovolemic shock as a presentation of renal angiomyolipoma, a rarely benign and asymptomatic tumor. The massive and spontaneous bleeding of the tumor was diagnosed by an abdominal ecography and confirmed by an abdominal computer tomography in the emergency room. Although that kind of tumor needs non-aggressive treatment, as a general rule, because of the size and severity of the following symptoms, the patient has been submitted to a selective embolization of the renal mass when he was hemodinamically stabilized. The evolution was favorable; it was not necessary to do more aggressive surgical handling neither to urgently remove the angiomyolipoma.
Subject(s)
Angiomyolipoma/complications , Kidney Neoplasms/complications , Shock, Hemorrhagic/etiology , Aged , Female , HumansABSTRACT
Presentamos un caso de hematoma retroperitoneal y shock hipovolémico como forma de presentación de angiomiolipoma renal, tumor benigno poco frecuente y generalmente asintomático. El sangrado masivo y espontáneo del tumor, fue diagnosticado mediante la realización de ecografía abdominal y confirmado por TAC abdominal de urgencia. Pese a que el tratamiento de este tipo de tumores, en general, es conservador, el tamaño y la severidad de la clínica acompañante obligó a trasladar a la paciente, una vez estabilizada hemodinámicamente, a hospital de tercer nivel para realizar embolización selectiva de la masa renal. La evolución fue favorable sin necesidad de realizar maniobras quirúrgicas más agresivas ni extirpación del angiomiolipoma de forma urgente (AU)
This is a case of retroperitoneal hematoma and hypovolemic shock as a presentation of renal angiomyolipoma, a rarely benign and asymptomatic tumor. The massive and spontaneous bleeding of the tumor was diagnosed by an abdominal ecography and confirmed by an abdominal computer tomography in the emergency room. Although that kind of tumor needs non-aggressive treatment, as a general rule, because of the size and severity of the following symptoms, the patient has been submitted to a selective embolization of the renal mass when he was hemodinamically stabilized. The evolution was favorable; it was not necessary to do more aggressive surgical handling neither to urgently remove the angiomyolipoma (AU)
Subject(s)
Humans , Female , Middle Aged , Angiomyolipoma/complications , Angiomyolipoma/diagnosis , Angiomyolipoma/surgery , Shock, Hemorrhagic/complications , Shock, Hemorrhagic/diagnosis , Shock/complications , Embolization, Therapeutic/methods , Diagnosis, Differential , Nephrectomy/methods , Abdomen , Neurocutaneous Syndromes/complications , Urography/methods , Carcinoma/complicationsABSTRACT
No disponible
No disponible
Subject(s)
Male , Aged , Humans , Emphysema/diagnosis , Gastritis/diagnosis , Gastritis/drug therapy , Gastritis/microbiology , Drug Therapy, Combination/therapeutic useABSTRACT
No disponible
Subject(s)
Middle Aged , Male , Humans , Necrosis , Muscular Diseases , Pneumatosis Cystoides Intestinalis , Radiography, AbdominalABSTRACT
The malignant pleural mesothelioma is a rare neoplastic consequence observed in people with previous exposition to asbestos essentially. The malignant mesothelioma like a term, not only reports to primary malignant extended tumors that are derived of pleural mesothelioma but also, pericardial and peritoneal (about 20%). The exposition of asbestos stands for a sequential cellular reaction with oncogenic potential and with a typical majority clinical presentation. We described the case a patient complaint of malignant pleural mesothelioma with unusual radiology presentation with the result that unilateral calcified pleural plaques with pleural thickening and pleural effusion absence. Definitive diagnostic was achieved by thoracotomy.
Subject(s)
Mesothelioma/diagnostic imaging , Pleural Neoplasms/diagnostic imaging , Calcinosis/diagnostic imaging , Humans , Male , Middle Aged , Pleura/diagnostic imaging , Pleural Diseases/diagnostic imaging , Radiography, Abdominal , Radiography, Thoracic , Tomography, X-Ray ComputedABSTRACT
El mesotelioma pleural maligno es una rara entidad neoplásica observada principalmente, en personas con exposición previa al asbesto. El mesotelioma maligno como término, no solo hace referencia a los tumores malignos primarios difusos que derivan del mesotelioma pleural sino también, del pericardio y peritoneo (sobre el 20 porciento). La exposición al asbesto conlleva una reacción celular secuencial con potencial oncógeno y de presentación clínica mayoritaria típica. Describimos el caso de un paciente afectado de mesotelioma pleural maligno con presentación radiológica inusual, en forma de placas pleurales calcificadas unilaterales con engrosamiento pleural y ausencia total de derrame pleural. El diagnóstico definitivo se realizó por toracotomía (AU)
Subject(s)
Male , Middle Aged , Humans , Calcinosis , Mesothelioma , Pleura , Pleural Diseases , Radiography, Abdominal , Radiography, Thoracic , Tomography, X-Ray Computed , Pleural Neoplasms , Mesothelioma , Pleural NeoplasmsABSTRACT
BACKGROUND: The aim of this study was to evaluate adrenal gland morphology by computerized tomography (CT) in the etiologic diagnosis of Addison's disease. METHODS: Twenty-two patients were grouped according to their etiology based on the study of antiadrenal antibodies at diagnosis of the disease: 7 were positive (autoimmune etiology or EAA), 11 were negative (tuberculous etiology or EAT) and in four serologic study was not available (undetermined etiology or EAI). Adrenal gland CT was performed with contiguous sections every 5 mm. In eight cases the examination was carried out upon diagnosis of the disease (initial stage) and in 14 between 2 and 17 years following diagnosis (evolutive stage). RESULTS: In all the patients of the EAA group, examined in either the initial or evolutive stages, the adrenal glands appeared atrophic without calcifications. In the patients of the EAT group adrenal masses of proven tuberculous origin were found in five who were studied in the initial stage and with atrophic glands with calcifications in the remaining patients examined in the evolutive stage, with the exception of two cases with atrophic adrenal glands without calcifications which could serologically be considered as false negatives having autoimmune etiology. The patients in the EAI groups were studied in the evolutive stage with three having atrophic glands with calcifications and one atrophic adrenal glands without calcifications. CONCLUSIONS: Adrenal gland computerized tomography is an useful examination to differentiate between autoimmune or tuberculous origin in Addison's disease. Clinical application may be justified in all patients of recent diagnosis when the study of the antiadrenal antibodies is negative or not possible.
Subject(s)
Addison Disease/diagnostic imaging , Adrenal Glands/diagnostic imaging , Tomography, X-Ray Computed , Addison Disease/blood , Addison Disease/complications , Addison Disease/etiology , Adolescent , Adrenal Gland Diseases/diagnostic imaging , Adrenal Gland Diseases/etiology , Adrenal Glands/immunology , Adult , Aged , Autoantibodies/blood , Calcinosis/diagnostic imaging , Calcinosis/etiology , Female , Humans , Male , Middle AgedABSTRACT
Herein we describe two additional cases of non-acquired arteriovenous renal fistula, one was congenital or cirsoid and the other was idiopathic or aneurysmal. Patient clinical work up prompted us to suspect this condition which was confirmed by renal arteriography. The usefulness of the diagnostic tests are highlighted and the incidence and management of this type of vascular malformation are discussed.
