ABSTRACT
OBJECTIVE: To emphasize the contribution of superparamagnetic iron oxide (SPIO) contrast agent in the diagnosis of the splenic hamartoma. CLINICAL PRESENTATION AND INTERVENTION: A 63-year-old female was admitted to our hospital with diffuse abdominal pain. An ultrasound examination revealed a 5 × 4 cm solid lesion in the spleen. Dynamic gadolinium-enhanced magnetic resonance imaging (MRI) of the abdominal findings was consistent with a splenic hamartoma. SPIO-enhanced MRI was then performed and it confirmed the diagnosis. The lesion showed a decrease of signal intensity on T2-weighted images. CONCLUSION: This case showed that SPIO-enhanced MRI was useful for establishing a noninvasive diagnosis of the splenic hamartomas.
Subject(s)
Contrast Media , Ferric Compounds , Hamartoma/diagnosis , Magnetic Resonance Imaging/methods , Splenic Diseases/diagnosis , Female , Gadolinium , Humans , Middle AgedSubject(s)
Aneurysm, False/diagnostic imaging , Embolization, Therapeutic/methods , Thrombosis/diagnostic imaging , Ultrasonography, Doppler, Color , Uterine Hemorrhage/diagnostic imaging , Aneurysm, False/etiology , Cesarean Section/adverse effects , Cesarean Section/methods , Female , Follow-Up Studies , Humans , Postoperative Complications/diagnosis , Postoperative Complications/diagnostic imaging , Pregnancy , Recurrence , Remission, Spontaneous , Risk Assessment , Treatment Outcome , Uterine Artery , Uterine Hemorrhage/diagnosis , Uterine Hemorrhage/therapy , Young AdultABSTRACT
Rhabdomyomas are the most common primary cardiac tumors in childhood. They usually occur on ventricular and septal walls. In approximately half of the cases, rhabdomyoma is associated with tuberous sclerosis. Most rhabdomyomas regress during the first years of life. We present MRI findings of fatty replacement of the myocardium which was probably after spontaneous regression of solid mass (rhabdomyoma) in a 16-year-old boy with tuberous sclerosis.
Subject(s)
Adipose Tissue/metabolism , Myocardium/metabolism , Tuberous Sclerosis/metabolism , Adolescent , Heart Neoplasms/epidemiology , Heart Neoplasms/pathology , Heart Septum/metabolism , Heart Ventricles/pathology , Humans , Magnetic Resonance Imaging , Male , Neoplasm Regression, Spontaneous , Rhabdomyoma/epidemiology , Rhabdomyoma/pathology , Tuberous Sclerosis/diagnostic imaging , Tuberous Sclerosis/epidemiology , UltrasonographySubject(s)
Carotid Artery, Internal, Dissection/complications , Carotid Artery, Internal, Dissection/pathology , Cavernous Sinus Thrombosis/pathology , Exophthalmos/etiology , Exophthalmos/pathology , Orbit/pathology , Aged , Carotid Artery, Internal, Dissection/diagnostic imaging , Cavernous Sinus Thrombosis/diagnostic imaging , Conjunctival Diseases/etiology , Female , Humans , Intracranial Aneurysm/complications , Intracranial Aneurysm/diagnostic imaging , Intracranial Aneurysm/pathology , Magnetic Resonance Imaging/methods , Orbit/blood supply , Orbit/diagnostic imaging , Tomography, X-Ray Computed/methodsABSTRACT
A sternal cleft is a rare congenital and developmental disorder. In general, this disorder is associated with skeletal and extraskeletal abnormalities (eg, Cantrell syndrome), but isolated sternal clefts have also been reported. A sternal cleft with pectus excavatum is a rare congenital abnormality. We present a complete sternal cleft with right-sided clavicular hypoplasia and pectus excavatum in a 31-year-old female patient.
Subject(s)
Clavicle , Funnel Chest/complications , Funnel Chest/diagnostic imaging , Musculoskeletal Abnormalities/complications , Musculoskeletal Abnormalities/diagnostic imaging , Adult , Clavicle/abnormalities , Clavicle/diagnostic imaging , Female , Humans , Sternum/abnormalities , Sternum/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
Percutaneous transluminal angioplasty has been successfully used for the treatment of transplant renal artery stenosis (RAS). Cutting-balloon angioplasty (CBA) is being used as a second option in pressure-resistant stenosis. It is thought that CBA is less traumatic and therefore restenosis occurs less frequently than in conventional angioplasty. This case report describes the unusual use of a cutting balloon in transplant RAS as a first option in the early postoperative period. Long-term follow-up data are also presented.
Subject(s)
Angioplasty, Balloon/instrumentation , Kidney Failure, Chronic/surgery , Kidney Transplantation , Postoperative Complications/surgery , Renal Artery Obstruction/surgery , Adolescent , Anastomosis, Surgical , Angiography , Angioplasty, Balloon/methods , Arterial Occlusive Diseases/diagnosis , Arterial Occlusive Diseases/surgery , Female , Humans , Hypertension, Renal/surgery , Iliac Artery/surgery , Image Processing, Computer-Assisted , Imaging, Three-Dimensional , Magnetic Resonance Angiography , Postoperative Complications/diagnosis , Renal Artery/surgery , Renal Artery Obstruction/diagnosis , Ultrasonography, Doppler , Vesico-Ureteral Reflux/complicationsABSTRACT
Mediastinal lipomatosis (ML) is a benign condition characterized by the accumulation of mature adipose tissue within the mediastinum. ML is usually associated with Cushing syndrome and obesity. Most patients are asymptomatic, but some have thoracic pain, dyspnea, cough, dysphonia, dysphagia, and supraventricular tachycardia. We report a case of ML compressing the right ventricular outflow tract in a patient with Behçet disease.
Subject(s)
Lipomatosis/complications , Lipomatosis/diagnosis , Mediastinal Diseases/complications , Mediastinal Diseases/diagnosis , Ventricular Outflow Obstruction/diagnosis , Ventricular Outflow Obstruction/etiology , Adult , Contrast Media , Humans , Lipomatosis/diagnostic imaging , Magnetic Resonance Imaging , Male , Mediastinal Diseases/diagnostic imaging , Tomography, X-Ray Computed , Ventricular Outflow Obstruction/diagnostic imagingABSTRACT
Traumatic occlusion of the renal artery is a serious injury. Management differs according to the grade of injury. In most circumstances, emergency surgical revascularization or endovascular intervention is required. We describe the case of a child with multiorgan injuries and spasm of the main renal artery after blunt trauma simulating arterial occlusion or end-organ infarction.
