RESUMO
Renal injury is observed in 10 percent of cases of abdominal trauma, and the majority (80 percent to 90 percent) of these are attributable to blunt trauma. Intravenous urography and ultrasonography of the abdomen were previously the modalities of choice in the imaging of renal injuries. However, computed tomography (CT) is currently the imaging modality of choice in the evaluation of blunt renal injury, since it provides the exact staging of renal injuries. The purpose of this article is to describe the CT staging of renal injuries observed in blunt abdominal trauma based on the Federle Classification and the American Association for the Surgery of Trauma renal injury severity scale.
Assuntos
Rim/diagnóstico por imagem , Rim/lesões , Tomografia Computadorizada por Raios X/métodos , Traumatismos Abdominais/diagnóstico , Traumatismos Abdominais/diagnóstico por imagem , Adolescente , Adulto , Criança , Diagnóstico por Imagem/métodos , Feminino , Hemorragia/diagnóstico , Hemorragia/diagnóstico por imagem , Humanos , Rim/irrigação sanguínea , Masculino , Ferimentos não Penetrantes/diagnóstico , Ferimentos não Penetrantes/diagnóstico por imagemRESUMO
Melioidosis is caused by Burkholderia pseudomallei, a Gram-negative bacillus. Melioidosis can affect many organs, including the prostate. However, prostatic abscess due to melioidosis is uncommon. We describe five cases of melioidosis with prostatic abscess. Four of five patients had diabetes mellitus and had more than one organ involvement. The diagnosis of prostatic abscess in our patients was only made with computed tomography of the abdomen and pelvis. None of our patients underwent surgical drainage and all remained well after treatment with antibiotics, except for one mortality secondary to severe septicaemia.
Assuntos
Abscesso/diagnóstico , Melioidose/diagnóstico , Doenças Prostáticas/diagnóstico , Tomografia Computadorizada por Raios X , Abscesso/tratamento farmacológico , Adulto , Antibacterianos/uso terapêutico , Diabetes Mellitus Tipo 2/complicações , Quimioterapia Combinada , Seguimentos , Humanos , Malásia , Masculino , Adesão à Medicação , Melioidose/tratamento farmacológico , Pessoa de Meia-Idade , Doenças Prostáticas/tratamento farmacológico , Recidiva , Fatores de RiscoRESUMO
Inverted papilloma is a rare, benign tumour representing only 0.5 to 4 per cent of all sinonasal neoplasms; its involvement of the middle ear is extremely rare. We present a case of multicentric inverted papilloma in the sinonasal region and middle ear in a 54-year-old man. The patient later developed neck metastasis secondary to malignant transformation of the inverted papilloma in the middle ear.
