RESUMO
Dysembryoplastic neuroepithelial tumour is an uncommon lesion of the brain characterised by a heterogeneous population of neurons, astrocytes and oligodendroglia-like cells. Most patients are young adults with a long history of drug-resistant seizures. We report a case of a 31 year-old woman with a history of severe epileptic attacks. Cerebral imaging showed a left temporal tumour measuring 4 cm in its greater dimension. After surgical intervention, histopathological examination showed a tumoural proliferation with both glial and neuronal components that was confirmed by immunohistochemistry. We also describe the spectrum of dysembryoplastic neuroepithelial tumours and their histological features.
Assuntos
Epilepsia Parcial Complexa/etiologia , Neoplasias Neuroepiteliomatosas/complicações , Neoplasias Supratentoriais/complicações , Lobo Temporal/patologia , Adulto , Feminino , Humanos , Imageamento por Ressonância Magnética , Neoplasias Neuroepiteliomatosas/diagnóstico , Neoplasias Neuroepiteliomatosas/patologia , Neoplasias Neuroepiteliomatosas/cirurgia , Neoplasias Supratentoriais/diagnóstico , Neoplasias Supratentoriais/patologia , Neoplasias Supratentoriais/cirurgiaRESUMO
Pott's puffy tumor is an infrequent entity characterized by a subperiosteal abscess associated with frontal bone osteomyelitis. It is usually seen as a complication of frontal sinusitis. This common condition is usually not diagnosed initially and is easily confused with neoplasms, skin and soft-tissue infection, and infected haematoma. Although Pott's puffy tumor is more commonly described in children, it should also be included in the differential diagnosis of swelling on the forehead in adults. This report describes the case of a 25-year-old man with Pott's puffy tumor resulting from frontal sinusitis, complicated by frontal brain abscess, and a subdural empyema. It was successfully treated with abscess drainage and prolonged use of antibiotics. To the best of our knowledge, only 13 cases of Pott's puffy tumor have been previously reported in adults. Particularities of this disease are reported here.
Assuntos
Osso Frontal/diagnóstico por imagem , Osteomielite/diagnóstico por imagem , Abscesso/diagnóstico por imagem , Abscesso/tratamento farmacológico , Adulto , Antibacterianos/uso terapêutico , Neoplasias Ósseas/diagnóstico por imagem , Diagnóstico Diferencial , Drenagem , Edema , Humanos , Masculino , Osteomielite/tratamento farmacológico , Tomografia Computadorizada por Raios XRESUMO
Inflammatory pseudotumors of the spleen (IPTS) are rare. We report a case of an IPTS in a 48-year-old woman who was admitted for drug eruption. During her hospitalization, she complained of abdominal pain. Physical examination and laboratory investigations were unremarkable. The abdominal ultrasonography and hepatic MRI detected a heterogeneous mass in the spleen measuring approximately 5 cm in diameter. Partial splenectomy was performed. Histologically, the splenic mass was composed of an admixture of inflammatory cellular elements with hemorrhage and sclerosis, suggestive of an IPTS. The postoperative course was uneventful. The authors attempt to make a radiopathologic correlation of this rare tumor.
Assuntos
Granuloma de Células Plasmáticas/diagnóstico , Esplenopatias/diagnóstico , Feminino , Granuloma de Células Plasmáticas/diagnóstico por imagem , Humanos , Imageamento por Ressonância Magnética , Pessoa de Meia-Idade , Esplenopatias/diagnóstico por imagem , UltrassonografiaRESUMO
Non-hodgkin's lymphoma (NHL) represents 0.04 to 0.53% of all breast cancers. The clinical aspects and therapeutic models of the disease are a subject of debate. We report two cases of primary non-hodgkin's lymphoma of the breast in two patients aged respectively 37 and 57 years. The disease was revealed by breast nodules. Mammography demonstrated a benign cyst. The diagnosis of non-hodgkin's lymphoma was confirmed on histological examination of tumor biopsies. With chemotherapy, the course was favorable with 29 and 52 months follow-up respectively. This is rare tumor. The diagnosis is mainly histological. Chemotherapy is the principal therapeutic method.
Assuntos
Antineoplásicos/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Linfoma não Hodgkin/tratamento farmacológico , Adulto , Biópsia , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/patologia , Feminino , Seguimentos , Humanos , Linfoma não Hodgkin/diagnóstico , Linfoma não Hodgkin/patologia , Mamografia , Pessoa de Meia-Idade , Taxa de Sobrevida , Resultado do TratamentoRESUMO
INTRODUCTION: Treatment of pituitary macroadenoma frequently leads to nontraumatic cerebrospinal fistula and rhinorrhea. We report an unusual case of rhinorrhea in a woman with Sheehan's syndrome. CASE: A 39-year-old woman receiving hormone replacement therapy for hypothyroidism diagnosed 13 years earlier (Sheehan's syndrome) developed metabolic syndrome, which combining obesity, type 2 diabetes, hypertension and mixed hyperlipidemia. Cerebrospinal fluid rhinorrhea was confirmed by measurement of the glucose concentration in her nasal discharge and by cerebral MRI, which revealed a fistula of the ethmoid bone and an empty sella. Etiological screening was negative, and normal bone densitometry as well as the absence of trauma ruled out any bone defects. Conversely, the metabolic syndrome, notably obesity, suggested a nontraumatic mechanism for the empty sella. DISCUSSION: Onset of empty sella syndrome during treatment for Sheehan's syndrome may be the cause of the CSF rhinorrhea. The role of obesity requires further investigation.
Assuntos
Rinorreia de Líquido Cefalorraquidiano/etiologia , Síndrome da Sela Vazia/complicações , Síndrome da Sela Vazia/etiologia , Hipopituitarismo/complicações , Adulto , Feminino , Terapia de Reposição Hormonal , Humanos , Hipotireoidismo/tratamento farmacológico , Síndrome Metabólica/etiologia , Obesidade/complicaçõesRESUMO
The authors report a case of eosinophilic granuloma involving the roof and the lateral wall of the left orbit in a 5-year-old boy. The clinical presentation and especially the imaging features (computed tomography and MRI) suggested a malignant tumor and the final diagnosis was obtained by fine needle aspiration biopsy with histopathologic examination. Despite its alarming radiologic appearance, there was spontaneous healing of the eosinophilic granuloma with restitution ad-integrum of the bone.
Assuntos
Granuloma Eosinófilo/diagnóstico , Doenças Orbitárias/diagnóstico , Pré-Escolar , Humanos , Imageamento por Ressonância Magnética , Masculino , Tomografia Computadorizada por Raios XRESUMO
Acute pancreatitis caused by hydatic cyst of the liver was rarely reported. The authors report a new case of hydatic pancreatitis characterized by visualization of hydatid membranes in the biliary tract without any biliary stone or alcoholic consumption.
Assuntos
Equinococose/complicações , Pancreatite/etiologia , Doença Aguda , Adulto , Colangiografia , Equinococose/cirurgia , Feminino , Humanos , Imageamento por Ressonância MagnéticaRESUMO
UNLABELLED: Gastrointestinal manifestations of Kawasaki disease are usually limited to stomatitis, paralytic ileus, and hydrops of the gallbladder. We report a case of Kawasaki disease complicated with hemophagocytosis and ischemic colitis. CASE REPORT: A 5-year-old girl with Kawasaki disease presented with hemophagocytosis that responded to gamma-globulin therapy. On day 4 she had abdominal pain and diarrhea. CT scan showed features suggesting ischemic colitis. Symptoms resolved on total parenteral nutrition. CONCLUSION: Ischemic colitis and hemophagocytosis are potential severe complications of Kawasaki disease.
Assuntos
Colite Isquêmica/etiologia , Histiocitose de Células não Langerhans/etiologia , Síndrome de Linfonodos Mucocutâneos/complicações , Pré-Escolar , Feminino , Humanos , Síndrome de Linfonodos Mucocutâneos/diagnósticoRESUMO
Right tracheal bronchus is a rare almost always asymptotic congenital malformation. We report a case of right tracheal bronchus associated with pneumonia tuberculosis of the apical segment of the upper right lobe. We describe the characteristic of this malformation and stress the role of computed tomography scan to detect these anomalies.
Assuntos
Brônquios , Coristoma/complicações , Pneumonia Bacteriana/complicações , Doenças da Traqueia/complicações , Tuberculose Pulmonar/complicações , Coristoma/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Radiografia , Doenças da Traqueia/diagnóstico por imagemRESUMO
The authors report a case of mesenteric tuberculous lymphadenitis which mimic a pancreatic cystadenoma. They emphasize ultrasound and CT scan features which lead to the recognition of tuberculosis and permit a percutaneous fine needle biopsy. Laparotomy seems the most reliable method for a positive diagnosis. The place of different imaging methods is discussed.