Assuntos
Doenças do Ceco/diagnóstico por imagem , Doenças do Colo/diagnóstico por imagem , Colonografia Tomográfica Computadorizada , Hérnia Hiatal/diagnóstico por imagem , Dor Abdominal/diagnóstico por imagem , Dor Abdominal/etiologia , Adulto , Doenças do Ceco/cirurgia , Doenças do Colo/cirurgia , Diagnóstico Diferencial , Feminino , Hérnia Hiatal/cirurgia , Humanos , Técnicas de SuturaAssuntos
Colite/diagnóstico , Constipação Intestinal/diagnóstico , Cistos/diagnóstico , Imageamento por Ressonância Magnética , Doenças Retais/diagnóstico , Idoso , Colite/patologia , Meios de Contraste , Cistos/patologia , Humanos , Aumento da Imagem , Mucosa Intestinal/patologia , Masculino , Muco , Prolapso Retal/diagnósticoRESUMO
We report the case of a 28 year-old female, who gave birth seven weeks previously, presenting with a pulmonary artery leiomyosarcoma discovered on a thoracic CT performed for clinical suspicion of pulmonary embolism. This case presents two major points of interest: on the first hand, it is a particular context (young post-partum patient), with classic symptoms of routine pulmonary embolism. On the other hand, the exam clearly demonstrates tumor enhancement, which is characteristic but rarely described.
Assuntos
Leiomiossarcoma/diagnóstico por imagem , Artéria Pulmonar , Tomografia Computadorizada por Raios X , Neoplasias Vasculares/diagnóstico por imagem , Adulto , Feminino , Humanos , Período Pós-PartoRESUMO
Biliary colic is the most common clinical presentation of symptomatic gallstone disease, whatever its localisation (cholelithiasis or choledocolithiasis). The pain of biliary colic is unfortunately called "colic", a word suggesting paroxystic bouts and usually described as localised in the right upper quadrant. In fact, biliary pain is most frequently epigastric in location, usually starts abruptly to generally persists without fluctuation and resolve gradually over two to four hours. Biliary lithiasis has a high prevalence in the population, especially in elderly women but only 20% of the patients are symptomatic and among them, only 10 to 20% experience severe pain. Misdiagnosis is frequent with potential disastrous implications, especially with other causes of epigastric pain (atypical myocardial ischemia, perforated ulcer, etc.). Non invasive imaging of the biliary tract is now generally easy to obtain; abdominal ultrasound for gallbladder stones and magnetic resonance cholangiography for the main bile duct and the intrahepatic bile ducts. But, for gallbladder stones, the greatest care must be taken by the radiologist to link up the symptomatology and the cholelithiasis. Precise description of the abdominal pain (nature, intensity, location, duration, irradiation...) is needed and must be searched by the radiologist to prevent misdiagnosis.