RESUMO
Perinephric lymphangioma is rare disorder that may be confused with various forms of renal cystic diseases and urinomas. In this disorder a developmental malformation results in failure of developing lymphatic tissue to establish normal communication with the rest of lymphatic system. Once there is restricted drainage of lymphatic fluid the lymphatic channels dilate to form cystic masses that may be unilocular or multilocular and may be seen unilaterally or bilaterally .This condition presents with various signs and symptoms or can be just an incidental finding which in presence of misleading clinical history may be confused with other diseases. CT scan with delayed cuts and USG guided aspiration with biochemical analysis of fluid will help us in arriving to final diagnosis.
RESUMO
Hydatid disease is a zoonosis caused by Echinococcus granulosus . Infected dogs release eggs through their feces and the eggs infect humans through food and water. The most common locations of hydatid cysts are the liver and lungs, but primary mediastinal involvement, though rare, can be encountered. We report on a 16-year-old female with a primary mediastinal hydatid cyst leading to popliteal arterial embolization. The mediastinal lesion was treated with partial pericystectomy with removal of the germinal membrane and prophylactic albendazole. In endemic areas, it is important to consider hydatid cysts in the differential diagnosis of an acute arterial occlusion.
Assuntos
Equinococose/complicações , Embolia/etiologia , Artéria Poplítea/patologia , Adolescente , Animais , Cães , Equinococose/parasitologia , Echinococcus granulosus/parasitologia , Embolia/parasitologia , Feminino , Humanos , Doenças do Mediastino/complicações , Doenças do Mediastino/parasitologia , Artéria Poplítea/parasitologiaAssuntos
Amputação Cirúrgica , Dedos/cirurgia , Hemorragia Gastrointestinal/etiologia , Neoplasias do Jejuno/patologia , Melanoma/secundário , Adulto , Antineoplásicos/uso terapêutico , Diagnóstico Diferencial , Enterostomia/métodos , Feminino , Seguimentos , Hemorragia Gastrointestinal/diagnóstico , Hemorragia Gastrointestinal/terapia , Humanos , Neoplasias do Jejuno/diagnóstico por imagem , Neoplasias do Jejuno/terapia , Melanoma/diagnóstico , Melanoma/terapia , Tomografia Computadorizada por Raios XRESUMO
Obturator hernia is rare, constituting <2% of all abdominal hernias. Clinical diagnosis is rarely made due to vague signs and symptoms. Delayed diagnosis markedly increases postoperative morbidity and mortality especially because the affected patients are often old with other comorbid conditions. Pelvic CT is almost 100% accurate in the diagnosis of obturator hernia and should be the modality of choice in older patients presenting with intestinal obstruction of unknown etiology.
