RESUMO
The computed tomography (CT) appearances of varying grades of severity of acute pancreatitis, and its complications, have been described. Bodywall ecchymosis in the periumbilical region (Cullen's sign) and loins (Grey Turner's sign), though rare, are frequently mentioned in the clinical literature. Massive, exclusively retroperitoneal, involvement is also exceedingly rare. Computed tomography depiction of these signs is sparsely documented. The CT documentation, with clinicosurgical correlation, of two cases of severe acute pancreatitis with these unusual complications, is presented.
Assuntos
Pancreatite/complicações , Doença Aguda , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pancreatite/diagnóstico por imagem , Tomografia Computadorizada por Raios XRESUMO
Pseudotumoral or macronodular hepatosplenic tuberculosis (HSTB) is rare. Only 31 cases have been documented in imaging literature so far. Presented is the clinico-imaging review with five additional new cases of this uncommon variety. Due to nonspecific wide spectrum of imaging appearances, biopsy is mandatory in almost all cases. Clinical recovery and resolution of lesions on imaging may not be directly proportional.
Assuntos
Tomografia Computadorizada por Raios X , Tuberculose Hepática/diagnóstico por imagem , Tuberculose Esplênica/diagnóstico por imagem , Dor Abdominal/etiologia , Adulto , Biópsia , Febre de Causa Desconhecida/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Tuberculose Hepática/complicações , Tuberculose Hepática/patologia , Tuberculose Esplênica/complicações , Tuberculose Esplênica/patologia , UltrassonografiaRESUMO
Tubercular adrenalitis presents with adrenal enlargement prior to its atrophy and calcification. Imaging modalities like ultrasound, computerized tomography (CT), and magnetic resonance imaging have depicted adrenal enlargement due to various causes. Presented is a clinical-cum-CT review of 14 cases of tubercular adrenal enlargement with addition of five new cases and their CT follow-up.