RESUMEN
Arterial involvement in Behçet's disease is rare. It represents one of the fashions of expression of this pathology. We report an observation of a 32-year-old man who was hospitalised for an intense abdominal pain. Doppler ultrasound and computed angiography showed a superior mesenteric artery aneurysm. The patient was operated in urgency and operating suites were simple. The etiologic inquiry of this aneurysm ended in the diagnosis of Behçet disease. The result underline the need to search for Behçet's disease in all cases of arterial involvement in young patient. The treatment of the aneurysm should not be delayed.
Asunto(s)
Aneurisma/etiología , Síndrome de Behçet/complicaciones , Arteria Mesentérica Superior , Adulto , Síndrome de Behçet/diagnóstico , Humanos , MasculinoRESUMEN
The authors report the case of a 48-year-old man with a history of coronary bypass graft 15 years earlier. The follow-up by routine chest radiography showed a right paracardiac opacity, which MRI conformed to be an aneurysm of the saphenous vein graft.
Asunto(s)
Aneurisma/etiología , Puente de Arteria Coronaria , Complicaciones Posoperatorias , Vena Safena/patología , Vena Safena/trasplante , Aneurisma/patología , Enfermedad de la Arteria Coronaria/cirugía , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana EdadRESUMEN
OBJECTIVES: To clarify the contribution of the doppler and the CT in the balance aetiology of a fever of the post-partum and to connect it with a thrombophlebitis of ovarian vein. PATIENTS AND METHODS: Five patients presented there post-partum a fever with pointed abdominal painful syndrome. A doppler and a CT were performed. RESULTS: Doppler showed a hypoechoic tubular structure located forward and laterally with regard to the psoas with a flat spectre in pulsed Doppler in every case. CT confirmed the diagnosis of a thrombophlebitis of the right ovarian vein in three cases and left in two cases. Evolution after anticoagulation and an antibiotic therapy was favourable with regression of clinical signs and doppler evaluation. CONCLUSION: In front of any fever of the post-partum, it is necessary to evoke a thrombophlebitis of the vein ovarian, although it is about a rare aetiology. In spite of the superiority of the CT-scan and RP imaging for such a diagnosis, doppler is a simple and reproducible diagnostic tool for the monitoring which must be practised in first intention.
Asunto(s)
Fiebre/etiología , Enfermedades del Ovario/complicaciones , Tromboflebitis/complicaciones , Dolor Abdominal/etiología , Adulto , Cefotaxima/uso terapéutico , Cefalosporinas/uso terapéutico , Femenino , Fiebre/diagnóstico por imagen , Humanos , Enfermedades del Ovario/diagnóstico por imagen , Ovario/irrigación sanguínea , Ovario/diagnóstico por imagen , Periodo Posparto , Flujo Sanguíneo Regional/fisiología , Tromboflebitis/diagnóstico por imagen , Tomografía Computarizada por Rayos X , UltrasonografíaRESUMEN
Lipoblastoma is a rare benign neoplasm of foetal fat tissue. To our knowledge, less than ten cases of omental lipoblastoma have been reported in the literature. We present a new case of omental lipoblastoma in a 3-month old girl. The role of CT in the diagnosis and surgery planning of this tumor will be discussed.
Asunto(s)
Lipoma , Epiplón , Neoplasias Peritoneales , Preescolar , Femenino , Humanos , Lipoma/diagnóstico por imagen , Neoplasias Peritoneales/diagnóstico por imagen , RadiografíaRESUMEN
Amyotrophic lateral sclerosis is the most common form of motor neuron disease. The diagnosis is based on clinical and electromyography criteria. The primary role of imaging in amyotrophic lateral sclerosis is to exclude other causes such as cervical degenerative disk disease, Chiari malformation or multiple sclerosis. Imaging is also helpful in atypical cases of the disease.
Asunto(s)
Esclerosis Amiotrófica Lateral/patología , Mapeo Encefálico/métodos , Imagen por Resonancia Magnética/métodos , Corteza Motora/patología , Tractos Piramidales/patología , Adulto , Esclerosis Amiotrófica Lateral/fisiopatología , Axones/patología , Diagnóstico Diferencial , Progresión de la Enfermedad , Humanos , Desplazamiento del Disco Intervertebral/diagnóstico , Masculino , Corteza Motora/fisiopatología , Neuronas Motoras/patología , Valor Predictivo de las Pruebas , Tractos Piramidales/fisiopatología , Compresión de la Médula Espinal/diagnósticoRESUMEN
Spontaneous portosystemic venous shunts (SPVSs) within the hepatic parenchyma are rare. Fewer than 50 cases have been reported, and most of them were diagnosed by angiography. We present a case of SPVS diagnosed by color Doppler sonography in a 5-year-old boy admitted for bleeding due to rupture of esophageal varices. Conventional color and power Doppler sonography as well as CT showed a large shunt between the posterior branch of the right portal vein and the inferior vena cava. We believe that accurate diagnosis and follow-up of SPVS can be done with color Doppler sonography without resorting to angiography.