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Mesentero-axial gastric volvulus in an old woman: a case report of a diagnostic challenge
No full textGastric volvulus is a rare conditiom defined as an abnormal rotation of the stomach around itself. Acute gastric volvulus is a surgical emergency because it is a life-threatening condition, but its non-specific symptoms make diagnosis difficult. There are two types of gastric volvulus: organoaxial and mesentero-axial. The treatmet is surgical intervention. Computed tomography allows to identify and classify gastric volvulus and rule out complications so that to guide surgery management. We report a case of a mesentero-axial gastric volvulus in an old woman with abdominal pain, who underwent surgery in laparoscopy
A rare case of siliconomas resulting from free silicone injections in breast tissue
No full text: One of the most common complications of free silicone injection at multiple sites is its leakage and more rarely its migration through the lymphatic system with a resulting local inflammatory reaction of granulomatous type, known as "siliconoma". This report describes the case of a young woman who came to our attention for bilateral mastodynia and palpable tumefactions in breast and gluteal region, a few years after percutaneous injections of free liquid silicone for breast augmentation
Two rare cases of pituitary apoplexy in adult females: a tricky diagnosis
No full text: We reported two cases of women who suffered from a rare case of pituitary apoplexy, rare and potentially fatal clinical condition due to a hemorrhagic infarction of the pituitary gland due to a pre-existing macroadenoma. The onset of symptoms is often insidious and includes generic symptoms such as headache, vomiting, and visual disturbances. In this case report we discuss the typical CT and MRI imaging features of this rare clinical condition in order to help radiologists in the timely diagnosis for a more rapid and correct diagnostic framing
Multiparametric magnetic resonance imaging and magnetic resonance imaging fusion-guided biopsy for the diagnosis of prostate cancer: current status
No full textThe promising role of DECT in the diagnosis of Osteitis Condensans Ilii: a case report
No full text: Osteitis condensans ilii (OCI) is a noninflammatory condition of no clear etiology, cause of axial low back pain. It is characterized by sclerotic bone lesions at the iliac region of the sacroiliac joints. The diagnosis is based on radiological findings and the exclusion of other conditions associated with back pain. We present a case of bilateral OCI in a young woman with bone sclerosis at sacroiliac joints diagnosed with the use of Dual Energy CT
Imaging of Benign Prostate Hyperplasia and Prostatic Tumors
No full textAs the population ages, both benign and malignant prostate diseases are becoming increasingly important clinically
Dimensional changes of Hoffa’s fat pad related to aging: evaluation by MRI
No full textBackgroundHoffa's fat pad is an intra-capsular extra-sinovial structure of the knee joint that has a significant biomechanical and metabolic role, minimizing the influence of stresses created by loading and generating cytokines. Changes in its size can lead to variations in the homeostasis of the knee in elderly patients. This work intends to assess the dimensional variations of Hoffa's fat pad associated to aging in both sexes, using MRI sagittal sequences acquired from the OAI (Osteoarthritis Initiative) database.MethodsWe examined the Hoffa's fat pad sagittal thickness in 217 men and women with knee osteoarthritis who were grouped into four age groups for the study: 40-49; 50-59; 60-69; and 70-80. 3T sagittal IW 2D TSE Fat-suppressed MRI sequences, taken from the OAI (Osteoarthritis Initiative) database, were examined.ResultsHoffa's fat pad thickness was shown to differ significantly between groups in both men and women, decreasing in the older individuals' groups (R = - 0.46; p 0.0001). By dividing the patients into ten-year age groups and by sex, the thickness of both the right knee and the left knee was examined. In fact, the average thickness of Hoffa's fat pad of the right knee was reported to be, in males, 33.6+/- 3 mm in subjects aged between 40 and 49 years, 31+/- 2.4 mm for patients aged between 50 and 59, 30.3 +/- 1.8 mm in the group between 60 and 69 years and 28.7+/- 1.8 mm between 70 and 80 years. In women the values obtained were the following: 29+/- 1.6 mm between 40 and 49 years; 28.9+/- 2.6 mm in the group between 50 and 59 years, 25.3+/- 1.9 mm for patients aged 60 and 69 years and 26+/- 2 mm between 70 and 80 years. Similar results were obtained for the left knee.ConclusionsHoffa's fat pad gradually thins with aging in both male and female patients with knee osteoarthritis, and this can be detected by evaluating the thickness of the fat pad on sagittal MRI sequences
Advance MR evaluation of synchronous multifocal osteosarcoma with pathologic fracture : A case report
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Objective: Synchronous multifocal osteosarcoma is a rare condition in which the osteosarcoma presents with multiple bone lesions at the time of diagnosis, usually without any visceral metastases. The first case was described in early 1930s by Silverman. To report a case of synchronous multifocal osteosarcoma in adolescent with pathologic fracture.
Methods: An 18-year-old girl presented with a painful mass in the right thigh of 4 months' duration and a history of thigh bone fracture a month ago. Patient's medical records and family history was unremarkable. Physical examination showed angulation and shortening at right femoral region with tenderness and swelling. Initial radiograph and magnetic resonance (MR) images showed multiple lesions in right femoral shaft and pelvic bone with primary tumor in right distal femur with pathologic fracture and multiple bone marrow lesions found in the contralateral bones. Imaging and histopathological results supported the diagnosis of synchronous multifocal osteosarcoma. After following the chemotherapy as the treatment of choice, the radiograph and MRI evaluation were done and showed reduction of the mass size with union of the destructed part with the formation of callus. The advance MRI revealed reduction of the overall mass and the composition of the viable area compared to previous study. The patient had satisfying response to chemotherapy series and a better functional outcome on subsequent visits.
Results: Diagnosis of synchronous multifocal osteosarcoma was based on patient and family history and finding of multiple lesions in the MR images, meanwhile the plain radiograph only revealed the primary tumor. Amstutz described multifocal osteosarcoma as presence of one primary tumor and several smaller lesions. Most recent reviews concluded that multifocal osteosarcoma is bone-to-bone metastatic process rather than multicentric origin. The limitation in this case was absence of thoracic CT which is suggested to rule out any pulmonary metastases instead of routine chest radiograph.
Conclusion: Although satisfying improvement was clinically achieved, further advanced MRI would be indicated to evaluate the progression of tumor and its respond to therapy
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