ABSTRACT
PURPOSE: To assess the role of US in the management of de Quervain's tenosynovitis. MATERIALS AND METHODS: Using a high-frequency transducer (12 MHz), sagittal and axial images were obtained of the first extensor compartment. The US features of 22 symptomatic patients were reviewed (positive Finkelstein's maneuver). RESULTS: US findings included tendon thickening and synovial sheath thickening with peritendinous edematous changes resulting in a peritendinous hypoecoic halo in all patients. An intertendinous septum was identified in two patients. CONCLUSION: US can confirm the suspected diagnosis and provide follow-up of lesions. It can confirm the presence of an intertendinous septum and provide guidance at the time of steroid injection. It can increase the rate of conservative management by demonstrating the absence of septum.
Subject(s)
De Quervain Disease/diagnostic imaging , Thumb/diagnostic imaging , Adult , Female , Humans , Male , Middle Aged , Retrospective Studies , UltrasonographyABSTRACT
Mediastinal lipoma is a rare mesenchymatous fatty tumor in child. Usually asymptomatic, it can cause asphyxiation. The authors report the case of an 18 month-baby-girl referred to us by the pediatric department for asphyxiation. The chest X ray was evocative of a mediastinal tumor. A sudden cardiorespiratory failure leads us to perform thoracotomy. A fatty tumor was found compressing the heart and the left lung. It was easily extirpated. The postoperative recovery was uneventful. Light microscopy showed a lipoma. This compressive form shows the severity of the mediastinal lipoma when it reaches a large size. The literature on this rare pathology is reviewed.
Subject(s)
Asphyxia/etiology , Lipoma/diagnosis , Mediastinal Neoplasms/diagnosis , Asphyxia/surgery , Female , Humans , Infant , Lipoma/complications , Lipoma/surgery , Mediastinal Neoplasms/complications , Mediastinal Neoplasms/surgeryABSTRACT
Patients with suspected dissection of the thoracic aorta require immediate diagnostic evaluation so that urgent therapeutic interventions can begin. Two women with suspected aortic dissection and one man with abdominal aortic aneurysm underwent color-flow Doppler echocardiography and CT angiography with multiplanar reconstructions. Spiral CT showed ascending aortic dissection (type A Stanford) in two cases and descending aortic dissection (type B Stanford) in one case. It also access the visualization of the intimal flap, the extent of dissection, the size of the aorta, and the presence of pericardial fluid. CT angiography is an accurate diagnostic procedure for patients with suspected aortic dissection and possesses several advantages over other modalities such as transthoracic echocardiography, transesophageal echocardiography and aortography.
Subject(s)
Aortic Aneurysm/diagnostic imaging , Aortic Dissection/diagnostic imaging , Tomography, Spiral Computed , Adult , Diagnosis, Differential , Echocardiography, Doppler , Female , Humans , Male , Middle Aged , Sensitivity and SpecificitySubject(s)
Hypothyroidism/pathology , Muscular Diseases/pathology , Adult , Africa , Electromyography , Female , Humans , Hypertrophy , Hypothyroidism/complications , Hypothyroidism/physiopathology , Muscular Diseases/etiology , Muscular Diseases/physiopathology , Quadriplegia/etiology , Quadriplegia/pathology , Quadriplegia/physiopathologyABSTRACT
We report three cases of pernicious anemia diagnosed in women in Africa. All three women had macrocytic anemia with megaloblasts evident on medullogram. The patients had neurological signs of combined sclerosis and the presence of megaloblasts confirmed the diagnosis of pernicious anemia. All were successfully treated parenterally with vitamins. This disease seems to be underdiagnosed in Africa given the number of cases reported in previous studies.