RESUMO
This case report illustrates the difficulties in making the clinical diagnosis of gallstone ileus. In addition to an unusual clinical picture, the changes normally expected on abdominal X-ray in gallstone ileus were subtle and missed in our patient. The diagnosis was made using abdominal computerised tomography (CT). We recommend the early use of abdominal CT scanning in the investigation of clinical bowel obstruction, especially in the elderly, where gallstone ileus is a more common condition.
Assuntos
Colelitíase/diagnóstico por imagem , Obstrução Intestinal/diagnóstico por imagem , Intestino Delgado/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Idoso , Colelitíase/complicações , Feminino , Humanos , Obstrução Intestinal/etiologiaRESUMO
A post-surgical rectal stump normally secretes a small amount of mucus which is passed per rectum. An example of an unusually large collection of mucus (mucocele) in a rectal stump is presented and the difficulties in diagnosis discussed.
Assuntos
Colostomia , Mucocele/etiologia , Complicações Pós-Operatórias/etiologia , Doenças Retais/etiologia , Feminino , Humanos , Perfuração Intestinal/cirurgia , Pessoa de Meia-Idade , Doenças do Colo Sigmoide/cirurgiaRESUMO
Fibrous dysplasia is an uncommon bone condition with characteristic radiologic features. It is well known that there is increased uptake of Tc-99m hydroxymethylene diphosphonate (HMDP) and methylene diphosphonate (MDP) in fibrous dysplasia. There are no reports of uptake of Ga-67 citrate by fibrous dysplasia. A case is reported in which positive Ga-67 uptake was seen in a patient with polyostotic fibrous dysplasia.