Assuntos
Mãos , Doenças Profissionais , Humanos , Síndrome , Artéria Ulnar/diagnóstico por imagem , IsquemiaRESUMO
A 39-year-old woman presented to the Emergency Department with dysuria and persistent abdominal pain for several weeks. The pain increased with palpation. Physical examination was otherwise normal. Computerized tomography (CT) scan revealed a round structure of unknown origin against the caecum and terminal ilium suspect for a GIST tumor and a fluid-filled right uterine tube suggestive of pyosalpinx. The following day a laparoscopic surgery with removal of the pyosalpinx and complete right hemi-colon including the suspected lesion was performed and biopsies of the surrounding peritoneum, meso and ileum were taken. Immunohistochemical tests (CD117/DOG1) and molecular analysis (KIT/PDGFRA) ruled out GIST. SMA and desmin were also negative. ß-catenin along with next generation sequencing which revealed a likely pathogenic mutation in exon 3 of the CTNNB1 gene, suggested a diagnosis of desmoid-type fibromatosis (DF). Biopsies of the lymph nodes were negative.
Assuntos
Fibroma , Fibromatose Agressiva , Tumores do Estroma Gastrointestinal , Sifonápteros , Feminino , Animais , Humanos , Adulto , Fibromatose Agressiva/diagnóstico por imagem , Fibromatose Agressiva/cirurgia , Tumores do Estroma Gastrointestinal/cirurgia , Imuno-Histoquímica , beta Catenina/genética , beta Catenina/análise , MutaçãoRESUMO
A 55-year-old female patient with a history of ethyl and nicotine abuse presented with chronic diarrhoea, significant weight loss and abnormal liver tests. Ultrasound examination revealed dilatation of the bile ducts and computed tomography scan with IV contrast further established simultaneous dilatation of the common bile duct and pancreatic duct (double duct sign). The dilatation abruptly stopped at the level of the pancreatic head which demonstrated a small irregular hypovascular zone (1.2 cm), suspected for malignancy. The following week, a radical pancreaticoduodenectomy was performed. Anatomopathological analysis revealed an adenomyoma (12 mm) located distal to the common bile duct, without arguments for malignancy.
Assuntos
Adenomioma , Neoplasias dos Ductos Biliares , Neoplasias de Cabeça e Pescoço , Feminino , Animais , Adenomioma/diagnóstico , Equidae , Pâncreas , Ductos BiliaresAssuntos
Doenças dos Genitais Masculinos , Tuberculose , Epididimo , Humanos , Inflamação , Masculino , Testículo , Tuberculose/diagnósticoRESUMO
A 29-year-old, otherwise healthy male was brought to the emergency department after suffering an injury from falling from the roof of his house. Whole-body computed tomography (CT) showed a small ostial dissection of the celiac artery (CA) associated with a pseudoaneurysm, thrombosis, and retroperitoneal periaortic hematoma. The celiac trunk was otherwise normal with good distal patency and no signs of intestinal ischemia. The patient was successfully managed via an endovascular approach with the placement of a covered stent in the CA.
