RESUMO
Meningiomas are relatively common intracranial tumors. While typically discovered incidentally or related to symptoms from regional mass effect, on rare occasions, they can present as acute intracranial hemorrhage. We report a case of a 62-year-old male who presented with significant acute intracranial hemorrhage with a history of minor trauma. Imaging workup demonstrated a hemorrhagic mass to be the likely cause of the hemorrhage. Upon resection of the mass, pathology demonstrated meningioma. It is important to thoroughly investigate intracranial hemorrhage, particularly when it appears out of proportion to any known causative event, in order to accurately diagnose, manage, and treat these patients.
RESUMO
A pyogenic hepatic abscess is an uncommon complication after laparoscopic sleeve gastrectomy (LSG) that can develop secondary to an infected hematoma or a staple line leak due to bacterial seeding. Appropriate screening for and management of a pyogenic hepatic abscess are essential in patients with clinical suspicion for complications after LSG. Early diagnosis is essential as pyogenic hepatic abscess can be fatal if not treated early. Only five cases have been reported in the literature so far. We present a case of pyogenic hepatic abscess that occurred two weeks after LSG in a 46-year-old female without immunosuppressive conditions or early postoperative leak. The abscess was diagnosed by computed tomography (CT) and was successfully treated with antibiotics and CT-guided drainage.
Assuntos
Laparoscopia , Abscesso Hepático Piogênico , Obesidade Mórbida , Fístula Anastomótica , Drenagem , Feminino , Gastrectomia/efeitos adversos , Humanos , Abscesso Hepático Piogênico/diagnóstico por imagem , Abscesso Hepático Piogênico/etiologia , Pessoa de Meia-Idade , Obesidade Mórbida/cirurgia , Complicações Pós-Operatórias/diagnóstico por imagem , Complicações Pós-Operatórias/etiologiaRESUMO
Atherosclerotic cardiovascular disease is the leading cause of death worldwide. Morbidity of the dreaded thrombotic complications of atherosclerosis such as cerebrovascular accident and myocardial infarction may be severe. Early detection of fulminant disease is therefore important for risk stratification and selecting a treatment strategy. In this report we present four patients in which 18-fluorodeoxyglucose uptake was identified in atherosclerotic plaques at positron emission tomography, performed for other indications. The study aims to showcase the potential implications of 18-fluorodeoxyglucose avid plaques, which may be otherwise overlooked at positron emission tomography. Early detection may aid in prevention of complications of atherosclerotic cardiovascular disease through aggressive lifestyle modification, as well as pharmacologic or other intervention, such as endovascular atherectomy.