Sporadic lateral ventricular hemangioblastoma presenting with Intraventricular and Subarachnoid Haemorrhage

Intraventricular hemangioblastoma [HB] is very rare; few cases of intraventricular HB have been reported in the literature, either sporadically or in association with von Hippel-Lindau disease. Furthermore, the incidence of ventricular haemorrhage from HB seems to be uncommon. We report a unique case of sporadic HB of the right lateral ventricle presenting with intratumoural and intraventricular haemorrhage in addition to multifocal intracranial superficial siderosis, indicating the presence of a subarachnoid haemorrhage [SAH] as well. Such a combination has not been reported before. In the future, the detection of an intraventricular mass in association with ventricular haemorrhage, with or without SAH, should include HB as a differential diagnosis, particularly when the imaging appearances are not typical of the more common intraventricular tumours

Magnetic resonance cholangiopancreaticogram: outcomes at Jordan university hospital

Objectives: To evaluate the experience of Jordan University Hospital in magnetic resonance cholangiopancreaticogram over the period of three years and to compare the results with upper GI endoscopy, surgery, liver biopsy and endoscopic retrograde cholangiopancreaticogram

Methods: Conventional abdominal magnetic resonance examination [CAMRE] of the upper abdomen followed by Magnetic Resonance Cholangiopancreaticogram [MRCP] was performed in 174 patients. Endoscopic Retrograde Cholangioanpereaticogram [ERCP] was performed in 84 patients, upper GI endoscopy [UGIE] in 60 patients, liver biopsy in 9 patients and surgery in 40 patients

Results: Eighteen patients were excluded. In 156 patients MRCP and CAMRE were adequate. Ninety four patients [60.3%] had abnormal MRCP; 40 patients [25.6%] showed abnormality in the CAMRE. Fifty patients [55.3%] had cholidocolithiasis and 30 patients [31.9%] had malignant stricture. MRCP was normal in 62 patients [39.8 %] when ERCP_was abnormal; two patients had gallstones from this group. ERCP was successful in 77 patients out of 84 [91.7%] with endoscopic sphincterotomy and 30 patients had abnormal UGIE

Conclusion: MRCP is a very good technique in detection of pancreatic and biliary ducts pathology, its diagnostic accuracy is increased if combined with CAMRE, it should be done prior to diagnostic ERCP particularly in patients with previous un successful attempt