RESUMEN
To the best of our knowledge, we report the first known case of a large intraprostatic hematoma with active bleeding following transrectal ultrasound-guided prostate biopsy.
RESUMEN
A young Somali immigrant presents with a two-year history of a large, firm, painful right anterolateral chest wall sternal mass. The patient denied any history of trauma or infection at the site and did not have a fever, erythematous lesion at the site, clubbing, or lymphadenopathy. A lateral chest radiograph demonstrated a low density mass isolated to the subcutaneous soft tissue overlying the sternum, ribs and clavicle. Computed tomography (CT) with contrast demonstrated a cystic lesion in the right anterolateral chest wall deep to the pectoralis muscle. Enhanced CT of the chest demonstrated sclerosis and destruction of the rib and costochondral joint and manubrio-sternal joint narrowing. Ultrasound-guided biopsy and aspiration returned 500 cc of purulent, cloudy yellow, foul-smelling fluid. Acid-fact bacilli stain and the nucleic acid amplification test identified and confirmed Mycobacterium tuberculosis. A diagnosis of tuberculous osteomyelitis/septic arthritis was made and antibiotic coverage for tuberculosis was initiated.
RESUMEN
A 58-year-old physician with an elevated prostate specific antigen developed severe septic shock following a repeat transrectal prostate biopsy despite standard preoperative prophylactic protocol. This case highlights the significance of harbouring antibiotic-resistant bacteria and the risk of previous quinolone exposure. We believe this case may herald a rare but potentially serious consequence of increasingly common antibiotic resistance and that high-risk patients should be studied to determine their likelihood of carrying antibiotic-resistant flora in their genitourinary/gastrointestinal tract.
Asunto(s)
Carcinoma de Células Transicionales/diagnóstico , Neoplasias Renales/diagnóstico , Pelvis Renal/diagnóstico por imagen , Riñón/patología , Venas Renales/patología , Vena Cava Inferior/patología , Anciano , Carcinoma de Células Transicionales/patología , Diagnóstico Diferencial , Dolor en el Flanco/etiología , Hematuria/etiología , Humanos , Riñón/diagnóstico por imagen , Neoplasias Renales/patología , Pelvis Renal/patología , Masculino , Invasividad Neoplásica , Intensificación de Imagen Radiográfica , Venas Renales/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Vena Cava Inferior/diagnóstico por imagenAsunto(s)
Neoplasias del Ciego/complicaciones , Enfermedades del Íleon/diagnóstico , Intususcepción/diagnóstico , Lipoma/complicaciones , Dolor Abdominal/etiología , Neoplasias del Ciego/diagnóstico , Neoplasias del Ciego/cirugía , Ciego/diagnóstico por imagen , Colon Ascendente/diagnóstico por imagen , Medios de Contraste/administración & dosificación , Humanos , Enfermedades del Íleon/etiología , Enfermedades del Íleon/cirugía , Intususcepción/etiología , Intususcepción/cirugía , Lipoma/diagnóstico , Lipoma/cirugía , Masculino , Persona de Mediana Edad , Intensificación de Imagen Radiográfica/métodos , Enfermedades Raras , Tomografía Computarizada por Rayos XAsunto(s)
Procedimientos Quirúrgicos del Sistema Biliar/efectos adversos , Drenaje/efectos adversos , Hematoma/diagnóstico por imagen , Hematoma/etiología , Anciano , Colangiopancreatografia Retrógrada Endoscópica , Coledocolitiasis/diagnóstico por imagen , Coledocolitiasis/terapia , Medios de Contraste , Diagnóstico Diferencial , Femenino , Fluoroscopía , Hematoma/terapia , Humanos , Radiografía Intervencional , Tomografía Computarizada por Rayos XRESUMEN
Unicameral bone cysts of the pelvis are extremely rare. A 19-year old man presented with a pathologic fracture through a pelvic unicameral bone cyst. He was treated with computed tomography-guided percutaneous curettage, biopsy, and demineralized bone matrix injection. Treatment has proven successful in short-term follow-up.
Asunto(s)
Quistes Óseos/cirugía , Matriz Ósea/trasplante , Legrado , Fracturas Espontáneas/cirugía , Isquion/lesiones , Radiografía Intervencional , Tomografía Computarizada por Rayos X , Adulto , Biopsia con Aguja , Estudios de Seguimiento , Humanos , MasculinoRESUMEN
INTRODUCTION: Various common malignant neoplasms (ie, liver, kidney, stomach, and breast) have been reported to embolize to the pulmonary arterial system. This uncommon occurrence can also result from metastatic sarcoma. We report 3 cases--2 chondrosarcomas and 1 osteosarcoma-associated with intravascular metastases to the pulmonary vasculature and discuss the clinical presentation and differentiating radiologic features on computed tomography (CT). DISCUSSION: Intravascular pulmonary tumour emboli may present with nonspecific respiratory symptoms or remain completely asymptomatic, and therefore, many patients are often misdiagnosed with thromboembolic disease or undiagnosed until autopsy. Chest CTs in all our patients demonstrated a striking pattern of multifocal tubular branching beaded opacities along the pulmonary vasculature in a multilobular distribution. CONCLUSION: Our observations and a review of the literature indicate that chest CT is the most useful diagnostic tool for detecting intravascular pulmonary tumour emboli. CT can distinguish this entity from mucous plugging by demonstrating the normal adjacent bronchus. The tubular nature of these metastases distinguishes them from the more common parenchymal metastases.