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INTRODUCTION: Dermoid cysts, or also known as mature cystic teratomas, are one of the most common benign ovarian tumors. Spontaneous rupture of this tumor is rare and can be suspected on imaging. CASE REPORT: we report a case of ruptured mature ovarian teratoma. A 21 years old previously healthy woman presented with recurrent pelvic pain, the diagnostic of rupture was made by imaging. The patient underwent surgery with a good follow up. DISCUSSION: Dermoid cysts are the most common benign ovarian neoplasm and its rupture is rare due to its thick capsule. Imaging has a major role in the diagnosis of dermoid cyst and in the detection of its rupture. CT scan is the most requested modality imaging especially in acute abdominal pains. MRI can performed for further characterization. CONCLUSION: the aim of the study is to report a new case of ruptured mature ovarian teratoma and to describe the imaging signs suggesting dermoid cysts rupture.
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Anterior urethral valves (AUVs) is an unusual cause of congenital obstruction of the male urethra, being 15-30 times less common than posterior urethral valves. We present a case of AUV diagnosed at 24th gestational week. Ultrasonography and fetal MRI revealed hydronephrotic kidneys with ureteral duplicity, a distended bladder and perineal cystic mass which confirmed dilated anterior urethra in a male fetus. Diagnosis was confirmed postnatally by voiding cystourethrogram and surgery.
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Quilotórax , Enfermedades del Recién Nacido , Defectos del Tubo Neural , Complicaciones Posoperatorias , Síndrome de Dificultad Respiratoria del Recién Nacido , Sepsis , Enfermedades de la Columna Vertebral , Vértebras Torácicas , Toracotomía/métodos , Ultrasonografía Prenatal/métodos , Adulto , Quilotórax/diagnóstico , Quilotórax/etiología , Resultado Fatal , Femenino , Humanos , Recién Nacido , Enfermedades del Recién Nacido/diagnóstico , Enfermedades del Recién Nacido/fisiopatología , Enfermedades del Recién Nacido/cirugía , Imagen por Resonancia Magnética/métodos , Defectos del Tubo Neural/complicaciones , Defectos del Tubo Neural/diagnóstico por imagen , Defectos del Tubo Neural/cirugía , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/fisiopatología , Complicaciones Posoperatorias/terapia , Embarazo , Síndrome de Dificultad Respiratoria del Recién Nacido/diagnóstico , Síndrome de Dificultad Respiratoria del Recién Nacido/etiología , Sepsis/diagnóstico , Sepsis/etiología , Enfermedades de la Columna Vertebral/congénito , Enfermedades de la Columna Vertebral/diagnóstico , Vértebras Torácicas/anomalías , Vértebras Torácicas/diagnóstico por imagen , Tomografía Computarizada por Rayos X/métodosRESUMEN
Congenital bilobar emphysema is reported to be extremely rare. We describe 3 cases, and we review the diagnosis problems and treatment methods of this childhood respiratory tract pathologic condition.
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Neumonectomía/métodos , Enfisema Pulmonar/congénito , Enfisema Pulmonar/cirugía , Estudios de Seguimiento , Humanos , Lactante , Recién Nacido , Masculino , Enfisema Pulmonar/diagnóstico por imagen , Enfisema Pulmonar/mortalidad , Radiografía Torácica , Enfermedades Raras , Síndrome de Dificultad Respiratoria del Recién Nacido/diagnóstico , Medición de Riesgo , Muestreo , Índice de Severidad de la Enfermedad , Tasa de Supervivencia , Tomografía Computarizada por Rayos X , Resultado del TratamientoAsunto(s)
Intoxicación por Flúor/complicaciones , Osificación del Ligamento Longitudinal Posterior/complicaciones , Compresión de la Médula Espinal/etiología , Descompresión Quirúrgica , Femenino , Fluorosis Dental/epidemiología , Humanos , Laminectomía , Imagen por Resonancia Magnética , Persona de Mediana Edad , Osificación del Ligamento Longitudinal Posterior/diagnóstico por imagen , Compresión de la Médula Espinal/diagnóstico , Compresión de la Médula Espinal/cirugía , Tomografía Computarizada por Rayos XRESUMEN
PURPOSE: To analyse diagnosis, management and prognosis of florid cystitis glandularis (pseudoneplastic entity). PATIENTS AND METHODS: A retrospective study of 6 consecutive patients with florid cystitis glandularis seen at the department of Urology of Monastir (Tunisia) from January 1996 to July 2006. All patients underwent ultrasonography, and cystoscopy. Computed tomography (CT) was performed in four patients and magnetic resonance imaging (MRI) in one patient. RESULTS: The six patients, all of whom were male, ranged from 22 to 68 (average 42) years of age. The most common complaints was haematuria. Radiological examination and cystoscopy suggested a bladder tumor in all patients. Histopathology revealed features of cystitis glandularis of intestinal type. Features of the pelvic CT and MRI were consistent with the diagnosis of pelvic lipomatosis in one patient. The endoscopic resection was performed in 5 patients. Recurrence occurred in one of these 5 patients within one and 7 years of follow-up. The other patient had developed a low compliance small-capacity bladder and bilateral ureteral obstruction. A total cystoprostatectomy and ileal neobladder construction was considered, but it was declined by the patient. The patient was treated with anti-inflammatory drug (Indometacine 100 mg/day). CONCLUSION: Cystitis glandularis may be mistaken for bladder tumor The diagnosis is histological. Treatment is based on eradication of the irritative factors and endoscopic resection of the tumoral masses. The clinical course is unclear, requiring long-term fellow-up.
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Cistitis/diagnóstico , Cistitis/patología , Adulto , Anciano , Cistitis/diagnóstico por imagen , Diagnóstico Diferencial , Humanos , Imagen por Resonancia Magnética , Persona de Mediana Edad , Radiografía , Estudios Retrospectivos , Neoplasias de la Vejiga Urinaria/diagnóstico , Neoplasias de la Vejiga Urinaria/cirugíaRESUMEN
Thrombosis of the ovarian vein is a rare complication which arises classically in the postpartum. We report a case of 24-year-old woman with a history of Behçet's disease, who presented with pelvic and thoracic pain, tachycardia, dyspnea and fever occurring 2 weeks after delivery. Computed tomography revealed an ascending thrombosis of the iliac and right ovarian veins complicated by bilateral pulmonary embolism. The patient responded well to the combination of anticoagulants and immunosuppressive agents. Behçet's disease should also be considered as an etiologic factor for ovarian vein thrombosis.
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A 19-year-old man presented with arterial hypertension without blood pressure difference between his upper and lower extremities. Duplex Doppler sonography was performed to rule out renal artery stenosis and revealed a tardus-parvus pattern in both renal arteries as well as in the abdominal aorta, whereas the left subclavian artery showed a normal waveform, suggesting a more distal obstruction. Aortography confirmed a severe aortic coarctation. Because the typical signs and symptoms of aortic coarctation may not be present, especially in adults, a tardus-parvus pattern in the abdominal aorta and its branches, contrasting with a normal pattern in the supra-aortic arteries, should suggest the diagnosis.
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Coartación Aórtica/diagnóstico por imagen , Obstrucción de la Arteria Renal/diagnóstico por imagen , Arteria Renal/diagnóstico por imagen , Ultrasonografía Doppler Dúplex , Adulto , Diagnóstico Diferencial , Humanos , Masculino , Arteria Renal/patologíaAsunto(s)
Fluoroquinolonas/efectos adversos , Rinoscleroma/tratamiento farmacológico , Articulación del Hombro/patología , Tendinopatía/inducido químicamente , Antiinfecciosos , Ciprofloxacina/uso terapéutico , Quimioterapia Combinada , Femenino , Humanos , Persona de Mediana Edad , Articulación del Hombro/efectos de los fármacosRESUMEN
Primary liposarcoma of the lung is extremely rare. We report a 28-year-old pregnant woman who complained of dyspnoea during the third trimester. Chest radiography, thoracic ultrasound, CT and MRI showed a huge heterogeneous tumour involving all the left lung and the mediastinum. The tumour was composed of soft tissue, and fatty and cystic components with calcifications. Diagnosis was made on core biopsy under CT guidance. Surgical excision was performed but unfortunately the patient died during the operation.