RESUMEN
Intracranial hypostasis is a common postmortem change evident on postmortem CT (PMCT), but can be readily misinterpreted as subdural hematoma by inexperienced physicians. Although PMCT is necessarily lacking contrast enhancement, we reconstructed hypostatic sinuses into three-dimensional images resembling the results of in vivo venography. This simple methodology facilitates easy recognition of intracranial hypostasis.
Asunto(s)
Hematoma Subdural , Trombosis Intracraneal , Cambios Post Mortem , Imagenología Tridimensional , Hematoma Subdural/diagnóstico por imagen , Flebografía , Humanos , Trombosis Intracraneal/diagnóstico por imagen , Medicina Legal , Tomografía Computarizada por Rayos X , Diagnóstico DiferencialRESUMEN
We describe the case of a 40s woman with a carbohydrate antigen (CA)19-9-producing splenic cyst. The lesion was detected incidentally at the splenic hilum, and resected after 5 years of follow-up. Size of the lesion was enlarged from 1.6 cm to 5.3 cm, and serum CA19-9 was elevated from the normal range to 1766 U/ml. Microscopically, CA19-9-producing splenic cyst was diagnosed. It was mimicked pancreatic malignancy due to its location at the splenic hilum. Benign lesions with elevated serum CA19-9 also to be differential diagnosis.
