ABSTRACT
Thorax scan was performed for elucidation of a pulmonary problem in a Nigerian immigrant. The aspect of the vertebrae suggested sickle cell disease, of course without specification of the genotype. Routine hematological tests seemed compatible with an HbSC disease, showing typical laboratory features, namely a significant proportion of hyperchromic RBC, corresponding to secondary, non hereditary spherocytosis, presence of numerous target cells and occasional HbC crystals on Pappenheim stained blood films. The diagnosis of HbSC disease was confirmed by HPLC, iso-electric focusing and citrate agar electrophoresis of hemoglobin and by reverse phase HPLC of globin-chains. This case illustrates the importance of screening for hemoglobin anomalies as it is performed in a multiethnic country such as the Grand Duchy of Luxembourg
Subject(s)
Erythrocytes/pathology , Hemoglobin SC Disease/diagnostic imaging , Hemoglobin SC Disease/pathology , Thoracic Vertebrae/diagnostic imaging , Adult , Humans , Male , RadiographyABSTRACT
An aortocaval fistula is a rare complication of the abdominal aortic aneurysm: early diagnosis and appropriate surgery improve survival. We report the case of a patient presenting with abdominal pain and oedema of both lower limbs secondary to an aortocaval fistula. CT-scan confirmed the diagnosis and successful surgery was performed in the emergency room. Immediate haemostasis on the inferior vena cava is easier when preoperative diagnosis of the fistula has been made.
Subject(s)
Aortic Aneurysm, Abdominal/complications , Aortic Diseases/etiology , Arteriovenous Fistula/etiology , Vena Cava, Inferior , Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Abdominal/surgery , Aortic Diseases/diagnosis , Aortic Diseases/surgery , Arteriovenous Fistula/diagnosis , Arteriovenous Fistula/surgery , Humans , Male , Middle AgedSubject(s)
Aorta, Abdominal , Aortic Aneurysm, Abdominal/complications , Arteriovenous Fistula/complications , Vena Cava, Inferior , Aortic Aneurysm, Abdominal/diagnostic imaging , Aortic Aneurysm, Abdominal/surgery , Arteriovenous Fistula/diagnostic imaging , Arteriovenous Fistula/surgery , Humans , Male , Middle Aged , Tomography, X-Ray Computed/methodsABSTRACT
The authors report a unique case of talo-calcaneal subluxation in a child following minor trauma. The reduction proved to be straightforward, and the outcome was entirely favorable.
Subject(s)
Ankle Injuries/diagnostic imaging , Joint Dislocations/diagnostic imaging , Ankle Injuries/therapy , Calcaneus/diagnostic imaging , Humans , Infant , Joint Dislocations/therapy , Male , Radiography , Talus/diagnostic imagingABSTRACT
Pulmonary lymphangioleiomyomatosis is an interstitial lung disease with distinctive clinical, radiologic, physiological and pathological findings. We report an additional case of this rare condition, diagnosed on first medical evaluation by transbronchial lung biopsy and discuss the diagnostic approach.
