RESUMO
OBJECTIVE: Describe a rare localization of spontaneous cerebrospinal fistula. CASE REPORT: A 75-year-old women was admitted for bacterial meningitis arising from a sinus infection. She had not experienced facial or head trauma. The CT-scan revealed pneumocephaly and a defect in the posterior part of the sphenoid sinus. DISCUSSION: Spontaneous cerebrospinal fistula is uncommon. The exact etiology remains unknown.
Assuntos
Fístula/diagnóstico por imagem , Doenças dos Seios Paranasais/diagnóstico por imagem , Seio Esfenoidal/diagnóstico por imagem , Idoso , Feminino , Fístula/cirurgia , Humanos , Doenças dos Seios Paranasais/cirurgia , Seio Esfenoidal/cirurgia , Tomografia Computadorizada por Raios XRESUMO
A congenital arteriovenous fistula of the kidney was discovered in a 75-year-old man presenting with hematuria and a silent kidney on I.V.U. The diagnosis had been suggested from the results of pre-operative arteriography examination. Treatment consisted of a total nephrectomy, because of the age of the patient and the hilar site of the "angioma". Reports in the published literature confirm the rare nature of this type of lesion and the difficulties encountered when trying to classify them in precise nosological groups.
Assuntos
Malformações Arteriovenosas/diagnóstico , Rim/irrigação sanguínea , Adulto , Idoso , Angiografia , Malformações Arteriovenosas/complicações , Malformações Arteriovenosas/cirurgia , Feminino , Hematúria/etiologia , Humanos , Rim/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Nefrectomia , Artéria Renal/diagnóstico por imagemRESUMO
The authors describe a case of post-traumatic arterio-portal fistula (APF), discovered on the 12th day after coeliomesenteric arteriography performed because of a postoperative complication, and emphasize the rare nature of this lesion, as shown by a review of the published literature. They stress the value of coeliomesenteric arteriography after urgent laparatomy for hepatic trauma for investigation of any possible lesions.
