Corpus cavernosum thrombosis: the membrane may play its role / Trombosis del cuerpo cavernoso: la membrana desempeña su papel

Partial thrombosis of corpus cavernosum is an uncommon condition that needs a high level of suspicious to be diagnosed. Imaging techniques may be very useful, and MR is the state-of-the-art technique. We present a case of a young male who presented to the emergency department with perineal and painful mass. MR imaging clearly depicted a thrombosed corpus cavernosum and a bilateral membrane that is possibly the underlying predisposing condition. With only conservative treatment the patient had an excellent outcome

La trombosis parcial del cuerpo cavernoso es una rara entidad que necesita de un alto grado de sospecha para su diagnóstico. Las técnicas de diagnóstico por la imagen pueden ser de gran utilidad y la resonancia magnética (RM) es la mejor modalidad disponible. Presentamos el caso de un joven varón que acude al servicio de urgencias con una masa perineal dolorosa. La RM diagnostica trombosis del cuerpo cavernoso y la existencia de una membrana bilateral, un posible factor predisponente. Con apenas tratamiento conservador, el paciente tuvo una excelente evolución clínica

Results of a Single Center's Stenting Procedure for the Treatment of Carotid Stenosis.

BACKGROUND: Stenting may be a safer alternative to endarterectomy for treating carotid artery stenosis (CAS), but its long-term efficacy is uncertain. There is a lack of long-term and noncontrolled clinical trial data that reflects "real-world" CAS. This study aimed to analyze the long-term efficacy and safety of our center's CAS procedure. METHODS: We retrospectively analyzed our database of patients who underwent CAS. Patient demographic data, previous risk factors, diagnostic and procedural information, and clinical and image follow-up data were collected from up to 1 year after treatment. RESULTS: Overall, 187 patients were analyzed. Our patient population largely comprised higher-risk patients compared with the patient populations of randomized controlled trials. We had more symptomatic (n = 145, 77.5%) than asymptomatic patients (n = 42, 22.5%), and 49% of patients had >90% stenosis. By the 30-day follow-up, there were 10 major adverse events (5.3%) observed in 8 patients (4.2%), including 7 strokes (3 ischemic and 4 hemorrhagic) and 3 deaths. By the 1-year follow-up, 6 strokes and 5 deaths occurred in 9 patients (4.8%), and color Doppler control showed that 87.6% of patients had stenosis-free stents. CONCLUSIONS: Despite our high-risk population group, there were high rates of successful stent placement, low complication rates, good clinical outcomes, and low rates of stenting restenosis.

Corpus cavernosum thrombosis: The membrane may play its role.

Partial thrombosis of corpus cavernosum is an uncommon condition that needs a high level of suspicious to be diagnosed. Imaging techniques may be very useful, and MR is the state-of-the-art technique. We present a case of a young male who presented to the emergency department with perineal and painful mass. MR imaging clearly depicted a thrombosed corpus cavernosum and a bilateral membrane that is possibly the underlying predisposing condition. With only conservative treatment the patient had an excellent outcome.

Diagnóstico morfológico y funcional de una rara entidad: pseudohipertrofia lipomatosa del páncrea / The morphological and functional diagnosis of a rare entity: lipomatous pseudohypertrophy of the pancreas

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The morphological and functional diagnosis of a rare entity: lipomatous pseudohypertrophy of the pancreas.

Lipomatous pseudohypertrophy of the pancreas is a rare entity characterized by a replacement, focal or diffuse, of the normal pancreatic tissue by mature fatty tissue. Its definitive diagnosis is made based on histopathologic analysis. Nevertheless, typical imaging findings can allow a non-invasive diagnosis and help its clinical approach.