RESUMO
A case of intrarenal pseudoaneurysm after blunt trauma in a 12-year-old girl is reported. Clinical evolution was characterised by gross hematuria and colic pain bouts, and several pseudoaneurysms were confirmed through computerised tomography and Doppler ultrasound. In spite of strict bedrest, hematuric episodes occurred on day 11 and day 21 after admission. The pseudoaneurysms were confirmed by Doppler ultrasound and conservative treatment was rejected. 48 hours later, a therapeutic arteriography was performed, but no pseudoaneurysm could be identified, only an arteriovenous fistula that was embolised with coils. To our knowledge this is the first case of documented spontaneous resolution of intrarenal pseudoaneurysm. This case raises the possibility of continuing conservative treatment even in the presence of an intrarenal pseudoaneurysm.
Assuntos
Falso Aneurisma , Nefropatias , Acidentes por Quedas , Falso Aneurisma/complicações , Falso Aneurisma/diagnóstico por imagem , Fístula Arteriovenosa/diagnóstico por imagem , Fístula Arteriovenosa/terapia , Criança , Embolização Terapêutica , Feminino , Hematúria/etiologia , Humanos , Nefropatias/complicações , Nefropatias/diagnóstico por imagem , Radiografia , Remissão Espontânea , Ultrassonografia DopplerRESUMO
Desmoplastic fibroma is a rare benign neoplasm of bone; only three cases have been reported involving the skull. The radiographic and histological aspects of a case of desmoplastic fibroma involving the parietal bone are reported.
Assuntos
Fibroma Desmoplásico/diagnóstico por imagem , Neoplasias Cranianas/diagnóstico por imagem , Adulto , Feminino , Fibroma Desmoplásico/patologia , Humanos , Radiografia , Neoplasias Cranianas/patologiaRESUMO
We report in this work the casual find of two bilateral and symmetrical cystic images on the apex petrosus, asymptomatic and with periodic controls. In the review of the literature we haven't found another case of this entity. The differential diagnosis of this pathology is showed. We expose the most characteristic imagings.
Assuntos
Cistos Ósseos/diagnóstico , Osso Petroso , Diagnóstico Diferencial , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
We present the case report of a diabetic 51-year-old male, who presented with painless mobilization of the superior incisor teeth. The X-ray study showed osteolysis, without any soft tissue mass, in craniofacial and orbital bones. In the control X-ray studies performed during the 2 years' evolution, a progressive increase in the intensity and extension of the osteolysis was observed. The diagnosis of progressive idiopathic osteolysis is one of exclusion, based mainly on clinico-radiological findings, evolution and compatible histological findings.
Assuntos
Ossos Faciais/patologia , Osteólise Essencial/diagnóstico , Crânio/patologia , Ossos Faciais/diagnóstico por imagem , Seguimentos , Humanos , Incisivo , Masculino , Maxila , Pessoa de Meia-Idade , Doenças Orbitárias/diagnóstico , Doenças Orbitárias/diagnóstico por imagem , Doenças Orbitárias/patologia , Osteólise Essencial/diagnóstico por imagem , Osteólise Essencial/patologia , Radiografia , Crânio/diagnóstico por imagem , Mobilidade Dentária/etiologiaRESUMO
Presentamos en este trabajo el hallazgo casual de dos lesiones quísticas bilaterales y simétricas a nivel de la punta del peñasco, asintomáticas y sometidas a controles periódicos. En la revisión bibliográfica realizada no hemos encontrado ningún otro caso de bilateralidad de esta entidad. Hacemos el diagnóstico diferencial de su posible etiología y presentamos las imágenes más características (AU)
We report in this work the casual find of two bilateral and symmetrical cystic images on the apex petrosus, asymptomatic and with periodic controls. In the review of the literature we haven't found another case of this entity. The differential diagnosis of this pathology is showed. We expose the most characteristic imagings (AU)