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1.
Tunis Med ; 85(10): 906-8, 2007 Oct.
Artigo em Francês | MEDLINE | ID: mdl-18236819

RESUMO

INTRODUCTION: Spontaneous intrahepatic portosystemic shunts are rare vascular anomalies that consist of a communication between the portal system and the systemic venous circulation. We report a case of a porto-caval shunt associated with chronic pericarditis. CASE REPORT: A 47-year-old patient with post pericarditis cirrhosis and without encephalopathy and hypoglycaemia. The shunt was tubular in its initial segment and aneurismal just before joining the vena cava. DISCUSSION: Spontaneous intrahepatic portosystemic shunt is a rare anomaly. Diagnosis can be made by Doppler ultrasound and helical CT.


Assuntos
Pericardite Constritiva/complicações , Veia Porta/patologia , Fístula Vascular/etiologia , Veia Cava Inferior/patologia , Aneurisma/etiologia , Humanos , Cirrose Hepática/etiologia , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada Espiral , Ultrassonografia Doppler em Cores
2.
Tunis Med ; 85(2): 160-2, 2007 Feb.
Artigo em Francês | MEDLINE | ID: mdl-17665666

RESUMO

BACKGROUND: Cystic lymphangioma of the adrenal gland is a rare tumor, which is often asymptomatic. Pre-operative diagnosis is difficult. Echography and CT scan are essential exploratory techniques. Surgical exploration is usually indicated due to uncertain diagnosis. AIM: Report of a new case CASE: We report a new case of cystic lymphangioma of the left adrenal gland, in a 30 year-old female, treated with a laparoscopic excision and confirmed by anatomopathologic features.


Assuntos
Neoplasias das Glândulas Suprarrenais/diagnóstico , Neoplasias das Glândulas Suprarrenais/cirurgia , Linfangioma Cístico/diagnóstico , Linfangioma Cístico/cirurgia , Adulto , Feminino , Humanos , Laparoscopia , Tomografia Computadorizada por Raios X
3.
Tunis Med ; 84(12): 837-40, 2006 Dec.
Artigo em Francês | MEDLINE | ID: mdl-17288294

RESUMO

Endometriosis is an ectopic implantation of endometrial tissue. Authors report a case of a 33 year-old infertile women who presented a deep pelvic endometriosis infiltrating the right ureter with left ovarian endometrioma suspected by the ultrasonography and confirmed with MRI. The patient was treated with Gn-RH analogues with relief of symptoms and normalisation of the upper urinary tract.


Assuntos
Endometriose/complicações , Doenças Ureterais/etiologia , Adulto , Endometriose/diagnóstico , Feminino , Humanos , Doenças Ureterais/diagnóstico
4.
Tunis Med ; 80(3): 152-4, 2002 Mar.
Artigo em Francês | MEDLINE | ID: mdl-12355644

RESUMO

We report a case of a supernumerary kidney discovered while investigating an isolated pyuria in a 47-year-old male patient. Embryology and diagnostic difficulties are discussed.


Assuntos
Rim/anormalidades , Diagnóstico Diferencial , Humanos , Rim/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X , Ultrassonografia
5.
Tunis Med ; 81(4): 273-6, 2003 Apr.
Artigo em Francês | MEDLINE | ID: mdl-12848012

RESUMO

Pituitary-hypothalamic axis Langerhans cell histiocytosis is an uncommon entity. It is a rare disease in adults. The CT and MR study provides us the best anatomo-topographic evaluation and determine the precise size of the lesion which are necessary to the treatment. We report a case of hypothalamic involvement by Langerhans cell histiocytosis accompanied by lesions in bone affecting a 31-year-old woman. The clinical, histiotological and CT/MR findings of histiocytosis X are described in this article.


Assuntos
Histiocitose de Células de Langerhans/patologia , Doenças Hipotalâmicas/patologia , Doenças da Hipófise/patologia , Adulto , Feminino , Humanos , Imageamento por Ressonância Magnética
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