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 CoresRESUMO
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 XRESUMO
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/diagnósticoRESUMO
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 , UltrassonografiaRESUMO
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.