RESUMO
Nontraumatic rapid growing giant fat necrosis of the breast mimicking breast tumors is a rare clinical manifestation. The imaging features of the fat necrosis which range from benign to malign findings may be better explained with associated aetiology. The present paper reports a 54-year old woman with a rapid growing, fibrous, and hard giant mass originating in the subareolar region of the left breast. Mammography and magnetic resonance imaging demonstrated a heterogeneous, well circumscribed mass in 12 × 12 cm size in the left breast. The lesion was suspected as a malignant tumor and underwent core biopsy. The histopathology examination of the biopsy revealed mononuclear cells, foamy, vacuolated, and bubbly cells containing fat. Excision biopsy of the mass was performed and the final pathological diagnosis was confirmed as fat necrosis. The wide clinical and radiologic manifestations of fat necrosis are still difficult to diagnose even with the new diagnostic modalities and a great proportion of these lesions need a biopsy to diagnose.
Assuntos
Doenças Mamárias/diagnóstico , Neoplasias da Mama/diagnóstico , Necrose Gordurosa/diagnóstico , Doenças Mamárias/patologia , Diagnóstico Diferencial , Necrose Gordurosa/patologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Mamografia , Pessoa de Meia-IdadeRESUMO
Hemobilia is a rare phenomenon. In this case report we present an emergent transcatheter glue embolization (in which N-butyl cyanoacrylate is used as an embolizing agent) due to arteriobilary fistula occurred following the laparoscopic cholecystectomy in a 41-year-old woman.
Assuntos
Colecistectomia Laparoscópica/efeitos adversos , Embolização Terapêutica , Embucrilato/uso terapêutico , Procedimentos Endovasculares , Vesícula Biliar/irrigação sanguínea , Hemobilia/etiologia , Hemorragia/etiologia , Adesivos Teciduais/uso terapêutico , Adulto , Fístula Biliar/etiologia , Fístula Biliar/terapia , Feminino , Hemorragia/terapia , Humanos , Fístula Vascular/etiologia , Fístula Vascular/terapiaRESUMO
Several types of abnormalities of the ribs have been reported. Many of these anomalies usually result in the correct diagnosis thanks to the characteristic radiological appearances. But some of the anomalies are rare and it is important to recognize and get accustomed to differing appearances of these osseous abnormalities in order to differentiate the pathological processes and to diagnose the syndromes which may accompany rib anomalies. The localized costovertebral anomaly with horn-like appearance, which has not yet been described in literature, is presented in this paper.
Assuntos
Costelas/anormalidades , Vértebras Torácicas/anormalidades , Adulto , Humanos , Radiografia Torácica , Costelas/diagnóstico por imagem , Vértebras Torácicas/diagnóstico por imagem , Adulto JovemRESUMO
A child with Spigelian hernia, concomitant multiple skeletal anomalies and whole body hemihypoplasia and fibular aplasia is presented here. Irrespective of the patient's age at presentation, Spigelian hernias associated with anomalies are congenital in origin. This case emphasizes the fact that a bilateral Spigelian hernia can occur in children together with multiple skeletal anomalies.
Assuntos
Fíbula/anormalidades , Hérnia Ventral/complicações , Anormalidades Musculoesqueléticas/complicações , Doenças Ósseas/congênito , Pré-Escolar , Feminino , HumanosAssuntos
Anormalidades Múltiplas/diagnóstico por imagem , Síndrome de Heterotaxia/diagnóstico por imagem , Anormalidades Congênitas/diagnóstico por imagem , Duodeno/anormalidades , Duodeno/diagnóstico por imagem , Veias Hepáticas/anormalidades , Veias Hepáticas/diagnóstico por imagem , Humanos , Rim/anormalidades , Rim/diagnóstico por imagem , Nefropatias/congênito , Nefropatias/diagnóstico por imagem , Fígado/anormalidades , Fígado/diagnóstico por imagem , Pessoa de Meia-Idade , Pâncreas/anormalidades , Pâncreas/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Veia Cava Inferior/anormalidades , Veia Cava Inferior/diagnóstico por imagemRESUMO
Myelolipomas are rare benign tumours composed of adipose tissue and haematopoietic cells that are typically found in adrenal glands but have also appeared in extra-adrenal sites. Distinguishing between extra-adrenal myelolipomas and malignant tumours, such as liposarcomas, is crucial to avoid an invasive procedure. To this end, we present a comprehensive report of the CT imaging characteristics of a pathologically proven bilateral extra-adrenal perirenal myelolipoma.
Assuntos
Neoplasias das Glândulas Suprarrenais/diagnóstico por imagem , Mielolipoma/diagnóstico por imagem , Neoplasias Retroperitoneais/diagnóstico por imagem , Dor Abdominal/etiologia , Neoplasias das Glândulas Suprarrenais/patologia , Idoso , Humanos , Hipertensão/etiologia , Masculino , Mielolipoma/patologia , Radiografia , Neoplasias Retroperitoneais/patologiaRESUMO
Intercostal hernias develop most often as a result of a blunt or penetrating thoracoabdominal trauma. We know of no prior report of a spontaneously occuring intercostal hernia. This study presents a review of the published literature that deals with this uncommon phenomenon, along with a discussion of our patient's clinical presentation and imaging findings.
Assuntos
Hérnia Abdominal/diagnóstico por imagem , Músculos Intercostais , Idoso de 80 Anos ou mais , Meios de Contraste , Diagnóstico Diferencial , Feminino , Hérnia Abdominal/cirurgia , Humanos , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
The incidence of a primary serous papillary carcinoma of the retroperitoneum is extremely rare. We present a case of the tumour in an adult simulating an adrenal mass with MRI findings and histopathological correlation.
Assuntos
Neoplasias das Glândulas Suprarrenais/patologia , Carcinoma Papilar/patologia , Imageamento por Ressonância Magnética , Neoplasias Retroperitoneais/patologia , Membrana Serosa/patologia , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Estatística como AssuntoRESUMO
We describe a case of pleurosubcutaneous fistula of the left thoracic wall in an oncologic female patient. She presented with left-sided pain and a chest wall mass bulge suspicious for breast neoplasm metastasis.
Assuntos
Doenças do Tecido Conjuntivo/diagnóstico , Fístula/diagnóstico , Doenças Pleurais/diagnóstico , Fístula do Sistema Respiratório/diagnóstico , Tela Subcutânea/patologia , Idoso , Carcinoma Ductal de Mama/secundário , Doenças do Tecido Conjuntivo/diagnóstico por imagem , Diagnóstico Diferencial , Feminino , Fístula/diagnóstico por imagem , Seguimentos , Humanos , Doenças Pleurais/diagnóstico por imagem , Derrame Pleural Maligno/patologia , Neoplasias Pleurais/secundário , Fístula do Sistema Respiratório/diagnóstico por imagem , Tela Subcutânea/diagnóstico por imagem , Doenças Torácicas/diagnóstico , UltrassonografiaRESUMO
PURPOSE: To evaluate the effectiveness of percutaneous treatment under sonographic guidance in abdominal hydatid cysts. MATERIAL AND METHODS: Fifty-two hydatid cysts in 33 patients were treated using a percutaneous approach under sonographic guidance. Forty-five cysts were located in the liver, 6 in the spleen, and 1 in the pancreas. Forty-nine cysts were type I, and 3 were type II. Thirty-one cysts in 15 patients were treated with puncture and aspiration of the contents, injection of hypertonic saline solution, and respiration (PAIR); 15 cysts in 14 patients were treated with puncture, aspiration of cyst contents, injection of hypertonic saline solution, drainage, and injection of sclerosing agent (PAIDS); and 6 cysts in 4 patients were treated with puncture, aspiration of cyst contents, injection of sclerosing agent, and re-aspiration (mPAIDS). Hypertonic saline or alcohol was used as a scolicidal agent. The follow-up period was between 17 and 53 months. RESULTS: A decrease in the dimensions of the cysts, solidification of the contents, and irregularity in the walls of cysts, all of which were considered signs of cure, were found in all patients. Recurrence was observed in one case and anaphylaxis in one. CONCLUSION: Percutaneous treatment of abdominal hydatid cysts is a safe, easily applicable, well-tolerated, and effective method.