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April 2012 Issue

 




Other Radiology articles from the OB/GYN section OB/GYN

Mayer-Rokitansky-Kuster-Hauser Syndrome diagnosed by Magnetic Resonance Imaging. Role of Imaging to identify and evaluate the uncommon variation in development of the female genital tract. by Valeria Fiaschetti et al.

Published: 2012 Apr
Issue: 6(4) :: Pages: 17-24


Free full text article: Mayer-Rokitansky-Kuster-Hauser Syndrome diagnosed by Magnetic Resonance Imaging. Role of Imaging to identify and evaluate the uncommon variation in development of the female genital tract.

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Abstract: Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome is a spectrum of Muellerian duct anomalies characterized by congenital aplasia of the uterus and of the upper part (2/3) of the vagina, in young women presenting otherwise with normal endocrine status. The ovaries and fallopian tubes are present. It is one of the most common causes of primary amenorrhea and affects at least 1 out of 4500 women. Its penetrance varies, as does the involvement of other organ systems and itcan be isolated (type I) or associated with other malformations (type II). The MRKH syndrome usually remains undetected until the patient presents with primary amenorrhea despite normal development of secondary sexual characteristics, so imaging evaluation can demonstrate in one setting, non invasively, the anomalies in development of genital tract. We report a case of MRKH syndrome in a 16-year-old woman who presented with primary amenorrhea, stressing the role and benefit of imaging in the differential diagnosis.


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Other Radiology articles from the Genitourinary Radiology section Genitourinary Radiology

Sarcomatoid renal cell carcinoma: A case report and literature review by Michael Reiter et al.

Published: 2012 Apr
Issue: 6(4) :: Pages: 11-16


Free full text article: Sarcomatoid renal cell carcinoma: A case report and literature review

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Abstract: Renal cell carcinoma (RCC) is the most common malignancy of the kidney and consists of multiple subtypes. The sarcomatoid variety, while previously considered a distinct histologic subtype, is now categorized as a form of dedifferentiated carcinoma. When present, it is associated with a significant decrease in patient survival due to its rapid growth and intrusive behavior. Preoperative knowledge of this diagnosis may be beneficial to clinicians in order to modify treatment options and follow-up protocols. This report describes a case of sarcomatoid renal cell carcinoma in which the patient initially presented with flank pain. We then discuss the clinical features of sarcomatoid renal cell carcinoma and its imaging appearance on computed tomography (CT), and succinctly review the subtypes of renal cell carcinoma and their imaging characteristics.


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Computed Tomography, Microscopic pathology, Table

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Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Isolated Gallbladder Injury in a Case of Blunt Abdominal Trauma by Jeffrey Birn et al.

Published: 2012 Apr
Issue: 6(4) :: Pages: 25-30


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Abstract: The diagnosis of blunt injury to the gallbladder may constitute a significant challenge to the diagnostician. There is often a delay in presentation with non-specific clinical symptoms. In the absence of reliable clinical symptoms, diagnostic imaging becomes an invaluable tool in the rapid identification of gallbladder injury. We present a case of isolated gallbladder injury following blunt abdominal trauma which was diagnosed by computed tomography and subsequently confirmed by cholecystectomy.


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Computed Tomography, Table

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Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Bilateral shotgun pellet pulmonary emboli by Stephen Huebner et al.

Published: 2012 Apr
Issue: 6(4) :: Pages: 1-10


Free full text article: Bilateral shotgun pellet pulmonary emboli

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Abstract: Intravascular migration of bullets and other foreign bodies is a rare but known complication of penetrating trauma. Missile embolization can represent a diagnostic challenge because it may present in various and unexpected ways. We present the case of a 54-year-old female who sustained shotgun pellet emboli to the pulmonary arteries following a left upper extremity gunshot wound and related vascular surgery. The case illustrates bilateral embolization, and the embolic events occurred following surgery. Embolization should be considered in evaluating patients with gunshot wounds, particularly if there are anomalous symptoms or the projectile is not found in the original, or expected, location. Close attention to the location of the foreign bodies on serial radiographs may reveal the diagnosis of intravascular embolization.


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Conventional Radiography, Angiography, Interventional, Computed Tomography, Table

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