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April 2013 Issue

 




Other Radiology articles from the Neuroradiology section Neuroradiology

Cerebrotendinous xanthomatosis - The spectrum of imaging findings by Arunachalam Pudhiavan et al.

Published: 2013 Apr
Issue: 7(4) :: Pages: 1-9


Free full text article: Cerebrotendinous xanthomatosis -  The spectrum of imaging findings

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Abstract: Cerebrotendinous xanthomatosis (CTX), also known as Van Bogaert-Scherer-Epstein disease is a rare autosomal recessive genetic disorder of the lipid metabolism. To date, there are less than 300 cases reported worldwide. We present a case of a 30 year old male who presented with mental retardation and swelling of ankles, with the a spectrum of CTX imaging findings. Imaging studies were performed which included plain X-ray, Ultrasound (US) and Magnetic Resonance Imaging(MRI) of both the brain and ankles. These pointed towards the diagnosis of CTX with the entire spectrum of findings which was confirmed with biopsy and laboratory findings. CTX is a potentially treatable condition with replacement therapy, and hence early diagnosis before neurological deterioration is important. This is aided by the imaging findings which are conclusive forte diagnosis of CTX.


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Conventional Radiography, Ultrasound, Magnetic Resonance Imaging, Microscopic pathology, Table

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Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

The Empty Azygos Fissure by Vincent Lenoir et al.

Published: 2013 Apr
Issue: 7(4) :: Pages: 10-15


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Abstract: The azygos fissure is typically visible on chest radiography as a right para-mediastinal supernumerary line in projection of the right lung apex. The azygos vein, located at the bottom of the fissure, is visible as a teardrop-shaped opacity. The empty azygos fissure is a rare finding. It is the consequence of the displacement of the azygos vein out of the fissure with a close paramediastinal position. This phenomenon, related to lung collapse, has been described in the literature as the migration of the azygos vein due to various etiologies such as increased intrathoracic pressure, spontaneous or iatrogenic pneumothorax, or even during sudden development of kyphosis. In our clinical case, the empty azygos fissure was developed after drainage of a large right pleural effusion. An empty azygos fissure must therefore suggest a history of pulmonary atelectasis related to pneumothorax or large drained effusion.


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Computed Tomography, Conventional Radiography, Graph, Table

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Other Radiology articles from the Interventional Radiology section Interventional Radiology

Post-Pancreaticoduodenectomy Hemorrhage of Unusual Origin: Treatment with Endovascular Embolization and the value of preoperative CT Angiography by Kortney Robinson et al.

Published: 2013 Apr
Issue: 7(4) :: Pages: 29-36


Free full text article: Post-Pancreaticoduodenectomy Hemorrhage of Unusual Origin: Treatment with Endovascular Embolization and the value of preoperative CT Angiography

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Abstract: Post-pancreaticoduodenectomy hemorrhage is a life threatening complication reported to occur in 2-7% of patients. Historically, treatment required an exploratory laparotomy. Introduction of endovascular embolization has broadened the available treatment options. The most common location for a post-pancreaticoduodenectomy hemorrhage is the gastroduodenal artery stump. Nonetheless, unusual sources of hemorrhage exist and are hard to localize, thus they are often treated with open surgery. Here we report two cases of CTA proven hemorrhage from the dorsal pancreatic arcade and transverse pancreatic artery, which were successfully located with conventional angiography and treated with endovascular arterial coil embolization. Both patients were status post-pancreaticoduodenectomy (Whipple procedure) and presented with a sentinel bleed and a drop in hematocrit levels.


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Computed Tomography, Angiography, Interventional, Table

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

Adenoma Malignum Detected on a Trauma CT by James McEachern et al.

Published: 2013 Apr
Issue: 7(4) :: Pages: 22-28


Free full text article: Adenoma Malignum Detected on a Trauma CT

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Abstract: Adenoma malignum is a rare subtype of cervical adenocarcinoma. Clinical presentation is variable with watery vaginal discharge being the most commonly associated finding. We report a case of adenoma malignum incidentally detected on pelvic computed tomography (CT) performed for a trauma patient. The cervical mass was further characterized by magnetic resonance (MR) imaging and remained compatible with adenoma malignum. Local cervical biopsy was suggestive of the diagnosis which was subsequently confirmed by gross surgical pathology. We briefly discuss adenoma malignum with particular attention to CT and MR imaging features.


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Computed Tomography, Magnetic Resonance Imaging, Microscopic pathology, Table

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Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

The French and their hernias: Prospective radiological differentiation of de Garengeot from other groin hernias by Nicholas Brown et al.

Published: 2013 Apr
Issue: 7(4) :: Pages: 16-21


Free full text article: The French and their hernias:  Prospective radiological differentiation of de Garengeot from other groin hernias

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Abstract: A femoral hernia containing an appendix, known as de Garengeot hernia, is an uncommon and potentially confusing presentation. Prompt differentiation of this condition from other groin hernias in an acute setting will influence management and reduce morbidity. Computed Tomography (CT) should be performed in all suspected cases and an awareness of likely CT findings can facilitate rapid pre-operative diagnosis. Despite this, we present only the fourth published case of prospective CT diagnosis of de Garengeot hernia.


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Ultrasound, Computed Tomography, Table

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