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June 2013 Issue

 




Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Fistulation as a complication of intra-abdominal soft-tissue sarcomas; a case series by Bo Wang et al.

Published: 2013 Jun
Issue: 7(6) :: Pages: 15-21


Free full text article: Fistulation as a complication of intra-abdominal soft-tissue sarcomas; a case series

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Abstract: Soft-tissue sarcomas are rare, accounting for only one percent of all cancers. They can occur in retroperitoneal and intraperitoneal sites, including gastrointestinal stromal tumours (GIST), and have the potential to cause complications secondary to interaction with other abdominal viscera. Fistulation, or an abnormal communication between two epithelium-lined surfaces that do not usually connect, is a rare example of such a complication. We present a series of cases of fistulation due to the presence of an intra-abdominal soft-tissue sarcoma and contrast three different approaches to management. We discuss the radiological features and other modalities of imaging which may be useful in diagnosing this rare complication.


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Computed Tomography, Table

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Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Ectopic anus with barrel gun perineum rare type of anorectal anomaly by Komal Chamaria et al.

Published: 2013 Jun
Issue: 7(6) :: Pages: 31-36


Free full text article: Ectopic anus with  barrel gun perineum rare type of anorectal anomaly

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Abstract: Perineal ectopic anus in female infants is not a very uncommon congenital anorectal anomaly with opening into the low vaginal or vulvar region. However, ectopic anus with barrel gun perineum is a less common variety. Patients generally present with frequent history of constipation, but may seek medical help for just aesthetic reasons. We present here one such case of an asymptomatic seven years old female with the rare form of anterior ectopic anus with barrel gun perineum without any fistulous communications with an innovative method of demonstration of the anomaly by using ultrasound gel as rectal contrast in MRI pelvis.


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Magnetic Resonance Imaging, Table

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Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

A rare case of Enchondromatosis of the knees and hands with involvement of Hoffa`s fat pad and peri-articular soft-tissues by Raffaello Sutera et al.

Published: 2013 Jun
Issue: 7(6) :: Pages: 22-30


Free full text article: A rare case of Enchondromatosis  of the knees and hands with involvement of Hoffa`s fat pad and peri-articular soft-tissues

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Abstract: We report a case of a 56-year old man with chronic pain in both knees for several years. This patient had already undergone surgery on his left knee in 2002 after an x-ray showed multiple lytic and well margined lesions in the distal femur and proximal tibia with ground-glass matrix, involving Hoffa`s fat pad and the patellar ligament. Histology was consistent with an enchondroma. The most recent MRI examination showed enchondromatosis involving both knees with bilateral extension into Hoffa`s fat pad and the patellar ligament. Subsequently, we performed an additional radiographic examination of the hands and feet, as well as an MRI of both hands to identify other possible enchondromas in the most common sites for this disease. Enchondromatosis with soft tissue involvement is extremely rare, and involvement of Hoffa`s fat pad has not been reported in the scientific literature. The clinical presentation of this case and the general aspects of Enchondromatosis are discussed.


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Clinical image, Conventional Radiography, Magnetic Resonance Imaging, Table

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Other Radiology articles from the Neuroradiology section Neuroradiology

Baló`s concentric sclerosis: imaging findings and pathological correlation by Maxine Darke et al.

Published: 2013 Jun
Issue: 7(6) :: Pages: 1-8


Free full text article: Baló`s concentric sclerosis: imaging findings and pathological correlation

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Abstract: Baló`s concentric sclerosis is a primary inflammatory central nervous system demyelinating disease that is considered a rare, radiographically and pathologically distinct variant of multiple sclerosis. Baló`s concentric sclerosis is characterized by alternating rings of demyelinated and myelinated axons, and it is most frequently diagnosed postmortem by autopsy or, more recently, by magnetic resonance imaging without pathologic verification. This report is of a case of Baló`s concentric sclerosis in which the patient presented with left-sided focal sensorimotor deficits. The patient`s lesion demonstrated characteristics of Baló`s concentric sclerosis by magnetic resonance imaging, but since a neoplastic process was also suspected initially, the patient underwent a surgical biopsy. This pathology sample now provides the opportunity to correlate the tissue diagnosis of demyelination with characteristic magnetic resonance imaging findings; this comparison is infrequently found in the literature.


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Magnetic Resonance Imaging, Table

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Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

Rare Case of Left Upper Lobe Partial Anomalous Pulmonary Venous Connection by Rahul Nath et al.

Published: 2013 Jun
Issue: 7(6) :: Pages: 9-14


Free full text article: Rare Case of Left Upper Lobe Partial Anomalous Pulmonary Venous Connection

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Abstract: Partial anomalous pulmonary venous connection is a rare abnormality with failure of connection between the initial draining system of the lungs and the common pulmonary vein. Right sided anomalous return is the most common form of anomalous connection, with left sided anomalous return uncommon. Presented is a case of left upper lobe partial anomalous pulmonary venous connection that was diagnosed incidentally on computed tomography (CT). This is an example of the utility of CT, in particular coronal, sagittal and 3-d reconstructions, in assessment of cardiopulmonary anatomy.


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Conventional Radiography, Computed Tomography, Graph, Table

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