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Other Radiology articles from the Gastrointestinal Radiology section Gastrointestinal Radiology

Incarceration of umbilical hernia: a rare complication of large volume paracentesis by Iman Khodarahmi et al.

Published: 2015 Sep
Issue: 9(9) :: Pages: 20-25


Free full text article: Incarceration of umbilical hernia: a rare complication of large volume paracentesis

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Abstract: We present two cases of umbilical hernia incarceration following large volume paracentesis (LVP) in patients with cirrhotic ascites. Both patients became symptomatic within 48 hours after the LVP. Although being rare, given the significantly higher mortality rate of cirrhotic patients undergoing emergent herniorrhaphy, this complication of LVP is potentially serious. Therefore, it is recommended that patients be examined closely for the presence of umbilical hernias before removal of ascitic fluid and an attempt should be made for external reduction of easily reducible hernias, if a hernia is present.


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Computed Tomography, Conventional Radiography, Table





Other Radiology articles from the Interventional Radiology section Interventional Radiology

Minimally invasive percutaneous endovascular therapies in the management of complications of non-alcoholic fatty liver disease (NAFLD): A case report by Jason Salsamendi et al.

Published: 2015 Sep
Issue: 9(9) :: Pages: 36-43


Free full text article: Minimally invasive percutaneous endovascular therapies in the management of complications of non-alcoholic fatty liver disease (NAFLD):  A case report

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Abstract: Nonalcoholic fatty liver disease (NAFLD) represents a spectrum of disorders from simple steatosis to inflammation leading to fibrosis, cirrhosis, and even hepatocellular carcinoma. With the progressive epidemics of obesity and diabetes, major risk factors in the development and pathogenesis of NAFLD, the prevalence of NAFLD and its associated complications including liver failure and hepatocellular carcinoma is expected to increase by 2030 with an enormous health and economic impact. We present a patient who developed Hepatocellular carcinoma (HCC) from nonalcoholic steatohepatitis (NASH) cirrhosis. Due to morbid obesity, she was not an optimal transplant candidate and was not initially listed. After attempts for lifestyle modifications failed to lead to weight reduction, a transarterial embolization of the left gastric artery was performed. This is the sixth such procedure in humans in literature. Subsequently she had a meaningful drop in BMI from 42 to 36 over the following 6 months ultimately leading to her being listed for transplant. During this time, the left hepatic HCC was treated with chemoembolization without evidence of recurrence. In this article, we wish to highlight the use of minimally invasive percutaneous endovascular therapies such as transarterial chemoembolization (TACE) in the comprehensive management of the NAFLD spectrum and percutaneous transarterial embolization of the left gastric artery (LGA), a novel method, for the management of obesity.


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Magnetic Resonance Imaging, Angiography, Interventional, Graph, Table





Other Radiology articles from the Musculoskeletal Imaging section Musculoskeletal Imaging

Mycobacterium kansasii causing chronic monoarticular synovitis in a patient with HIV/AIDS by Leo Menashe et al.

Published: 2015 Sep
Issue: 9(9) :: Pages: 26-35


Free full text article: Mycobacterium kansasii causing chronic monoarticular synovitis in a patient with HIV/AIDS

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Abstract: Mycobacterium kansasii is a nontuberculous mycobacterium that primarily causes pulmonary disease in AIDS patients, however it has also been known, rarely, to result in skeletal infection. When skeletal infection occurs, the time from onset of symptoms to diagnosis is up to 5 years in previously reported cases. We describe a 48-year-old woman with HIV/AIDS who presented with chronic, isolated left knee pain and swelling of over two decades which had recently worsened. Radiographs and magnetic resonance imaging demonstrated marked subarticular erosions, synovial thickening, and bone marrow edema, which had progressed compared with prior imaging done seven years earlier. Synovial biopsy grew Mycobacterium kansasii. Following the presentation of our case, clinical and imaging findings, including the differential diagnosis, of monoarticular arthritis caused by Mycobacterium kansasii are reviewed and discussed.


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Conventional Radiography, Magnetic Resonance Imaging, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

Diffuse Proliferative Cerebral Angiopathy: A case report and review of the literature by Rohit et al.

Published: 2015 Sep
Issue: 9(9) :: Pages: 1-10


Free full text article: Diffuse Proliferative Cerebral Angiopathy:  A case report and review of the literature

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Abstract: Diffuse proliferative cerebral angiopathy is a distinct entity from cerebral arterio-venous malformations; characterized by multiple small arterial feeders and draining veins with normal brain parenchyma seen in-between the abnormal vessels. It is usually seen in younger age group. Here we report a case of diffuse cerebral proliferative angiopathy in a 78-year-old female patient along with discussion of the neuro-imaging findings and review of the literature. It is important to recognize this entity to avoid aggressive surgery or intervention and thus preventing permanent damage to the normal intermingled brain tissue.


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Computed Tomography, Magnetic Resonance Imaging, Other, Table





Other Radiology articles from the Breast Imaging section Breast Imaging

Aggressive Metaplastic Carcinoma of the Breast with Osteoclastic Giant Cells by Kathleen Khong et al.

Published: 2015 Sep
Issue: 9(9) :: Pages: 11-19


Free full text article: Aggressive Metaplastic Carcinoma of the Breast with Osteoclastic Giant Cells

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Abstract: Metaplastic carcinoma of the breast is an uncommon type of malignancy that is aggressive but can mimic other benign breast neoplastic processes on imaging. We present a case of a young female patient who presented with a rapidly progressing metaplastic carcinoma with osteoclastic giant cells subtype. There have been only very rare published reports of this pathologic subtype of metaplastic carcinoma containing osteoclastic giant cells.


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Ultrasound, Microscopic pathology, Magnetic Resonance Imaging, Macroscopic pathology, Table





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