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July 2019 Issue

 




Other Radiology articles from the General Radiology section General Radiology

Multidisciplinary approach in the management of uterine intravenous leiomyomatosis with intracardiac extension: case report and review of literature by Gianluca Marrone et al.

Published: 2019 Jul
Issue: 13(7) :: Pages: 1-13


Free full text article: Multidisciplinary approach in the management of uterine intravenous leiomyomatosis with intracardiac extension: case report and review of literature

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Abstract: Uterine intravenous leiomyomatosis is an uncommon tumor, usually arising from the uterus, with nodular masses which extend intravascularly over variable distances and may reach the inferior vena cava, right atrium, and pulmonary arteries. Early diagnosis and surgical intervention are crucial as intracardiac leiomyomatosis not only causes cardiac symptoms but may result in pulmonary embolism and sudden death. Complete tumor resection is key in disease management, thus rendering cardiac-extending uterine intravenous leiomyomatosis one of the most challenging conditions for surgical treatment. The use of interventional radiology procedures can facilitate the surgical approach. We report the case of a massive pelvic recurrence of uterine leiomyomatosis with intracardiac extension and pulmonary embolism, analyzing management and surgical outcomes, highlighting the role of interventional radiology during the therapeutic pathway. Nonetheless, there are currently very few data available concerning the use of interventional radiology procedures in the therapeutic strategy of uterine intravenous leiomyomatosis with intracardiac extension.


Available image modalities: (click on modality to browse for other articles)
Conventional Radiography, Ultrasound, Computed Tomography, Macroscopic pathology, Angiography, Interventional, Table





Other Radiology articles from the Thoracic Radiology section Thoracic Radiology

A Case of Hoarseness with Acute Back Pain - Cardiovocal Syndrome Revisited by Timothy Xin Zhong Tan et al.

Published: 2019 Jul
Issue: 13(7) :: Pages: 21-28


Free full text article: A Case of Hoarseness with Acute Back Pain - Cardiovocal Syndrome Revisited

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Abstract: A previously well 81-year-old Chinese male presented with hoarseness and low back pain for one month. Chest radiography at presentation revealed widening of the mediastinal silhouette. Nasopharyngoscopy detected left vocal cord paralysis. CT aortogram revealed a large saccular aortic arch aneurysm with a dissection flap extending distally down to the aortic bifurcation. The combination of clinical and imaging findings was consistent with cardiovocal syndrome. In view of good premorbid function, surgical repair was offered, and the patient underwent surgical repair and recovered well with no further back pain. A review of cases of cardiovocal syndrome suggest that prognosis of recurrent laryngeal nerve paralysis is dependent on the degree and duration of compression, and usually persists despite treatment of the underlying aneurysm.


Available image modalities: (click on modality to browse for other articles)
Conventional Radiography, Computed Tomography, Graph, Table





Other Radiology articles from the Neuroradiology section Neuroradiology

An intramedullary "flame" recognized as being an intramedullary spinal cord metastasis from esophageal cancer by Assunta Grillo et al.

Published: 2019 Jul
Issue: 13(7) :: Pages: 14-20


Free full text article: An intramedullary

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Abstract: Intramedullary spinal cord metastases are rarely encountered in patients suffering from extra - central nervous system primary cancer, with only 2 described cases reported in the literature deriving from esophageal cancer. Intramedullary spinal cord metastases may occur at any level of the spinal cord but cervical location is the most frequent. We report the first case of intramedullary metastasis affecting the thoracic spinal cord from esophageal squamous cell carcinoma in a 35-year-old patient.


Available image modalities: (click on modality to browse for other articles)
Computed Tomography, Magnetic Resonance Imaging, Table





Other Radiology articles from the Pediatric Radiology section Pediatric Radiology

Imaging Acute Non-Traumatic Abdominal Pathologies in Pediatric Patients: A Pictorial Review by Lena Naffaa et al.

Published: 2019 Jul
Issue: 13(7) :: Pages: 29-43


Free full text article: Imaging Acute Non-Traumatic Abdominal Pathologies in Pediatric Patients: A Pictorial Review

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Abstract: The dilemma of acute non-traumatic abdominal pathologies in the pediatric population depends on the age of the patients and symptoms. Surgical etiologies in patients younger than 2 years of age include intussusception, pyloric stenosis, malrotation and midgut volvulus. In older patients, considerations become closer to differential etiologies in adults including acute appendicitis. Ultrasound and fluoroscopic examinations remain the mainstay for diagnosis that may even be therapeutic such as contrast/air enemas in intussusception reduction. There is an increasing role for CT in appendicitis and renal colic especially in assessing complications; however, it is less favored because it incurs radiation to the patient. This article summarizes the imaging approach to pediatric patients with acute abdominal pathologies presenting to the emergency department, and how imaging is instrumental in guiding diagnosis and treatment, with emphasis on radiation safety, in the context of providing typical imaging findings of each pathology in this pictorial review.


Available image modalities: (click on modality to browse for other articles)
Computed Tomography, Fluoroscopy, Conventional Radiography, Ultrasound, Magnetic Resonance Imaging, Table





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