Gastrointestinal Radiology
Imaging findings post colorectal endoscopic mucosal resection by James A Stephenson et al. |
Published: 2013 Sep Issue: 7(9) :: Pages: 27-32
| Abstract: Endoscopic mucosal resection is commonly the treatment regime of choice for large sessile colonic polyps. We describe the computed tomography findings of a 51 year old female who presented with transient severe abdominal pain without systemic upset post endoscopic mucosal polyp resection, which resolved with conservative management. This is the second case in the literature that demonstrates `normal` appearances post endoscopic mucosal resection. The clinical team and radiologist need to be aware of these findings when making management decisions in patients who present with acute pain post endoscopic mucosal resection.
Available image modalities: (click on modality to browse for other articles) Microscopic pathology, Computed Tomography, Table
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Musculoskeletal Imaging
Posterior Dislocation of Long Head of Biceps Tendon following Traumatic Anterior Shoulder Dislocation: Imaging and Intra-operative Findings by Claire McArthur et al. |
Published: 2013 Sep Issue: 7(9) :: Pages: 19-26
| Abstract: A case of posterior dislocation of the long head of biceps tendon, a rare occurrence following traumatic anterior glenohumeral dislocation, along with complete rotator cuff rupture and large haemarthrosis is presented with imaging and intra-operative findings. The interposed tendon prevented complete reduction. Appearances at MRI were diagnostic and directed the surgical approach.
Available image modalities: (click on modality to browse for other articles) Conventional Radiography, Computed Tomography, Magnetic Resonance Imaging, Macroscopic pathology, Table
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Pediatric Radiology
A leak too far - Gastro-pleural fistula mimicking recurrence of repaired congenital diaphragmatic hernia following fundoplication by Bhanumathi Lakshminarayanan et al. |
Published: 2013 Sep Issue: 7(9) :: Pages: 33-38
| Abstract: Recurrence rate after a congenital diaphragmatic hernia repair is high especially after a patch repair. Recurrence can be asymptomatic, followed by respiratory or gastrointestinal symptoms and the diagnosis is usually confirmed radiologically. We present an unusual case of radiologically diagnosed recurrent left diaphragmatic hernia but at surgery was found to be a gastro-pleural fistula that occurred as a complication following fundoplication surgery.
Available image modalities: (click on modality to browse for other articles) Conventional Radiography, Fluoroscopy, Table
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Neuroradiology
Balamuthia Mandrillaris Meningoencephalitis associated with Solid Organ Transplantation - Review of Cases by Matthew LaFleur et al. |
Published: 2013 Sep Issue: 7(9) :: Pages: 9-18
| Abstract: We report the first identified transmission of Balamuthia mandrillaris through solid organ transplantation. Kidneys were transplanted from a donor with presumptive diagnosis of autoimmune encephalitis. Shortly after, the recipients developed neurologic symptoms. Magnetic Resonance Imaging of the brain from the donor and both kidney recipients demonstrated multiple ring enhancing lesions with surrounding edema and adjacent leptomeningeal extension. In addition most of the lesions demonstrated signal changes suggesting central hemorrhagic foci. Specimens were tested locally and at the Centers for Disease Control and Prevention. Histopathology revealed B. mandrillaris in either brain tissue and/or cerebral spinal fluid in the donor and recipients.
Available image modalities: (click on modality to browse for other articles) Magnetic Resonance Imaging, Computed Tomography, Microscopic pathology, Table
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General Radiology
Asymptomatic Bowel Perforation by Abandoned Ventriculoperitoneal Shunt by Eric K Rinker et al. |
Published: 2013 Sep Issue: 7(9) :: Pages: 1-8
| Abstract: We report a case of an abandoned abdominal ventriculoperitoneal shunt that migrated into the gastric antrum, colonic hepatic flexure, and liver parenchyma, which was discovered incidentally on an abdominal CT obtained for renal stones. In regards to the migrated abandoned VP shunt, the patient was asymptomatic. Upon review of prior CT scans, these findings had progressed over approximately 7 years. We describe the case and discuss the clinical and radiologic findings, complications resulting from ventriculoperitoneal shunts, and possible approaches to their management.
Available image modalities: (click on modality to browse for other articles) Computed Tomography, Table
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