Fine‐needle aspiration cytology diagnosis of aspergilloma – A case report

Fine‐needle aspiration cytology, a simple and inexpensive technique can aid in early diagnosis of aspergilloma. Here, we present a case of 55‐years‐old female with a past history of pulmonary tuberculosis and a right‐lung cavitary lesion, diagnosed as aspergilloma.     

Variability in the clinical presentation and endoscopic findings of herpetic esophagitis

Three cases of herpetic esophagitis are reported in which the endoscopic features were non-specific and the triad of odynophagia, retrosternal pain and fever was absent, suggesting that the endoscopic and clinical presentation may be more variable than previously described.     

Methanol poisoning: diagnosis and management. A case report

Methanol poisoning is an uncommon but potent central nervous system toxin. The diagnosis and the management of its sequelae remain a challenge to clinicians. A case is hereby presented in which computed tomography of the brain played an important role in making the diagnosis due to poor patient's history and unavailability of methanol assay. Parkinsonism and visual sequelae are well-recognised complications in the survivors. This patient developed parkinsonism in the form of mainly severe tremors and mild rigidity. He benefited from treatment on amantadine.     

Fatal herpetic hepatitis in adult following short corticotherapy: a case report

Herpes simplex virus hepatitis (HSV hepatitis) is an uncommon and severe complication of HSV type 1 and HSV type 2 infection. HSV hepatitis affects mostly immunocompromised patients. We report the case of a young man without any previous known immunodeficiency who developed fatal HSV hepatitis in the first 8 days of oral corticotherapy given for ulcerative colitis. A prompt diagnosis was possible because HSV was recovered from peripheral blood leukocytes. Received: 22 May 1998 Accepted: 15 January 1999     

Ultrasound in the diagnosis of xanthogranulomatous pyelonephritis: A case report

A case report illustrating ultrasonic findings in xanthogranulomatous pyelonephritis is presented. The clinical and radiographic findings, differential diagnosis, and potential contribution by ultrasound are discussed. A brief review of the literature is given.     

Prenatal diagnosis of lissencephaly: A case report

We describe the abnormal sonographic findings in the brain of a 26‐week fetus, which increased the suspicion of isolated lissencephaly. Follow‐up ultrasound examination and MRI depicted diffuse cortical agyria, microcephaly, hypotelorism, and proptosis. Cordocentesis showed a normal 46,XY karyotype, and no short arm deletion of chromosome 17 was detectable. Postmortem examination confirmed complete agyria of the whole fetal brain. Early detection of fetal microcephaly and other cranial abnormalities can be a sign of isolated lissencephaly and need to be evaluated carefully with ultrasound and MRI for detection of abnormal cortical development of the fetal brain. © 2009 Wiley Periodicals, Inc. J Clin Ultrasound, 2009     

真菌性食管炎致大量呕血

真菌性食管炎近年报道并不少见 ,文献报道在12 5 9例胃镜检查患者中查有真菌的 2 13例 ,占16 9% [1] 。一般症状表现为胸骨后疼痛、烧灼感及吞咽时疼痛、不适等 ,亦有无症状者[2 ] ,但以反复上消化道大量出血为主要表现的未见报道。现将我院近年收治的1例报告如下。1　病例资料男 ,5 9岁。胸骨后疼痛不适伴间歇性呕血 10天入院。病初 12小时内呕吐咖啡样液体 7次 ,共约12 0 0ml,外院急诊处理后每日仍呕吐咖啡色液体 2 0 0～5 0 0ml。既往无肿瘤及糖尿病史。发病前无酗酒、刺激性饮食史。查体 :血压 90 / 6 0mmHg ,心率 10 2 /min ,未见其…     

Histopathological diagnosis in reflux esophagitis

We reviewed the histopathological features for the diagnosis of reflux esophagitis and gastroesophageal reflux disease(GERD) including carcinogenesis of the esophagus. Histologically, the presence of capillary dilatation, elongation of papillary, hyperplasia of basal layer, inflammatory cells-infiltration, balloon cells in the epithelium, and ulceration were evaluated in GERD cases. Although, histopathological changes were not clear in endoscopic-negative GERD cases, immunohistochemical examination with cell cycle protein(PCNA, p21, and p27) revealed the same abnormalities with GERD cases. In Japan, the majority cases of GERD are evaluated in grade according to Los Angeles system, therefore the prevalence of Barrett's esophagus and cancer is very low. We hypothesize that esophageal squamous cell carcinoma arising from GERD different from Barrett's cancer sequence, and clinicopathological long-term follow up will be required to assess the carcinogenesis including gene analysis.     

Prenatal ultrasound diagnosis of infantile myofibromatosis--a case report.

Infantile myofibromatosis, the most common soft tissue tumor of infancy, was diagnosed at 30 weeks of gestation. The tumor presented on ultrasound as a large mass measuring 42 mm x 75 mm x 35 mm located on the fetal back. The ultrasound diagnosis was further validated by MRI. Termination of pregnancy was carried out, and a multicentric visceral type of the tumor was diagnosed at autopsy.     

Prenatal diagnosis of robinow syndrome: A case report

Robinow syndrome, also known as fetal face syndrome, is a rare genetically heterogeneous condition characterized mainly by mesomelic limb shortening, facial malformations, and genital abnormalities. This report describes the sonographic findings in a case of autosomal‐dominant Robinow syndrome diagnosed at 23.1 weeks' gestation, in a patient with no history of affected relatives. Here we describe the sonographic characteristics of this syndrome from the diagnosis until birth. The prenatal and postnatal findings, the differential diagnosis, and the prognosis of patients with this syndrome are discussed. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound, 42 :297–300, 2014     

A case of pill-induced esophagitis with mucosal dissection

With the advance of gastrointestinal endoscopy, pill-induced esophagitis has been detected more frequently, but the association of mucosal dissection is rare. We reported a case of pill-induced esophagitis associated with mucosal dissection.A 66-year-old male with combined valvular heart disease was admitted for cardiac surgery. Cefotiam hydrochloride tablet was administered for postoperative wound infection of cardiac surgery. Next morning severe odynophagia and retrosternal pain were occurred. Upper gastrointestinal endoscopy performed 2 days after onset of the symptom showed detached mucosa at the upper thoracic esophagus and acute esophagitis at middle and lower thoracic esophagus. Histological examination of the mucosa revealed that the esophageal mucosa was detached from the lamina propria. After the treatment for esophagitis, almost normal esophageal mucosa covered the esophagus without scarring or stricture.The present case was diagnosed as cefotiam hydrochloride tablet induced esophagitis because of the onset of this disease. Mucosal dissection of the esophagus may be associated with both the esophagitis and bleeding tendencies caused by anticoagulant therapy.     

Transvaginal ultrasonography in the diagnosis of primary ovarian pregnancy: case report.

This case report describes the sonographic appearance of an ovarian pregnancy; at 7 weeks of gestation, transvaginal ultrasonography revealed an enlarged left ovary containing the gestational sac, yolk sac, and embryonic structures without heart activity. High-frequency transvaginal ultra-sound examination proved a useful diagnostic tool in this case of ovarian pregnancy.     

Preoperative sonographic diagnosis of appendiceal intussusception: A case report

Appendiceal intussusception is an uncommon form of intussusception. Most of the literature regarding appendiceal intussusception discusses the colonoscopic diagnosis or surgical treatment of the condition. Sonographic findings have rarely been described. We present a case of preoperative sonographic diagnosis of appendiceal intussusception. © 2009 Wiley Periodicals, Inc. J Clin Ultrasound 2009     

Prenatal diagnosis of Klippel-Trenaunay-Weber syndrome: a case report.

At 20 weeks of gestation, a typical combination of a massive enlargement of the right fetal leg and multiple cystic lesions was detected at ultrasound examination. Color-coded Doppler examination revealed no arteriovenous fistulae.These findings allowed an in utero diagnosis of the Klippel-Trenaunay-Weber syndrome, which was confirmed after subsequent termination of the pregnancy. The severe malformation involved the upper and lower right leg. No arteriovenous fistulae were found.     

Antenatal ultrasound diagnosis of perineal ectopic testis--a case report.

Perineal ectopia testis is a rare congenital anomaly with incidence of < 1% of all cases of undescended testes. We report a case of perineal ectopic testis detected by ultrasound at 38 weeks gestational age presenting as an oval echogenic structure located beneath the male fetal genitals. The diagnosis was confirmed postpartum by clinical examination and karyotyping of the neonate. Orchiopexy was performed 1 year after delivery.     

CT诊断鼻石1例

患者女,20岁.左侧鼻阻伴流脓涕半年余.鼻镜下左侧鼻腔可见一不规则的土黄色肿块,质硬,术后病理为蓝染的钙化物.