1/758. Cyst of seminal vesicle with ipsilateral renal agenesis and ectopic ureter: case report.A 24-year-old man had a cyst of the seminal vesicle and ipsilateral renal agenesis with an ectopic ureter. Nineteen other patients with similar anomalies are reviewed. The usual age at the onset of symptoms is between 20 and 28 years, during the time of maximal reproductive activity. Usually, diagnosis is established by history, the finding of a mass in the area of the seminal vesicle and an excretory urogram. Treatment consists of excision, aspiration or transurethral unroofing of the cyst.- - - - - - - - - - ranking = 1keywords = area (Clic here for more details about this article) |
2/758. papilledema associated with a sacral intraspinal cyst.A rare case of papilledema associated with a large sacral intraspinal cyst is described in a 34-year-old male. Symptoms were aggravated by heavy work and consisted of low back pain, headache, dizziness and episodic vomiting. papilledema was observed on ophthalmological examination. A valvular mechanism was found to exist between the normal spinal sac and the huge sacral cyst. Division of the valvular fistula combined with a dural plastic operation brought complete relief of all symptoms.- - - - - - - - - - ranking = 2.2598146012218keywords = pain (Clic here for more details about this article) |
3/758. Retrorectal cystic harmatoma (tailgut cyst) in an infant: case report.We report the case of a day old infant who presented with a large cystic swelling in the sacroccoygeal area distorting the gluteal folds and displacing the anus anteriorly. Rectal examination revealed less than twenty five per cent of the lesion in retrorectal space, plain x-rays did not show any calcification. The infant had excision surgery at seven days of age and did well thereafter. Although most TGC cases were reported in adults the present case fulfills the anatomical and histological criteria for diagnosis, and it may be the first such case in a child less than one month old.- - - - - - - - - - ranking = 1keywords = area (Clic here for more details about this article) |
4/758. Surgical resection of traumatic spleen cysts by laparoscopy.Surgical resection of traumatic cysts by means of laparoscopy in two female patients is reported. The patients had sustained severe trauma in the left upper quadrant, were symptomatic and developed large splenic cysts found by computerized tomography, with an average diameter of 8.5 cm. Both patients were submitted to puncture and capsule removal by means of videolaparoscopy and diathermy; splenic parenchyma was preserved and the cyst's bed drained. No intra or postoperative complications occurred. After an average 21 months postoperative follow-up, both patients are symptom-free and no late recurrences were found on tomographic studies. The advantages of this technique over others that have been reported are the preservation of splenic parenchyma, its easy performance and efficient relief of symptoms, as well as being minimally invasive, associated with minimal postoperative pain, shorter length of hospital stay, and no early recurrences.- - - - - - - - - - ranking = 2.2598146012218keywords = pain (Clic here for more details about this article) |
5/758. Choledochal cysts: a clinical and radiological evaluation of 21 cases.Choledochal cysts are predominantly a disease of children, the majority of which are female. The classical symptoms usually form part of a triad of jaundice, abdominal pain and a mass. The radiological features may be non specific and specific. Our experience of 21 cases with particular emphasis on the specific features which outline the cyst are presented.- - - - - - - - - - ranking = 2.2598146012218keywords = pain (Clic here for more details about this article) |
6/758. role of diffusion-weighted echo-planar MRI in distinguishing between brain brain abscess and tumour: a preliminary report.Our purpose was to evaluate diffusion-weighted (DW) echo-planar MRI in differentiating between brain abscess and tumour. We examined two patients with surgically confirmed pyogenic brain abscess and 18 with metastatic brain tumours or high-grade glioma, using a 1.5 T system. The apparent diffusion coefficient (ADC) of each necrotic or solid contrast-enhancing lesion was measured with two different b values (20 and 1200 s/mm2). All capsule-stage brain abscesses (4 lesions) and zones of cerebritis (2 lesions) were identified on high-b-value DWI as markedly high-signal areas of decreased ADC (range, 0.58-0.70 [(10-3 mm2/s; mean, 0.63)]). All cystic or necrotic portions of brain tumours (14 lesions) were identified on high-b-value DWI as low-signal areas of increased ADC (range, 2.20-3.20 [(10-3 mm2/s; mean, 2.70)]). Solid, contrast-enhancing portions of brain tumours (19 lesions) were identified on high-b-value DWI as high-signal areas of sightly decreased or increased ADC (range, 0.77-1.29 [(10-3 mm2/s; mean, 0.94)]). Our preliminary results indicate that DW echo-planar MRI be used for distinguishing between brain abscess and tumour.- - - - - - - - - - ranking = 3keywords = area (Clic here for more details about this article) |
7/758. pancreatitis caused by duodenal duplication.The authors present the investigations and surgical treatment of two cases of duodenal cystic duplication. abdominal pain and gastroesophageal reflux were the most important symptoms and signs associated with an history of recurrent acute pancreatitis. Computed tomography scan, ultrasound examination, and cholangiography confirmed preoperatively the diagnosis, and a transduodenal surgical approach was carried out in both children. A simple marsupialization of the cyst was performed in the former, and a sphincterotomy with papillosphincteroplasty was associated in the latter. The diagnosis was confirmed by microscopy, and both the children are asymptomatic after a 14 and 18 months of follow-up. This report focuses on the importance of the cholangiopancreatography for every child presenting with recurrent, unexplained bouts of acute pancreatitis, and underlines the technical surgical aspects on the basis of the anatomic identification of the malformation.- - - - - - - - - - ranking = 2.2598146012218keywords = pain (Clic here for more details about this article) |
8/758. Multifocal meningioangiomatosis: a report of two cases.We report the CT and MR findings in two patients with multifocal meningioangiomatosis, neither of whom had a family history or stigmata of neurofibromatosis. All lesions were located in the cortical and subcortical areas and had round dense calcifications with eccentric cysts. The masses were associated with surrounding edema and gliosis.- - - - - - - - - - ranking = 1keywords = area (Clic here for more details about this article) |
9/758. The Chiari II malformation: lesions discovered within the fourth ventricle.Structural lesions associated with the Chiari II malformation have been identified within the fourth ventricle in 8 patients. During the 42-month period encompassing the operations of the 7 patients treated surgically, only 9 other patients were explored without the discovery of some associated structural lesion. The patients ranged in age from 2 to 26 years. The following lesions were identified: glial or arachnoidal cysts (3 patients), glial or choroidal nodules (3 patients) and subependymoma (2 patients). These lesions were all situated in the roof of the fourth ventricle adjacent to or interspersed with the choroid plexus. Only the cystic lesions were identified by preoperative imaging. In only 1 case did the associated lesion, a 2-cm cyst, seem to contribute to the patient's clinical presentation. Structural lesions of the fourth ventricle associated with the Chiari II malformation are common in patients who are submitted to decompression. These lesions may be dysplasias of developmental origin, or they may be reactive lesions related to chronic compression and ischemia. They do not necessarily required biopsy or excision.- - - - - - - - - - ranking = 73.197530864198keywords = plexus (Clic here for more details about this article) |
10/758. Portal hypertension due to extensive hepatic cysts in autosomal dominant polycystic kidney disease.liver cysts are a well-recognized feature of autosomal dominant polycystic kidney disease (ADPKD) and occur in 77% of patients more than 60 years old. Serious sequelae, however, are rare, the two most common complications being pain and cyst infections. Portal hypertension has been reported in ADPKD due to the rare presence of congenital hepatic fibrosis. We report a case of ADPKD in a patient who had portal hypertension due to distortion of portal vein and venules by extensive hepatic cysts.- - - - - - - - - - ranking = 2.2598146012218keywords = pain (Clic here for more details about this article) |
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