A surgical sponge is the most common type of retained foreign body (RFB) also known as a gossypiboma (gossypium = cotton, boma = concealment). It is mostly asymptomatic but can lead to a host of symptoms in the patient ranging from pain in the abdomen to anorexia and weight loss. It poses a diagnostic challenge not just for the surgeon but also the radiologist as it can mimic an intraabdominal mass. Here we present a case of a 58 yrs old male who presented with dysphagia and abdominal pain on and off who was radiologically diagnosed as a case of gastric mass and subsequently underwent exploratory laparotomy where it was proven to be a gossypiboma. The case attempts to highlight the importance of keeping gossypiboma as a differential diagnosis for patients with vague abdominal pain and history of a surgery in the past. Key words: gossypiboma, sponge, abdominal pain, computed tomography, foreign body.
Megaloencephalic leucoencephalopathy with subcortical cysts (MLC) (Van Der Knaap Disease) is an entity of neurodegenerative disease characterized by infantile-onset megalencephaly, cerebral leukoencephalopathy, and a delayed on set of slowly progressive neurologic dysfunction. MLC is distinguished from other leucoencephalopathies by its remarkably slow course of neurologic deterioration. Infantile onset macrocephaly is characteristic. Age of onset varies from birth to 25 years, with median age of 6 months. [1] We report a case of 23 months old male child with a history of fall followed by an episode of seizure and vomiting. The patient underwent a non-contrast CT scan that showed prominent bilateral cortical hypodense white matter. Further imaging with MRI was indicated to rule out white matter disease.
Aim: To evaluate the best result in stroke assessment using various MRI sequences. Background: Stroke is considered as a major disorder in todays world. MRI is used for diagnosis of CVA patients. MRI can identify accurately hemorrhagic and ischemic stroke patients in the acute, subacute and chronic stage. Hypothesis: Which sequence give detailed study of CVA in MRI? Data sources: As a literature review project, the methods and materials which supports this project are based on previous publications of the literature, indexed on Pubmed-Medline, Medscape, AMED,CINAHL and SCIRUS from 2000-2010. A computerized database search was performed using the Oxfords University OxLIP + interface and each of the article and studies that met the criteria for that project was evaluated. Even the data is collected from the MGM Hospital of Navi Mumbai. Result: In my study the findings were Diffusion MRI sequence was more sensitive for around 80% and FLAIR sequence was also specific (specificity near about 60%) for detection of early(Hyperacute to Acute) stroke cases. T2 axial sequences were more helpful in chronic stroke cases which is about 40% in specification along with GRE. FLAIR sequence was more helpful. Conclusion: MRI diffusion sequence is more specific and sensitive in Hyper acute and Acute stroke cases and FLAIR is helpful in Chronic stroke cases.
Agenesis of corpus callosum can have various neuropsychiatric and developmental manifestations. Following case report highlights the case of a young female child presenting with features of not ability to hold head and delayed speech. The child showed no other positive findings and is conscious and oriented at the time of examination. Following this complains the patient was subjected for a non-contrast MRI. Neuroimaging revealed agenesis of corpus callosum. There were no other findings which could explain the current situation experienced by the patient.
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