Bronchogenic cyst remains a rare etiology of cervical mediastinal masses for which imaging plays a role in lesion characterization. There are many etiologies of cervical masses, and in most cases a rigorous semiological analysis will allow us to determine the etiology and to orientate the therapeutic management. We report in this article the case of a cervico-mediastinal bronchogenic cyst in a 56 year old female patient revealed by a fairly well limited cystic cervical mass on ultrasound, the lower edge of which is embedded in the upper orifice of the thorax, with a liquid-like cervico- mediastinal opacity pushing back the trachea; represented by a mass of liquid density not enhanced after injection of the PDC on the CT scan of cervico-mediastinal location pushing back the vascular axes and the elements of the mediastinum The treatment consisted of a total exeresis of the lesion and an anatomopathological study revealed a bronchogenic cyst; The postoperative course was without particularities.
Hirayama disease is a rare entity characterized by unilateral or asymmetrical bilateral focal weakness and wasting of muscles innervated by C7, C8, and T1. We report the case of a 20-year-old male who presented with gradual left upper limb weakness and wasting, confirmed by electrophysiological and radiological studies showing detachment of the posterior longitudinal ligament with dilatation of the epidural veins. Anterior displacement with flattening of the medullary cord from C4 to C7 was observed, where there was a T2 hypersignal abnormality involving the anterior horns and producing a "snake eye" appearance. The disease is believed to result from the forward displacement of the cervical dural sac and spinal cord induced by neck flexion, and should be suspected in male patients presenting with unilateral or asymmetrical bilateral lower motor weakness of hands and forearms.
Hydatid disease in people is mainly caused by infection with the larval stage of the dog tapeworm Echinococcus granulosus, A 27-year-old men was admitted with a more than a week history of abdominal pain with a perception of an abdominal mass, the evolution was marked by the disappearance of the abdominal mass and installation of an abdominal distention with a generalized pruritus and cutaneous erythema; the chest X-Ray showed an elevation of the right diaphragmatic dome, An abdominal ultrasound were performed demonstrating a cystic formation, appearing to develop in the right liver, n, containing multiple membranous formations and floating serpiginous with peritoneal effusion of great abundance finely echogenic, it associates vesicular formations visible at the pelvic; The abdominal CT confirmed ruptured hepatic cyst; the patient was managed in the surgical unit and was initiated on albendazole treatment with good follow up. Rupture into the free peritoneum is a complication that occurs in 2-7% of cases Rupture rate is commonly reported as approximately 20% and is associated with young age, superficial localization, trauma, and large cyst size. The anaphylaxis rate has been reported as 10% in all ruptured cases in one series. The rupture can occur after a trauma, or spontaneously as a result of increased intracystic pressure. The spontaneous intra peritoneal rupture of a hepatic hydatic cyst is a serious complication and a particular situation from its clinical presentation to imaging features.
Gangrene of the hepatic ligaments (falciform and/or round) is an exceptional and poorly understood condition and may present a diagnostic dilemma. We report a case of necrotic falciform ligament abscess with pylephlebitis secondary to pyocholecyst. The clinical picture was impressive and noisy. The diagnosis was evoked on the CT scan, with the discovery of a circumscribed lesion of fatty density, pre-hepatic, in the fissure of the round ligament, at the junction of segments III and IV of the liver. The interest of surgical exploration is mainly diagnostic insofar as the evolution is always favourable, independently of the modalities of excision of the necrotic zones. In this article, we discuss the diagnostic and therapeutic features of this entit.
Patients with pheochromocytoma are typically symptomatic. Hypertension is the most common sign of pheochromocytoma. Clinically silent giant pheochromocytoma is a rare adrenal disease; complete resection is the only curative treatment. Due to the serious surgical risk, successful resection is very difficult. We report a case of 70-year-old- female with giant pheochromocytoma, which was successfully resected. There were no intraoperative and postoperative complications. We analyze and report our experience.
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