Developmental defects of the thyroid gland are very rare. The common developmental abnormalities are ectopic thyroid, hemiagenesis and agenesis of thyroid gland. These developmental defects may or may not be associated with deranged thyroid function tests. Ultrasonography (USG) is the initial modality of choice for thyroid hemiagenesis but further evaluation by computed tomography (CT) scan or nuclear scan should be done to look for ectopic thyroid tissue rest. Here, we report a rare case of a 9-year-old female having hemiagenesis of the right thyroid lobe and isthmus along with dual ectopic thyroid tissue at prehyoid and infrahyoid regions of the neck presenting as a midline neck swelling and subclinical hypothyroidism.
BACKGROUND Acute pancreatitis is a common condition with variable clinical course. Imaging studies play an important role in diagnosis a nd management of acute pancreatitis. Computed Tomography (CT) is undertaken to determine the role of CT in acute pancreatitis, to differentiate between oedematous and necrotising pancreatitis and to evaluate the complications and severity using Modified Computed Tomography Severity Index (MCTSI). MATERIALS AND METHODS This is a prospective observational study. Sixty patients with clinical suspicion of acute pancreatitis underwent contrast enhanced CT during two years period. MCTSI score for acute pancreatitis was calculated which includes assessment of pancreatic inflammation, necrosis and extrapancreatic complications. RESULTS Peripancreatic fat stranding was the common feature seen in 90% patients. Extrapancreatic complications were noted in 32 (53%) patients and pancreatic necrosis in 20 (33%) patients. CONCLUSION CECT of abdomen in acute pancreatitis helps in differentiating between oedematous and necrotising pancreatitis. The MCTSI helps in evaluating the percentage of pancreatic necrosis and to predict the possibility of developing local and systemic complications. Depending upon the MCTSI grading, the treatment plan can be implemented more effectively and accurately.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.