No abstract

Splenic artery pseudoaneurysm (SAP) is extremely rare, but potentially fatal medical condition. In the literature to date, pseudoaneurysms of the splenic artery were described in less than 250 cases. The most frequent cause of this rare condition is pancreatitis. Patients with splenic artery pseudoaneurysms are almost always presented by severe clinical symptoms. Ruptured pseudoaneurysms can cause fatal complications. The aim of this study was to present radiological possibilities in diagnostics of SAP in a patient suffering from chronic pancreatitis. Patient was initially advised for Ultrasound and Color Dopller sonography where lesion suspicion for SAP was made. Further, CT angiography and DSA were performed to provide certain diagnosis. The patient was surgically treated and histopathological examination definitely confirmed diagnose of SAP.

Introduction/Aim: Lipomas are frequent benign tumors; however, they are rarely localized in bone tissue. Osseous lipomas are categorized according to their location into parosteal, intraosseous, and intracortical. The incidence of intraosseous lipomas is 0.1% of all bone tumors. The most frequent location is in the long tubular bones and calcaneus. This case report aims to present the radiological diagnostics of intraosseous lipoma. Case report: 43-year-old patient with Achilles tendon rupture was admitted to the orthopedic clinic. Radiography of left ankle joint detected a radiolucent, well-circumscribed lesion in the anterior aspect of the calcaneus with a sclerotic board. Magnetic resonance imaging (MRI) revealed bone lesion dimension anteroposterior, craniocaudal, and laterolateral 38 x 22 x 37 mm, composed of peripheral adipose tissue and central calcified nidus, which indicate intraosseous lipoma. Based on histopathological findings, necrotic and viable bone tissue with components of mature and necrotic fatty tissue confirmed the diagnose of intraosseous lipoma. Conclusion: Standard radiographs of bone structures, as the first diagnostic procedure, can make suspects of intraosseous lipoma. MRI and multidimensional computerized tomography can further verify and with more details completely characterize, while histopathological verification is the final step in the diagnose of intraosseous lipoma.

The sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection. Septic shock and sepsis are key healthcare problems, impacting millions worldwide each year and killing statistically around one in three and one in six affected people. Sepsis outcomes could be improved by early identification and appropriate management in the initial hours after infection. Therefore, raising awareness for the clinician caring for adult patients with sepsis or septic shock is essential to reduce mortality caused by this disease.

Introduction: Schwannoma or neurilemmoma is benign tumour of the nerve sheath originating from the Schwann cells. Localization in abdominal wall is rare. Schwannomas are usually manifested as slow-growing tumour and can exist for months to years without producing symptoms. Symptomatology depends of location, involved nerve and the size of the tumour. Case report: We present a 43-year-old female patient with Schwannoma localized in the right hypochondriac region. Diagnostic procedures included high-resolution ultra sound with color Doppler (US), patohistological examination (PH) and magnetic resonance imaging (MR). High-resolution ultra sound showed the solid mass, well circumscribed, with a whorled, echogenic internal architecture in the anterior abdominal wall. MR imaging revealed oval, well-circumscribed, heterogeneous, fusiform 3 x 2.5 x 2.5 centimeters large mass. T1-weighted imaging presented low signal intensity and heterogeneously high signal intensity on T2-weighted image. The lesion was completely surgicaly removed. After histopathological examination with immunobiochemistry, the diagnose of Schwannoma was confirmed. Conclusion: Schwannoma as slow-growing tumours and of without clinical manifestation may cause a delay in diagnosis and treatment. Clinical presentation of Schwanoma is indolent and non-specific. Diagnosis of this tumor requires multidisciplinaire approach. MR is a useful method for verification peripheral nerve sheath tumors with high sensitivity and specificity. Histopathology analysis confirmed definitive diagnose of observed lesion.