Case report 544: Münchhausen syndrome with self-inflicted destruction of both shoulders simulating neuropathic disease.
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Adult↗
Biomedical subjects
C Markivee
Publications and source records attributed to C Markivee.
Innocuous gas collections in pancreatic allografts demonstrated by computed tomography.
Over a 4-year period, 6 pancreatic abscesses were found in 37 patients who had combined renal and segmental pancreatic transplants. An additional 4 patients who were nontoxic at the time of their computed tomographic (CT) examinations had innocuous gas collections, either in the pancreatic allograft or the surrounding peripancreatic tissue. The possible etiology of this gas formation is discussed. These collections do not have the same ominous clinical significance as would be expected in abscess formation. Radiological evaluation should include examination of the gastrointestinal tract and voiding cystograms to detect fistula formation. Simultaneous percutaneous aspiration of this area should be performed to rule out an infective process. If this is negative in a nontoxic transplant patient, the radiologist will be in a position to obviate unnecessary surgical intervention.
Adult↗
Neutropenic colitis: evaluation with computed tomography.
The computed tomography findings of 10 patients with neutropenic colitis are described and illustrated. Seven of these patients had leukemia, one had lymphocytic lymphoma, and two had systemic lupus erythematosus. All patients had colon wall thickening which was either isodense with the normal bowel tissue or showed areas of intramural low density. Air in the thickened bowel wall was seen in six patients. These computed tomography findings in neutropenic patients with fever, abdominal pain, and diarrhea should suggest the diagnosis in most instances, resulting in prompt treatment of this usually life-threatening entity.
Adult↗
Computed tomography of omental liver packs.
Hypodense liver lesions with attenuation coefficients indicative of fat density were seen on CT of three patients followed up for suspected metastatic spread of gastrointestinal malignancy. Knowledge of previous hepatic surgery using omental packing for hemostasis in the setting of liver trauma or lobectomy was useful in preventing a false-positive interpretation of postoperative complications.
Adult↗