• Thứ 4, 03/06/2020
  • (GMT+7)
Nhân một trường hợp u mô thừa trung mô thành ngực hiếm gặp ở trẻ em

Nhân một trường hợp u mô thừa trung mô thành ngực hiếm gặp ở trẻ em

03/31/2020 19:58:11 | 0 binh luận

Mesenchymal hamartoma of the chest wall in infancy - Case report

SUMMARY

We present the case of the chest wall tumor in children that was diagnosed and treated in NHP, Hanoi. The child aged 6 month old which was attended to hospital with an asymptomatic chest-wall mass. The child was examined by chest X ray, thoracic CT scanner and MRI. Biopsy of the tumor revealed the diagnosis of mesenchymal hamartoma of the chest wall.

Nhân một trường hợp ung thư tế bào vảy phổi di căn xương sọ

Nhân một trường hợp ung thư tế bào vảy phổi di căn xương sọ

03/31/2020 19:41:09 | 0 binh luận

Skull metastasis arising from pulmonary squamous cell carcinoma: A case report

SUMMARY

Introduction: Squamous cell carcinoma of the lung represents 30% of all non-small cell lung carcinomas. It arises from dysplasia of squamous epithelium of the bronchi and is strongly associated with cigarette smoking. Squamous cell carcinoma of the lung is known to produce metastases in the brain parenchyma.

Case presentation: We present the case of a 77-year-old woman with an unusual presentation of metastatic carcinoma of the lung. The case demonstrated a squamous cell carcinoma of the lung with an intracranial metastatic lesion destroying the parietal bone and extending into the extra cranial soft tissue. A visible deformity as a result of the metastasis was evident on physical examination, magnetic resonance imaging and computed tomography demonstrated extensive bone destruction.

Conclusion: Squamous cell carcinoma of the lung with an intracranial metastatic lesion is rare in the world literature. The case report demonstrates an unusual disease presentation with an intra-cranial metastasis invading through the skull.

Keywords: Destruction of bone; Metastasis; Squamous cell carcinoma.

Nhân một trường hợp chảy máu ổ bụng tự phát do tổn thương động mạch vị phải được chẩn đoán bằng chụp cắt lớp vi tính

Nhân một trường hợp chảy máu ổ bụng tự phát do tổn thương động mạch vị phải được chẩn đoán bằng chụp cắt lớp vi tính

03/31/2020 16:24:54 | 0 binh luận

Acute abdominal hemorrage by gastric atery aneurysm rupture- Case report

SUMMARY

We show the case of acute abdominal hemorrhage by gastric atery aneurysm rupture that was diagnosed and treated in Viet Tiep Hospital, Hai Phong.

The female patient who was attended to hospital in acute lost blood volume. The patient was examined by US and abdominal CT scanner. The diagnosis was gastric atery aneurysm rupture. The patient was treated by surgery 4/5 gastroectomy because of gastric necrosis. In our experience, the large blood clot in lesser sac, increase arterial diameter and leak of contrast agent were suggested of diagnosis.

Chẩn đoán hình ảnh tồn tại và quá thể kính nguyên thủy ( TTTKNT)

Chẩn đoán hình ảnh tồn tại và quá thể kính nguyên thủy ( TTTKNT)

03/31/2020 16:06:09 | 0 binh luận

Persistence and hyperplasia of primitive vitreous humor (PHPV)

SUMMARY

Objective: To present three rare cases of PHPV in baby which were diagnosed with USG and CT scanner at 2 different syndromes. The authors want to find out the diagnostic imaging capability of this affection on each syndrome.

Material and methode: Cross-section description study of 3 cases with USG and CT scanner.

Result: The patient parent discover when the baby always rubs the eyes because they can’t see anything. Other clinical examination, the diagnosis is set with UGS as a solid mass in the vitreous corpus, no adherence in the macula, no hypervascularization on color Doppler image some small calcified nodes at all 2 eyes leading to total blindness. One of two patient has associated anomalies of the brain: turricephaly, corpus callosum atrophy, lissenpachygyria calling Aicardi syndrome. CT scanner is indicated only to set the differential diagnosis of retinoblastoma with calcification and possible extension in the retrobulbar space and optic nerv.

Conclusion: PHPV is a rare anomaly, difficult to prenatale diagnose but easy post delivery by USG, needing probe over 10 MHz and color doppler; transcranial sonogaphy gives avaluable image. CT is indicated only to detecte calcification for rule out retinoblastoma. IRM is not necessary except intend to investigate brain malformation.

Key word: vitreous humor.

Lồng ruột thừa

Lồng ruột thừa

03/31/2020 13:45:57 | 0 binh luận

Case Report

summa ry

Appendiceal intussusception is not a common disease and is rarely diagnosed preoperatively. In our case, a 25-year-old male patient living in Ho Chi Minh City came to Medic Medical Center complaining about his epigastric abdominal pain, which lasting for 3 days. His body temperature was not high and he did not have any other symptoms. He recalled similar pain which had gone away without any treatment three months ago. Abdominal ultrasound showed abnormalities in appendix and cecum. During performing colonoscopy, we suspected appendiceal intussusception, and following computed tomography showed the images of enlarged appendix with fluid-filled lumen and signs of intussusception at the appendix base. The patient underwent an operation to remove the appendix and appendiceal intussusception was confirmed. Microscopic result was consistent with chronic appendicitis.

Khảo sát hình ảnh viêm phổi trên chụp cắt lớp điện toán ở bệnh nhi nhiễm HIV

Khảo sát hình ảnh viêm phổi trên chụp cắt lớp điện toán ở bệnh nhi nhiễm HIV

03/31/2020 12:52:30 | 0 binh luận

Evaluating the images of pneumonia on CT Scan in HIV- infected children

summa ry

Objective: The purpose of this study is to evaluate the pulmonary lesions on CT of pneumonia in HIV infected children and causing agents.

Material and methods: Fifty HIV infected children with pneumonia was selected over a 10-month period at the Chilren Hospital N1. All patients were indicated the chest radiogram, the CT with constrate media and the nasotreacheal aspiration to exame microbiology included bacteria, BK, fungus and Pneumocystis jiroveci.

Results: Of 50 patients, 62% is baterial pneumonia, PCP 29% and tuberculosis 18%. Lesions on CT included alveolar condensation account for 88%, ground glass 30%, bronchial syndrome 20% and lymphadenopathy 20%. The ground glass lesion present in all PCP, 100%. Eighty percent of tuberculosis children have lymphadenopathy with central necrosis and peripheral enhancement. These two kinds of lesions present a little in bacterial pneumonia group.

Conclusion: Ground glass images on chest CTscans may allow confident diagnosis for PCP in HIV infected children. To diagnose thoracic tuberculosis, CT scans are useful to detect the typic tuberculous lymphadenopathies.

Keywords: HIV, pneumonia, children, PCP.

Hội chứng Pierre Robin nhân một trường hợp

Hội chứng Pierre Robin nhân một trường hợp

04/03/2020 10:33:27 | 0 binh luận

Pierre Robin syndrome. Study case

SUMMARY

Pierre Robin (PRS) is considered as rare frequency among fetal malformations. It presents with a classic triad of micrognathia, glossoptosis and cleft palate which is presenting the maxillo-facial CT fi nding. This typical PRS case is describing together with a short literature review about all CT anormaly images for diagnosis and express its performance.

Keywords: Cleft palate, feeding plate, micrognathia, palatal feeding obturator, Pierre Robin sequence.

Lịch học Online tháng 5

VIDEO

H2 Quảng cáo baner 4

Đơn vị hợp tác