• Reported imaging patterns include ileal mass, long stenosis with heterogeneous submucosa, short severe stenosis with upstream bowel dilatation, irregular asymmetric circumferential thickening. (eurorad.org)
  • Abdominal computed tomography (CT) axial ( Fig. 1A ) and coronal ( Fig. 1B ) portal phase images showed irregular circumferential edematous wall thickening at the hepatic flexure of the colon. (e-kjar.org)
  • Chest computed tomography imaging examination revealed an irregular thickened pericardium with large amounts of pericardial effusion and a small pleural effusion. (spandidos-publications.com)
  • Chest computed tomography revealed an irregular, thickened pericardium with diffuse enhancement, with loculated large amounts of pericardial and bilateral pleural effusions ( Fig. 1A ). (spandidos-publications.com)
  • This plain abdominal radiograph of a 55-year-old woman presenting with features of intestinal obstruction shows dilated loops of the small bowel associated with thickened edematous valvulae conniventes and a strangulated left inguinal hernia (arrow). (medscape.com)
  • Multiplanar CT-enterography (Fig. 1) with oral polyethylenglycole solution confirmed two ventral enterocutaneous fistulas with characteristic tram-track appearance, mixed fluid and air content, and showed a markedly thickened ileal segment with non-stratified enhancement which appeared to infiltrate the anterior abdominal wall. (eurorad.org)
  • Laparotomic en-bloc resection of ileal mass, anterior abdominal wall and subcutaneous tissue involved by enterocutaneous fistulas and a segment of transverse colon was performed (post-surgical status shown in Fig. 2a, b). (eurorad.org)
  • Most ECFs develop either through an abdominal scar weeks or months after gastrointestinal surgery, or as a complication of fistulizing Crohn's disease (CD). (eurorad.org)
  • The primary symptoms of a closed-loop obstruction of the small intestine are sudden, severe midabdominal pain and vomiting whereas symptoms of the large intestine are pain and sudden abdominal distention. (basicmedicalkey.com)
  • 4] Whipple's case report presented a 36-year-old medical missionary with a 5-year history of episodes of relapsing-progressive polyarthritis subsequently complicated by weight loss, cough, fever, diarrhea, hypotension, abdominal swelling, increased skin pigmentation, and severe anemia. (medscape.com)
  • Patients with a long history of recurrent abdominal pain and who on imaging were found to have a diffusely thickened gall bladder wall, with cholelithiasis, choledocholithiasis and submucosal hypoattenuated nodules were likely to have XGC while those with anorexia,weight loss,focal thickening of the gallbladder wall on imaging and dense local organ infiltration were more likely to have GBC. (medicinelakex1.com)
  • 60.0% due to complications of peritoneal disease, most commonly intestinal obstruction (I/O). 14.3% required emergency surgery for I/O and 23.8% required abdominal cope loop and ureteric stent insertion. (medicinelakex1.com)
  • On further evaluation using magnetic resonance imaging (MRI), the axial fat-suppressed T2 weighted image ( Fig. 1D ) showed circumferential T2 hyperintense wall thickening with a uniform layer of the transverse colon. (e-kjar.org)
  • We performed a retrospective review of a prospectively maintained database of 34 patients who underwent CRS and HIPEC and 21 patients who underwent PC for CLR peritoneal carcinomatosis, at the National Cancer Centre Singapore (NCCS), from Jan 2008 to Dec 2013. (medicinelakex1.com)
  • Their studies of different patient groups (Irritable Bowel Syndrome, Irritable Bowel Disease, celiac disease, fructose malabsorption, patients who underwent colectomy, etc) showed that reduction of the intake of FODMAPs may help to reduce symptoms, depending on other things these people usually eat. (aurametrix.com)
  • As a result, SBAC is often (60%) detected at an advanced stage with nodal and distant metastases [7-9]. (eurorad.org)
  • OS was calculated from the date of diagnosis of peritoneal metastases till death. (medicinelakex1.com)
  • Albeit difficult, preoperative diagnosis of malignant ECFs impacts treatment since it requires en-bloc resection plus chemotherapy. (eurorad.org)
  • The differential diagnosis was severe colitis and hepatic abscess. (e-kjar.org)
  • This article, besides being a general presentation of Whipple disease, focuses on both the neurologic manifestations and specifics of diagnosis and treatment of Whipple disease with symptomatic CNS involvement (CNS-WD). (medscape.com)
  • 1949: Black-Schaffer advanced the diagnosis, proved the systemic nature of this disease, and raised the suspicion of an infectious cause for Whipple disease. (medscape.com)
  • In order to make an accurate diagnosis of the type of disease it is important to consider the patient's risk factors and how the patient has acquired HIV infection. (webcir.org)
  • Imaging, always based on clinical information, is an essential tool in the diagnosis of pulmonary diseases in patients with symptomatic AIDS. (webcir.org)
  • It makes it possible to recognize the radiographic pattern of the various OIs and neoplasms, to make a differential diagnosis of potential diseases and to monitor the response to treatment. (webcir.org)
  • Cytoreductive surgery (CRS) and hyperthermic intra-peritoneal chemotherapy (HIPEC) provide prolonged survival in selected patients with colorectal (CLR) peritoneal carcinomatosis. (medicinelakex1.com)
  • Unlike pleural and peritoneal mesothelioma, the association between exposure to asbestos and PMPM remains controversial ( 2 ). (spandidos-publications.com)
  • Consider the risk of contrast-induced nephropathy in patients with chronic kidney disease. (medscape.com)
  • Features of central nervous system nonaccidental trauma in pediatric patients are well established, however, there are not too many examples in the literature of these imaging findings in the fetal stage. (abstractarchives.com)
  • He identified periodic acid-Schiff (PAS)-staining granules, most likely representing degenerating bacterial forms, within macrophages isolated from the small bowel as well as other tissue and fluid specimens (eg, pericardium, endocardium, lymph nodes, synovia, lung, brain, meninges) obtained from patients in whom Whipple disease was suspected. (medscape.com)
  • However, safety concerns remain, including consequences of an enhanced glucose load in the lower nephron, leg amputation, bone fractures, and therapeutic efficacy in patients with advanced chronic kidney disease. (go.jp)
  • CRS and HIPEC confer prolonged survival compared to PC in patients with CLR peritoneal carcinomatosis. (medicinelakex1.com)
  • Patients treated with palliative chemotherapy suffer significant morbidity from disease progression that disrupts chemotherapy and results in significantly longer hospitalization. (medicinelakex1.com)
  • However, a subgroup of patients presents a clinically aggressive course with disease progression despite receiving treatment. (rare-cancer.org)
  • The type of pulmonary condition to be developed by AIDS patients will depend on the stage of disease, which is generally determined based on the CD4 lymphocyte count. (webcir.org)
  • Peritoneal fluid detected on a CT scan was identified as an independent predictor of surgical intervention. (medscape.com)
  • Transudative fluid is lost into the peritoneal cavity. (dermatologyadvisor.com)
  • Man with long-standing history (over 30 years) of Crohn's disease including previous ileocaecal resection and anal fistulectomy. (eurorad.org)
  • The hallmark of the pathologic report was the marked infiltration by foamy macrophages of joints and aortic valves, and prominent deposits of fat within intestinal mucosa and mesenteric lymph nodes, which made Whipple consider this case an obscure disease of fat metabolism and propose the name intestinal lipodystrophy. (medscape.com)
  • Another short poorly distensible ileal tract with mural thickening of lesser degree was consistent with known Crohn's disease. (eurorad.org)
  • Budd-Chiari syndrome (BCS) is a rare disease that is characterized by hepatic venous outflow tract obstruction (HVOTO), with an estimated incidence of 0.87 per million population per year. (medscape.com)
  • Small bowel adenocarcinoma (SBAC) is a rare but dreaded occurrence in CD, which generally affects males with long-standing CD, 33 times more commonly than in the general population, but is disguised by nonspecific and varied manifestations mimicking active or obstructive disease. (eurorad.org)
  • When signs of peritoneal irritation or frank peritonitis develop, there is a high level of suspicion that the viability of the bowel is compromised. (basicmedicalkey.com)
  • In later stages, increased venous pressure in the bowel wall can result in hemorrhage into the lumen, worsening hypovolemia and further increasing intraluminal pressure. (dermatologyadvisor.com)
  • FIGURE 339-1 Scheme of the primary cilium and cystic kidney disease proteins. (basicmedicalkey.com)
  • The polycystic kidney diseases are a group of genetically heterogeneous disorders and a leading cause of kidney failure. (basicmedicalkey.com)
  • The HIV virus causes a chronic infection that leads to severe immunosuppression. (webcir.org)
  • 1952: Paulley was first to report a case of a patient with histologically proven Whipple disease whose symptoms responded to chloramphenicol. (medscape.com)
  • In our case, we will show that the localization and features of nonaccidental trauma of the central nervous system in the fetal stage are similar to the pediatric stage. (abstractarchives.com)
  • The autosomal recessive form of polycystic kidney disease (ARPKD) is rarer but affects the pediatric population. (basicmedicalkey.com)
  • neoplasms, and non-infectious and nonmalignant diseases. (webcir.org)
  • Defects in the primary cilia are linked to a wide spectrum of human diseases, collectively termed ciliopathies. (basicmedicalkey.com)
  • A complete placenta previa , also known as a type IV placenta previa , is the most severe in terms of the placenta previa spectrum . (radiopaedia.org)
  • After a long period of disease quiescence, currently complained of weight loss and development of cutaneous fistulas. (eurorad.org)
  • Whipple disease bacillus has a characteristic trilamellar appearance on EM. (medscape.com)
  • 1923: A second case of Whipple disease was reported in the literature. (medscape.com)
  • An isolated internal carotid artery is an unfavourable configuration of the circle of Willis which can lead to severe ischemia in case of a ICA occlusion. (radiologyassistant.nl)
  • The compressed true lumen can be occluded in case of severe compression. (radiologyassistant.nl)
  • The autosomal dominant form of polycystic kidney disease (ADPKD) is the most common life-threatening monogenic disease, affecting 12 million people worldwide. (basicmedicalkey.com)
  • Патофізіологія Congenital heart disease is the most common congenital anomaly, occurring in almost 1% of live births ( 1). (msdmanuals.com)
  • They used a gene that encodes for 16S ribosomal RNA (rRNA) in bacteria to characterize the nucleotide sequence of the bacillus from a patient with Whipple disease. (medscape.com)
  • Transthoracic echocardiography showed a thickened pericardium with pericardial effusion, but no evidence of cardiac tamponade. (spandidos-publications.com)
  • 1961: Electron microscopy (EM) studies by Yardley et al provided more evidence for an infectious cause of Whipple disease by finding bacillary bodies within membrane-bound vesicles in the cytoplasm of macrophages. (medscape.com)
  • Figure from McConnell, The Nature of Disease, 2nd ed. (powershow.com)