Aijaz Hakeem

CT Findings in Obturator Hernia with Meckel's Diverticulum—A Case Report

Obturator hernia is rare, constituting <2% of all abdominal hernias. Clinical diagnosis is rarely made due to vague signs and symptoms. Delayed diagnosis markedly increases postoperative morbidity and mortality especially because the affected patients are often old with other comorbid conditions. Pelvic CT is almost 100% accurate in the diagnosis of obturator hernia and should be the modality of choice in older patients presenting with intestinal obstruction of unknown etiology.

CT findings in diffuse rectosigmoid cavernous heamangioma. A case report.

digital examination and proctoscopy did not reveal any definite local cause of bleeding. The patient was sent to the department of radiology for computed tomography (CT) scan. CT was done on 64 multislice CT scan, which shows marked rectosigmoid wall thickening as a result of varices and vascular malformations and phleboliths of the rectosigmoid colon. The patient was subjected to abdominal surgery in which a sphincter-saving procedure was done. Postoperative course in the hospital was uneventful. J Gastrointest Surg (2009) 13:1017–1018 DOI 10.1007/s11605-008-0535-6

Primary mediastinal hydatid disease leading to popliteal artery hydatid cyst embolization.

Hydatid disease is a zoonosis caused by Echinococcus granulosus . Infected dogs release eggs through their feces and the eggs infect humans through food and water. The most common locations of hydatid cysts are the liver and lungs, but primary mediastinal involvement, though rare, can be encountered. We report on a 16-year-old female with a primary mediastinal hydatid cyst leading to popliteal arterial embolization. The mediastinal lesion was treated with partial pericystectomy with removal of the germinal membrane and prophylactic albendazole. In endemic areas, it is important to consider hydatid cysts in the differential diagnosis of an acute arterial occlusion.

Bleeding per rectum in a patient with an amputated finger

A 42-year-old female who had her right index finger amputated 13 months back now presented to the department of gastroenterology with symptoms of abdominal pain and bleeding per rectum. On examination the patient had iron deficiency anemia and features of cachexia. Upper gastrointestinal (GI) endoscopy and colonoscopy were done but did not reveal any lesion. The patient underwent computed tomography (CT) scan on a Siemens 64-slice CT scanner, which showed multiple rounded, markedly enhancing, small gut (jejunal) lesions, along with an enteroenteric intussusception [Figures ​[Figures11–3]. A similarly enhancing lesion was also found in the left gluteus medius muscle. Figure 1 MDCT coronal image showing two markedly enhancing lesions in the jejunum Figure 3 Axial MDCT image showing enteroenteric intussusception, with an enhancing lesion as the lead point Figure 2 Axial MDCT image showing markedly enhancing lesions in the jejunum