Cristina Sebastião Matushita

Giant cell tumor of the frontal sinus: case report

The authors report the case of a giant cell tumor of the frontal sinus in a 54-year-old male patient. This tumor location is rare, and this is the third case reported in the literature with radiographic documentation and histopathological confirmation. The patient underwent surgery, with curettage of frontal sinus and placement of a prosthesis. He died because a voluntary abrupt discontinuation of corticosteroids.

Pulmão em ferradura: relato de caso

The authors report a case of a newborn term infant with horseshoe lung associated with supracardiac total anomalous pulmonary venous drainage; such association remains unreported in the Western literature.

Salpingitis isthmica nodosa: review and hysterosalpingography diagnosis of 4 cases in a private radiology clinic

Objective: to identify the radiological findings of salpingitis isthmica nodosa (SIN) through hysterosalpingography and evaluate the site of involvement and its impact on infertility. Methods: 2,800 protocols were reviewed in a retrospective study between January of 1987 and January of 1997, in patients with a clinical history of female infertility; four of them with a radiological diagnosis of SIN. Ethnicity, age, marital status, current clinical complaints, medical history, location, and side of involvement were analyzed. Results: among the four patients with SIN, three were dark-skin, and one was Caucasian, with an average age of 35 years at diagnosis, two single, one married, and one divorcee. Three patients presented complaints of secondary infertility with previous tubal pregnancy history, and another with primary infertility without pregnancy history. In the four patients with SIN, the tubal portion affected was the cornual isthmian, bilateral tubal in three, and unilateral in one. Regarding peritonization, one showed positive bilateral Cotte proof, two with complete bilateral obstruction, and one with positive Cotte in one of the tubes. Conclusion: SIN is more common in dark-skin patients, in the mean age of 35 years, with a clinical history of infertility, with initial and recurrent tubal pregnancy, and subsequent tubal obstruction characterized by lesion in the Isthmian cornual portion of the fallopian tube, usually with bilateral involvement.

Isthmian nodosa salpingitis: histero-salpingography diagnosis of an infertility cause

RESUMO Objetivo: demonstrar os achados da salpingite istmica nodosa (SIN) por meio da histerossalpingografia e avaliar o local de comprometimento e sua repercussao na infertilidade feminina. Paciente e Metodos: em estudo retrospectivo foram revistas 2.800 histerossalpingografias realizadas entre janeiro de 1987 e janeiro de 2007 em pacientes com historia clinica de infertilidade feminina. Destas, quatro pacientes apresentavam diagnostico radiologico de SIN, sendo analisados seus principais aspectos radiograficos, como tambem os locais de comprometimento e suas repercussoes na infertilidade. Resultados: das quatro pacientes em que foi encontrada a doenca estudada a partir da investigacao histerossalpingografica da infertilidade, tres tinham antecedentes de gravidez tubaria, todas com comprometimento istmico cornual, sendo tres delas de comprometimento bilateral e uma unilateral. Uma delas apresentava prova de Cotte positiva bilateral, duas com prova de Cotte negativa bilateral e uma com tuba direita positiva e esquerda negativa. Conclusao: o diagnostico da SIN e feito com base na histerossalpingografia, caracterizada pelo acumulo do meio de contraste na parede tubaria, distribuida na porcao istmica cornual ou ampolar, uni ou bilateralmente, acompanhado de historia clinica de infertilidade, gravidez tubaria, abortamento espontâneo e obstrucao tubaria. Palavras-chave: Salpingite; Histerossalpingografia; Infertilidade; Gravidez Tubaria.

Idiopathic portal hypertension and related ultrasound findings

Objective: to characterize idiopathic portal hypertension clinically and by ultrasound (US). Patients and methods: 60 patients with clinical diagnosis of chronic liver disease and portal hypertension were retrospectively assessed by color Doppler US, from January 1996 to January 2006, in a privately owned clinic. Two cases of idiopathic portal hypertension were found. Comments: in young patients with splenomegaly, recurring hematemesis, anemia, ascites, normal liver function and portal hypertension without evidence of cirrhosis, US revealed livers of usual size, heterogeneous texture and flat surface, without deformities in the branches of the intra-hepatic portal veins. The portal vein walls were also thickened starting at 3 mm and marked by an abrupt narrowing of the secondary intra-hepatic portal veins, accompanied by splenomegaly.

Cruveilhier-Baugarten syndrome: sonographic aspects

Objective: The purpose of this paper is to analyze the sonographic changes that characterize the Cruveilhier-Baumgarten syndrome and its clinical charactheristics. CruveilhierBaumgartem syndrome is characterized by a prominent paraumbilical vein, with dilatated superficial veins of the abdominal wall radiating from the umbilicus of patients with chronic liver disease and portal hypertension. Patients and methods: In a sonographic evaluation of 60 patients diagnosed with chronic liver disease with portal hypertension we found 4 cases of Cruveilhier-Baumgarten syndrome, which we studied with color doppler sonography. Results: All patients were male, in their third decade of life, with a clinical history of splenomegaly and varicose abdominal wall veins. Patients had schistosomiasis and micronodular cirrhosis on hystopathological examination. We also evaluated two patients with esophageal varices without hemathemesis. All patients had ultrasound signs of splenomegaly and chronic liver disease, with hepatopetal flow in all segments of the portal vein and hepatofugal flow in the efferent veins of the liver (paraumbilical vein in the falciform ligament and the anterior abdominal wall surface veins). Conclusion: CBS is charactherized by the association of signs of chronic liver damage with splenomegaly, distention of paraumbilical veins (portal hypertension) and blood flow towards the superficial abdominal wall veins, which are Cruveilhier-Baugarten syndrome: sonographic aspects Joao Paulo Kawaoka Matushita1, Jose de Laurentys-Medeiros2, Julieta Sebastiao Matushita3, Cristina Sebastiao Matushita4, Joao Paulo Kawaoka Matushita Jr.5 1 Professor Associado da Faculdade de Medicina da Universidade Federal de Minas Gerais. Medico Radiologista, CDI Dr. Matsushita Ltda. Belo Horizonte, MG – Brasil. 2 Professor Titular de Semiologia Medica da Faculdade de Ciencias Medicas de Belo Horizonte. Belo Horizonte, MG – Brasil. 3 Medica Radiologista. CDI Dr. Matsushita Ltda. Belo Horizonte, MG – Brasil. 4 Medica Nuclear. CDI Dr. Matsushita Ltda. Belo Horizonte, MG – Brasil. 5 Medico. Mestrando em Radiologia e Diagnostico por Imagem da Faculdade de Medicina da Universidade Federal do Rio de Janeiro-FM-UFRJ. Rio de Janeiro, RJ – Brasil. Sindrome de Cruveilhier-Baumgarten: aspectos ultrassonograficos DOI: 10.5935/2238-3182.20130010

Embolismo por mercúrio metálico: relato de caso

A case of a male, 29-year-old patient who, in a suicide attempt, has self-administered a 2 ml injection of metallic mercury into his left arm is reported. Radiological studies have shown the presence of several metallic spheres in the subcutaneous tissue of the olecranal fossa and along the veins of the left arm, with dissemination to lungs, heart, liver, spleen and brain.