Drora Fisher

Esophageal involvement in chronic granulomatous disease. Case report and review.

A 5-year-old girl with chronic granulomatous disease (CGD) and esophageal narrowing is described. To date, only two cases of esophageal involvement in CGD have been reported. We present a third, well-documented case and a brief review of the literature.

Findings on Routine Abdominal Ultrasonography in Cystic Fibrosis Patients

BACKGROUND Right lower quadrant abdominal pain may pose a diagnostic problem in patients with cystic fibrosis. Abdominal ultrasound examination, used commonly in the diagnostic work-up, may reveal abnormalities of the appendix. However, interpretation of such findings is problematic, because the appearance of the gastrointestinal system during routine examination has not been documented in patients with cystic fibrosis. The purpose of this study was to investigate the findings during routine abdominal ultrasound scans in our cohort of patients with cystic fibrosis and in control subjects. METHODS Abdominal ultrasound scans were performed prospectively during routine clinic visits in a cohort of patients with cystic fibrosis. RESULTS Fifty patients aged 10+/-6 years, (range, 0.5-28 years) were examined; 45 had pancreatic insufficiency. Four patients (3 with pancreatic insufficiency) reported right lower quadrant pain at the time of the scan. According to standard ultrasound criteria, the appearance of the appendix was abnormal in 8 patients (16%), 6 had a mucoid appendix, and 2 had a pathologically thickened appendiceal wall. Only 1 of these 8 patients mentioned abdominal pain at the time of the study. Other incidental findings included gallstones (3 patients), intussusception (2 patients), and pancreatic cyst (1 patient). CONCLUSIONS Abnormalities can be observed during routine abdominal ultrasonographic studies in cystic fibrosis. These findings may not be associated with abdominal pain; their clinical relevance needs further investigation.

Postpartum ovarian vein thrombophlebitis: sonographic diagnosis.

AbstractBackground: We describe our experience with sonographic diagnosis of ovarian vein thrombosis, an uncommon but dangerous postpartum complication. Methods: We retrospectively reviewed the medical records of seven patients in our institution who developed postpartum ovarian vein thrombophlebitis within the past 5 years. Results: In all cases the diagnosis was made by ultrasound, which showed tubular hypoechoic masses lateral to the great abdominal vessels. The postpartum ovarian vein thrombophlebitis was on the right side in six cases and on the left side in one. In five cases, it protruded into the inferior vena cava. The first three cases were referred to computed tomography after the sonographic diagnosis. In the last four cases, the diagnosis relied solely on sonography and no further evaluation was necessary. Conclusion: Sonographic examination can be diagnostic for ovarian vein thrombosis if performed very carefully in symptomatic postpartum patients.

Oxalosis of bone: Report of four cases and a new radiological staging

Oxalosis of bone is caused by a combination of crystalline calcium oxalate deposition in bone and renal osteodystrophy in patients with chronic renal failure. The present paper presents the radiographic findings of oxalosis of bone in four patients who have been followed over a period of from 4 to 16 years. Four successive characteristic stages can be recognized in the development of the skeletal changes.

Aggressive bone destruction in acute megakaryocytic leukemia: a rare presentation

Abstract Acute megakaryocytic leukemia (AMKL) is a rare subtype of acute myeloid leukemia which is more common in children. Although the bone changes in leukemia are well documented, there are only a few reports of the AMKL subtype. We present an exceptional case of a young girl with very aggressive AMKL, who demonstrated symmetrical destructive lesions of the long bones characteristic of this disease. Lytic lesions of the skull and jaws were also present, and these have not been previously described in AMKL.

Primary carcinoid tumor of the pancreas

Abstract. Serotonin-secreting (carcinoid) tumors of the pancreas are very rare. There are only 13 cases reported since 1963. Liver metastases have not previously been described. We present two patients with primary carcinoid tumor of the pancreas, which metastasized to the liver. These patients differ in their clinical and radiological appearance. Carcinoid tumor should be considered in the differential diagnosis of a pancreatic mass in a patient with carcinoid syndrome, but lack of this syndrome does not exclude the diagnosis.

Infectious aortitis: a rare cause of chest pain in a child.

Infectious aortitis (IA) is a life-threatening bacterial infection that occurs almost exclusively in adults. Only 1 case of IA had been previously reported in a child. We present a case of IA that occurred in a 6.5-year-old previously healthy girl who was seen in our emergency department because of fever and chest pain of immediate onset. She underwent a thorough evaluation but died of aortic rupture before the correct diagnosis was established. The etiology, clinical presentation, diagnosis, and treatment of IA are discussed.

Torsion of the fundus of gallbladder demonstrated on ultrasound and treated with ERCP

A rare case of torsion of the gallbladder fundus, which was diagnosed by ultrasound and endoscopic retrograde cholangiopancreatography (ERCP) and released during ERCP, is presented. The case illustrates the sonographic and ERCP findings of this rare condition and suggests using ERCP as a therapeutic tool.

Conservative treatment of a large post‐infectious pneumatocele

the live virus polio vaccine is used, as adverse reactions to OPV in healthy infants without any obvious immunodeficiencies can occur, as in our case. In 2000, theAmericanAcademy of Pediatrics changed their policy to recommend only inactivated poliovirus vaccine (IPV) for routine childhood immunization, because they considered VAPP would not be eliminated unless the use of OPV was stopped. Recently, some countries including the USA and Germany have changed their national policies to recommend vaccination with IPV alone instead of OPV. Therefore, we believe that the introduction of IPV should be seriously considered in Japan.

Case report 809

Bone invasion by squamous cell carcinoma (SCC) is very rare in locations other than the head and neck region. The case of a 30-year-old man with slow-growing SCC of the shoulder region, aggressively invading neighboring bony structures, was presented.