Primary gastrointestinal aspergillosis: A case report and literature review

Invasive aspergillosis is a severe infection that generally involves the lungs. Primary gastrointestinal aspergillosis is the least common form of invasive aspergillosis. A patient aged 65 years developed a febrile neutropenic episode following an autologous stem cell transplant for plasmacytoid variant diffuse large B-cell gastric non-Hodgkin’s lymphoma. He had abdominal pain on the second day of the febrile neutropenic episode and ileus occurred on the sixth day. His general condition deteriorated despite broad spectrum antibiotics and caspofungin treatment, and intestinal perforation occurred on the nineteenth day of the febrile neutropenic episode. Pathological examination of the resected jejunum and ileum revealed mould hyphae compatible with aspergillus. The patient died due to massive gastrointestinal bleeding on the fifth post-operative day. Although a rare condition, primary gastrointestinal aspergillosis should be kept in mind while treating neutropenic patients with gastrointestinal symptoms

Aneurysm of portosystemic fistula: A case report and review of literature

Aim: A case of asymptomatic aneurysm of spontaneous portosystemic venous fistula (SPVF) with the radiologicfindings is described.Background: Although advances and more widespread use of ultrasound (US) and computed tomographyangiography (CTA) have enabled more detection of SPVF in the liver, it is a rare entity.Case report: A 49-year-old male was referred to our hospital’s nephrology outpatient clinic due to hypertension. Abdominal sonography examination detected a well-defined cystic lesion adjacent to the middle hepaticvein in the liver. The lesion showed venous flow in the color Doppler US examination. Computed tomographyangiography examination revealed an aneurysm of the fistula.Conclusion: Radiologists should be aware of this vascular anomaly and cyst-like lesions in the liver shouldbe examined with color Doppler ultrasonography for possible vascularization, and be differentiated with CTAif necessary.Clinical significance: This condition is usually encountered incidentally and patients usually have no symptoms. However, severe complications, such as hepatopulmonary syndrome, liver tumors, encephalopathy, andheart failure can be seen

A viral demyelizing disease diagnosed by vision loss-Progressive multifocal leukoencephalopathy

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Malign melanomlu olguda beyin metastazı: Melanotik patern

Dear Editor, A man aged 58 years who had been under follow up for malignant melanoma (MM) for six years, was admitted to the neurology outpatient clinic with symptoms of headache and loss of balance. He had had very severe and throbbing headaches for the last 3 days that were not accompanied by nausea and vomiting, and were not completely relieved by analgesics. He also reported loss of balance in the last 2 days, and he had difficulty in holding objects and climbing stairs. From his past medical history, it was learned that he had undergone surgery for MM located on the skin of left shoulder and a lung metastasis that was detected four months ago. On his neurologic examination, he had blurry papillary boundaries prominent on the right side and truncal ataxia. Contrast-enhanced brain magnetic resonance imaging revealed supra- and infratentorial multiple MM metastases that showed lesions in susceptibility weighted imaging (SWI) and VenBOLD sequences that were hyperintense on axial T1-weighted images and hypointense on axial T2-weighted images (Figure 1). Regression of lesions was observed following radiotherapy (Figure 2).Sayın Editör, Altı yıldır malign melanom (MM) nedeni ile takip edilen 58 yaşında erkek hasta baş ağrısı ve dengesizlik şikayetleri ile nöroloji polikliniğimize başvurdu. Son 3 gündür çok şiddetli olan, zonklayıcı, bulantı ve kusmanın eşlik etmediği, analjezikle tamamen geçmeyen baş ağrısı mevcuttu. Son 2 gündür dengesizlik yakınması da olan hasta eşyaları tutarken ve merdiven çıkarken zorlanmaktaydı. Özgeçmişinde 6 yıl önce geçirilmiş sırt bölgesinde MM operasyonu ve 4 ay önce tespit edilen akciğer metastazı olduğu öğrenildi. Nörolojik muayenesinde sağda daha belirgin olmak üzere papil sınırları silikti ve trunkal ataksisi vardı. Kontrastlı kraniyal manyetik rezonans görüntülemede supra-infratentorial alanda multipl, T1A kesitlerde hiperintens, T2A kesitlerde hipointens, venöz bold sekansta [duyarlılık ağırlıklı görüntüleme (SWI)] duyarlılık artefaktları gösteren MM metastazları saptandı (Şekil 1). Uygulanan radyoterapi sonrası lezyonlarda gerileme olduğu görüldü (Şekil 2)

A Case of Splenic Artery Aneurysm Presenting With İntra-Abdominal Bleeding

Visceral artery aneurysms are rare pathologies. Splenic Artery Aneurysms (SAA) are the most common visceral artery aneurysms accounting for 60% to71% of them, with an incidence of 0.7% in the normal population, even though rates as high as 10% have been found on necropsy studies. This aneurysm has a risk of rupture resulting in death. It can be overlooked (missed) on the imaging modalities when it is thrombosed. Here, we present a case of splenic artery aneurysm, which could be diagnosed with repetitive computed tomography (CT) examinations because it was partially thrombosed and overlooked in the 1st CT. The aneurysm was treated with blind embolization in correlation with CT

İntrabdominal kanama İle ortaya çıkan bir splenik arter anevrizması olgusu

Visceral artery aneurysms are rare pathologies. Splenic Artery Aneurysms (SAA) are the most common visceral artery aneurysms accounting for 60% to71% of them, with an incidence of 0.7% in the normal population, even though rates as high as 10% have been found on necropsy studies. This aneurysm has a risk of rupture resulting in death. It can be overlooked (missed) on the imaging modalities when it is thrombosed. Here, we present a case of splenic artery aneurysm, which could be diagnosed with repetitive computed tomography (CT) examinations because it was partially thrombosed and overlooked in the 1st CT. The aneurysm was treated with blind embolization in correlation with CT.Visseral arter anevrizmaları nadirdir. Splenik arter anevrizmaları en sık görülen visseral arter anevrizmalarıdır. Rüptür ve ölümcül kanama riski taşırlar. Tromboze olduklarında görüntüleme metodları ile gözden kaçabilirler. Bu yazıda batın içi kanama ile prezente olan, tromboze olması nedeniyle ancak tekrarlayan bilgisayarlı tomografi (BT) incelemelerde saptanabilen ve anjiografik incelemede yine tromboze olması nedeniyle tespit edilemeyen splenik arter anevrizmasının, BT ile korele olarak körlemesine embolizasyon ile tedavi edilmesini sunmayı amaçladık

Cerebral proliferative angiopathy accompanied by cerebral cavernous malformation: A case report

Cerebral Proliferative Angiopathy (CPA) is a rare vascular malformation that is distinguished from classical brain arteriovenous malformations (AVM) in its imaging findings and clinical progression but more importantly in its pathophysiology. Here we report the case of a 37-year-old male patient with CPA accompanied by Cerebral Cavernous Malformation (CCM) in hopes to expand the inquiry into the pathophysiology of this rare lesion. A patient with progressive headache, right-sided weakness, and impaired speech were evaluated at our medical center. Neuroimaging studies were performed, and the patient was diagnosed with CPA. The patient has been followed up with conservative management and periodic neuroradiological evaluation for 5 years. Digital subtraction angiography (DSA) showed a vascular malformation diffusely covering the left hemisphere that is consistent with CPA. In addition, 2 sequential CCMs were detected in the right hemisphere. Also, the patients’ familial history included two brothers with CCMs. The coexistence of CPA with CCM and patients’ familial history of CCM could suggest the possibility of a common pathophysiological element

Non-traumatic L4-L5 spondyloptosis

WOS: 000386910400011PubMed ID: 26968239A 28-year-old female patient suffering from low back painand bilateral leg numbness was referred to an orthopedic clinicfor correction of scoliosis. She had congenital skeletal deformities and also scoliosis with no history of trauma. Plainradiographs demonstrated L4 vertebral body located onanterosuperior aspect of L5 vertebral bod

Brain Metastasis in a Patient with Malignant Melanoma: Melanotic Pattern

WOS: 000406221900011

An atypical clinical presentation of diffuse cerebral arteriovenous malformation: Siagnostic dilemma between diffuse AVM and cerebral proliferative angiopathy

3rd Congress of the European-Academy-of-Neurology -- JUN, 2017 -- Amsterdam, NETHERLANDSWOS: 000405530100597…European Academy of Neurolog