Foreign in Colon

Abstract An amulet with a blue bead and metal coin are the most common causes of foreign body ingestion in childhood in Turkey. There are few case reports of metal spoons ingested in the literature. In this case report, our aim is to report a teaspoon that was found incidentally in the ascending colon as an uncommon cause of foreign body ingestion. (JAEM 2014; 13: 204-5

Diffusion-weighted MRI and FLAIR sequence for differentiation of hydatid cysts and simple cysts in the liver

Purpose: The contribution of DWI and FLAIR to the differential diagnosis of type 1, 2, and 3 hydatid cysts and simple liver cysts was investigated according to the Gharbi classification. This study is the first report using FLAIR sequence for the differential diagnosis of liver hydatid cysts in this regard. Methods: A total of 82 hydatid cysts and 40 simple cysts were scanned with DWI (in b600-b1000 values) and FLAIR sequence. In 64 patients included in the study, a total of 122 cystic lesions were diagnosed histopatho-logically or during follow-up. FLAIR and DWI signal characteristics were evaluated, and ADC values were calculated. Results: The mean ADC value of hydatid cysts on DWI (b600) was 3.07 +/- 0.41 x 10(-3) s/mm(2), while it was 3.91 +/- 0.51 x 10(-3) s/mm(2) for simple cysts and the difference was statistically significant (p < 0.05). On b1000 DWI, the mean ADC values of hydatid and simple cysts were 2.99 +/- 0.38 x 10(-3) s/mm(2) and 3.43 +/- 0:29 x 10(-3) s/mm(2), respectively (p < 0.05). The qualitative evaluation of the signal intensity on b600-1000 DWI demonstrated the difference between the simple and hydatid cyst groups (p < 0.05). Type 2 hydatid cysts alone were distinguished from type 2-3 hydatid and simple cysts by FLAIR (p < 0.05). Conclusions: ADC values can distinguish between hydatid cyst and simple cyst. FLAIR contributes to the differ-entiation of type 2 hydatid and simple cysts

Beware postpartum shortness of breath

Peripartum cardiomyopathy (PPCM) is one of the potentially life-threatening complications of pregnancy. We report a case of a 36-year-old female patient who presented with shortness of breath, swelling of feet after giving birth to triplets, and her tests revealed that left ventricle is dilated with its diameter on the borderline and she had EF 35% with advanced systolic dysfunction. Anterior wall and septum were severely hypokinetic. In the presence of these findings, the patient was evaluated as PPCM. PPCM must be considered in the differential diagnosis of a patient presenting with shortness of breath and swelling of feet, which are also common in pregnancy