Primary Hydatidosis Of The Tibia: A Tricky Diagnosis

Primary hydatidosis of the tibia is a rare disease. In an endemic area, it should be considered in the differential diagnosis of a hypolucent osteolytic lesion on xray. If not properly managed, anaphylactic shock may occur intraoperatively, as well as increased reccurence of the disease. This is a case report of a primary tibial hydatid cyst, treated first with curettage and phenolizaton, and then after recurrence, treated with total knee arthroplasty. We will review the literature of diagnosis and treatment of a hydatid cyst of the tibia

Primary Hydatidosis Of The Tibia: A Tricky Diagnosis

Primary hydatidosis of the tibia is a rare disease. In an endemic area, it should be considered in the differential diagnosis of a hypolucent osteolytic lesion on xray. If not properly managed, anaphylactic shock may occur intraoperatively, as well as increased reccurence of the disease. This is a case report of a primary tibial hydatid cyst, treated first with curettage and phenolizaton, and then after recurrence, treated with total knee arthroplasty. We will review the literature of diagnosis and treatment of a hydatid cyst of the tibia.</p

Lung density in the trajectory path — a strong indicator of patients sustaining a pneumothorax during CT-guided lung biopsy

Introduction: The purpose is to evaluate the prognostic significance of lung parenchymal density during percutaneous coaxial cutting needle lung biopsy (PNLB). Materials and methods: Retrospective analysis of 179 consecutive patients (106 males, 73 females; mean age 59.16 ± 16.34 years) undergoing PNLB was included. Mean lobar parenchymal lung density, mean densities anterior to the lesion and posterior to the chest wall in the needle trajectory path were measured in HU. Lesion location and needle trajectory were also measured. Fisher’s exact test and Chi-square test were conducted to analyze the categorical variables. ANOVA test was done to examine continuous and normally distributed variables. Statistical significance was considered when p &lt; 0.05. Results: Mean lobar parenchymal lung density (p &lt; 0.05) and mean parenchymal lung density relative to the needle trajectory path were below -800 HU in patients who sustained a pneumothorax. Increase in the number of pleural passes was significantly associated with the risk of patients having pneumothorax (p &lt; 0.05). The mean distance from the skin to the lesion and needle trajectory angle were not statistically different among patients with and without pneumothorax (p &gt; 0.05). Conclusion: Lobar parenchymal density and lung parenchymal density anterior to the lesion and posterior to the chest wall in the needle trajectory path could be used as predicting parameters in patients undergoing PNLB who sustained a pneumothorax. These findings can help interventional radiologist further assess risk of pneumothorax when preforming such procedure

Primary Hydatidosis Of The Tibia: A Tricky Diagnosis

Primary hydatidosis of the tibia is a rare disease. In an endemic area, it should be considered in the differential diagnosis of a hypolucent osteolytic lesion on xray. If not properly managed, anaphylactic shock may occur intraoperatively, as well as increased reccurence of the disease. This is a case report of a primary tibial hydatid cyst, treated first with curettage and phenolizaton, and then after recurrence, treated with total knee arthroplasty. We will review the literature of diagnosis and treatment of a hydatid cyst of the tibia.</p

Lung Density in the Trajectory Path—A Strong Indicator of Patients Sustaining a Pneumothorax during CT-Guided Lung Biopsy

Introduction: The purpose is to evaluate the prognostic significance of lung parenchymal density during percutaneous coaxial cutting needle lung biopsy (PNLB). Materials and methods: Retrospective analysis of 179 consecutive patients (106 males, 73 females; mean age 59.16 ± 16.34 years) undergoing PNLB was included. Mean lobar parenchymal lung density, mean densities anterior to the lesion and posterior to the chest wall in the needle trajectory path were measured in HU. Lesion location and needle trajectory were also measured. Fisher’s exact test and Chi-square test were conducted to analyze the categorical variables. ANOVA test was done to examine continuous and normally distributed variables. Statistical significance was considered when p &lt; 0.05. Results: Mean lobar parenchymal lung density (p &lt; 0.05) and mean parenchymal lung density relative to the needle trajectory path were below -800 HU in patients who sustained a pneumothorax. Increase in the number of pleural passes was significantly associated with the risk of patients having pneumothorax (p &lt; 0.05). The mean distance from the skin to the lesion and needle trajectory angle were not statistically different among patients with and without pneumothorax (p &gt; 0.05). Conclusion: Lobar parenchymal density and lung parenchymal density anterior to the lesion and posterior to the chest wall in the needle trajectory path could be used as predicting parameters in patients undergoing PNLB who sustained a pneumothorax. These findings can help interventional radiologist further assess risk of pneumothorax when preforming such procedure

The medico-legal investigation of abandoned fetuses and newborns—a review of cases admitted to the Pretoria Medico-Legal Laboratory, South Africa

There is a dearth of literature on the extent of fetal or newborn abandonment or “dumping” and the medico-legal investigation procedures these cases require. This is despite the fact that these occurrences are a world-wide phenomenon and by definition involve criminal law concerns such as illegal abortion, concealment of birth, murder, or neonaticide, depending on the country concerned. This article contributes to current literature in both respects and provides a retrospective case audit for the period 2004-2008 pertaining to all abandoned newborns and fetuses admitted to the Pretoria Medico-Legal Laboratory (PMLL) in South Africa. Demographic details, scope and nature of the medico-legal investigation as well as formulation of cause of death, were recorded. A total of 289 cases were identified for inclusion in this study, 57% of which were considered to have been non-viable fetuses, whilst 45 of the viable fetuses were deemed to have been stillborn. These instances involve the crimes of concealment of birth and at times illegal abortion, yet prosecution of these cases are relatively unheard of. Signs of live birth were identified in 38 of the cases in the study. Of these infants, 9 were deemed to have died from injuries they have sustained and in a further 9 cases no anatomical cause of death could be identified. Homicidal cases should be brought in cases where death ensued as a result of abandonment however it is not known how many cases were prosecuted. A comparatively large number of cases were found to have been admitted to the Pretoria Medico-Legal Laboratory. This is alarming because South African abortion laws are liberal and services are free at point of access in the public health care sector. A substantial percentage of cases of abandoned infants were found to have shown signs of life after birth implying a homicidal manner of death or death by abandonment but it seems these cases are merely shelved.http://link.springer.com/journal/4142017-03-30hb201