Food malabsorption/intolerance complaints triggered by primary epiploic appendagitis

Primary epiploic appendagitis (PEA) is an uncommon and self-limiting cause of acute or subacute abdominal complaints. The diagnosis of PEA, with its characteristic appearance, is made with computed tomography (CT). This report describes a patient seven months after a CT-confirmed diagnosis of PEA. Because of persistent and recurring, functional, non-specific abdominal complaints, food intolerance/malabsorption was investigated. Fructose malabsorption combined with histamine intolerance was found. A registered dietician helped develop an individually-tailored diet to address the problem. Within four days of beginning the fructose-free and histamine-reduced diet, the patient’s complaints resolved. In conclusion, abdominal symptoms caused by fructose malabsorption and histamine intolerance may have been triggered by PAE in this patient

Patent abdominal subcutaneous veins caused by congenital absence of the inferior vena cava: a case report

<p>Abstract</p> <p>Introduction</p> <p>Patent paraumbilical and abdominal subcutaneous veins are found frequently as collaterals in patients due to portal hypertension mainly in liver cirrhosis.</p> <p>Case presentation</p> <p>For evaluation of portal hypertension in a 72-year-old Caucasian man without liver cirrhosis, magnetic resonance imaging with gadolinium contrast-enhancement was performed and demonstrated a missing inferior vena cava. A blood return from the lower extremities was shown through enlarged collateral veins of the abdominal wall, vena azygos and hemiazygos continuation, and multiple liver veins emptying into the right cardiac atrium. We describe a rare case of abdominal subcutaneous wall veins as collaterals caused by a congenitally absent infrarenal inferior vena cava with preservation of a hypoplastic suprarenal segment.</p> <p>Conclusion</p> <p>Knowledge of these congenital variations can be of clinical importance and it is imperative for the reporting radiologist to identify these anomalies as they can have a significant impact on the clinical management of the patient.</p

ROC plot of BI-RADS ratings against the reference standard.

<p>At a cut-off of >BI-RADS 3, the sensitivity and specificity were 96.4% and 92.4%, respectively. In addition, at a cut-off of >BI-RADS 2 the sensitivity and specificity were 100% and 70.3%, respectively.</p

Summary of the results of this study: MRI findings are stratified by conventional imaging findings, clinical presentation, and ACR breast composition.

<p>Resulting cancer prevalence, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) considering BI-RADS 4 and 5 as positive and BI-RADS 1–3 as negative MRI results.</p

3 Tesla breast MR imaging as a problem-solving tool: Diagnostic performance and incidental lesions - Fig 2

<p>A 52-year-old patient referred for problem-solving due to newly diagnosed architectural distortion in the left breast (A; white circles on mammography images). 3T contrast-enhanced MR imaging (B; top: T2w image, middle: early contrast-enhanced image, bottom: late contrast-enhanced image) shows the architectural distortion (white circle) demonstrating only mild background enhancement. The lesion was classified as BI-RADS 2, definitely benign. Follow-up of two years did not reveal malignancy.</p