Total anomalous pulmonary vein drainage in a 60-year-old woman diagnosed in an ECG-gated multidetector computed tomography : a case report and review of literature

Purpose: Total anomalous pulmonary vein drainage (TAPVD) is a congenital cardiac defect in which there is no connection between pulmonary veins and the left atrium. Pulmonary veins form a confluence independent of the left atrium and drain to a systemic vein. TAPVD types are: supracardiac, cardiac, infracardiac, and mixed. TAPVD accounts for approximately 1.5-2.2% of all congenital heart diseases. This anomaly is usually diagnosed in the neonatal period, and it coexists with atrial septal defect. Adult cases of TAPVD are rarely reported. Case report: We report a rare case of a 60-year-old woman with incidentally found, uncorrected TAPVD in ECG-gated multidetector computed tomography. In previous echocardiographic examinations partial anomalous pulmonary venous return and atrial septal defect were diagnosed. Conclusions: ECG-gated multidetector computed tomography is a valuable diagnostic method for adults with congenital heart disease. It enables evaluation of coronary arteries and simultaneously provides detailed anatomy of great vessels

Primary spleen lymphoma visualized with contrast enhanced ultrasound - case report

Introduction. The case is reported of an extremely rare primary splenic lymphoma (PSL) and summarizes the basic concepts and techniques of contrast enhanced ultrasonography (CEUS), focusing on splenic applications for the diagnosis of malignant splenic lesions. Case report. A 52-year-old male with no co-morbidities presented with a history of left upper abdominal pain for one month, and chronic fatigue. Abdominal ultrasound was performed in which suspicious focal lesions in the enlarged spleen was detected, and assessed with contrast enhanced ultrasound, followed by magnetic resonance imaging (MRI). The diagnosis of malignant splenic tumour was made based on history, clinical examinations and radiographic appearance in CEUS and MRI. Conclusion. In the presented case contrast enhanced ultrasound allowed establishing the diagnosis of malignancy within the spleen, which was later confirmed with MRI and histopathological examination

Disease severity and mean platelet volume in elderly patients with pulmonary embolism

Staśkiewicz Grzegorz, Piech Piotr, Siek Elżbieta, Uhlig Sebastian, Zakościelna Magdalena, Kurzepa Joanna, Przybylski Piotr, Baj Jacek, Przegaliński Jerzy, Czekajska-Chehab Elżbieta, Drop Andrzej. Disease severity and mean platelet volume in elderly patients with pulmonary embolism. Journal of Education, Health and Sport. 2017;7(11):183-190. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1052007 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 20.10.2017. Revised: 21.10.2017. Accepted: 11.11.2017. Disease severity and mean platelet volume in elderly patients with pulmonary embolism Grzegorz Staśkiewicz1, Piotr Piech1, Elżbieta Siek2, Sebastian Uhlig2, Magdalena Zakościelna2, Joanna Kurzepa2, Piotr Przybylski2, Jacek Baj1, Jerzy Przegaliński3, Elżbieta Czekajska-Chehab2, Andrzej Drop2 1. Human Anatomy Department, Medical University of Lublin 2. 1st Department of Radiology, Medical University of Lublin 3. Department of Cardiology, Medical University of Lublin Abstract: Elderly patients are at higher risk of venous thromboembolism, including pulmonary embolism. Furhtermore, clinical course is frequently more servere. Platelet parameters are of increasing interest in thrombosis research, including mean platelet volume, which is a recognized indicator of increased thrombotic activity. The aim of the study was to compare severity of pulmonary embolism as measured by computed tomography, as well as mean platelet volume in younger and elderly patients. Retrospective analysis of 150 patients data was performed. Both younger and older patients presented with similar pulmonary embolism severity, time since onset of symptoms, as well as d-dimer levels. Elderly patients, however presented with significantly wider pulmonary artery diameter and larger mean platelet volume were observed. In older patients group, even at the same severity of PE, significant differences of both CT-derived and platelet parameters are present

Disease severity and mean platelet volume in elderly patients with pulmonary embolism

Elderly patients are at higher risk of venous thromboembolism, including pulmonary embolism. Furhtermore, clinical course is frequently more servere. Platelet parameters are of increasing interest in thrombosis research, including mean platelet volume, which is a recognized indicator of increased thrombotic activity. The aim of the study was to compare severity of pulmonary embolism as measured by computed tomography, as well as mean platelet volume in younger and elderly patients. Retrospective analysis of 150 patients data was performed. Both younger and older patients presented with similar pulmonary embolism severity, time since onset of symptoms, as well as d-dimer levels. Elderly patients, however presented with significantly wider pulmonary artery diameter and larger mean platelet volume were observed. In older patients group, even at the same severity of PE, significant differences of both CT-derived and platelet parameters are present