Duplicated collecting system of a kidney complicated with hydronephrosis : diagnostic methods review : a case report

Background: Duplicated collecting system of a kidney occurs in 1.7-4.2% of the population. It is a complex, unilateral or bilateral, congenital abnormality of the pyelocalyceal system and the ureter. The 2 ureters fuse to form a single ureteral orifice or empty separately into the bladder (ureter duplex). Duplicated collecting systems with complete ureteric duplication may lead to developing vesicoureteral reflux, hydronephrosis, and urinary infection. Case Report: This article presents a case of a 49-year-old woman with duplicated collecting system and hydronephrosis in the upper pole. The anomaly was diagnosed using urography, ultrasonography and computed tomography examination. Conclusions: The best method for diagnostics of the duplicated pyelocalyceal system complicated by hydronephrosis is computed tomography examination, especially multislice computed tomography. The authors present also the options for therapy

Gruźlica kręgosłupa : obraz radiologiczny : opis przypadku

Background: Skeletal tuberculosis constitutes 1-3% of all cases of tuberculosis and involves the spine in up to 50% of cases, most commonly the thoracolumbar spine. The purpose of this article is to review the case of a 47-year-old man who complained of back pain, weakness of muscles and weight loss. Case report: He was examined with conventional anteriorposterior and lateral X-rays of thoracic spine, computed tomography (CT) and magnetic resonance imaging. Radiological imaging suggested tubercolosis of the spine. The authors present the imaging procedures applied to diagnose this case. Conventional radiography was used as the first basic examination. Computed tomography (CT) and magnetic resonance imaging (MR) were used as complementary methods. Conclusions: The final diagnosis was based on a biopsy of the bone. The definite diagnosis is required to adequate treatment. In some cases surgical treatment is used

Giant intracranial arteriovenous malformation : a case report

Intracranial arteriovenous malformations (AVMs) occur in 0.5-1% of the population [1]. An arteriovenous malformation is a tangled cluster of vessels, in which arteries connect directly to veins with no intervening capillary bed. Because an intracranial hemorrhage, or, rarely, a seizure are the first clinical symptoms of AVMs, they are the most dangerous congenital vascular malformations [1, 3, 4, 5]. We report a case of a 37-year-old woman with a giant intracranial arteriovenous malformation, who complained of headache attacks. The lesion was diagnosed in computed tomography and computed angiotomography of the head. The first imaging study in patients with suspected AVM is usually CT or angio-CT. These studies are good for depicting an AVM, and they are relatively noninvasive. However, angiography used for the diagnosis and planned treatment is invasive. The authors present also the options for therapy

Obraz radiologiczny dużego potworniaka śródpiersia przedniego

Background: Teratomas belong to germ cell tumors. They are frequently found in gonads, but appear as well in mediastinum and other locations. They are usually benign. Case report: We present a case of a 51-year-old male patient with big teratoma in the anterior mediastinum, which was diagnosed a long time ago. This lesion was found on Computed Tomography examination, surgically resected and histopathologically confirmed. Conclusions: CT findings of teratomas are characteristic enough to allow a diagnosis of high probability. Surgical resection is a sufficient treatment

Giant keratocystic odontogenic tumor of the mandible : a case report

Background: The keratocystic odontogenic tumor (KCOT) is a relatively rare, benign neoplasm which develops in the maxilla or mandible, arising from the dental lamina or basal cells of the oral epithelium. It is often found incidentally and brings about late symptoms as it does not cause bone distension for a long time. Case Report: The presented case is of a young woman with a giant keratocystic odontogenic tumor of the mandible. Conclusions: Despite its rare occurrence, it must be taken into consideration in radiological and clinical diagnostics. Due to the frequent recurrence of KCOT, patients are recommended to be kept under long-term and close radiological supervision

A 128-slice CT scanner helpful in localising coronary sinus ostium during CRT-D implantation : case report

Background: Cardiac resynchronization therapy (CRT) has become a successful treatment option for symptomatic heart failure in patients with poor left ventricular (LV) systolic function and broad QRS complex in the surface electrocardiogram (ECG). Case Report: In this report we present a case of a 70-year-old woman with advanced heart failure due to ischaemic heart disease who underwent an upgrade from VVIR stimulator (pacemaker, PM) to cardiac resynchronization therapy defibrillator (CRT-D). The first attempt was unsuccessful due to problems with inefficient cannulation of the orifice of the coronary sinus (CS). After performing a 3D reconstruction with a 128-slice CT scanner, it was possible to carry out the up-grade to CRT-D resulting in enormous clinical improvement. Conclusions: The case represents an example of the usefulness of 3D reconstruction with the 128-slice CT scanner used after failed CRT-D implantation due to difficulties with efficient cannulation of the coronary sinus orifice in a rare anatomical variant

Ruptured Splenic Artery Aneurysm (Saa) as a Complication of Acute Pancreatitis – Case Report

The study presented a case of a 29 year-old male patient with a pseudoaneurysm of the splenic artery as a complication of acute pancreatitis. The pseudoaneurysm was incidentally diagnosed during control angio-CT. The patient underwent immediate surgery due to deterioration of his clinical condition. During laparotomy the pseudoaneurysm, spleen and part of the pancreatic tail were excised. The postoperative course proved uneventful and the patient was discharged from the hospital after seven days

Giant congenital malformation of the perirectal plexus in computed tomography imaging : case report

Background: Congenital arteriovenous malformation (AVM) in the pelvic area is uncommon in males. Case Report: The described case is of a giant lesion of this type that caused recurrent hemorrhaging in the lower part of the gastrointestinal tract. Preliminary diagnosis of vascular pathology was made on the basis of an endoscopic examination that revealed numerous pulsating protuberances of the rectal wall, in which blood flow was identified by means of transrectal ultrasonography. Complementing the diagnostics with a CT revealed a considerable extent of malformation, as well as its morphology and anatomical relations with the surrounding tissues. Results: Following a two-year follow-up period, the malformation did not progress or demonstrate any intensification of clinical symptoms, therefore the patient continues to undergo conservative treatment