Parto Teb Azma

HX:A 70 year old man with anemia and right trunk palpable

mass, lower extremity DVT .

Findings: Thick fluid in posterior pararenal space,

heterogeneous enlargement of right psoas muscle.

Diagnosis: Anticoagulant related hematoma.

Discussion: Spontaneous bleeding is a serious complication

that should be promptly recognized and treated.

CT, a simple and safe imaging modality, plays an important

role in the accurate determination of the presence or

absence of an anticoagulant- related bleed , its extent, and

its precise location.

HX:A 56 year old woman , known case of ovarian cancer.

Findings: Soft tissue masses along omentum.

Diagnosis : peritoneal carcinomatosis( omental cake )

Diagnosis: Peritoneal seeding is the most common pathway

for the spread of ovarian cancer.

Because 90% of ovarian cancers are surface epithelial

carcinomas , that tumor cells are able to slough off the

ovary and the peritoneal circulation , thereby seeding

multiple sites.

HX:A 32 year old woman , long period of belly abdominal

pain .

Findings: Thick- wall bowel loops , interlope fluid .

abscess formation in left side of pelvis .

Diagnosis: Chron’s disease in rectosigmoid, involvement of

both fallopian tube, rectovesical fistula.

Discussion: Chron’s disease is a lifelong inflammatory bowel disease that usually is found in illeocecal
region. But it can develop anywhere in the digestive tract from the mouth to the anus. (Above case had rectosigmaid colon and adjacent anatomy involvement with normal illeocecal region on barium study).

HX:41 year old man- chemical exposure- dry cough- dypnea.

Findings: Mosaic pattern with exaggeration on expiration.

Diagnosis: Obliterative bronchiolitis related to chemical

War injury.

Discussion:OB is a disorder caused by partial or complete

obstruction of bronchi and bronchioles by fibrous tissue

following an insult to the lower respiratory tract.

In pediatric population OB is frequently preceded by respiratory infections caused

by adenovirus, influenza or measles, wheras in adults

mycoplasma, collagen vascular disease, inhaled toxin (like

this patient), drug therapy or idiopathic are included.

HX:A 25 year old woman , painless lump in right lower

abdominal wall .

Findings: Moderate size soft tissue tumor in right transverse / oblique abdominal wall muscles.

Diagnosis : Neurofibroma.

DX: Abdominal wall neurofibroma most common

presenting as inguinal hernia.