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Articles Related to Computed Tomography

Wilkie’s Syndrome in an Adolescent: A Rare Etiology of Upper Intestinal Obstruction

Wilkie’s Syndrome (WS) was described in 1927 and its physiopathology is related to the formation of an abnormal acute aortomesenteric angle measuring between 7o and 22o. It leads to digestive symptoms due to external compression of mesentery artery against the third portion of duodenum. This is a case of WS in a young, tall and slim male patient. Three months before, he began postprandial vomiting, abdominal pain, hyporexia and weight loss. The diagnostis was made by an upper gastrointestinal series with barium contrast and confirmed by Laparotomy. Duodenojejunostomy is a well-known technique and it was successfully performed in this case.
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Case Report: Are We Prepared to Manage Acute Abdomen in the Super-Obese Patient?

A 55 year-old man with signs and symptoms of severe sepsis was admitted to the emergency department. He is severely obese with a BMI of 80 Kg/ m2 and a medical history of hypertension and arrhythmia. The abdominal pain was non-specific and the physical examination was impaired by obesity. Ultrasonography (US) was ineffective and no computed tomography (CT) scan was available for a patient of his weight. The acute abdomen presented an inflammatory etiology. The patient underwent laparoscopy and severe cholecystitis was diagnosed and treated. The patient recovered well, and remained for 36h in the intensive care unit and 5 days in the surgical ward.
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Rupture of a Giant Caesarean Scar Endometriosis Nodule - A Case Report and Literature Review

Abdominal wall endometriosis is a rare condition occurring after caesarean section. A small painful nodule or lump near post caesarean scar is the common presentation. Large size endometrial nodules in anterior abdominal wall are uncommon and bleeding is very rare complication. In a thirty two years female a giant size endometrial nodule developed in a post caesarean scar. This patient presented as emergency during menstruation because of pain and lump with bluish discolouration. This case is reported for post caesarean scar large size endometriosis with extravasation of blood in surrounding anterior abdominal wall. This giant size endometriosis in anterior abdominal wall involving rectus abdominis muscle was successfully excised with a margin. The residual large size defect was repaired using polypropylene mesh.
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Osteo-Articular Complications in a Pediatric Sickle Cell Disease Population - Imaging Value

Sickle cell disease (SCD) is the most frequent of a group of conditions known as haemoglobinopathies. The disease is an autosomal recessive genetic disorder, characterized by abnormal haemoglobin (Hemoglobin S) that under certain conditions polymerizes resulting in microvascular occlusions. This pictorial review illustrates the osteo-articular manifestations associated with sickle-cell disease encountered in children in our institution with at least one Haematology appointment in 2013/2014. Osteo-articular manifestations with imaging findings were reported in 28 out of 97 patients. The most frequent complications and those that required hospital care were painful vaso-occlusive crisis and femoral head osteomyelitis.
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Late Cerebellar Vermis Metastasis of Breast Cancer Presenting as Pseudo-Benign Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo (BPPV) is a common peripheral vestibular disease; however intracranial lesions can mimic it. Intractable, not self-limiting paroxysmal positional vertigo sustained by intracranial tumors is called malignant paroxysmal positional vertigo (MPPV) while, when radiological imaging shows vascular cerebellar vermis lesions and there are atypical findings on the Dix-Hallpike maneuver, we speak about pseudo-benign paroxysmal type (pseudo-BPPV).
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Radiation Awareness amongst Junior Doctors

Recent literature has suggested that junior doctors’ knowledge of ionising radiation is inadequate. Advances in technology and availability have led to of these investigations being readily requested. Exposure is associated with adverse risks especially malignancy; therefore in accordance with the Ionising Radiation (Medical Exposures) Regulation (IR(ME)R), clinicians should be aware of radiation doses and their legal responsibility as referrers.
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Pulmonary Adenocarcinoma Transforming into Small Cell Carcinoma: An Extreme Rarity

Primary small cell lung cancer (SCLC) showing epidermal growth factor receptor (EGFR) mutation is extremely rare. Transformation into SCLC has been reported as an evolution of lung adenocarcinoma acquiring resistance to EGFR tyrosine kinase inhibitors (TKI) and is considered to be a rare resistance mechanism of EGFR-TKI therapy.
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Intramural Abscesses: A Sequela of Infective Endocarditis in a Patient with HIV

Infective Endocarditis (IE) is associated with significant morbidity and mortality, with in-hospital mortality having been reported as ranging from 19-26%. Commonly documented complications of IE include valvular and chordae destruction and resultant regurgitations, embolic events, peri-valvular abscesses, fistulae, and congestive heart failure.
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Inguinal Lymph Node Squamous Cell Carcinoma of Unknown Primary Site: A Case Report

Carcinoma of unknown primary site (CUP) is a heterogeneous group of malignancies associated with dismal prognosis. Although majority of the patients present with disseminated disease, some of them do present with disease limited to the lymph nodes.
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Septic Shock Secondary to Salmonella Enterica Ssp. Arizonae in an Immunocompetent Albanian Male

Salmonella-associated diarrhea is a common cause of community-acquired gastroenteritis. Some species of salmonella are associated with invasive diseases like meningitis, endocarditis and septicemia.
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A New Approach to Identify Sphincter of Oddi Dysfunction

Sphincter of Oddi dysfunction (SOD) is a known gastrointestinal disorder that has been well documented but is difficult to diagnose noninvasively.
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Contralateral Delayed Acute Subdural Hematoma Following Evacuation of a Chronic Subdural Hematoma with Burr-Hole Craniotomy and Continuous Closed System Drainage: Case Report and Literature Review

Chronic subdural hematoma (CSDH) is a relatively frequent problem in neurologic or neurosurgical practice. Treatments for CSDH are well established and provide positive postoperative outcome; however, some atypical postoperative complications can occur.
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Computed Tomography Use on Age Estimation in Forensic Dentistry: A Review

Computed tomography is an alternate imaging modality which can be used to estimate age and to aid on human identification in Forensic Dentistry.
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Clinical Evaluation of 762 Single-Tooth, Locking-Taper Implants: A Prospective Study with 1- to 12-Years of Follow-Up

The aim of this study was to evaluate the survival rate, complications and marginal bone loss of single-tooth lockingtaper implants.
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Schwannoma Palate in Children: Rare Case

Schwannoma is a benign tumor that originates from the presence of Schwann cells of the peripheral nerves. They are usually asymptomatic, do not recur, and malignant transformation is rare.
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Editorial Board Members Related to Computed Tomography

James Tao

Associate Professor
Department of Neurology
The University of Chicago
United States

Madhu K. Nair

Professor
Division of Oral and Maxillofacial Diagnostic Sciences
College of Dentistry
University of Florida
United States

Amolak Singh

Professor
Department of Radiology
University of Missouri Health Care
United States
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