Pulmonary carcinoids and carcinoids of the small intestine.

[Pulmonary carcinoids and carcinoids of the small intestine]. Radiologe. 2019 Sep 30;: Authors: Winter KS, Auernhammer CJ, Todica A, Ricke J, Cyran C Abstract CLINICAL/METHODICAL ISSUE: Pulmonary carcinoids and carcinoids of the small intestine (jejunum and ileum) are often asymptomatic and can affect various parts of the body, which makes diagnosis difficult. STANDARD RADIOLOGICAL METHODS: Contrast-enhanced computed tomography (CE-CT) is commonly used for primary diagnostics. In case of concomitant pulmonary consolidation (e.g., atelectasis or pneumonia), tumor lesions can be obscured. In addition, differentiation between atypical (AC) and typical carcinoids (TC) is not possible using CT. Small tumors of the small intestine are easily overlooked (sensitivity: 50-85%, specificity: 25-97%, based on the literature). Additional functional imaging evaluation using hybrid imaging techniques can be applied, e.g., positron emission tomography/computed tomography (PET/CT). METHODICAL INNOVATIONS/PERFORMANCE: Depending on the histological characteristics of the tumor, PET/CT scans can be performed with different tracers. Since most carcinoids (e.g., TC) express somatostatin receptors (SSR), 68 gallium-radiolabeled PET tracers (e.g. 68 Ga-DOTA-TOC) are commonly used (sensitivity: 88-93%, specificity: 88-95%, based on the literature). Poorly differentiated carcinoids (e.g., AC) demonstrate lower SSR expression; thus, use of 18F‑FDG (sensitivity: 37-...
Source: Der Radiologe - Category: Radiology Authors: Tags: Radiologe Source Type: research

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Conclusions: Cannula-associated deep vein thrombosis after venovenous extracorporeal membrane oxygenation is a frequent complication. This plead for a systematic vascular axis imaging after venovenous extracorporeal membrane oxygenation. Thrombocytopenia is associated with a reduction in the occurrence of thrombotic events.
Source: Critical Care Medicine - Category: Emergency Medicine Tags: Clinical Investigations Source Type: research
Publication date: Available online 8 January 2020Source: Respiratory Medicine Case ReportsAuthor(s): Shravan Kooragayalu, Samer El-Zarif, Sunit JariwalaAbstractThere is growing evidence that vaping has the potential to cause adverse health effects. Vaping is affecting the younger and healthier population which is a public concern. Mycoplasma pneumoniae pneumonia is a benign condition and is usually underdiagnosed and is managed in an outpatient setting. Here we present a case of fulminant MPP in a young adult probably associated with VAPI.A 24-year-old woman presented to our hospital for severe hypoxic respiratory failure ...
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
Publication date: Available online 8 January 2020Source: European Journal of Surgical OncologyAuthor(s): Francesca Tardini, Riccardo Pinciroli, Lorenzo BerraAbstractIt was only when we received a thank you note from the patient's daughter that I realized how small things can make a big difference, even in complicated scenarios such as an intensive care unit (ICU) stay. It was Easter Day, and a patient coded in the Emergency Medicine ward: Mr. Hood showed acute respiratory failure. He was 86 years old, admitted for cardiac failure, and was now on the point of being discharged.I asked myself: should I intubate him? Would he ...
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
The association between gut microbiota and the lung immune system has been attracting increasing interest. Here, we report a case of pancreatic cancer in which the dipeptidyl peptidase ‐4 inhibitor vildagliptin induced unusual manifestations of interstitial pneumonia, possibly under the influence ofLactobacillus paraplantarum probiotic supplementation. Chest computed tomography and positron emission tomography showed multiple ground ‐glass nodules (GGNs) mimicking metastatic lung cancer. Transbronchial biopsy specimens showed mild fibrosis and infiltration of lymphocytes consisting of more CD4+ than CD8+ cells. The CD4...
Source: Thoracic Cancer - Category: Cancer & Oncology Authors: Tags: CASE REPORT Source Type: research
Conclusion: IFs were detected in the majority of patients that underwent CTPA. Most of these findings do not require follow-up or treatment. However, more than 50% of cases may require further diagnostic evaluation (40.1%) or immediate treatment (13.3%). PMID: 31875214 [PubMed]
Source: Accident and Emergency Nursing - Category: Emergency Medicine Authors: Tags: Arch Acad Emerg Med Source Type: research
ConclusionPMCT can have added value for the detection of additional findings regarding the cause of death in an out-of-hospital, GP ’s population, especially to identify or exclude major (previously non-diagnosed) underlying diseases.
Source: International Journal of Legal Medicine - Category: Medical Law Source Type: research
Authors: Guo L, Chen B, Zhang L, Deng Y, Li H, Shi QD Abstract A 49-year-old female patient developed chest tightness and shortness of breath without apparent cause and presented to a local hospital. Chest radiography indicated increased thickening of the lung texture, increased multiple patchy densities in the lower lobes of the bilateral lungs and a slightly enlarged thyroid. The patient was treated for pulmonary infection with antibiotics but the symptoms persisted. A repeated CT scan revealed ground-glass attenuation of the bilateral lungs with multiple flaky exudates and visible bronchogenic signs. The symptom...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
We hereby report a case of subclinical community ‐acquiredAcinetobacter pneumonia in association with a mature cystic teratoma masquerading as a lung abscess. A 22 ‐year‐old lady presented with fever and right pleuritic chest pain with chest X‐ray showing a right suprahilar shadow. Her symptoms largely subsided with antibiotic therapy but the shadow remained unresolved. Computerized tomography (CT) scan of thorax showed consolidation over the anterior se gment of the right upper lobe with a hypodense area suspicious of a lung abscess. Fine needle aspirates of the lesion grewAcinetobacter baumannii twice but the sha...
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Case Report Source Type: research
Conclusion: Erroneous bronchial transection should be suspected early in patients presenting with post-obstructive pneumonia after VATS pulmonary resection. CT scan chest and diagnostic bronchoscopy are the 2 main diagnostic tests
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Congenital TEFs without esophageal atresia are rare but may occur more frequently than previously documented in literature. Careful history is required to suspect the diagnoses, as most patients will present with coughing associated with solid or liquids, recurrent unexplained pulmonary infections and complaints with eating. Some patients may show signs of chronic airway changes from recurrent aspiration pneumonia at the time of presentation. Diagnosis is challenging, with multiple imaging modalities including x ray, CT scan and esophogram able to identify a fistula.
Source: Clinical Imaging - Category: Radiology Authors: Tags: Pediatric Radiology Source Type: research
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