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U thận trong bệnh cảnh phakomatosis, những điều cần lưu ý: nhân hai trường hợp lâm sàng

U thận trong bệnh cảnh phakomatosis, những điều cần lưu ý: nhân hai trường hợp lâm sàng

06/02/2020 10:35:14 | 0 binh luận

Renal tumors in the Phakomatosis disease, what to note: two case report

SUMMARY

Phakomatosis are a group of neurocutaneous disorders characterised by involvement of structures that arise from the embryonic ectoderm , consist of central nervous system, skin ,eyes and others: kidney, heart, lung… In this article we focus on the incidence of renal tumors in Tuberous sclerosis, one of the common diseases in Phakomatosis. Tuberous sclerosis is a rare neurocutaneous disorder (phakomatosis) characterized by the development of multiple benign tumours in various organs, including the kidneys. Tuberous sclerosis complex has several renal manifestations including angiomyolipomas (AML) and renal epithelial neoplasms. Angiomyolipomas is found in 40% of patients with tuberous sclerosis, and its most common complication is ruptures due to aneurysms. We present two cases was diagnosed with bilateral angiomyolipomas in tuberculosis and emphasizes the importance of the diagnosis and choice of appropriate treatment for each patient.

Key words: Phakomatosis, renal tumor

Nhân một vài trường hợp điều trị viêm gân vôi hóa bằng chọc hút vôi dưới hướng dẫn siêu âm

Nhân một vài trường hợp điều trị viêm gân vôi hóa bằng chọc hút vôi dưới hướng dẫn siêu âm

06/02/2020 10:39:12 | 0 binh luận

Report of several cases of treatment of calcific tendonitis by aspiration under ultrasound guidance

SUMMARY

Calcific tendonitis is a common disease caused by the deposition of canxi hydroxyapatite crystals in the tendons. The disease can occur in all tendons in the body and also in the ligaments, but the most common sites are the tendons of rotator cuffs , tendons around great trochanter, tendons around elbow joints, wrists... Normally, there is no pain. However, as calcification resorption occurs because the body releases enzymes that resolve calcification, patients develop severe and persistent pain. In terms of diagnosis, clinical symptoms are quite difficult to distinguish from other causes of musculoskeletal pain, but diagnostic imaging is easy with methods such as radiography, ultrasound, computer tomography, resonance imaging... On the treatment side, medical therapy is the first-line treatment with nonsteroidal anti-inflammatory painkillers. However, in fact, we found that there are many cases of persistant pain that resistant to NSAIDS drugs, because the calcific deposits are quite large (size up to 1-2 cm) so that the calcification resorption process persists for a long time. Percutaneous aspiration of calcification under ultrasound guidance is a minimally invasive treatment that reduces the progression of the disease due to nearly completely calcific aspiration. This technique is quite easy to implement and can be widely disseminated. We have also performed this technique for some patients diagnosed with calcific tendonitis at Hanoi Medical University Hospital and had achieve good clinical efficacy.

Ca lâm sàng: Ung thư biểu mô nội ống tuyến vú

Ca lâm sàng: Ung thư biểu mô nội ống tuyến vú

12/22/2019 21:26:57 | 0 binh luận

Ung thư vú thể nội ống (DCIS) là giai đoạn ung thư vú sớm, tế bào ung thư chưa chưa xâm nhập, không phát triển vượt qua màng đáy. Theo thời gian, DCIS có thể phát triển xâm lấn và có thể di căn, vì vậy tất cả phụ nữ được chẩn đoán DCIS đều cần được điều trị.
Chẩn đoán và điều trị giả phình động mạch gan sau phẫu thuật cắt túi mật   nội soi nhân 1 trường hợp

Chẩn đoán và điều trị giả phình động mạch gan sau phẫu thuật cắt túi mật nội soi nhân 1 trường hợp

06/02/2020 10:57:51 | 0 binh luận

Diagnosis and management of hepatic artery pseudoaneuryms following a laparoscopic cholecystectomy: a case report

SUMMARY

Hepatic artery pseudoaneurysm is a rare and potentially fatal complication of laparoscopic cholecystectomy that often presents with abdominal pain, anemia, hemobilia, and liver function elevations. The authors report a case of hepatic artery pseudoaneurysm diagnosed by abdominal computed topography in a 64-year-old woman who had undergone laparoscopic cholecystectomy the previous month. Definitive treatment was angiography with embolization.

Key words: Hepatic artery pseuaneurysm, embolization

Báo cáo ca lâm sàng schwannoma mũi xoang bên phải- một trường hợp hiếm gặp và tổng kết trên y văn

Báo cáo ca lâm sàng schwannoma mũi xoang bên phải- một trường hợp hiếm gặp và tổng kết trên y văn

06/02/2020 11:02:21 | 0 binh luận

Sinonasal Schwannoma: Case report and review in literature

SUMMARY

Schwannomas are benign peripheral nerve sheath tumours, that may occur throughout the body. Paranasal schwannomas are uncommon lesion representing less than 4% of all head and neck schwannomas. We report a case of Right Sinonasal Schwannoma in a 61-year-old woman. She admited Bach Mai hospital because of swelling of the right paranasal and bloody mucus for about 4 months. Patients underwent laparoscopic surgery, the mass was removed successfully without any postoperative complication, there was no recurrence within 8 months of follow up.

Key word: Paranasal schwannomas.

Dị dạng rò động tĩnh mạch phổi lưu lượng lớn: ca bệnh hiểm được chẩn đoán và điều trị can thiệp nội mạch

Dị dạng rò động tĩnh mạch phổi lưu lượng lớn: ca bệnh hiểm được chẩn đoán và điều trị can thiệp nội mạch

06/02/2020 11:07:52 | 0 binh luận

Pulmonary arteriovenous fistula case report: diagnosis and endovascular treatment

SUMMARY

Pulmonary arteriovenous malformations (PAVM) are rare pulmonary vascular anomalies. Although most patients are asymptomatic, PAVMs can cause dyspnoea from right-to-left shunt. Because of paradoxical emboli, various central nervous system complications have been described including stroke and brain abscess. There is a strong association between PAVM and hereditary haemorrhagic telangiectasia. Chest radiography and contrast enhanced computed tomography are essential initial diagnostic tools but pulmonary angiography is the gold standard. Contrast echocardiography is useful for diagnosis and monitoring after treatment. Most patients should be treated. Therapeutic options include angiographic embolisation with metal coil or balloon occlusion and surgical excision.

We present a clinical case in a 33-year-old male patient, diagnosed with a large, single PAVM in the right lower lung with X-ray and CT scan. Patients treated with pulmonary angiography embolisation with 2 metal coil and plug14, rechecked after 6 months by magnetic resonance, computerized tomography and pulmonary angiography, complete loss of shunt stream. Clinically improved, blood gas test before intervention: pO2 64.7mmHg and SatO2 89.9% and 6 months after intervention: pO2 91.3mmHg and SatO2 96.2% .

Key word: arteriovenous fistula, embolization, pulmonary vascular malformation

Siêu âm phát hiện giãn thực quản trong co thắt tâm vị báo cáo 3 trường hợp

Siêu âm phát hiện giãn thực quản trong co thắt tâm vị báo cáo 3 trường hợp

06/02/2020 09:55:31 | 0 binh luận

Ultrasound imaging the dilate esophagus in achalasia reported 3 cases

SUMMARY

The esophagus can be divided into four sections: the neck, the thoracic, the diaphragm, and the abdominal segment. During the ultrasound examination of patients at the Department of Functional Ultrasound, we found that the sonographer could observe the images of the diaphragmatic esophagus with normal and dilated images. weirdo.

Through the study of 3 cases of patients with esophageal dilatation in pathological spasms, we found that the image of esophageal dilatation on the ultrasound is: size> 20 mm, the last segment has a image that can be called "bird beak”, patients who drink water observe that the fluid in their esophagus swirling can be called a “washing machine”sign.

Bệnh castleman vùng bụng ở trẻ em, đặc điểm lâm  sàng và hình ảnh siêu âm - báo cáo ca lâm sàng và hồi cứu y văn

Bệnh castleman vùng bụng ở trẻ em, đặc điểm lâm sàng và hình ảnh siêu âm - báo cáo ca lâm sàng và hồi cứu y văn

06/02/2020 09:52:07 | 0 binh luận

Castleman’s disease in the abdomen in children Clinical and sonographics findings: Case report and review of literature

SUMMARY

Castleman’s disease, also known as angiofollicular lymph node hyperplasia, is a rare benign disease, has two principal histologic types are hyaline-vascular and plasma cell types, can be unicentric or multicentric. The disease is usually detected by imaging diagnostic tools, but difficult to diagnose accurately before surgery and is easily confused with malignant disease. We present 5 cases of hyaline vascular unicentric Castleman disease in the abdomen, had been operated at Children's Hospital N01, we investigated the ultrasound characteristics and reviewed literature.

Keywords: Castleman’s disease, ultrasound, in children

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