CASE 565: SUPRARENAL AORTIC ANEURYSM, Dr PHAN THANH HAI, Dr LE TU PHUC, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Man 72 yo with pain at RUAQ.

CHEST X-RAYS AND  SPINE  X-RAYS CANNOT DETECTED  ABNORMAL.

US SCANNING OF EPIGASTRIC AREA  DETECTED ONE MASS NEAR AORTA IN RETROPERITONEUM  # 4 CM   WITH DOPPLER  FLOW IN THIS MASS

US 1: PW DOPPLER SHOWS ARTERY FLOW PATTERN

US 2: THIS FLOW IS CONNECTED TO AORTA.

MSCT CE AORTA   

CT1 = CROSSED SECTION AND FRONTAL VIEW  THIS  MASS IS ANEURYSM WITH  BLOOD CLOT INSIDE  

CT2 = 3D VIEW  THIS SITUATION IS  CLOSE  BY SMA AND RENAL ARTERY 

EMERGENCY ADMITTED TO HOSPITAL FOR  TREATMENT PLANNING.
Operation for devascularization  SMA and renal artery  (DSA 1)AND  PUT STENT IN AORTIC ANEURYSM (DSA 2).

AFTER OPERATION  IN ICU  ULTRASOUND POCKET AT BEDSITE WITH BUTTERFLY IQ  MAKES SURE AORTIC FLOW.

CASE 564: VAGINAL CUP, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Woman 35 yo  goes to general ultrasound check up .

Ultrasound scans at pelvis detected  uterus  had IUD T shape.

 U S 1  cervix deformation looks like tumor on longitudinal scan with   some echogenic things around the vagina.

U S 2  longitudinal scan  cervix  and vagina

U S 3:  crossed section scan  cannot see well  cervix by echogeneicity prothesis

 U S 4: scan at uterus  detected T shape IUD.

MSCT scan  detected a vaginal cup covered over cervix.

Conclusion:  we should know  some abnormal pictures due to vaginal cup.

CASE 563: ILEOCECAL TUBERCULOSIS, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

MAN 41 YO  with CLINICAL COMPLAINT about HYPERPERISTALTIS AT RLAQ due  to SUB-OCCLUSION OF BOWEL. 

ULTRASOUND  AT  RLAQ   

US1  SHOWS THICKENING of THE WALL OF ILEUM   

US2 COECUM WALL

US3  MANY LYMPH NODES AROUND ILEO-COECAL AREA

MSCT WITH CE    

CT1  CROSS SECTION THE COECUM , THICKENING OF THE WALL AND SOME LYMPH NODES  ENHANCED CE 

CT2  = FRONTAL VIEW OF  ILEO-COECUM

COLONO ENDOSCOPY   REPORTS  STENOSIS AT ILIO-COECAL JUNCTION ( PHOTO ENDOSC).

OPERATION OF  LAPAROSCOPY AT  FIRST   DETECTED COECUM  CHANGES SURFACE  NODULAR  ( IMAGE LAPARO)

SURGERY RESECTION of the USPSTF's COECUM AND 50CM OF ILIUM  ( FOTO MACRO)

MICROSCOPIC REPORT IS  TUBERCULOSIS OF  ILIO-COECUM AND  LYMPH NODES.

CASE 562: CARDIAC CT DETECTED BREAST TUMOR, DR PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

WOMAN 54 YO in  BEING PERFORMED CT CORONARY ANGIO  SAME TIME  RADIOLOGIST DETECTED ONE MASS AT LEFT BREAST   ( CT)

MAMMOGRAPHY  ALSO  DETECTED ONE MASS 4 CM ROUND BORDER   NO CALCIFICATION INTRA MASS ( MAMMO 1, MAMMO 2 ).

ULTRASOUND: US 1  MASS AT L BREAST IS HYPOECHOIC, THE BORDER IS ROUND 

US 2  CDI  NO MORE BLOOD SUPPLY  

US 3  ELASTOGRAPHY STRAIN TECHNIC,  THIS MASS IS  SOFT  

US 4  ELASTOSCAN   THIS MASS  NOT INVADED AROUND NO LYMPH NODE  AXILLARY

CORE BIOPSY  REPORT IS  FIBROCYSTIC CHANGE . 

SUMMARY: SAME TIME CT CARDIAC  DETECTED INCIDENTILOMA BREAST TUMOR. 

CASE 561: THYROID CANCER, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

MAN 38Y0  GENERAL CHECK-UP  ULTRASOUND IN THE NECK  DETECTED ONE MASS AT LEFT THYROID GLAND.0

US 01:  CROSSED SECTION  AT THE LEFT LOBE THYROID HAD ONE MASS, ROUND, BORDER 3 CM , MIXED STRUCTURE WITH CYSTIC AND SOLID PARTS.

US 02: LONGITUDINAL SCAN LEFT LOBE   WITH HALO RIM ARROUND THIS MASS.

US 03: DETECTED  SMALL LYMPH NODE  NEAR LEFT CCA #1CM.

US 04: IN CDI  VASCULAR SUPPLY THIS MASS IS VERY HIGH.

US 05: ELASTOGRAPHY STRAIN  THIS MASS VERY HARD  SCALE .

FNAC   SUSPECTED  CANCER OF THYROID.

WAIT FOR OPERATION OF TOTAL THYROIDECTOMY.
REFERENCE   ACR-TIRADS AND STRAIN ELASTOGRAPHY.

CASE 560: TUMOR IN HORSESHOE KIDNEY, Dr PHAN THANH HAI, Dr PHAN THI HUONG. MEDIC MEDICAL CENTER, HCMC, VIETNAM

WOMAN 30 YO in ROUTINE CHECK-UP.

ULTRASOUND of ABDOMEN DETECTED RIGHT  SITE KIDNEY TUMOR   ON THE  HORSESHOE KIDNEY.

US1  RIGHT KIDNEY ONE MASS IN PELVIS OF KIDNEY, SOLID. SIZE 3-4 CM.

US2  CROSSED- SECTION   THIS  HORSESHOE KIDNEY  OVER AORTA

US3  LEFT KIDNEY IS NORMAL.

MSCT CE   

CT1  HORSESHOE KIDNEY

CT2  THE TUMOR INTRA CENTRAL RIGHT KIDNEY  

CT3  HORSESHOE KIDNEY   WITH CE NORMAL PERFUSION. 

CT4  VASCULAR SUPPLY FOR  HSK

OPERATION for  RESECTION of  RIGHT PART OF HSK  ( see SCHEMA of OPERATION)

SPECIMEN OF OPERATION  (macro1, macro2).

Microscopic histology report of this tumor is RCC.

Reference  urotoday