A 48 year-old female patient without arterial hypertension signs is incidentally detected a tumor of adrenal gland #20×22 mm by ultrasound.
MSCT confirmes a 16x22 mm left adrenal benign tumor which HU before CE is 69 and HU post CE =26. CE discharge is over 50% that may proove the benignity of the tumor.
4 months after the left adrenal tumor is removed by endoscopic surgery.
A 56 year-old female patient with umbilical pain for one week, comes to Binh an hospital after 4 days in constipation.
Ultrasound detects an abscess in RLQ but could not rule out a PID. Although sonologist notes an appendicular abscess but could not reveal the inflammed appendix into the pelvic abscess.
MSCT confirms a 60x80 mm right pelvic abscess contrast captured and edema of the wall of terminal jejunum. The report is pelvic abscess maybe an appendicular abscess.
Endoscopic surgery drained the pelvic abscess and the patient remains well.
A 56 year-old female patient with 6 month constipation and bleeding from her anus for 2 weeks.
Rectal endoscopic result is a hemorrhagic rectal tumor which is far from anal orifice 20 millimeters.
MRI confirms a 53x41 mm tumor of the rectal canal.
A transperineal biopsy with ultrasound-based guiding is done for a 42x48x44mm vascularised solid mixed tumor.
Result of histoimmunology is a GIST tumor of rectum wall.
The female patient is planned for a surgery and chemotherapy.
But MSCT in Hoan my hospital Cantho province proves a slight stenosis 30% of coronary arteries.
In COVID 19 pandemic, he goes around the private clinics with his HTA status and his heart but nothing change.
In May to July 2022 he goes to Medic Can tho and then Medic Hoa Hao Center in HCMC.
An coronary CTA of this second time shows slight stenosis under 30% and slight pericardial effusion but notes a hypertrophic cardiomyopathy of his heart.
At last Cardiac MRI confirms an asymmetrical hypertrophy of the heart.
He gets well with the management of hypertrophic cardiomyopathy.
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Ultrasound notes a left submadibular gland tumor.
MSCT confirms the left submandibular that invaded the mouth floor and node.
But result of FNAC has only an amount epithelium cells and RBC. And in the second time maybe a pleomorphic tumor.
Goes through a surgery, the specimen is a malignant submandibular gland tumor, mucoepidermoid carcinoma low-grade.
MSCT later confirms the 35x32 mm arterial aneurysm of gastroduodenal artery.
The patient goes through an endovascular aneurysm repair (EVAR) by biological glue.
The patient remains well post-op.
But ultrasound could note the vestige of aneurysm # 34x31 mm without any Doppler signal and flow after 8 months.
A 58 year-old male patient in general check-up is revealed incidentaĺly by ultrasound an aneurysm of left iliac vein # 48x66 mm without thrombosis. In addition, the left external iliac artery dilates #15-21mm appears in tortuosity like a corkscrew.
MSCT 64 confirmes the findings of the aneurysm of left iliac vein # 48x66 mm without thrombosis.
And in 3 D reconstruction the corkscrew of left external iliac artery appears clearly in mild dilatation without damage of its wall beside the aneurysm of the left iliac vein.
The corkscrew of external iliac artery is an anatomic variant incidentally revealed by CTA but a skilled sonologist could detects it with experience oneself. However, the key of this case is the aneurysm of iliac vein which leads to find out an uncomplicated aneurysm and the arterial tortuosity of the external iliac artery close by. But the cause of the left iliac vein aneurysm is unknown.
Aneurysm of iliac vein is a rare entity which appears in men and on the left side. And in contrast, female gender is a predisposing factor of the arterial tortuosity.
The patient is planned to the conservative management.
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