Images of lipomas in the abdomen
Abdominal pain is one of the most frequent causes of medical consultation, there are some common causes with a simple diagnostic approach. However, other causes that are not prevalent represent a diagnostic challenge since their nonspecific clinical presentation and its low diagnostic suspicion due to its rarity, however, some of these infrequent entities present characteristic imaging findings. In this work, we present the radiological findings of infrequent causes of abdominal pain that have been diagnosed in our institution in the past 10 years.
The use of methods such as computed tomography (CT) and magnetic resonance imaging (MRI) in cases of abdominal pain has increased 3-fold (from 5% to 17%) in developed countries such as the U.S. This has led, on the one hand, to a significant increase in health care costs and, on the other hand, to an increased ability to detect infrequently diagnosed diseases.
Spontaneous rupture of HCC has a variable incidence, less than 3%, in Western countries and up to 25% in Asian countries. It is a serious complication, in which mortality rates of up to 75% are reported. The incidence of spontaneous rupture of HCC is high in the United States.
What does it mean to have a cyst in the spleen?
Splenic cysts are asymptomatic and present as an incidental finding in a patient with a picture of abdominal pain of non-filial etiology. Sometimes they can debut as splenomegaly or due to complications such as hemorrhage, abscess, rupture or compression of neighboring organs.
How is a spleen cyst treated?
The treatment of choice is partial splenectomy, which preserves more than 25% of the splenic parenchyma, the minimum necessary to preserve splenic immune protection without increasing the risk of recurrence.
Lipoma in the left abdomen
If the patient is dehydrated, blood levels of urea nitrogen, creatinine and serum osmolality will be elevated. If the patient is dehydrated, blood levels of urea nitrogen, creatinine and serum osmolality will be elevated. Occasionally, elevated hemoglobin and hematocrit concentrations are observed, indicating
stool softening. Caution should be exercised as fecal impaction may irritate the intestinal wall and excessive use of enemas may result in bowel perforation. Sometimes, it is necessary to perform a dactyl deobstruction if the stool is within reach.
stool is within reach. This is best performed after administration of an enema to lubricate the bowel.Non-stimulant bowel softeners, such as docusate, may
decreased blood flow to the bowel which, if not remedied, results in incarcerated obstruction and necrosis of the bowel.The mechanism of obstruction may be mechanical or non-mechanical.Mechanical factors are all those that cause strictures of the intestinal lumen, such as the following: Non-mechanical factors, include those that interfere with the muscular action or innervation of the intestines, such as the following:In the small intestine, 80% of intestinal obstructions occur; the other 20% occur in the colon. Intestinal obstructions.
Se puede vivir con un quiste en el bazo
El hamartoma es un tumor benigno mixto de crecimiento lento y poco frecuente. En general, no produce síntomas, por lo que es más común encontrarlo como un incidental durante las autopsias o laparotomías. La incidencia de los hamartomas esplénicos es baja, representando el 0,001% de la población general.
Presentamos el caso de un varón de 39 años sin antecedentes relevantes. La evolución de su cuadro comenzó 2 meses antes con pirosis y dolor ocasional en el hemiabdomen superior. La ecografía abdominal demostró un tumor pseudoquístico en el bazo. La resonancia magnética mostró cuatro lesiones en el bazo, predominando una gran lesión bilobulada en el polo inferior de 12 × 10 × 9 cm. Se realizó una esplenectomía sin complicaciones y la paciente fue dada de alta a su domicilio al tercer día del postoperatorio. El informe patológico mostró un hamartoma esplénico.
Los hamartomas del bazo, al igual que en otras localizaciones, son lesiones benignas que se encuentran como incidentalomas porque sólo unos pocos producen síntomas. El diagnóstico definitivo se realiza histopatológicamente. El tratamiento definitivo es la esplenectomía y el tratamiento de elección es la esplenectomía completa laparoscópica transabdominal. Aunque hay pocas incidencias en México, es de vital importancia que el médico lo considere entre los diagnósticos diferenciales al evaluar un tumor.
What is a heterogeneous lesion
Simple kidney cysts are more common in older people, and men are more likely to develop them than women.2 In one study, men were twice as likely to develop simple kidney cysts.1
A health care professional should be consulted if you have any of these symptoms. Health care professionals can treat simple kidney cysts that cause symptoms or other health problems.
Simple kidney cysts usually do not cause symptoms, so they are often detected by health care professionals when they do an imaging test for another reason. Health care professionals may use imaging tests and laboratory tests to rule out other more serious problems, including some kidney cancers. If the patient is diagnosed with a simple kidney cyst, he or she usually does not need further testing or treatment.
A specialized technologist performs the imaging tests in a health care professional’s office, outpatient center, or hospital, and a radiologist or nephrologist reviews the images. The health care professional may use a computed tomography (CT) scan or magnetic resonance imaging (MRI) if more information is needed to confirm the diagnosis.