1.Relationship Between Uncommon Computed Tomography Findings and Clinical Aspects in Patients With Acute Pyelonephritis.
Jang Sik KIM ; Sangwook LEE ; Kwang Woo LEE ; Jun Mo KIM ; Young Ho KIM ; Min Eui KIM
Korean Journal of Urology 2014;55(7):482-486
PURPOSE: Computed tomography (CT) has become popular in the diagnosis of acute pyelonephritis (APN) and its related complications in adults. The aim of this study was to investigate the relationship between uncommon CT findings and clinical and laboratory data in patients with APN. MATERIALS AND METHODS: From July 2009 to July 2012, CT findings and clinical data were collected from 125 female patients with APN. The six uncommon CT findings (excluding a wedge-shaped area of hypoperfusion in the renal parenchyma) studied were perirenal fat infiltration, ureteral wall edema, renal abscess formation, pelvic ascites, periportal edema, and renal scarring. The clinical parameters analyzed were the age and body mass index of the patients as well as the degree and duration of fever. Laboratory parameters related to inflammation and infection included white blood cell count, C-reactive protein (CRP) level, erythrocyte sedimentation rate, pyuria, and bacteriuria. RESULTS: The most common CT finding was perirenal fat infiltration (69 cases, 55%). A longer duration of fever, higher CRP level, and grade of pyuria were related with perirenal fat infiltration (p=0.010, p=0.003, and p=0.049, respectively). The CRP level was significantly higher in patients with renal abscess and ureteral wall edema (p=0.005 and p=0.015, respectively). CONCLUSIONS: The uncommon CT findings that were related to aggravated clinical and laboratory parameters of APN patients were perirenal fat infiltration, ureteral wall edema, and renal abscess formation. The inflammatory reaction and tissue destruction may be more aggressive in patients with these CT findings.
Abscess/etiology/radiography
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Acute Disease
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Adipose Tissue/pathology/radiography
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Adult
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Edema/etiology/radiography
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Female
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Humans
;
Kidney Diseases/radiography
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Middle Aged
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Pyelonephritis/complications/pathology/*radiography
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Retrospective Studies
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Tomography, X-Ray Computed/methods
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Ureteral Diseases/etiology/radiography
2.The Multiple Brain Abscesses Associated with Congenital Pulmonary Arteriovenous Malformations: A Case Report.
Seok HAN ; Dong Jun LIM ; Yong Gu CHUNG ; Tai Hyoung CHO ; Seong Jun LIM ; Woo Jae KIM ; Jung Yul PARK ; Jung Keun SUH
Journal of Korean Medical Science 2002;17(3):407-411
In this report, we descrbed a case of multiple brain abscesses associated with diffuse congenital pulmonary arteriovenous malformations (PAVM). Although the cases of brain abscesses associated with congenital PAVM are very rare, the brain abscess could be an initial clinical manifestation in asymptomatic PAVM as in the case presented in this report. PAVM may contribute to the development of a brain abscess by allowing easy bacterial access to systemic circulation through the right-to-left pulmonary vascular shunt, bypassing the filtering effect of the pulmonary capillaries. Hence, this association should be considered in cases with brain abscesses of undetermined etiologic factors.
Arteriovenous Malformations/*complications/radiography
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Brain Abscess/*etiology/radiography
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Capillaries
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Child
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Humans
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Male
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*Pulmonary Circulation
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Tomography, X-Ray Computed
3.Iliopsoas abscess due to brenner tumor malignancy: a case report.
Ming-Xiang ZOU ; Jing LI ; Guo-Hua LYU
Chinese Medical Journal 2015;128(3):423-424
Adult
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Brenner Tumor
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complications
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diagnostic imaging
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Female
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Humans
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Psoas Abscess
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diagnosis
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diagnostic imaging
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etiology
;
Radiography
4.Splenic Abscess Associated with Endocarditis in a Patient on Hemodialysis: A Case Report.
Hyun Soo KIM ; Min Seok CHO ; Seung Hwan HWANG ; Seong Kwon MA ; Soo Wan KIM ; Nam Ho KIM ; Ki Chul CHOI
Journal of Korean Medical Science 2005;20(2):313-315
Splenic abscess is an unusual condition usually seen in immunocompromised patients or associated with intravenous drug abuses. Several conditions including trauma, immunodeficiency, corticosteroid and/or immunosuppressive therapy and diabetes mellitus have been listed under the predisposing factors for a splenic abscess. Splenic abscess in a patient on hemodialysis is a rare but life-threatening condition if not corrected. We describe a case of splenic abscess with bacterial endocarditis on maintenance hemodialysis. He had staphylococcal septicemia secondary to bacterial endocarditis at the mitral valve from the dialysis accesssite infection. Although hematologic seeding from endocarditis has been the predisposing factor for splenic abscess, we postulate that access-site infections may predispose hemodialysis patients to splenic abscess. Splenic abscess may be considered as one of the causes when patients on hemodialysis develop unexplained fever.
Abscess/*etiology/pathology/radiography
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Aged
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Endocarditis, Bacterial/*complications
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Humans
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Male
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Renal Dialysis/*adverse effects
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Splenic Diseases/*etiology/pathology/radiography
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Tomography, X-Ray Computed
6.Covert lung abscess as a cause of atrial arrhythmia: case report.
Mei LI ; De-ning LIAO ; Jia-you ZHANG ; Ren-fu YIN ; Zong-gui WU
Chinese Medical Journal 2005;118(14):1227-1229
7.Primary Aortoenteric Fistula to the Sigmoid Colon in Association with Intra-abdominal Abscess.
Wonho LEE ; Chul Min JUNG ; Eun Hee CHO ; Dong Ryeol RYU ; Daehee CHOI ; Jaihwan KIM
The Korean Journal of Gastroenterology 2014;63(4):239-243
Primary aortoenteric fistula (PAEF) is a rare but catastrophic cause of massive gastrointestinal bleeding. Diagnosis of PAEF is difficult to make and is frequently delayed without strong clinical suspicion. Timely surgical intervention is essential for patient's survival. We report on a case of an 86-year-old woman with no history of abdominal surgery, who presented with abdominal pain. Initially, computed tomography scan showed an intra-abdominal abscess, located anterior to the aortic bifurcation. However, she was discharged without treatment because of spontaneous improvement on a follow-up computed tomography scan, which showed a newly developed right common iliac artery aneurysm. One week later, she was readmitted due to recurrent abdominal pain. On the second day of admission, sudden onset of gastrointestinal bleeding occurred for the first time. After several endoscopic examinations, an aortoenteric fistula bleeding site was found in the sigmoid colon, and aortography showed progression of a right common iliac artery aneurysm. We finally concluded that intra-abdominal abscess induced an infected aortic aneurysm and enteric fistula to the sigmoid colon. This case demonstrated an extremely rare type of PAEF to the sigmoid colon caused by an infected abdominal aortic aneurysm, which has rarely been reported.
Abdominal Abscess/*diagnosis/microbiology
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Aged, 80 and over
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Aorta, Abdominal/radiography
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Aortic Aneurysm, Abdominal/*diagnosis/etiology
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Bacteroides/isolation & purification
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Bacteroides fragilis/isolation & purification
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Colon, Sigmoid/radiography
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Colonoscopy
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Enterococcus/isolation & purification
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Female
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Fistula/*diagnosis
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Humans
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Tomography, X-Ray Computed
8.Salmonella related mycotic aneurysm with psoas and paraortic abscess treated conservatively.
Azlina Abu BAKAR ; C S NGIU ; M S Mohamad SAID ; Petrick PERIYASAMY
Annals of the Academy of Medicine, Singapore 2011;40(10):467-468
Aneurysm, Infected
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etiology
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microbiology
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physiopathology
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Aorta, Abdominal
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diagnostic imaging
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physiopathology
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Comorbidity
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Female
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Humans
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Psoas Abscess
;
etiology
;
microbiology
;
physiopathology
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Psoas Muscles
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diagnostic imaging
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physiopathology
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Radiography
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Salmonella
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isolation & purification
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Salmonella Infections
;
complications
9.A Case of Henoch-Schonlein Purpura with Psoas Muscle Abscess and Full-blown Gastrointestinal Complications.
Hee Jung LEE ; Sun Moon KIM ; Sung Ro YUN ; Tae Hee LEE ; Euyi Hyeog IM ; Kyu Chan HUH ; Young Woo CHOI ; Young Woo KANG
The Korean Journal of Gastroenterology 2007;49(2):114-118
Henoch-Schonlein purpura (HSP) is a vasculitis involving small vessels of skin, joints, gastrointestinal (GI) tract, and kidneys. The patients typically show palpable purpura with one or more characteristic manifestations including abdominal pain, hematuria or arthritis. HSP shows gastrointestinal symptoms in 50~85% of patients, and in 14~40% of patients GI symptoms precede purpuric rash which makes the diagnosis of HSP difficult. We present a case of Henoch-Schonlein purpura with GI bleeding, septic shock by ileal microperforation, small bowel obstruction as a result of ileal stricture and psoas muscle abscess.
Abdominal Pain
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Anti-Inflammatory Agents/therapeutic use
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Colonoscopy
;
Gastrointestinal Diseases/*diagnosis/etiology/pathology
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Gastrointestinal Hemorrhage/diagnosis
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Humans
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Male
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Middle Aged
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Prednisolone/therapeutic use
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Psoas Abscess/etiology/*radiography
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Purpura, Schoenlein-Henoch/*complications/*diagnosis/pathology
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Tomography, X-Ray Computed
10.Cholangiocarcinoma with a paraneoplastic leukemoid reaction mimicking a pyogenic liver abscess.
Hyoju HAM ; Hee Yeon KIM ; Kyung Jin SEO ; Su Lim LEE ; Chang Wook KIM
The Korean Journal of Internal Medicine 2015;30(1):110-113
No abstract available.
Bile Duct Neoplasms/complications/*diagnosis
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*Bile Ducts, Intrahepatic/chemistry/pathology/radiography
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Biopsy
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Cholangiocarcinoma/complications/*diagnosis
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Diagnosis, Differential
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Fever/diagnosis/*etiology
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Humans
;
Immunohistochemistry
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Leukocytosis/*diagnosis/etiology
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*Liver/chemistry/pathology/radiography
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Liver Abscess, Pyogenic/*diagnosis
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Magnetic Resonance Imaging
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Male
;
Middle Aged
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Paraneoplastic Syndromes/*diagnosis/etiology
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Predictive Value of Tests
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Tomography, Spiral Computed
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Tumor Markers, Biological/analysis