1.Clinics in diagnostic imaging (140). Iatrogenic sciatic nerve injury secondary to intramuscular injection.
Marcus Jian Fu ONG ; Gavin Hock Tai LIM ; Pin Lin KEI
Singapore medical journal 2012;53(8):551-quiz 555
A 77-year-old Chinese female patient presented with acute onset of left lower limb paraesthesia and weakness after she received an intramuscular injection for pain relief in the gluteal region. Magnetic resonance (MR) imaging of her lumbosacral spine and sacral plexus was performed. The MR imaging findings are reviewed and discussed.
Aged
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Female
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Humans
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Iatrogenic Disease
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Injections, Intramuscular
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adverse effects
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Magnetic Resonance Imaging
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Sciatic Neuropathy
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diagnosis
;
etiology
2.Clinics in diagnostic imaging (157). Acinar cell carcinoma (ACC) of the pancreatic tail.
Marcus Jian Fu ONG ; Yee Lin TANG ; Cher Heng TAN
Singapore medical journal 2014;55(11):564-quiz 568
A 50-year-old Chinese man presented to the clinic with left hypochondrial pain, more than 10 kg of weight loss over a 3-month period, and a firm, large, ill-defined mass in the left upper quadrant. Contrast-enhanced computed tomography of the abdomen and pelvis revealed a well-circumscribed exophytic pancreatic mass with features suggestive of acinar cell carcinoma (ACC). The patient underwent chemotherapy and radiotherapy, with no evidence of local recurrence detected at one-year follow-up. He remains under close surveillance by his oncologist. Treatment for ACC includes surgical resection with adjuvant radiotherapy. Better overall survival is seen in patients with surgically resectable ACC as compared to those with the more common ductal cell carcinoma.
Carcinoma, Acinar Cell
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diagnostic imaging
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pathology
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Humans
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Male
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Middle Aged
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Pancreatic Neoplasms
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diagnostic imaging
;
pathology
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Tomography, X-Ray Computed