A 79-year-old woman was admitted to our hospital for shoulder pain. A physical examination revealed a tender right shoulder with limitation of active, and preservation of passive, motion. She had undergone a cerebral angiography with coil embolization two months prior to admission. After the procedure, she was presented with pain in the right upper arm and shoulder. Due to persistent shoulder pain, an MRI of the shoulder was performed, and osteonecrosis of the humeral head was detected. We present a case of osteonecrosis of the humeral head after cerebral angiography.
Aged ; Arm ; Cerebral Angiography* ; Embolization, Therapeutic ; Female ; Humans ; Humeral Head* ; Magnetic Resonance Imaging ; Osteonecrosis* ; Physical Examination ; Shoulder ; Shoulder Pain

Microscopic prostatic calculi are not uncommon in late adult life. But a giant prostatic calculus is a rare finding. No symptoms are pathognomic of calculus disease of the prostate gland. The diagnosis is usually established by rectal palpation of the prostate gland, urethroscopic examination, and roentgenographic or ultrasonic study. Usually, no treatment is indicated for patients with asymptomatic prostatic calculi. In patients with significant symptoms, a transurethral or suprapubic prostatectomy may be contemplated. We report a case of a giant prostatic calculus with bladder stones in a 60-year-old male who was treated endoscopically.
Adult ; Calculi* ; Diagnosis ; Digital Rectal Examination ; Humans ; Male ; Middle Aged ; Prostate ; Prostatectomy ; Ultrasonics ; Urinary Bladder Calculi* ; Urinary Bladder*

BACKGRONDS/AIMS: Patients with a branch duct type intraductal papillary mucinous tumor (IPMT) of the pancreas with hyperplasia are suggested to be followed up without resection. The aims of this study were to compare the clinical, radiologic, and pathologic findings among the subtypes of IPMT and to find the factors that could predict a hyperplastic lesion preoperatively. METHODS: Twenty two patients with IPMT of the pancreas who underwent surgical resection were investigated. The subtypes of IPMT were classified into the main duct type (7 patients), branch duct type (6 patients), and combined type (9 patients) based on the pathologic findings of the surgical specimens. The clinical, radirologic, and pathoiogic findings of each subtype were analyzed. RESULTS: Asymptomatic patients were more common in the branch duct type of IPMT (p=0.01). The diameter of the main pancreatic duct was <7 mm in most of the branch duet types of IPMT (5/6). Hyperplastic lesions were more likely to be the branch ciuct type (5/6, p=0.01). CONCLUSIONS: A hyperplastic lesion can be predicted if a lesion is the branch duct type of IPMT with the diameter of the main pancreatic duct < 7 mm and without symptoms. Therefore, IPMT of the pancreas with these findings can be followed up without an operation.
Humans ; Hyperplasia ; Mucins* ; Pancreas* ; Pancreatic Ducts