Annalisa Chiodi, Maria Escolino, Claudia Di Mento, Vincenzo Salvati, Valerio Mazzone, Giorgia Esposito, Mauro Porcaro, Ciro Esposito
{"title":"Unusual late-onset hypertrophic pyloric stenosis in an adolescent girl with down syndrome: Case report and review of the literature.","authors":"Annalisa Chiodi, Maria Escolino, Claudia Di Mento, Vincenzo Salvati, Valerio Mazzone, Giorgia Esposito, Mauro Porcaro, Ciro Esposito","doi":"10.1002/jcu.23777","DOIUrl":"10.1002/jcu.23777","url":null,"abstract":"<p><p>A 16-year-old girl with down syndrome came to our attention for recurrent postprandial vomiting and significant weight loss (>5 kgs). Diagnostic assessment (barium swallow study, ultrasonography, and CT) confirmed hypertrophic pyloric stenosis (HPS). Initial attempt with endoscopic dilation was not successful. The patient underwent Heineke-Mikulicz pyloroplasty. Full oral feeding was achieved by Day 7 postoperatively. At 6-month follow-up, the patient reported relief of symptoms, normal feeding habits and substantial weight gain. HPS should be considered in the differential diagnosis of recurrent vomiting, regardless of age. A comprehensive diagnostic work-up, including ultrasonography, endoscopy, and CT, is recommended to confirm the diagnosis.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Henrique Salles Barbosa, Mariana Tavares Contim, Marcus Gomes Bastos
{"title":"Ankle-brachial index and carotid ultrasound as surrogates for coronary artery disease diagnosis.","authors":"Henrique Salles Barbosa, Mariana Tavares Contim, Marcus Gomes Bastos","doi":"10.1002/jcu.23793","DOIUrl":"10.1002/jcu.23793","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular disease represents the foremost cause of death among chronic and non-transmissible diseases. Diagnostic tools commonly used for peripheral and carotid atherosclerosis, such as ankle-brachial index (ABI) and carotid ultrasonography (CU), may contribute as surrogates for the diagnosis of coronary arterial disease (CAD).</p><p><strong>Material and methods: </strong>We report a cross-sectional study of 50 patients referred to elective invasive coronary angiography (ICA). Patients were submitted to ABI and CU-for carotid intima-media thickness (CIMT) and carotid atherosclerotic plaque screening (CAPS). Clinical and demographic variables were also evaluated. CAD was defined as greater than 50% stenosis in at least one coronary artery.</p><p><strong>Results: </strong>In logistic regression analysis, only CAPS showed a statistically significant area under the curve (AUC) for CAD prediction: 0.812 (95% CI, p <0.001). ABI and CIMT did not show statistically significant performance. For multivariate logistic regression analysis, the model including variables \"gender,\" \"dyslipidemia,\" \"smoking,\" \"pack-years,\" and CAPS predicted CAD better. The AUC for this model was 0.912 (95% CI, p = 0.002).</p><p><strong>Conclusion: </strong>The screening for carotid atherosclerotic plaques may enhance traditional risk stratification strategies for CAD. Longitudinal studies and bigger samples of subject are needed to allow extrapolation of our findings.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Atilla Hasdemir, Musa Atay, Emine Balkan, M Edip İsleyen, İrem Unal
{"title":"A rare cause of hydronephrosis: Left retrocaval ureter without situs inversus or inferior vena cava duplication with CT and US imaging findings.","authors":"Atilla Hasdemir, Musa Atay, Emine Balkan, M Edip İsleyen, İrem Unal","doi":"10.1002/jcu.23778","DOIUrl":"10.1002/jcu.23778","url":null,"abstract":"<p><p>Retrocaval ureter is a rare congenital anomaly. It usually occurs on the right side and cases on the left side without accompanying conditions such as situs inversus or double inferior vena cava (IVC) are uncommon. Instances of left retrocaval ureter without situs inversus or double IVC are rarely reported in the literature, and there are no cases presented sonographically. In this case, we present a demonstrative sonographic and tomographic images of a left-sided Type 1 retrocaval ureter case where situs inversus and double IVC were not present. In cases where hydronephrosis is detected on ultrasound, a medially displaced ureter should raise suspicion for retrocaval ureter.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141878777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pedro Teixeira Castro, Ana Paula Pinho Matos, Pedro Daltro, Tatiana Fazecas, Edward Araujo Júnior, Heron Werner
{"title":"Focal dermal hypoplasia: The conflicting characteristics of prenatal and long-term follow-up images of skin anomalies.","authors":"Pedro Teixeira Castro, Ana Paula Pinho Matos, Pedro Daltro, Tatiana Fazecas, Edward Araujo Júnior, Heron Werner","doi":"10.1002/jcu.23799","DOIUrl":"10.1002/jcu.23799","url":null,"abstract":"<p><p>To the best of our knowledge, this case presents the first prenatal magnetic resonance imaging diagnosis of focal dermal hypoplasia with long-term follow-up, with important discordance between the prenatal and postnatal imaging characteristics of the skin malformation.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wei Chen, Jia Luan, Hongming Xu, Jiarui Chen, Rong Xu, Guangbin Sun, Xiaoyan Li
{"title":"Ultrasonography findings of pediatric head and neck lymphatic malformations: A 10-year experience of 140 surgical cases.","authors":"Wei Chen, Jia Luan, Hongming Xu, Jiarui Chen, Rong Xu, Guangbin Sun, Xiaoyan Li","doi":"10.1002/jcu.23787","DOIUrl":"10.1002/jcu.23787","url":null,"abstract":"<p><strong>Objective: </strong>To discuss the usefulness of ultrasonography (US) in the diagnosis and management of pediatric head and neck lymphatic malformations (HNLMs).</p><p><strong>Methods: </strong>We conducted a retrospective analysis of 140 children who were referred to our hospital for the treatment of HNLMs.</p><p><strong>Results: </strong>The median age at presentation was 12 months (1 day-171 months; 66.4% under 2 years old; 35.7% neonatus). The majority clinical presentations were asymptomatic mass (65.7%, 92/140) and cosmetic deformity (25.7%, 36/140). HNLMs involved the neck accounting for 65.7% (92/140), especially posterior cervical trigone (22.1%, 31/140), and submandibular (20.0%, 28/140). The US diagnostic accuracy was 91.4% (128/140). Their boundary with the surrounding tissues was usually clear (87.9%, 123/140), whereas the shape was mostly irregular (97.1%, 136/140). Based on surgical findings, there were 67 pure HNLMs and 73 intracystic hemorrhage. Between the two groups, there were statistical differences in capsule contents (χ<sup>2</sup> = 7.8299, p = 0.0051), flocculent echo floating (χ<sup>2</sup> = 21.2964, p < 0.0001), overlying skin (χ<sup>2</sup> = 9.0498, p = 0.0026), and palpation (χ<sup>2</sup> = 13.4058, p = 0.0003).</p><p><strong>Conclusions: </strong>US typically reveals the lesion with clear boundary, irregular morphology, anechoic contents, no blood flow signal, and echoic intracapsular septum with blood flow signal. In contrast, bluish appearance, tensional palpation, and capsule contents with low/mixed echo or flocculent echo floating may indicate intracystic hemorrhage.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A very rare fetal echocardiography diagnosis: Sinus venosus type atrial septal defect with pulmonary venous return abnormality.","authors":"Oya Demirci, Lütfiye Uygur","doi":"10.1002/jcu.23802","DOIUrl":"10.1002/jcu.23802","url":null,"abstract":"<p><p>Atrial septal defect is diagnosed in 1 per 1500 live births. It is classified into four subtypes according to the location. We present the prenatal diagnosis of a fetal sinus venosus type atrial septal defect (SV-ASD), which is very rarely diagnosed in the prenatal period.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142080445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Renée C P Schurmans, Bram Olij, Melissa Kool, Carmen R G J Weinans, Ruben G J Visschers, Frank M Zijta
{"title":"Infected urachal cyst in an adult patient.","authors":"Renée C P Schurmans, Bram Olij, Melissa Kool, Carmen R G J Weinans, Ruben G J Visschers, Frank M Zijta","doi":"10.1002/jcu.23791","DOIUrl":"10.1002/jcu.23791","url":null,"abstract":"<p><p>Urachal cyst is a clinical malformation caused by failure of the allantois to obliterate during embryological development. Because of its rare presentation in adults, urachal cysts are often incorrectly diagnosed. Delay in diagnosis can cause complications such as peritonitis, fistula, sepsis, or even malignant manifestation. We report the case of a 19-year-old adult male, who presented with clinical features mimicking appendicitis. Ultrasound and magnetic resonance imaging confirmed diagnosis of an infected urachal cyst, which was treated surgically.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142093215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A historical timeline of the development and evolution of medical diagnostic ultrasonography.","authors":"Arvind Rajamani, Pranav Arun Bharadwaj, Sriram Hariharan, Amritha Varshini Ragavan, Anwar Hassan, Hemamalini Arvind, Stephen Huang","doi":"10.1002/jcu.23808","DOIUrl":"10.1002/jcu.23808","url":null,"abstract":"<p><p>Diagnostic ultrasonography has evolved to become an indispensable imaging tool that permits non-invasive evaluation of the whole body. In this narrative review, we present a historical timeline of the invention, development, and evolution of diagnostic medical ultrasound. It includes interesting fun facts that may help the reader identify with many of the incredible researchers in this field. This review is a tribute to the researchers who contributed to this amazing invention.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Halil Serdar Aslan, Muhammet Arslan, Kadir Han Alver, Mahmut Demirci, Mehmet Korkmaz, Kaan Esen, Mehmet Turmak, Muhammed Akif Deniz, Muhammed Tekinhatun, Tanju Kisbet, Serkan Arıbal, Hakan Önder, Mustafa Ozdemir, Mehmet Halil Ozturk, Furkan Erturk Urfalı
{"title":"Is a two-hour monitoring period sufficient and safe for patients undergoing ultrasound-guided percutaneous liver mass biopsy?: A prospective and multicenter experience.","authors":"Halil Serdar Aslan, Muhammet Arslan, Kadir Han Alver, Mahmut Demirci, Mehmet Korkmaz, Kaan Esen, Mehmet Turmak, Muhammed Akif Deniz, Muhammed Tekinhatun, Tanju Kisbet, Serkan Arıbal, Hakan Önder, Mustafa Ozdemir, Mehmet Halil Ozturk, Furkan Erturk Urfalı","doi":"10.1002/jcu.23795","DOIUrl":"10.1002/jcu.23795","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate whether patients undergoing percutaneous liver mass biopsy (PLMB) can be safely discharged following a two-hour monitoring period.</p><p><strong>Methods: </strong>A multi-center prospective analysis was conducted for 375 patients (196 males and 179 females), mean age 63 ± 12.45 years (range 37-89) who underwent PLMB between August 2023 and March 2024. Patients were monitored for 24 h, and complications were classified as minor or major. The timing of complications was categorized into three groups: within the first two hours, between the 2nd and 24th hours, and within 1 week after 24 hours.</p><p><strong>Results: </strong>Minor complications occurred in 18.93% (71/375) and major complications in 2.13% (8/375). Most minor complications (80.2%, 57/71) appeared within the first two hours, 12.7% (9/71) between 2 and 24 h, and 7.1% (5/71) after 24 h. All major complications (62.5%, 5/8) except late-onset cases, occurred within the first two hours. No major complications occurred between 2 and 24 h. Late-onset major complications occurred in 37.5% (3/8) after 24 h.</p><p><strong>Conclusion: </strong>The two-hour monitoring period did not adversely impact patient management regarding minor complications and is safe for identifying all major complications except for late-onset ones. Extending the post-biopsy recovery period does not significantly improve patient care.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tianming Liu, Dawei Wang, Lin Li, Lian-di Liu, Bin Xiao, Shuang Zheng
{"title":"Primary vaginal malignant melanoma: A case report.","authors":"Tianming Liu, Dawei Wang, Lin Li, Lian-di Liu, Bin Xiao, Shuang Zheng","doi":"10.1002/jcu.23815","DOIUrl":"10.1002/jcu.23815","url":null,"abstract":"<p><p>Malignant melanoma is a rare malignant tumor that can occur in many parts of the body. Primary vaginal malignant melanoma (PVMM) in women accounts for only 3%-7% of all malignant melanomas. PVMM is extremely rare, aggressive, and has a poor prognosis. We report a case of primary vaginal malignant melanoma in order to improve our understanding of the disease.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}