201 results on '"Incidental Discovery"'
Search Results
2. 'Incidentaloma' in Nasal Cavity: A Unique Case Report
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Krithika C. Lakshmi, Anuradha Ganesan, K Yesoda Aniyan, and Jeevitha Gauthaman
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cbct ,dental audit ,foreign objects ,incidental discovery ,nasal cavity ,orthopantomograph ,Dentistry ,RK1-715 ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Foreign bodies are a frequent occurrence in the ear, nose, and throat region, especially in children under the age of three years. They can either remain unnoticed for a long period of time or may cause severe complications depending on the location and type of foreign body. A 16-year-old female patient reported the chief complaint of esthetic correction of teeth. On routine radiological examination, a radio-opaque mass was evident in the nasal cavity. The patient was completely asymptomatic. The mass was removed and identified as a goose-berry seed. This is the first reported case in which the patient had remained thoroughly asymptomatic for years together after a lodged foreign body. Such case reports are necessary to enhance the knowledge of radiologists in locating incidental findings so that it reduces the risk of performing unnecessary additional examinations and to prevent further complications.
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- 2024
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3. The Inflammatory Characteristics of Symptomatic Glioma Associated With Poor Prognosis and Chemoresistance via Tumor Necrosis Factor Signaling Pathway.
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Park J, Kim D, Sim J, Kim YJ, Cho K, Moon JH, Sung KS, Yoo J, and Lim J
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Background: Among gliomas, the most common primary malignant brain tumor, incidental gliomas account for 2.5%-5% of cases. The controversy over whether to pursue immediate treatment or adopt a wait-and-see approach remains, and more molecular and immunological evidence is needed for definitive treatment decisions., Methods: Total RNA sequencing (RNA-seq) data and single cell RNA sequencing (scRNA-seq) data were retrospectively analyzed to compare the molecular and immunological tumor microenvironment differences between incidental glioma and symptomatic glioma samples. These were classified using symptom data from The Cancer Genome Atlas (TCGA) and public dataset., Results: RNA-seq analysis of the GBMLGG dataset identified 343 genes upregulated in symptomatic glioma and 118 in incidental glioma, with 104 common genes upregulated in symptomatic glioma across both the TCGA and Chinese Glioma Genome Atlas (CGGA) datasets. Enrichment analysis revealed that these 104 genes in symptomatic glioma were significantly associated with immunological pathways. scRNA-seq analysis of glioma revealed 11 cell types, including T cells, myeloid cells, and oligodendrocytes, with the tumor necrosis factor (TNF) signaling pathway strongly influencing other cell types, particularly myeloid cells. Enrichment and survival analyses showed that TNF signaling is associated with temozolomide resistance and poorer prognosis in glioma patients., Conclusion: The findings suggest that symptomatic glioma enhances inflammatory responses linked to poor prognosis and chemoresistance. This supports the hypothesis that immediate treatment of incidental glioma may improve patient outcomes over a wait-and-see approach., Competing Interests: Jaejoon Lim, an associate editor of Brain Tumor Research and Treatment, was not involved in the editorial evaluation or decision to publish this article. All remaining authors have declared no conflicts of interest., (Copyright © 2024 The Korean Brain Tumor Society, The Korean Society for Neuro-Oncology, and The Korean Society for Pediatric Neuro-Oncology.)
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- 2024
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4. Radiodiagnostics of standard orthodontic radiographs-dental and extradental incidental findings : Do we see everything we should see?
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Wiechens B, Klenke D, Quast A, Santander P, Skorna I, and Meyer-Marcotty P
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- Humans, Cross-Sectional Studies, Female, Male, Radiography, Dental methods, Cephalometry, Reproducibility of Results, Germany, Adult, Orthodontics, Sensitivity and Specificity, Incidental Findings, Radiography, Panoramic
- Abstract
Objectives: The extent of undetected incidental findings in routine orthodontic radiographs is still unknown. However, incidental findings that are not in the primary focus of orthodontic diagnostics may be of high medical relevance. Therefore, this study aimed to analyse whether incidental findings are reliably detected and which parameters influence the orthodontist's assessment., Methods: In a clinical cross-sectional study 134 orthodontists evaluated two orthopantomogram (OPT) and two lateral cephalogram (LC) radiographs each via a standardised online survey. The radiographs were previously examined by three dentists and one radiologist-in a pilot phase-regarding the number of incidental findings and subsequently defining as gold standard in a consensus procedure. The radiographs were presented consecutively, the number of incidental findings detected were noted and the individual findings could be described in free text form., Results: Overall, 39.1% of the incidental findings were detected. The orthodontists' focus was primarily on the dental region. Here, 57.9% of incidental findings were detected, while 20.3% were detected in extradental regions (p < 0.001). A highly relevant finding of suspected arteriosclerotic plaque was detected in 7.5% of cases (OPT). Significantly more incidental findings were detected on OPTs than on LCs (OPT 42.1%, LC 36.0%, p < 0.001). As participants' length of professional experience increased, significantly more time was spent on the assessment (p < 0.001), correlating positively with the detection of incidental findings., Conclusions: Even in daily routine practice, attention must be paid to a thorough assessment of all radiographed regions. The factors time and professional experience can prevent practitioners from overlooking findings outside the orthodontic focus., (© 2023. The Author(s).)
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- 2024
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5. Silent Sentinel: Incidental Discovery of Gunpowder-Induced Subconjunctival Foreign Bodies Three Years Post-firearm Injury.
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Tripathi A, Agrawal M, Bhirud A, and Mishra A
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Gunpowder-related ocular injuries are rare and can present significant diagnostic and management challenges. This case report describes a 27-year-old male who was discovered to have subconjunctival gunpowder foreign bodies during a routine annual medical examination. The patient presented with best-corrected visual acuity (BCVA) of 20/20 in both eyes and was asymptomatic, with no complaints of pain, visual disturbances, or other ocular symptoms. Biomicroscopic examination revealed three gunpowder spherules embedded in the inferotemporal bulbar conjunctiva of the right eye, the largest measuring approximately 1.5 × 0.5 × 0.5 mm. When questioned, the patient recalled a firearm injury from 3 years prior but had never experienced any ocular discomfort or required treatment. Bilateral fundus examination and ultrasound B-scan confirmed the absence of intraocular foreign bodies and an intact scleral wall. Given the patient's asymptomatic presentation, no immediate treatment was recommended. Instead, the patient was advised to return for follow-up if symptoms developed. The case underscores the importance of thorough examination and patient history in determining the appropriate course of action for ocular foreign bodies, especially those related to gunpowder. Despite their high-velocity impact, gunpowder-related foreign bodies are generally well tolerated, suggesting that observation can be a safe approach for asymptomatic cases. Nonetheless, a critical and patient-centered management strategy is essential, with interventions like phototherapeutic keratectomy (PTK) reserved for cases where foreign bodies cause visual impairment or other complications. This case report highlights the need for individualized treatment plans and suggests that observation can be a viable approach when dealing with asymptomatic ocular foreign bodies., Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work., (Copyright © 2024, Tripathi et al.)
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- 2024
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6. Incidentally Detected Gastric Gastrointestinal Stromal Tumor during Living Donor Liver Transplant Surgery for Hepatocellular Carcinoma: The First Two Cases.
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Barut, B., Ince, V., Usta, S., Gonultas, F., and Yilmaz, S.
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HEPATOCELLULAR carcinoma , *GASTROINTESTINAL stromal tumors , *LIVER transplantation , *GASTROINTESTINAL tumors - Abstract
Coexistence of hepatocellular carcinoma and gastrointestinal stromal tumor is rare. In this case series, we aimed to present an unusual coincidence of a gastrointestinal stromal tumor and hepatocellular carcinoma in patients who underwent living donor liver transplantation for hepatocellular carcinoma who had an incidental gastric gastrointestinal tumor which was detected intraoperatively. [ABSTRACT FROM AUTHOR]
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- 2021
7. Primary bladder amyloidosis: About a case of incidental discovery
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Komi Hola Sikpa, Agathe Bernard, Denis Seguier, Chamseddine Chaabane, Samuel Makke, and Philippe Danjou
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Bladder amyloidosis ,Incidental discovery ,Histological diagnosis ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Primary bladder amyloidosis is rare. Hematuria is the most common form of it's revelation. There are no specific clinical and paraclinical signs to differentiate it from urothelial tumors. The diagnosis is histological.We are reporting you a case of incidental discovery.
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- 2021
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8. Incidental Discovery of a Cervical Rib in a Case of Acute Cholecystitis: A Rare Anatomical Variant.
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Navandhar PS, Gharde P, Shinde RK, Nagtode T, and Sapkale B
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This case report discusses the incidental discovery of a cervical rib in a 53-year-old woman presenting with acute cholecystitis. While cervical ribs are rare, their identification holds clinical significance due to their potential implications for vascular compression or thoracic outlet syndrome. Despite the patient's primary complaint of cholecystitis, a chest X-ray incidentally revealed the cervical rib. This finding underscores the importance of a thorough radiographic examination. The report discusses similar cases, emphasizing varying clinical presentations and associated vascular complications. The case highlights the necessity for a comprehensive assessment of incidental findings to ensure holistic patient care and management, emphasizing the importance of considering anatomical variants in clinical practice., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2024, Navandhar et al.)
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- 2024
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9. Incidental Discovery of Anomalous Left Coronary Artery Arising from the Pulmonary Artery in a Coronavirus Disease-2019 Patient: A Blessing in Disguise.
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Masood, Ghori and Rizwan, Ahmed
- Abstract
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a serious congenital malformation. Reports about asymptomatic, incidentally discovered ALCAPA in adults are scarce. We describe a patient with no known pre-existing cardiac condition admitted to our hospital with coronavirus disease 2019 (COVID-19) and was incidentally found to have ALCAPA. To the best of our knowledge, this is the first reported case of incidentally discovered ALCAPA in a COVID-19 patient and highlights the importance of appropriate investigation of the coronary status by Multidetector Cardiac Computed Tomographic Angiography (MDCCTA) in individuals with asymptomatic left ventricular dysfunction. The presentation of this case, discussion and literature review serves to iterate the necessity of appropriately investigating patients with asymptomatic LV dysfunction. [ABSTRACT FROM AUTHOR]
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- 2020
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10. How to report incidental findings from population whole-body MRI: view of participants of the German National Cohort.
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Hegedüs, Peter, von Stackelberg, Oyunbileg, Neumann, Christoph, Selder, Sonja, Werner, Nicole, Erdmann, Pia, Granitza, Anja, Völzke, Henry, Bamberg, Fabian, Kaaks, Rudolf, Bertheau, Robert C., Kauczor, Hans-Ulrich, Schlett, Christopher L., and Weckbach, Sabine
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MAGNETIC resonance imaging , *INCIDENTAL findings (Medicine) , *DIAGNOSIS , *DIAGNOSTIC imaging , *LONGITUDINAL method , *PILOT projects ,RESEARCH evaluation - Abstract
Objectives: In the German National Cohort (GNC), 30,000 individuals are examined with whole-body MRI (wbMRI), of which about 3000 participants are expected to receive an incidental finding (IF) disclosure. In order to get feedback from participants and to evaluate the IF-management procedure of the wbMRI substudy, a follow-up questionnaire was developed. This single-center pilot trial was aimed to get a first impression on feasibility reproducibility and validity of such a survey in order to take necessary adjustments before initiating the survey among several thousand participants.Methods: The questionnaires were sent out in test-retest manner to 86 participants who received a wbMRI examination in January-February 2016 at the imaging center in Neubrandenburg. The ratio of participants with and without IF notification was 1:1. Descriptive statistics was performed.Results: A first response of 94% and completion proportion of 99% were achieved. Participants were satisfied with the examination procedure. Ninety-five percent of participants considered it very important to receive notification of IFs. Participants reported minimal stress levels while waiting for a possible IF notification letter, but high stress levels when an IF letter was received. Phrasing of the IF reports was rated in 97% as well understandable and in 55% as beneficial to health status.Conclusions: This questionnaire will serve researchers within the GNC as a fundamental instrument not only for quality management analyses but also for the investigation of still unacknowledged scientific and ethical questions contributing to evidence-based guidelines concerning the complex approach to IFs in future population-based imaging.Key Points: • Evidence-based guidelines for reporting incidental findings in population whole-body MRI are lacking. • Pilot-testing of a questionnaire for the evaluation of practical and ethical aspects of the procedure to report incidental findings in the German National Cohort shows a high level of acceptance and high return rate by participants. • Participants reported minimal stress levels while waiting for a possible incidental finding notification letter, which increased significantly, when such a letter was received. [ABSTRACT FROM AUTHOR]- Published
- 2019
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11. Incidental discovery of duplicated inferior vena cava in a septuagenarian: the radiologist's viewpoint
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Ange Eric Zouzou, A Le Dion, A Toure, AP Ndja, NE Fatto, D Isart, Aeb Bravo-Tsri, DT Gnaoulé, and GC Gbazi
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medicine.medical_specialty ,business.industry ,Duplication ,R895-920 ,Incidental Discovery ,Case Report ,Inferior vena cava ,Imaging ,Medical physics. Medical radiology. Nuclear medicine ,medicine.vein ,medicine ,cardiovascular system ,Radiology, Nuclear Medicine and imaging ,Radiology ,cardiovascular diseases ,business - Abstract
Duplication of the inferior vena cava is a rare malformation, normally without clinical impact, explained by abnormal development and regression of certain segments of the venous system during embryonic life. However, its presence and type should be systematically reported in the radiological report because of its potential implications for diagnostic and interventional procedures. This observation describes the case of a 77-year-old man with a complete asymmetric duplication of the inferior vena cava (type III IVC according to Natsis) that was incidentally discovered on CT-scan.
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- 2021
12. Saved by anticoagulants: Incidental discovery of a misplaced defibrillator lead 6 years after implantation. Inadvertent lead placement inside the left ventricular cavity
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Ali Ahmad and Abdelrahman Osman
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Medicine (General) ,medicine.medical_specialty ,business.industry ,cardiovascular disorders ,Incidental Discovery ,Case Report ,Case Reports ,General Medicine ,030204 cardiovascular system & hematology ,03 medical and health sciences ,R5-920 ,0302 clinical medicine ,medicine.anatomical_structure ,Ventricle ,030220 oncology & carcinogenesis ,Internal medicine ,Right heart ,Left ventricular cavity ,Cardiology ,medicine ,Medicine ,business ,Defibrillator lead ,Lead Placement - Abstract
Device insertion is a common cardiovascular procedure. Devices are implanted into the right heart, acting as a safeguard against systemic thromboembolism. Lead insertion into the left ventricle is rare, but carries dangerous consequences of thromboembolic events. Diagnosis and intervention of an inadvertently placed lead is essential. This is a case of a defibrillator lead inadvertently inserted into the left cavity, discovered 6 years after implantation., Pacemakers are typically used to restore normal heart rhythm to the heart. While typically found screwed in the right ventricle, pacemaker leads may sometimes travel through the walls of the heart and become lodged in the right ventricle. This complication must be resolved immediately due to the high risk of thromboembolism.
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- 2021
13. A short overview of the CRISPR-Cas adaptation stage
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Sylvain Moineau, Cas Mosterd, and Geneviève M. Rousseau
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0303 health sciences ,030306 microbiology ,Immunology ,Incidental Discovery ,General Medicine ,Biology ,Gram-Positive Bacteria ,Adaptation, Physiological ,Applied Microbiology and Biotechnology ,Microbiology ,Genome ,03 medical and health sciences ,Evolutionary biology ,Genetics ,Streptococcus thermophilus ,CRISPR ,Clustered Regularly Interspaced Short Palindromic Repeats ,CRISPR-Cas Systems ,Adaptation ,Molecular Biology ,Genome, Bacterial ,030304 developmental biology - Abstract
CRISPR research began over 30 years ago with the incidental discovery of an unusual nucleotide arrangement in the Escherichia coli genome. It took 20 years to find the main function of CRISPR-Cas systems as an adaptive defence mechanism against invading nucleic acids, and our knowledge of their biology has steadily increased ever since. In parallel, the number of applications derived from CRISPR-Cas systems has risen spectacularly. The CRISPR-based genome editing tool is arguably the most exciting application in both basic and applied research. Lately, CRISPR-Cas research has partially shifted to the least understood aspect of its biology: the ability of CRISPR-Cas systems to acquire new immunities during the so-called adaptation step. To date, the most efficient natural system to readily acquire new spacers is the type II-A system of the gram-positive dairy bacterium Streptococcus thermophilus. The discovery of additional systems able to acquire new spacers will hopefully draw more attention to this step of CRISPR-Cas biology. This review focuses on the breakthroughs that have helped to unravel the adaptation phase and on questions that remain to be answered.
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- 2021
14. Predictive Evolution Factors of Incidentally Discovered Suspected Low-Grade Gliomas: Results From a Consecutive Series of 101 Patients
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Sam Ng, Hugues Duffau, Julien Boetto, Neurochirurgie [Hôpital Gui de Chauliac], Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Hôpital Gui de Chauliac [Montpellier], Institut de Génomique Fonctionnelle (IGF), and Université de Montpellier (UM)-Université Montpellier 1 (UM1)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Montpellier 2 - Sciences et Techniques (UM2)-Centre National de la Recherche Scientifique (CNRS)
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Adult ,Male ,Surgical resection ,medicine.medical_specialty ,[SDV]Life Sciences [q-bio] ,Low-grade glioma ,Incidental finding ,Cohort Studies ,03 medical and health sciences ,Magnetic resonance imaging ,0302 clinical medicine ,Neuroimaging ,Predictive Value of Tests ,Glioma ,medicine ,Humans ,Prospective Studies ,Wakefulness ,Prospective cohort study ,Retrospective Studies ,Incidental Findings ,medicine.diagnostic_test ,Brain Neoplasms ,business.industry ,Incidental Discovery ,Middle Aged ,medicine.disease ,Prophylactic Surgery ,3. Good health ,030220 oncology & carcinogenesis ,Female ,[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] ,Surgery ,Neurology (clinical) ,Radiology ,Neoplasm Grading ,business ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology ,030217 neurology & neurosurgery ,Mri findings - Abstract
International audience; Background: Incidentally discovered suspected diffuse low-grade gliomas (LGGs) on brain imaging pose a challenge to neurosurgeons. Modern surgical series of LGGs favor early prophylactic surgery with a maximal extent of resection. However, some nonevolutive lesions may mimic LGGs on magnetic resonance imaging (MRI).Objective: To determine objective criteria to advocate surgical resection of an incidentally discovered suspected LGG based upon MRI findings.Methods: The prospective cohort of patients referred to our institution for an incidental finding suggestive of LGG was retrospectively reviewed. Stable lesions underwent systematic serial MRI follow-up, while evolutive lesions underwent prophylactic surgery under awake conditions. Initial clinico-radiological features were compared between stable and evolutive lesions in order to determine predictive criteria of further evolution.Results: Among 101 patients referred for surgical resection of incidentally discovered suspected LGG in our center, 19 patients (18.8%) had nonevolutive MRI lesions after a mean follow-up of 46.9 ± 34.9 mo. Insular topography (P = .003), higher mean volume at discovery (19.2 vs 5.2 cm3, P < .001), and adjacent sulcal effacement (P = .001) were associated with evolutive lesions. Histopathological diagnosis of LGG was confirmed in all surgical cases.Conclusion: Increasing volume is an effective predictor of LGG diagnosis in incidental MRI findings, as all patients who subsequently underwent surgery had confirmed histopathological diagnosis of diffuse glioma. Approximately 18.8% of incidental findings were stable over time. Insular topography, adjacent sulcal effacement, and volume greater than 4.5 cm3 were predictive of further radiological progression. These significant elements will help neurosurgeons to define personalized strategies in this complex setting of incidental discovery.
- Published
- 2020
15. Congenital Visual Field Loss from a Schizencephalic Cleft Damaging Meyer’s Loop
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Benyam Kinde, Jonathan C. Horton, and A. James Barkovich
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medicine.medical_specialty ,Case Reports ,Asymptomatic ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Quadrantanopia ,medicine.diagnostic_test ,business.industry ,Incidental Discovery ,Magnetic resonance imaging ,equipment and supplies ,medicine.disease ,eye diseases ,Loop (topology) ,Ophthalmology ,Visual cortex ,medicine.anatomical_structure ,Right superior ,030221 ophthalmology & optometry ,Neurology (clinical) ,Visual field loss ,Radiology ,medicine.symptom ,business ,human activities ,030217 neurology & neurosurgery - Abstract
A healthy, asymptomatic woman was referred after incidental discovery of a right superior incongruous hemianopia. Magnetic resonance imaging disclosed a schizencephalic cleft passing through Meyer’s loop of the left optic radiation. The lesion may have resulted from a focal vascular accident or disruption of cortical neurogenesis during gestation.
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- 2020
16. De l’incidentalomeà la découverte secondaire
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Cedric Gesbert, Cécile Torregrosa, Marie-France Mamzer, Laboratoire Ethique Politique et Santé (EA 4569), Université Paris Descartes - Paris 5 (UPD5), Laboratoire de Recherche en Sciences Végétales (LRSV), Université Toulouse III - Paul Sabatier (UT3), and Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Centre National de la Recherche Scientifique (CNRS)
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0301 basic medicine ,Modern medicine ,[SDV]Life Sciences [q-bio] ,Incidentaloma ,Incidental Discovery ,Health technology ,General Medicine ,General Biochemistry, Genetics and Molecular Biology ,Term (time) ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,030220 oncology & carcinogenesis ,Phenomenon ,Psychology ,Cognitive psychology ,Medical literature - Abstract
Le termeincidentalome, créé en 1982, s’est, depuis, diffusé dans la littérature médicale. Il ne semble cependant pas exister de définition précise pour décrire ce qu’est un incidentalome. Dans les usages initiaux, l’incidentalome désignait une masse détectée à l’occasion d’un examen d’imagerie prescrit à visée diagnostique sans qu’un lien ne soit déterminé avec le motif de réalisation de l’examen. La qualification d’« incidentalome » de cette masse n’apportait aucune précision sur sa nature, celle-ci pouvant être située dans de nombreuses zones anatomiques, être sécrétante ou non, être bénigne ou maligne… Aujourd’hui, le terme d’incidentalomeporte une dimension beaucoup plus large, semblant recouvrir la notion de découverte fortuite, qu’elle soit radiologique, biologique ou génétique. Cet usage évolutif du terme démontre son caractère heuristique. Il est le signe d’une modification de la médecine moderne qui hésite entre une clinique des patients et une clinique des données. Les découvertes fortuites sont un phénomène connu et anticipé par les radiologues. Ces découvertes ne sont donc plus fortuites, ni même inattendues, mais bien secondaires à l’usage de la technologie en santé.
- Published
- 2020
17. Incidental Discovery of Anomalous Left Coronary Artery Arising from the Pulmonary Artery in a Coronavirus Disease-2019 Patient: A Blessing in Disguise
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Ghori Masood and Ahmed Rizwan
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medicine.medical_specialty ,Incidental Discovery ,Coronavirus disease 2019 (COVID-19) ,business.industry ,Case Report ,030204 cardiovascular system & hematology ,Asymptomatic ,Coronavirus Disease 2019 ,Computed tomographic angiography ,03 medical and health sciences ,0302 clinical medicine ,Left coronary artery ,Anomalous Left Coronary Artery Arising from The Pulmonary Artery ,Lv dysfunction ,Internal medicine ,medicine.artery ,Pulmonary artery ,Cardiology ,Medicine ,030212 general & internal medicine ,Presentation (obstetrics) ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business - Abstract
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a serious congenital malformation. Reports about asymptomatic, incidentally discovered ALCAPA in adults are scarce. We describe a patient with no known pre-existing cardiac condition admitted to our hospital with coronavirus disease 2019 (COVID-19) and was incidentally found to have ALCAPA. To the best of our knowledge, this is the first reported case of incidentally discovered ALCAPA in a COVID-19 patient and highlights the importance of appropriate investigation of the coronary status by Multidetector Cardiac Computed Tomographic Angiography (MDCCTA) in individuals with asymptomatic left ventricular dysfunction. The presentation of this case, discussion and literature review serves to iterate the necessity of appropriately investigating patients with asymptomatic LV dysfunction.
- Published
- 2020
18. Incidental Discovery of Ovary Cystadenofibroma during Cesarean Section: A Case Report
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Zimmermmann Jb, Neves Im, de Sousa Va, Bessa Fl, Teixeira Ggl, Lebourg Ji, Matsuda K, Viana Vo, Madeira Fop, Lima Il, Iarede Pa, Miranda Vhm, Vieira Lg, Cabral Jab, e Costa Ir, Assis Eacp, de Melo Ifl, Soares Lm, Russo Bc, Wulf Ig, and Hashiguchi Y
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Pregnancy ,medicine.medical_specialty ,Cystadenofibroma ,business.industry ,Incidental Discovery ,Ovary ,General Medicine ,Pelvic cavity ,medicine.disease ,female genital diseases and pregnancy complications ,Cystic Neoplasm ,Serous fluid ,medicine.anatomical_structure ,medicine ,Serous cystadenofibroma ,Radiology ,business - Abstract
Serous cystadenofibroma of the ovary is a cystic neoplasm containing fibrous component, and lining of high, cylindrical, and ciliated epithelial cells surrounded by clear serous fluid, with smooth or papillary surface and abundant vessels. Serous cystadenofibroma in the present case report was an incidental discovery observed during an abdominal and pelvic cavity review performed in a 39-week elective cesarean section applied to in a 32-year-old patient who presented uneventful pregnancy. The importance of conducting inventories of these cavities during cesarean sections to identify asymptomatic adnexal masses unseen in prenatal ultrasonography is clear.
- Published
- 2020
19. Late Atrial Thrombus Formation After Percutaneous Patent Foramen Ovale Closure
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Manjari Regmi, Odalys Estefania Lara Garcia, Priyanka Parajuli, Abdul Moiz Hafiz, and Oswaldo A. Madrid
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0301 basic medicine ,medicine.medical_specialty ,Percutaneous ,patent foramen ovale ,PFO, patent foramen ovale ,TTE, transthoracic echocardiogram ,Case Report ,030105 genetics & heredity ,03 medical and health sciences ,0302 clinical medicine ,Clinical Case ,stomatognathic system ,Internal medicine ,occluder device ,Medicine ,Diseases of the circulatory (Cardiovascular) system ,cardiovascular diseases ,Thrombus ,TEE, transesophageal echocardiogram ,business.industry ,PE - Pulmonary embolism ,Incidental Discovery ,Atrial Thrombus ,musculoskeletal system ,medicine.disease ,stroke ,Both atria ,CT, computed tomography ,peripheral vascular disease ,thrombus ,RC666-701 ,PE, pulmonary embolism ,Patent foramen ovale ,Cardiology ,cardiovascular system ,Cardiology and Cardiovascular Medicine ,business ,Complication ,030217 neurology & neurosurgery ,circulatory and respiratory physiology - Abstract
Late thrombus formation is a rare complication associated with patent foramen ovale (PFO) closure devices. We report the case of an incidental discovery of large thrombi in both atria 9 months after percutaneous PFO occlusion that required cardiac surgery for thrombi removal. (Level of Difficulty: Beginner.), Graphical abstract, Late thrombus formation is a rare complication associated with patent foramen ovale (PFO) closure devices. We report the case of an incidental…
- Published
- 2020
20. Flail Mitral Valve Associated with Iliac Artery Aneurysm: Diagnostic Challenges of a Potential Syndromic Pattern. Case Report
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Maria Letizia Speranza, Giuseppino Massimo Ciavarella, Piera Amoriello Lamberti, Luca Arcari, Enrico Bentivegna, Ludovica Guerritore, Paolo Martelletti, Michelangelo Luciani, Alberto Sentimentale, and Valerio Spuntarelli
- Subjects
medicine.medical_specialty ,business.industry ,Incidental Discovery ,Disease ,medicine.disease ,medicine.anatomical_structure ,Concomitant ,Mitral valve ,medicine ,Etiology ,Radiology ,Differential diagnosis ,Mitral valve regurgitation ,business ,Iliac artery aneurysm - Abstract
Severe mitral valve regurgitation can be caused by a spectrum of disorders that can influence the management of this entity. Here we describe the diagnostic work-up in the case of a patient presenting with flail mitral valve secondary to Barlow’s disease and concomitant fever, underscoring the difficulty in providing differential diagnosis of the underlying causative etiology and to plan subsequent appropriate treatment. Diagnostic tests leaded to the incidental discovery of concomitant iliac artery aneurysm; hence, we discuss the association between Barlow’s disease and arterial abnormalities, possibly pointing towards a syndromic pattern related to common pathogenic background affecting connective tissue.
- Published
- 2020
21. A case of Ewing's sarcoma identified via noninvasive prenatal testing
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Nahoko Shirato, Mikiko Izumi, Tatsuko Hirose, Akihiko Sekizawa, Keiko Miyagami, Ryu Matsuoka, and Mayumi Tokunaka
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malignant tumor ,MEDLINE ,lcsh:Medicine ,Case Report ,Prenatal diagnosis ,Case Reports ,030204 cardiovascular system & hematology ,Bioinformatics ,Malignancy ,03 medical and health sciences ,incidental finding ,0302 clinical medicine ,medicine ,cell‐free DNA ,lcsh:R5-920 ,prenatal diagnosis ,business.industry ,lcsh:R ,Incidental Discovery ,food and beverages ,Ewing's sarcoma ,General Medicine ,medicine.disease ,Cell-free fetal DNA ,030220 oncology & carcinogenesis ,Genomic information ,lcsh:Medicine (General) ,business ,NIPT - Abstract
Although noninvasive prenatal testing is not intended to identify maternal genomic information, it can provide other information that may lead to the incidental discovery of coexisting conditions including maternal malignancy.
- Published
- 2020
22. Incidental Discovery of Embryonal Rhabdomyosarcoma on CT Imaging
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Ali Hani Al-Tarbsheh, Esha Jain, Boris Shkolnik, Hala Abdelwahab, and Jozef Oweis
- Subjects
medicine.medical_specialty ,business.industry ,Soft tissue sarcoma ,Incidental Discovery ,embryonal rhabdomyosarcoma ,Articles ,Pathology Report ,medicine.disease ,hemic and lymphatic diseases ,Radiological weapon ,Rhabdomyosarcoma ,immunohistochemistry ,Internal Medicine ,medicine ,Medicine ,Radiology ,Embryonal rhabdomyosarcoma ,Ct imaging ,Presentation (obstetrics) ,business ,neoplasms - Abstract
Rhabdomyosarcoma is an uncommon soft tissue sarcoma that rarely presents in adults. Clinical presentation is dependent on site and size. We present the case of a woman who presented with acute-onset dyspnoea and whose pathology report confirmed embryonal rhabdomyosarcoma (ERMS) seen as an incidental finding on chest computed tomography. We also describe the clinical, laboratory and radiological work-up conducted to diagnose and manage ERMS in the critical care setting. LEARNING POINTS Rhabdomyosarcoma is a rare malignancy with a poor prognosis in adults compared with children, especially if it presents in an unfavourable primary site and has an unfavourable histological diagnosis. Immunohistochemical diagnosis remains the gold standard for embryonal rhabdomyosarcoma diagnosis and differentiation from similar malignancies on initial imaging studies. Management of adult rhabdomyosarcoma is usually multimodal with surgical resection and a combination of chemo and radiotherapy.
- Published
- 2021
23. Incidental Discovery of a Left Ventricular Aneurysm After a Syncopal Episode
- Author
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Zeiad Hussain, Hunaid N Rana, Christopher E. Roberts, and Brian Wood
- Subjects
coronary artery angiography ,Cardiac output ,medicine.medical_specialty ,Cardiology ,Computed tomography ,Post myocardial infarction ,Internal medicine ,medicine ,ventricular aneurysm thrombus ,cardiovascular diseases ,Thrombus ,chest radiograph ,medicine.diagnostic_test ,business.industry ,left ventricular aneurysm ,General Engineering ,Incidental Discovery ,myocardial infarction complication ,computed tomography ,medicine.disease ,Left Ventricular Aneurysm ,cardiovascular system ,Anatomy ,Radiology ,business ,Chest radiograph ,Complication - Abstract
A left ventricular aneurysm is a rare post myocardial infarction complication. Ventricular aneurysms form as post-ischemic cardiac remodeling creates a weaker, fibrotic area that may bulge outwards against interventricular pressures over time. Patients with ventricular aneurysms have increased mortality and are at higher risk of various cardiac complications, such as cardiac arrest, arrhythmias, thrombus formation, reduced cardiac output, or aneurysmal rupture. Prompt diagnosis and treatment are critically important in these patients. We highlight the hospital course of a patient with an extensive cardiac history presenting for syncope with the discovery of a left ventricular aneurysm. The radiographic features of the left ventricular aneurysm are described, as well as formation, risk factors, and complications.
- Published
- 2021
24. 'Incidental Discovery of Dedifferentiated Liposarcoma of the Anterior Mediastinum: A Case Report'
- Author
-
Shi Sx
- Subjects
medicine.medical_specialty ,Dedifferentiated liposarcoma ,business.industry ,Incidental Discovery ,Medicine ,General Medicine ,Radiology ,business ,Anterior mediastinum - Published
- 2021
25. Incidental discovery of a rare right ventricular aneurysm
- Author
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Andrew F. Voter, Anthony D. Kuner, Jeffrey P. Kanne, and Lori Mankowski Gettle
- Subjects
lcsh:Medical physics. Medical radiology. Nuclear medicine ,medicine.medical_specialty ,lcsh:R895-920 ,Computed tomography ,Case Report ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Radiology, Nuclear Medicine and imaging ,cardiovascular diseases ,Cardiac MRI ,medicine.diagnostic_test ,business.industry ,Optimal treatment ,Incidental Discovery ,Incidental findings ,cardiovascular system ,Right ventricular aneurysm ,Radiology ,Transthoracic echocardiogram ,business ,Cardiac aneurysm ,030217 neurology & neurosurgery - Abstract
Three types of cardiac outpouchings are encountered on cardiovascular imaging: diverticula, aneurysms and pseudoaneurysms. The underlying physiology, imaging findings, risk of rupture, and optimal treatment varies for each and a correct diagnosis is critical. We report a case of a rare, incidentally discovered right ventricular aneurysm that was characterized by transthoracic echocardiogram, computed tomography, and cardiac MRI. The types of cardiac outpouchings are reviewed, and we discuss the selection of imaging modality, keys to distinguishing the outpouchings, and management strategies.
- Published
- 2021
26. Incidental discovery of multiple tracheal diverticula
- Author
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Christian Hedeager Krag and Mathilde Marie Winkler Wille
- Subjects
lcsh:Medical physics. Medical radiology. Nuclear medicine ,medicine.medical_specialty ,lcsh:R895-920 ,Population ,Case Report ,digestive system ,Tracheal diverticulum ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Radiology, Nuclear Medicine and imaging ,Pneumomediastinum ,education ,Computed tomography ,Pelvis ,education.field_of_study ,business.industry ,Chronic obstructive pulmonary disease ,Left main bronchus ,Incidental Discovery ,respiratory system ,medicine.disease ,Empyema ,digestive system diseases ,medicine.anatomical_structure ,Abdomen ,Radiology ,business ,030217 neurology & neurosurgery - Abstract
Tracheal diverticulum is observed in 1%-4% of the population, however, multiple tracheal diverticula are a rare occurrence. In this paper, we present a 75-year-old male, who was referred to a computed tomography-scan of the neck, chest, abdomen, and pelvis because of an unintended weight loss, fatigue, and a smoking history of 60 pack-years. A definitive cause for the symptoms was not found, however as an incidental finding, the patient was diagnosed with multiple tracheal diverticula along the back wall of trachea and left main bronchus. Despite the rare occurrence, it is important to recognize multiple tracheal diverticula in the diagnostic process, because of the possibility of either removing the diverticula or initiating prophylactic actions to prevent complications such as empyema and pneumomediastinum.
- Published
- 2020
27. Incidental diffuse low-grade gliomas: from early detection to preventive neuro-oncological surgery.
- Author
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Lima, Guilherme, Zanello, Marc, Mandonnet, Emmanuel, Taillandier, Luc, Pallud, Johan, and Duffau, Hugues
- Subjects
- *
SURGICAL excision , *GLIOMA treatment , *HEALTH outcome assessment , *ONCOLOGIC surgery , *MEDICAL screening - Abstract
Although a large amount of data supports early surgical resection for symptomatic diffuse low-grade glioma, the therapeutic strategy is still a matter of debate regarding incidentally discovered diffuse low-grade glioma. Indeed, early and 'preventive' surgery has recently been proposed in asymptomatic patients with silent diffuse low-grade glioma with better outcomes. The present review discusses the importance of an early diagnosis and of a preventive surgical treatment to improve the outcomes of incidental diffuse low-grade glioma and suggests the possible relevance of a tailored screening policy. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
28. Incidental Discovery of Prostatic Carcinoma with Transurethral Resection and the Possible Consequences
- Author
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Marberger, M., Altwein, Jens E., editor, Faul, Peter, editor, and Schneider, Wolfgang, editor
- Published
- 1991
- Full Text
- View/download PDF
29. Management of asymptomatic ventricular preexcitation
- Author
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Shaun Mohan and Seshadri Balaji
- Subjects
medicine.medical_specialty ,congenital, hereditary, and neonatal diseases and abnormalities ,lcsh:Diseases of the circulatory (Cardiovascular) system ,Review Article ,030204 cardiovascular system & hematology ,Ablation ,Asymptomatic ,03 medical and health sciences ,WPW ,0302 clinical medicine ,Physiology (medical) ,Internal medicine ,Medicine ,030212 general & internal medicine ,cardiovascular diseases ,Risk stratification ,Do no harm ,business.industry ,Incidental Discovery ,medicine.disease ,SCD ,Supraventricular tachycardia ,lcsh:RC666-701 ,Ventricular preexcitation ,Cardiology ,cardiovascular system ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business - Abstract
An incidental discovery of Wolff Parkinson White (WPW) pattern on the electrocardiogram (ECG) is not an infrequent finding facing the physician. Most patients discovered incidentally are asymptomatic and it is hard to justify further management of such patients given the time-honored adage to “first do no harm.” However, this finding does have implications. This article is an attempt to guide clinicians about this important issue that is often faced in the office. Keywords: WPW, Ventricular preexcitation, SCD, Supraventricular tachycardia, Risk stratification, Ablation
- Published
- 2019
30. Incidental discovery of endourethral clip migration 10 years after radical prostatectomy: A case report and review of the literature
- Author
-
Dimitrios Memmos, Eliophotos D. Savvides, Georgios Dimitriadis, Panagiotis Baniotis, Georgios Langas, Panagiotis Stefanidis, Evangelos N. Symeonidis, Wilbert F Mutomba, and Athanasios Bouchalakis
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,Urinary Bladder ,030232 urology & nephrology ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Renal colic ,Aged ,Prostatectomy ,Incidental Findings ,business.industry ,General surgery ,Incidental Discovery ,General Medicine ,Cystoscopy ,Surgical procedures ,Surgical Instruments ,030220 oncology & carcinogenesis ,Double j stent ,medicine.symptom ,business ,Surgical Clips - Abstract
Introduction: Surgical clips (SCs) have been widely used for a variety of surgical procedures over the years. Despite their advantages and proven effectiveness, several clip-related complications have been reported, creating dilemmas as to their optimal use. Case description: Herein, we present a rare delayed and incidental discovery of two endourethral metallic SCs in a 77-year-old male seeking treatment for acute renal colic. The patient had undergone open radical retropubic prostatectomy 10 years ago, and had an uneventful postoperative recovery. Computed tomography scan revealed left-sided hydronephrosis secondary to proximal ureteral calculus, as well as SCs at the level of vesico-urethral (VUR) anastomosis. Flexible cystoscopy confirmed the imaging findings, showing two endourethral clips, partly obstructing the VUR. Firstly, a serial wire-guided dilation took place, followed by left ureteral double-J stent placement. Unfortunately, the clips could not be concurrently removed due to their firm attachment to the bladder neck. Hence, our patient was scheduled for transurethral resection of the bladder neck and simultaneous endoscopic clip removal. Conclusions: To the best of our knowledge, this is the first report to highlight such a delayed incidental finding, 10 years after open retropubic radical prostatectomy (RRP), during a JJ stent insertion for obstructive uropathy without previous clip-induced lower urinary tract symptoms. Although rare, physicians should be aware of the potential clip-related complications arising either in the short- or long-term postprostatectomy setting.
- Published
- 2021
31. The incidental discovery of a constitutional trisomy 21 mosaicism in an adult female with myelodysplastic/myeloproliferative neoplasm
- Author
-
Andreas Hochhaus, Jochen J. Frietsch, Anita Glaser, Samantha O'Hagan Henderson, and Inken Hilgendorf
- Subjects
Adult ,Incidental Findings ,Pediatrics ,medicine.medical_specialty ,Hematology ,Adult female ,Mosaicism ,business.industry ,Oncology ,Myelodysplastic/Myeloproliferative Neoplasm ,Incidental Discovery ,Trisomy ,General Medicine ,medicine.disease ,Neoplasms ,Internal medicine ,medicine ,Humans ,Female ,Down Syndrome ,business ,Chromosomes, Human, Pair 8 - Published
- 2021
32. Saved by anticoagulants: Incidental discovery of a misplaced defibrillator lead 6 years after implantation
- Author
-
Abdelrahman Osman and Ali Ahmad
- Subjects
medicine.medical_specialty ,business.industry ,Internal medicine ,Right heart ,medicine ,Incidental Discovery ,Cardiology ,Defibrillator lead ,business - Abstract
Device insertion is a common cardiovascular procedure. Devices are implanted into the right heart; which is a safeguard against systemic thromboembolism. Lead insertion into the left ventricle is rare. This is a case of a defibrillator lead inadvertently inserted into the left cavity. This was discovered 6 years later.
- Published
- 2021
33. A Pathologist’s Perspective on Histopathology Examination of Autopsies and Various Incidental Findings
- Author
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Lachhima Bhandari, Mohanvir Kaur, Sarbhjit Kaur, and Vijay Kumar Bodal
- Subjects
Pathology ,medicine.medical_specialty ,business.industry ,Health, Toxicology and Mutagenesis ,Incidental Discovery ,Autopsy ,Retrospective cohort study ,Histopathological examination ,Toxicology ,Pathology and Forensic Medicine ,Medicine ,Histopathology ,business ,Law ,Cause of death - Abstract
Background-The current study aims to highlight the importance of autopsies in not just finding the causeof death; but also, incidental discovery of various rare lesions, that may or may not be the cause of death.The study also aims to highlight the common cause of death, spectrum of common incidental findings andreporting of various rare, interesting cases. Method- This is a retrospective study conducted between year2013 to 2020 on 800 autopsies and their histopathological examination in Pathology Department, GMC,Patiala. Conclusion- Finding of this study concludes the importance of histopathological autopsy in not justhighlighting the cause of death but also finding many rare diseases, thus enriching the field of medicine andpathology by observing the histological findings and also sometimes the course of rare diseases.
- Published
- 2021
34. Odontogenic myxoma of incidental discovery at the Yaounde central hospital: Radioclinical aspects and use of the carney's solution
- Author
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Messina Ebogo, Edouma Jacques, Ngaba Olive, Tachago Ariane, and Penda Samuel
- Subjects
Aggressive ,Pathology ,medicine.medical_specialty ,Mesenchymal ,RD1-811 ,business.industry ,Incidental Discovery ,General Medicine ,medicine.disease ,Odontogenic ,RC31-1245 ,Odontogenic myxoma ,Benign tumor ,Lesion ,Histological diagnosis ,Maxilla ,Medicine ,Rare Lesion ,Surgery ,Myxoid ,Presentation (obstetrics) ,medicine.symptom ,business ,Myxoma ,Internal medicine - Abstract
Odontogenic myxoma is a benign tumor of the maxillae of mesenchymal origin. It is a rare lesion. The discovery of this lesion is most often fortuitous. Its clinical, radiological and histological diagnosis poses various problems which are addressed after the presentation of a lytic lesion of the right hemi-mandible, of multilocular appearance, having caused slight facial deformation in a 40 years old woman. Treatment is surgical.
- Published
- 2021
35. An Incidental Discovery of Amyand’s Hernia: A Case Study and Literature Review on Its Intraoperative Management
- Author
-
Muhammed Hassan Tahir Khan, Wee Xuan Neo, M N Baig, Pramath Kakodkar, and Tahir Khan
- Subjects
general surgery ,medicine.medical_specialty ,amyand’s hernia ,030204 cardiovascular system & hematology ,Palpation ,Amyand's hernia ,03 medical and health sciences ,0302 clinical medicine ,medicine ,appendectomy variants ,Hernia ,hernioplasty ,Vermiform ,medicine.diagnostic_test ,business.industry ,General surgery ,amyand ,General Engineering ,Incidental Discovery ,medicine.disease ,Appendix ,Inguinal hernia ,medicine.anatomical_structure ,Intraoperative management ,Other ,Anatomy ,business ,030217 neurology & neurosurgery - Abstract
Amyand's hernia (AH) is a rare form of an inguinal hernia where the vermiform appendix is found within the hernia sac. Diagnosis is usually based on incidental finding intraoperatively. The AH makes up a small proportion of all inguinal hernia cases, and concurrent acute ischemic complication makes up an even smaller subset. We present an 85-year-old male who was referred to general surgery services for a growing mass on his right lower quadrant in the inguinal region. This was non-tender on palpation, and therefore there was no suspicion of ischaemic complications. An open hernioplasty was performed with resection of the appendix. The AH in this patient would be conventionally classified as type 1 AH, which would be managed with hernial reduction and mesh repair. The anatomical variance in our patient's AH increased the risk for hernial incarceration; hence an appendectomy was also performed despite the absence of acute appendicitis. This approach was also deemed necessary to avoid the recurrence of hernia due to its large size and adhesions within the hernial sac. This study reports a novel management approach for an incidentally discovered type 1 AH. It highlights that there is a lack of management guidance for the AH anatomical variants. The classification and management for AH under the conventional Losanoff and Basson's AH classification model have limitations that can be amended by incorporating the physical dimensions of the AH. This approach will enable surgeons to recognize and manage more variations of AH while mitigating downstream complications.
- Published
- 2020
36. Incidental discovery of cilio-choroidal melanoma following initial presentation of liver metastases
- Author
-
Rodrigo Anguita, A.K. Arora, and Stéphanie Lemaître
- Subjects
Choroidal melanoma ,Uveal Neoplasms ,medicine.medical_specialty ,Incidental Findings ,business.industry ,Choroid Neoplasms ,Liver Neoplasms ,Incidental Discovery ,Ophthalmology ,Text mining ,medicine ,Humans ,Radiology ,Presentation (obstetrics) ,business ,Melanoma - Published
- 2020
37. Laparoscopic Resection of a Gastric Diverticulum in an Adolescent
- Author
-
Tamarah Westmoreland, Jennifer Mills, Arthur B. Meyers, Jerry French, and William T. Adamson
- Subjects
medicine.medical_specialty ,pediatrics ,gastric diverticulum ,030204 cardiovascular system & hematology ,Gastroesophageal Junction ,Asymptomatic ,surgery ,03 medical and health sciences ,0302 clinical medicine ,Pediatric Surgery ,medicine ,Laparoscopic resection ,medicine.diagnostic_test ,business.industry ,Stomach ,digestive, oral, and skin physiology ,General Engineering ,Incidental Discovery ,Magnetic resonance imaging ,digestive system diseases ,medicine.anatomical_structure ,Gastric diverticulum ,General Surgery ,Radiology ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Pyelogram - Abstract
Gastric diverticula rarely occur in adolescence. In adults, they are predominantly congenital, asymptomatic, and are located adjacent to the gastroesophageal junction on the posterior aspect of the stomach wall. In this report we present a 14-year-old female who underwent laparoscopic gastric diverticulectomy after incidental discovery on magnetic resonance urography.
- Published
- 2020
38. Incidental discovery of an interstitial emphysematous cystitis with liver abscess: A report of hematogenous spread of infection
- Author
-
Abdulrahman Alswaid, Abdulaziz Bakhsh, Abdullah Alharthi, Sarah Mahrous, Emad Rajih, and Ayman Sayed A
- Subjects
medicine.medical_specialty ,Urology ,030232 urology & nephrology ,lcsh:RC870-923 ,03 medical and health sciences ,0302 clinical medicine ,Emphysematous cystitis ,Cystitis ,Medicine ,Urinary bladder ,business.industry ,Hepatic abscess ,Inflammation and Infection ,Incidental Discovery ,Hematogenous Spread ,medicine.disease ,lcsh:Diseases of the genitourinary system. Urology ,Surgery ,Urinary bladder wall ,Clinical Practice ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,business ,Liver abscess - Abstract
Emphysematous cystitis is an unusual urological emergency in clinical practice. The disease characteristics are still underreported. It is characterized by the presence of gas in the urinary bladder wall secondary to gas forming organism. We report an incidental finding of emphysematous cystitis in a 35-year-old secondary to a huge liver abscess in a poorly controlled blood sugar. The infection spread hematogenously to the urinary bladder wall that was managed conservatively by urethral catheter drainage and hepatic abscess drainage in adjunct with antimicrobial therapy. The patient had no urinary symptoms. The bladder wall gas disappeared during follow-up in 2 weeks.
- Published
- 2020
39. Incidental Discovery of a COVID-19 Infection on a Reevaluation FDG PET/CT in a Patient Treated for Hodgkin Lymphoma
- Author
-
Caroline Bund, Vitaliy Chaban, Célestine Simand, Raoul Herbrecht, and Blandine Guffroy
- Subjects
CT scan ,Adult ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,medicine.medical_treatment ,Pneumonia, Viral ,coronavirus ,Context (language use) ,Asymptomatic ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,Betacoronavirus ,0302 clinical medicine ,Fluorodeoxyglucose F18 ,Positron Emission Tomography Computed Tomography ,Medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Pandemics ,Neoplasm Staging ,Chemotherapy ,business.industry ,SARS-CoV-2 ,Incidental Discovery ,COVID-19 ,General Medicine ,medicine.disease ,Hodgkin Disease ,FDG PET/CT ,Pneumonia ,Radiology Nuclear Medicine and imaging ,030220 oncology & carcinogenesis ,Hodgkin lymphoma ,Fdg pet ct ,Interesting Image ,Female ,Radiology ,medicine.symptom ,business ,Coronavirus Infections - Abstract
We report the results of 18F-FDG PET/CT in an asymptomatic case of COVID-19 infection. A 27-year-old woman underwent FDG PET/CT for revaluation of a stage IIIE B Hodgkin lymphoma after the fourth cycle of chemotherapy. It showed intense avid FDG subpleural mixed ground-glass and consolidative lesions, especially in the left lung. Because of this morpho-metabolic aspect and the epidemic context, a viral pneumopathy was suspected. The patient who was initially asymptomatic was admitted for fever 28 hours after the PET/CT. The nasopharyngeal swab was positive for COVID-19, and the outcome was favorable.
- Published
- 2020
- Full Text
- View/download PDF
40. Incidental Discovery of a Typical Bronchial Carcinoid
- Author
-
A.S. Sohal, Ethan Karle, Armin Krvavac, Mohammed Alnijoumi, and Tarang Patel
- Subjects
Pathology ,medicine.medical_specialty ,business.industry ,Incidental Discovery ,medicine ,Bronchial carcinoid ,business - Published
- 2020
41. Incidental discovery of mucinous adenocarcinoma from a suspected inflammatory perianal mass
- Author
-
Leshae A Cenac, Armand Asarian, and Philip Xiao
- Subjects
medicine.medical_specialty ,anal cancer ,business.industry ,Fistula ,Incidental Discovery ,Cancer ,Case Report ,mucinous adenocarcinoma ,Disease ,medicine.disease ,Malignancy ,Dermatology ,Malignant transformation ,03 medical and health sciences ,0302 clinical medicine ,030220 oncology & carcinogenesis ,chronic perianal fistula ,medicine ,Anal cancer ,Adenocarcinoma ,030211 gastroenterology & hepatology ,Surgery ,business - Abstract
Mucinous adenocarcinoma is a rare tumor that may be associated with longstanding perianal fistulas. It represents 6.9% of all anal cancers. The diagnosis of this malignancy can be delayed because the symptoms experienced by people with the disease are usually attributed to the fistula and not to malignant transformation. As a result, the diagnosis of perianal mucinous adenocarcinoma in the setting of chronic perianal fistulas requires a high index of clinical suspicion and specific histological features.
- Published
- 2020
42. Giant thrombus occupying the right chambers in cancer patient: unusual and incidental discovery
- Author
-
Antoniu Petris, Radu Miftode, Ovidiu Mitu, Irina-Iuliana Costache, and Raluca Elena Arhirii
- Subjects
medicine.medical_specialty ,business.industry ,Cardiac chamber ,medicine ,MEDLINE ,Incidental Discovery ,Cancer ,Radiology ,Thrombus ,Cardiology and Cardiovascular Medicine ,medicine.disease ,business - Published
- 2020
43. Approach to Microscopic Hematuria
- Author
-
Lauren A. Beste, Jennifer Wright, Somnath Mookherjee, and Jared W. Klein
- Subjects
medicine.medical_specialty ,Urinalysis ,medicine.diagnostic_test ,urogenital system ,business.industry ,education ,Incidental Discovery ,urologic and male genital diseases ,Malignancy ,medicine.disease ,female genital diseases and pregnancy complications ,Etiology ,Medicine ,Radiology ,Microscopic hematuria ,business - Abstract
Microscopic hematuria is common incidental discovery on urinalysis. This teaching scripts leads the reader through a systematic approach to this problem. We emphasize the importance of discerning patient symptoms that might point towards an etiology, and the distinction between “glomerular” and “nonglomerular” etiologies.
- Published
- 2020
44. Incidental discovery of isolated talonavicular coalition: Report of two cases
- Author
-
Steven D. Lewis and Felix S. Chew
- Subjects
lcsh:Medical physics. Medical radiology. Nuclear medicine ,Pediatrics ,medicine.medical_specialty ,business.industry ,lcsh:R895-920 ,Tarsal coalition ,Incidental Discovery ,Talonavicular coalition ,medicine.disease ,Asymptomatic ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Musculoskeletal ,medicine ,Radiology, Nuclear Medicine and imaging ,medicine.symptom ,business ,030217 neurology & neurosurgery ,Talonavicular fusion - Abstract
Tarsal coalitions may cause altered foot biomechanics leading to patient disability from osteoarthritis and other sequelae. While some types of coalition are common, isolated talonavicular coalitions are relatively rare. We present two cases of osseous talonavicular coalition that were incidentally discovered in adults and were most likely asymptomatic. Talonavicular coalition may have a hereditary component and may be associated with other anomalies, but many seem isolated, asymptomatic, and incidental. Keywords: Talonavicular coalition, Talonavicular fusion, Tarsal coalition
- Published
- 2019
45. S3704 Incidental Discovery of Multiple Type I Gastric Neuroendocrine Tumors in a Patient With Autoimmune Atrophic Gastritis
- Author
-
Vraj Shah and Robert Aaron
- Subjects
Pathology ,medicine.medical_specialty ,Hepatology ,Atrophic gastritis ,business.industry ,Gastroenterology ,medicine ,Incidental Discovery ,Neuroendocrine tumors ,medicine.disease ,business - Published
- 2021
46. Management of Acute Coronary Syndrome With a Bleeding Intra-Tumoral Hepatocellular Carcinoma: A Case Report.
- Author
-
Manudhane G, Mehta R, Chauhan S, and Kumbhar M
- Abstract
This case report presents the management of a 69-year-old gentleman with acute coronary syndrome in the setting of an incidentally detected hepatocellular carcinoma with intra-tumoral bleed. Initially, the patient presented with fever, cough, and sudden onset of dyspnea on rest accompanied by angina, after which he was diagnosed with non-ST segment elevated myocardial infarction complicated with congestive cardiac failure. His laboratory and radiological investigations were suggestive of a possible infective etiology which, in an era of COVID-19, was investigated further with a high-resolution CT scan of the chest, which was suggestive of features of pulmonary edema along with an incidental discovery of liver lesions on the abdominal cuts. A further workup with a dedicated triple-phase computed tomography scan abdomen demonstrated features of undiagnosed hepatocellular cancer with intra-tumoral bleeding. Therefore, a mesenteric celiac angiogram followed by trans arterial bland embolization of the bleeding vessel was performed. In the same setting, for the simultaneous management of the acute coronary syndrome, coronary angiography performed revealed a triple vessel disease which was immediately followed by a percutaneous transluminal coronary angioplasty., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2022, Manudhane et al.)
- Published
- 2022
- Full Text
- View/download PDF
47. Incidental Finding of a Proatlantal Intersegmental Artery.
- Author
-
DONMEZ, H., KAHRIMAN, G., SERIFOV, E., MAVILI, E., and OZCAN, N.
- Abstract
We describe the case of a 70-year-old woman who had a left proatlantal intersegmental artery disclosed during carotid artery angiography with the findings of carotid-basilar anastomosis which originated from the petrous segment of the ICA and was filling the horizontal segment of the vertebral artery. Awareness of this vascular variation can prevent morbidity and mortality associated with carotid ligation or carotid endarterectomy, especially when an incomplete circle of Willis is present. [ABSTRACT FROM AUTHOR]
- Published
- 2011
- Full Text
- View/download PDF
48. Incidental discovery of azoospermia on work-up of testicular tumour: a practice changing discovery
- Author
-
Nassib Abou Heidar
- Subjects
Azoospermia ,Infertility ,Oncology ,endocrine system ,medicine.medical_specialty ,030219 obstetrics & reproductive medicine ,endocrine system diseases ,urogenital system ,business.industry ,Urology ,Incidence (epidemiology) ,030232 urology & nephrology ,Incidental Discovery ,urologic and male genital diseases ,medicine.disease ,Work-up ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,Surgery ,Testicular tumours ,business ,Developed country ,Testicular cancer - Abstract
Testicular tumours are increasing in incidence, especially in developed countries. This incidence increases specifically in the subpopulation of infertile men. This case highlights a young man incidentally diagnosed with a subcentimetric testicular lesion, who was discovered to have concomitant azoospermia. The authors review management strategies in this challenging case, as treatment options for men with infertility and concomitant testicular tumours vary from men who are fertile. Level of evidence: Not applicable for this multicentre audit.
- Published
- 2021
49. Incidental discovery of Amyand's hernia in an adult female: A case report
- Author
-
Robert Masereka, Franck Katembo Sikakulya, Philip Anyama, Patrick Onyai, and Sonye Magugu Kiyaka
- Subjects
Vermiform ,medicine.medical_specialty ,Adult female ,business.industry ,medicine.medical_treatment ,General surgery ,Incidental Discovery ,Case Report ,Hernia repair ,medicine.disease ,Amyand's hernia ,digestive system diseases ,Appendix ,stomatognathic diseases ,Inguinal hernia ,surgical procedures, operative ,medicine.anatomical_structure ,medicine ,Surgery ,Hernia ,business - Abstract
Introduction and importance Amyand's hernia is a rare type of inguinal hernia with an incidence of about 0.1% of all inguinal hernias with most in occurring in childhood. It is characterized by the presence of the vermiform appendix within the hernia sac. Case presentation We report the case of 40-year-old female who underwent inguino-labial hernia repair with an incidental finding of a normal appendix within the sac; this was not predicted by the pre-operative ultrasound scan. Clinical discussion We recommend that a detailed ultrasound scan be done for all patients with an inguinal hernia to help to manage the patient timeously and safely. Conclusion We present a rare condition in a 40-year-old female with a right inguinal hernia, an Amyand's hernia., Highlights • We report a case of Amyand's hernia in a 40-year-old female who underwent inguinal hernia repair. • A normal appendix was found in the sac and reduced without appendicectomy. Hernia repair without mesh was then performed. • Ultrasound scan is an excellent technique to evaluate the inguinal region but remains operator dependent.
- Published
- 2021
50. CT of the kidneys: What size are renal cell carcinomas when they cause symptoms or signs?
- Author
-
Dahlman, Pär, Brekkan, Einar, and Magnusson, Anders
- Subjects
- *
RENAL cell carcinoma , *CANCER , *HEMATURIA , *HEMORRHAGE , *RENAL cancer - Abstract
Objective. To investigate the size of renal cell carcinomas (RCCs) when they cause macroscopic hematuria or other symptoms and/or signs. Material and methods. A retrospective review of 232 patients (136 males, 96 females; mean age 68±11 years; age range 40-90 years) with a diagnosis of RCC was undertaken. Patients were grouped according to the presenting symptoms and/or signs caused by the RCCs. Tumor size was measured on CT images. Results. Of the RCCs, 29% were found incidentally and 71% caused symptoms and/or signs. The incidentally found RCCs measured 4.9±2.6 cm (range 2-12 cm) and RCCs causing symptoms and signs measured 8.9±3.2 cm (range 3-18 cm); this size difference was significant (p<0.001). None of the RCCs causing macroscopic hematuria were <4 cm in size and only 3/165 (2%) of the symptomatic RCCs were <4 cm in size. Discussion. If small (<4 cm) RCCs do not cause symptoms, patients with them will not be referred for CT or any other imaging modality. Therefore, if a 2-cm RCC is found in a patient presenting with macroscopic hematuria, it is unlikely that this small RCC caused the hematuria and another cause of the hematuria must be ruled out. [ABSTRACT FROM AUTHOR]
- Published
- 2007
- Full Text
- View/download PDF
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