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Enterovesical fistula is an abnormal communication between the bladder and the intestine. The accurate localization of leakage is important for accurate treatment planning. Some imaging techniques can not demonstrate the fistula;therefore, choosing the appropriate imaging technique is necessary. CT enterography (CTE) is a new technique for evaluation of the small bowel and the entire abdomen. CTE examination with multi-detector CT (MDCT) enables us to get excellent quality reformatted images with high spatial resolution. We report a patient with neobladder and enteroneovesical fistula. We showed the exact location of the fistula and its' association with the bowels and neobladder by CTE. The aim of this report is to show that CTE can be a new and effective modality in the detection of enteroneovesical fistulas and to discuss the efficacy of CTE in the detection and evaluation of enterovesical fistula referring to the literature. In conclusion, CTE may be a useful, sensitive, effective, and non-invasive technique for the evaluation of enteroneovesical fistula, leakage from the anastomose sides, and other extraintestinal complications such as urinary tract obstruction or abscess formation. [ABSTRACT FROM AUTHOR]

We present a 48-year-old male patient with a mass in the tail of the pancreas on abdominal ultrasonography. The lesion was suspicious for a well-differentiated pancreatic neuroendocrine tumor and spleen preserved distal pancreatectomy surgery was performed. It was diagnosed as intrapancreatic accessory spleen (IPAS) after pathological examination. Accessory spleen is not an infrequent congenital entity caused by the localization of normal splenic tissue in ectopic regions. As it is known, an accessory spleen is a benign entity and does not require surgical treatment or follow-up when detected. However, it is important to recognize IPAS tissue as it may mimic a pancreatic neoplasia when it is located in the pancreas. In this article, we discuss the differential diagnostic possibilities of the IPAS entity. [ABSTRACT FROM AUTHOR]

Progressive hemifacial atrophy also known as Parry-Romberg syndrome is an acquired, slowly progressive disorder, occurring more in women, primarily affecting one side of the face, mainly characterized by unilateral atrophy, and loss of skin and subcutaneous tissues of face, muscles, and bones. Ocular and neurologic involvements are common. The possible etiology is unclear without any known cure. We report a rare case of Parry-Romberg syndrome with classical features. The clinical features, radiological imaging findings, differential diagnosis, and available treatment options are discussed in this report.

Background: An association between aortic stiffness and atherosclerosis has been previously demonstrated by pulse wave velocity. Whether echocardiographically assessed aortic stiffness also correlates with the extent of atherosclerosis has not yet been established., Aim: To evaluate the association between echocardiographically measured aortic stiffness and atherosclerosis., Methods: A total of 162 patients (mean age 54±9 years, age range 36-83 years, 102 male and 60 female) at high risk of atherosclerosis underwent transthoracic echocardiography and sphygmomanometer-based brachial blood pressure measurement for aortic stiffness parameters (strain, distensibility and elastic modulus), and multidetector computed tomography for the presence and quantity of coronary artery calcium (CAC)., Results: It was found that aortic strain and distensibility were significantly lower in patients with CAC than in patients without CAC (7.6±2.7% vs 9.3±3.4%, p<0.001 and 3.0±1.1 mm Hg(-1).10(-3) vs 3.9±1.7 mm Hg(-1).10(-3), p<0.001, respectively). However, elastic modulus E(p) was significantly higher in patients with CAC than in patients without CAC (7.9±3.8 N/m2 vs 6.0±2.5 N/m2, p=0.001). In addition, aortic strain and distensibility, and elastic modulus, were found to be significant predictors of the presence and quantity of CAC in multivariate logistic and linear regression analyses (all p<0.05)., Conclusions: Echocardiographically measured aortic stiffness is positively, significantly and independently associated with atherosclerosis.