Faculty Bibliography

The computed tomography (CT) scans of 27 patients with abdominal tuberculosis were reviewed retrospectively to determine the range of abdominal involvement. Most patients had been at increased risk because of intravenous drug abuse, alcoholism, acquired immunodeficiency syndrome (AIDS), cirrhosis, or steroid therapy. The etiologic agent was Mycobacterium tuberculosis in 23 patients and M. avium-intracellulare in four patients with AIDS. In five patients, tuberculosis was limited to the abdomen. CT findings included adenopathy, splenomegaly, hepatomegaly, ascites, bowel involvement, pleural effusion, intrasplenic masses, and intrahepatic masses. Characteristic features were a tendency for adenopathy to prominently involve peripancreatic and mesenteric compartments, low-density centers within enlarged nodes, complex nature of the ascites, and adenopathy adjacent to sites of gastrointestinal tract involvement. Recognition of these manifestations and maintenance of an index of suspicion, especially in patients at risk, should help optimize the correct diagnosis and management of intraabdominal tuberculosis

Computed tomography (CT) of three patients with Krukenberg tumor was reviewed retrospectively. CT showed large, lobulated, multicystic masses with soft-tissue components, indistinguishable from primary ovarian carcinoma. Indeed, CT and sonography of all three patients were initially interpreted as primary ovarian carcinoma. The ovary is a frequent site of metastases, particularly from colon carcinoma. These can be quite large, yet diagnosis is seldom made preoperatively. Much has been written about metastatic ovarian tumor, but this is the first report in the radiologic literature about their CT features. The authors emphasize the importance of recognizing the ovary as a frequent site of metastases and the proper approach to this problem. In patients with a history of colon or gastric carcinoma, the mixed cystic and solid ovarian mass on CT should be regarded as metastatic tumor until proven otherwise. A careful search for gastrointestinal tract signs or symptoms should be done in any patient with a pelvic tumor. When CT is done for evaluation of ovarian tumor, the stomach and colon should be carefully evaluated, and the ovaries routinely examined in the preoperative CT staging of gastric or colon carcinoma

Bile duct carcinoma is a relatively uncommon lesion that usually presents in the 6th to 7th decade. The only prior reported cases under the age of 20 were two patients with diseases known to predispose to the development of this tumor. We report a case of a 17-year-old girl with a bile duct tumor without any known predisposing factors

Two cases of giant vascular malformation of the kidney demonstrated by computed tomography and angiography are presented. The vascular malformations form completely outside the kidney. They arise from the renal parenchyma, simulating renal cyst, and present as a renal pelvic mass causing hydronephrosis. The finding of a renal mass with a markedly and uniformly contrast enhancement demonstrated by computed tomography should suggest the possibility of a vascular malformation

A patient with long-standing, nonspecific abdominal symptoms had a barium enema showing a single pedunculated polyp. This was removed by colonoscopic polypectomy and found to be an inflammatory polyp associated with Schistosoma mansoni infection. We review the relationship and significance of schistosomiasis to colonic polyps

A case is described of a patient found, at operation, to have two infiltrating leiomyosarcomas in the transverse colon. Study indicated them to be two separate primary lesions. Literature on leiomyosarcoma is reviewed