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BMC Medical Imaging Apr 2022Multidetector CT is currently the best imaging method for detecting tracheal diverticulum (TD). Compared with CT, MRI is radiation-free and has higher resolution....
BACKGROUND
Multidetector CT is currently the best imaging method for detecting tracheal diverticulum (TD). Compared with CT, MRI is radiation-free and has higher resolution. However, the MRI characteristics of this disease have not been previously reported. The present retrospective study compared the MR and CT imaging features of TD, aiming to examine the role of MRI in TD diagnosis and management.
METHODS
Imaging data were collected in 26 TD patients divided into two groups, including the uninfected and infected groups. The MR and CT imaging features (size/wall/channel) of uninfected patients were compared. The performances of MRI and CT in diagnosing and monitoring therapeutic efficacy in infected TD patients were comparatively assessed.
RESULTS
The uninfected group comprised 25 cases with 25 lesions confirmed by CT, including 23 lesions (92%) detected by MRI, with an average diameter of 8.5 mm (range from 3 to 15 mm). Meanwhile, the average diameter was 7.8 mm as measured by CT (range from 2.8 mm to 14.7 mm). The lesion diameters of the two cases not detected by MRI were 2.3 mm and 2 mm. MRI detected walls of all the 23 lesions (23/23), while CT detected no wall (0/23). CT showed channels in 18 lesions (18/23) versus3 for MRI (3/23). The infected case presented with a paratracheal abscess; MRI clearly showed a relationship between the abscess and the trachea, while CT could not show the lesion source. MRI also sensitively showed the whole process of lesion absorption.
CONCLUSIONS
MRI can be used as a supplementary method for TD diagnosis, providing information about the wall that cannot be obtained by CT. MRI is superior to CT in diagnosing infected TD cases presenting with a paratracheal abscess, and in monitoring therapeutic efficacy in these patients.
Topics: Abscess; Diverticulum; Humans; Magnetic Resonance Imaging; Multidetector Computed Tomography; Retrospective Studies; Tracheal Diseases
PubMed: 35448959
DOI: 10.1186/s12880-022-00802-9 -
Journal of Bronchology & Interventional... Oct 2014Multiple tracheal diverticulosis is a rare clinical entity. Tracheal diverticula are usually recognized radiologically as solitary right paratracheal air collections on...
Multiple tracheal diverticulosis is a rare clinical entity. Tracheal diverticula are usually recognized radiologically as solitary right paratracheal air collections on thoracic computed tomography examination. They are usually asymptomatic but can occasionally present with persistent symptoms. We herein report the case of a 50-year-old male patient who underwent extensive evaluation for persistent cough. Multiple posterior right paratracheal air collections were recognized on thoracic multidetector computed tomography examination, which was confirmed as multiple-acquired posterior upper tracheal diverticula on flexible bronchoscopy. The patient improved with conservative medical management.
Topics: Bronchoscopy; Diverticulum; Humans; Male; Middle Aged; Radiography; Tomography Scanners, X-Ray Computed; Tracheal Diseases
PubMed: 25321454
DOI: 10.1097/LBR.0000000000000091 -
Internal Medicine (Tokyo, Japan) Jan 2023
Topics: Humans; Mediastinitis; Bronchoscopy; Tomography, X-Ray Computed; Diverticulum; Bronchi
PubMed: 35705276
DOI: 10.2169/internalmedicine.9769-22 -
Endoscopy Dec 2023
Topics: Humans; Diverticulum; Endoscopy
PubMed: 37714211
DOI: 10.1055/a-2155-4535 -
Urology Dec 2014
Topics: Diverticulum; Female; Humans; Plastic Surgery Procedures; Urethral Diseases
PubMed: 25432848
DOI: 10.1016/j.urology.2014.07.071 -
Gastroenterology Jan 2021
Topics: Aorta, Thoracic; Aortic Diseases; Deglutition Disorders; Diverticulum; Humans; Male; Middle Aged; Subclavian Artery
PubMed: 32504639
DOI: 10.1053/j.gastro.2020.06.001 -
Journal of Neurointerventional Surgery Sep 2022Dural sinus diverticula are a rare vascular etiology of pulsatile tinnitus. Patients typically present with disabling symptoms and undergo an extensive workup for common...
BACKGROUND
Dural sinus diverticula are a rare vascular etiology of pulsatile tinnitus. Patients typically present with disabling symptoms and undergo an extensive workup for common causes of pulsatile tinnitus. Endovascular treatment has been shown to be effective in several case reports. We present the largest case series of eight patients treated with endovascular therapy using stent-assisted coiling and describe the unique details of intervention.
METHODS
A retrospective chart review was performed on all patients who underwent endovascular dural sinus stenting.
RESULTS
One-hundred-twenty patients underwent dural sinus stetnting from August 2012 to February 2020. Eight of these had symptomatic pulsatile tinnitus secondary to a dural sinus diverticulum and were successfully treated with stent-assisted coil embolization. No complications occurred.
CONCLUSION
Our case series demonstrates that endovascular dural sinus stent-assisted coil embolization for symptomatic dural sinus diverticula is a safe and effective treatment.
Topics: Cranial Sinuses; Diverticulum; Embolization, Therapeutic; Humans; Retrospective Studies; Stents; Tinnitus
PubMed: 34544827
DOI: 10.1136/neurintsurg-2020-016937 -
Journal of Gastrointestinal and Liver... Dec 2019The statements produced by the Chairmen and Speakers of the 3rd International Symposium on Diverticular Disease, held in Madrid on April 11th-13th 2019, are reported....
The statements produced by the Chairmen and Speakers of the 3rd International Symposium on Diverticular Disease, held in Madrid on April 11th-13th 2019, are reported. Topics such as current and evolving concepts on the pathogenesis, the course of the disease, the news in diagnosing, hot topics in medical and surgical treatments, and finally, critical issues on the disease were reviewed by the Chairmen who proposed 39 statements graded according to level of evidence and strength of recommendation. Each topic was explored focusing on the more relevant clinical questions. The vote was conducted on a 6-point scale and consensus was defined a priori as 67% agreement of the participants. The voting group consisted of 124 physicians from 18 countries, and agreement with all statements was provided. Comments were added explaining some controversial areas.
Topics: Congresses as Topic; Diverticular Diseases; Diverticulum; Evidence-Based Medicine; Humans
PubMed: 31930220
DOI: 10.15403/jgld-562 -
Journal of Postgraduate Medicine 2024
Topics: Humans; Heart Defects, Congenital; Heart Ventricles; Diverticulum
PubMed: 37530375
DOI: 10.4103/jpgm.jpgm_119_23 -
Journal of Gastrointestinal Surgery :... May 2021
Topics: Colon, Sigmoid; Diverticulum; Diverticulum, Colon; Humans; Sigmoid Diseases
PubMed: 33123874
DOI: 10.1007/s11605-020-04841-x