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"Caught by the eye of sound" : epigastric swelling due to xiphisternal tuberculosis

"Caught by the eye of sound" : epigastric swelling ...

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dc.contributor.author Grover, Shabnam Bhandari pl
dc.contributor.author Arora, Sumit pl
dc.contributor.author Kumar, Amit pl
dc.contributor.author Grover, Hemal pl
dc.contributor.author Katyan, Amit pl
dc.contributor.author Nair, Deepthi Mohan pl
dc.date.accessioned 2017-02-28T07:52:13Z
dc.date.available 2017-02-28T07:52:13Z
dc.date.issued 2017 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri http://ruj.uj.edu.pl/xmlui/handle/item/38933
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode *
dc.title "Caught by the eye of sound" : epigastric swelling due to xiphisternal tuberculosis pl
dc.type JournalArticle pl
dc.description.physical 41-45 pl
dc.description.additional Bibliogr. s. 45 pl
dc.abstract.en BACKGROUND: Common causes of an epigastric mass include hepatomegaly, pancreatic pseudocyst and epigastric hernia, less common causes being carcinoma of the stomach or pancreas, whereas diseases of the sternum presenting as an epigastric swelling is extremely uncommon. We report a case of tubercular infection of the sternum located in the xiphoid process resulting in its presentation as an epigastric swelling. CASE REPORT: A 30-year-old immunocompetent woman with complaints of an epigastric swelling and undocumented pyrexia for four months was referred for sonographic evaluation with a clinical suspicion of an incompletely treated liver abscess. The patient was examined with ultrasound, sternal radiographs, CT and MRI. Ultrasound revealed a heterogeneous epigastric collection with linear echogenic components suggestive of bone fragments. These appearances suggested chronic infective osteomyelitis of the xiphoid process of the sternum. Lateral chest radiograph demonstrated lytic destruction of the xiphisternum. Tubercular etiology was considered and further evaluation with Multidetector Computed tomography (MDCT) and Magnetic Resonance Imaging (MRI) demonstrated erosive osteomyelitis of the xiphoid process with enhancing inflammation and collection in the adjoining soft tissue. Ultrasound-guided aspiration, PCR and Amplified Mycobacterium tuberculosis DNA test confirmed tubercular infection. CONCLUSIONS: We report a new case of osteo-articular tuberculosis localized to the xiphisternum, a rare clinical entity with an extremely unusual clinical presentation as an epigastric mass. The role of ultrasound in primary diagnosis and as an interventional diagnostic modality for guided aspiration is highlighted. pl
dc.subject.en magnetic resonance imaging pl
dc.subject.en multidetector computed tomography pl
dc.subject.en sternum pl
dc.subject.en osteoarticular pl
dc.subject.en tuberculosis pl
dc.subject.en ultrasonography pl
dc.subject.en xiphoid bone pl
dc.description.volume 82 pl
dc.identifier.doi 10.12659/PJR.899329 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0; pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska