CASE 866: PHPV and CATARACT, Dr PHAN THANH HẢI, Dr VÕ NGUYỄN THÀNH NHÂN , MEDIC MEDICAL CENTER, HCMC, VIETNAM

 A 08 year-old female child with her left cloudy eye [leukocoria] from her first year of life.

Ultrasound detected left microphthalmos, left cataract and persistent hyperplastic primary vitreous [PHPV].

MSCT noted left ocular fluid in high density, while the left optic nerve and the left orbit were intact.

PHPV is synonymous with Persistent Fetal Vasculature that is the preferred term prior to Morton F. Goldberg’s 1997. PHPV is unilateral, associated with cataract. PHPV causes cloudy lense, retinal detachment, microphthalmos and strabismus.

CASE 865: PSEUDOANEUVRYSM of FACIAL ARTERY, Dr PHAN THANH HAI, Dr LE THANH LIEM, MEDIC MEDICAL CENTR, HCMC, VIETNAM

A 55 year-old man with his left swollen face and covered in bruise post trauma for one week.

Ultrasound detected edema and hematoma of facial soft tissue with dimension #42x27x22mm. Then Doppler ultrasound revealed aliasing sign of the left facial artery which was in high velocity Vmax # 165 cm/sec, and having to and pro flow pattern.

MSCT confirmed the # 30x14cm left facial arterial  pseudoaneuvrysm, lumen:14.4mm with its wall thickening #15 mm.

Stenting the left facial artery to solve its pseudoaneuvrysm.

Ultrasound with Doppler technic in first line may detect the vascular damage in case of trauma of the soft tissue.

CASE 863-864: CARDIA ESOPHAGUS CANCER, Dr PHAN THANH HAI, Dr NGUYEN QUANG HUÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 Two cases one 57 year-old woman and one 38 year-old mam with loss weight and epigastric pain in fail of treatment as gastritis.

Ultrasound detected thickening of the cardia wall and metastase lymph nodes.

MSCT confirmed the cardia cancer but anapath result noted gastritis with infected HP of one case.

Case 01: Woman 57 year-old epigastric pain, nausea and loss of 7kg for 2 months.

Ultrasound deftected metastase lymph nodes #15-10m close by stomach and upper GI endoscopy noted cardia cancer. Biopsy result was carcinoma invaded the esophagus. The female patient died in hospital as the end stage.

Case 02: A 38 year-old man with epigastric pain, GERD, and loss of 10 kg of weight fof 4 months.

MSCT and endiscopy confirmed cardia cancer.

But results of 2 times biopsy were chronic gastritis.

At the third biopsy via endoscopy the result was the poorly differentiated  adenocarcinoma invaded the esophagus.

The patient went through chemotherapy management.

CASE 862: ARTERIAL HYPERTENSION due to RENAL ARTERIAL STENOSIS, Dr PHAN THANH HAI, Dr TRAN THI THANH NGA, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 39 year-old man, 63 kg of weight,  with ATH 230 mmHg [systolic].

Ultrasound detected the right renal arterial stenosis at 2 sites  > 50% and  the smaller right kidney # 82x41x38 mm than the left one.

Doppler ultrasound noted aliasing of the right renal artery with parvus tardus flow pattern.

Vascular MSCT confirmed the small right kidney and stenosis of the right renal artery at the beginning and middle parts due to thickening of the right renal arterial wall.

Right renal angioplasty and stent insertion of the right renal artery was performed.

CASES 858-861: SOLID PSEUDOPAPILLARY NEOPLASM of the PANCREAS, Dr PHAN THANH HAI et al, MEDIC MEDICAL CENTER, HCNC, VIETNAM.

 4 cases of solid pseudopapillary neoplasm of the pancreas  at Medic Center in girls (10-15 year-old) and (23-25 yo) women. 

Ultrasound detected cystic tumor of the pancreas first then  MSCT at last confirmed the cystic pancreas tumor.

1 case in a 10yo girl with 7 cm cystic tumor at the tail. 1 case of 15yo girl with 8cm tumor at the body, 1 case in a 25 yo woman, #9 cm at the head, 1 case of a 23yo woman, #5 cm at the body-tail of the pancreas.

All of the 4 cases went through surgery and the patients remained well post-op.

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