Hungarian Radiology

[Geophagy]

SZÁNTÓ Dezső, SZŰCS Gabriella, DITRÓI Edit

JUNE 20, 2006

Hungarian Radiology - 2006;80(03-04)

[INTRODUCTION - The causes of geophagism are psychotic sociopathies, popular customs, religious rites, natural disasters, crimes besides alcohol and drug abuses. CASE REPORT - A 50-year-old midly drunken man ate ten tablespoonful wet sands up. Barium swallows showed the dense material to pass slowly into the stomach and duodenum resulting a cast sign two hours later. The dirt was washed out from the stomach, the bowels became spontaneously empty. There was no complications. CONCLUSION - The geophagy can be easily diagnosed based on gastroduodenal cast phenomenon and lingering passage.]

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[Renal cystic lesions The importance of CT in diagnosis and management in correlation with Bosniak classification]

AL-ABSI Mohammed, QAIS Abdulmalik, AL-NONO Ibrahim, GHILAN Abdulilah, GAFOUR Abdul Mohammed

[OBJECTIVE - The purpose of this study was to assess the importance of CT in differentiating renal cystic masses of surgical causes from those of non-surgical masses. PATIENTS AND METHODS - The patients included in this study were collected from a private diagnostic center and university hospital prospectively, yielding a total of 55 analyzable renal cystic lesions. A careful helical CT abdomen focusing on the kidneys with intravenous contrast was obtained from all patients. The lesions were categorized into surgical and medical renal cystic masses using the Bosniak classification system supported by histology reports and follow up protocols for medical cases. RESULTS - Of 55 cases, 35 were classified as surgical (13 lesions as category IV and 22 as III) and 20 as medical cases (15 as category II and 5 as III). Out of 22 resected category III lesions 15 were found to be malignant and all categorized as type IV were malignant. No malignancies have been identified in the prospectively monitored group of patients. CONCLUSION - Our series results are comparable with other teaching institution series, and support the usefulness of the Bosniak classification system in separating renal cystic lesion into surgical and non-surgical lesions but with diagnostic categorization difficulty of complicated multilocular hydatid cysts versus neoplastic (category III) cystic masses.]

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