[CT scan diagnosis of colo-colic intussusception due to a lipoma of the left colon]

We report the case of a 27 years-old man with a left colo-colic intussuception due to a lipoma. CT scan allowed diagnosis of the obstruction, of the intussuception and showed his cause as an intraluminal fatty mass in the left colic angle, typical of lipoma. Resection of the mass was performed and mature fat cells were identified microscopically.

[Primitive neuroectodermal tumor of the kidney manifested as a spontaneous hematoma]

Ultrasound and CT in a young man, admitted for violent left flank pain, revelead a large heterogeneous left renal mass, with hypodense collection along the psoas. The diagnosis was spontaneous renal hematoma. A check CT 3 weeks later found a large tumor of the inferior pole. After radical nephrectomy, histopathology diagnosed a primitive neuroectodermal tumor. The patient died one year later despite neoadjuvant chemotherapy. This article reports the clinical, radiological and histopathological aspect of a primitive neuroectodermal tumor of the kidney, compared with the other cases in literature.

[Renal malakoplakia: prognostic aspects]

We report the changes in imaging findings over a 5 year period of a patient with unilateral malakoplakia involving renal parenchyma and pelvis. The imaging findings of malakoplakia will be reviewed.

[Prostatic ultrasonography in routine radiological practice: a survey of 122 radiologists]

OBJECTIVE

To evaluate the indications and practical modalities of prostatic ultrasonography in routine radiological practice.

METHODS

An anonymous questionnaire composed of 18 multiple choice questions was sent to 122 radiologists.

RESULTS

Among the 76 responses, 90% were men, 90% were in private practice and 94% regularly performed prostatic ultrasonography without clinical information (81%). The prostatic examination was performed by transrectal ultrasonography (60%) combined with vesical and renal ultrasonography. The indications were: urinary functional disorders (56%) and abnormal PSA (40%). Prostatic ultrasonography was considered to be useful to calculate prostatic volumes by 59% of radiologists and in the staging of prostatic cancer (81%). 80% of radiologists did not start by performing digital rectal examination. 59% of patients were informed.

CONCLUSION

The observed indications did not correspond to urological consensus recommendations, but ultrasonography was performed according to classical recommendations. This study could justify a more precise definition of the role of ultrasonography in prostatic disease.

[Retroperitoneal non-secreting paraganglioma]

Paraganglioma is a rare tumor arising from indifferentiated cells of the primitive neural crest. These tumors are most commonly found in the adrenal gland but other localisations are possible. We described a 60-year-old men with a right retro-peritoneal mass discovered on ultrasound examination. This tumor had an heterogeneous appearance on i.v. contrast injected CT (computed tomography) and MR (magnetic resonance) images. Plasma and urinary catecholamines were normal. This tumor was surgically removed. Immunohistochemical analyses revealed that the tumor cells were strongly positive for neurone specific enolase and chromogranin A. Histopathologic examination diagnosed a non secreting paraganglioma in the right retroperitoneum. After surgery, the patient remained asymptomatic without treatment.