14 results on '"Minelli R"'
Search Results
2. Inferior epigastric artery pseudoaneurysm secondary to port placement during a robot-assisted laparoscopic radical cystectomy.
- Author
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Tufano, A., Minelli, R., Rossi, E., Brillantino, C., Di Serafino, M., Zeccolini, M., Cantisani, V., and Vallone, G.
- Abstract
Pseudoaneurysm occurs when the artery wall is damaged and the blood is contained by the surrounding tissues with the eventual formation of a fibrous sac communicating with the artery. We report a case of a 74-year-old man with inferior epigastric artery (IEA) pseudoaneurysm secondary to an 8-mm port placement during a robot-assisted laparoscopic radical cystectomy with ureteroileocutaneostomy. The pseudoaneurysm was initially diagnosed by contrast-enhanced ultrasound (CEUS); subsequently, a computed tomography (CT) scan and an angiography test were performed. The pseudoaneurysm was then treated successfully with embolization of the inferior epigastric artery. Awareness of this rare complication is of clinical importance to avoid excessive morbidity of affected individuals. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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3. A case report of hepatic inflammatory myofibroblastic tumor in a pediatric patient: diagnostic challenges and management strategies.
- Author
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Napolitano M, Lama B, Ierardi AM, Valle C, Rossi E, Minelli R, Paviglianiti G, Di Rosa G, Baldazzi M, and Carrafiello GP
- Abstract
Purpose: The aim of this study is to present a case of inflammatory myofibroblastic tumor (IMT) of the liver in a 4-year-old girl. We will discuss the diagnostic challenges, the role of the radiologist in differential diagnosis, treatment modalities, and clinical outcomes., Methods: A case report of a 4-year-old girl with IMT of the liver is presented. We will review the patient's clinical presentation, diagnostic imaging findings, histological features, treatment, and follow-up., Results: The patient presented with vomiting and jaundice, but no fever. Imaging studies revealed an hepatic lesion suspicious for IMT; pathology confirmed the diagnosis. The patient underwent surgical intervention with successful resolution., Conclusion: IMT of the liver is a rare but important diagnosis to consider in children with abdominal masses. Radiologists play a crucial role in differential diagnosis. Surgical resection can be an effective treatment option for IMT, leading to favorable clinical outcomes., Competing Interests: Declarations. Conflict of interest: The authors have no relevant financial or non-financial interests to disclose. Informed consent: Informed consent was obtained from all individual participants included in the study., (© 2024. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).)
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- 2024
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4. Atypical clinical and sonographic manifestations of lymphadenopathy in a child with cat-scratch disease: A case report.
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Bruni L, Baldazzi M, Greco L, Vivacqua D, Di Vincenzo AO, Corsini I, Bruni S, Minelli R, Rossi E, Paviglianiti G, Napolitano M, Lanari M, and Lovato L
- Subjects
- Humans, Child, Female, Diagnosis, Differential, Cats, Anti-Bacterial Agents therapeutic use, Lymph Nodes diagnostic imaging, Cat-Scratch Disease diagnostic imaging, Lymphadenopathy diagnostic imaging, Lymphadenopathy etiology, Ultrasonography methods, Bartonella henselae
- Abstract
Cat-scratch disease is a well-known infection in childhood. It usually presents as tender lymphadenopathy and should be included in the differential diagnosis of any lymphadenopathy syndrome. An history of exposure to cats supports the suspect and a positive serologic test to Bartonella henselae confirms the diagnosis. Ultrasound is the first line radiologic imaging performed in case of lymphadenopathy. The presence of hypoechoic lobular or oval mass with central hyperaemia and a possible adjacent fluid collection and surrounding oedema may differentiate the disease from other aetiologies. We describe the case of a 7-year-old girl presenting with an axillary lymphadenopathy, without a reported recent history of exposure to cats, with sonographic findings suggestive for cat-scratch disease. In this case, ultrasound was very useful in orienteering the diagnosis and insist on the medical history. Serology resulted positive for B. henselae and at the end the family remembered that 6 months before the child was scratched by a kitten., (© 2024. The Author(s).)
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- 2024
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5. Biliary atresia in a 3-month-old infant (case report).
- Author
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Paviglianiti G, Avallone RC, Cariello V, Vaccaro M, Di Marco F, Minelli R, De Chiara FA, Esposito F, Ferrara D, Rossi A, Pizzicato P, and Rossi E
- Subjects
- Female, Humans, Infant, Liver diagnostic imaging, Liver pathology, Biliary Atresia diagnostic imaging, Biliary Atresia surgery, Biliary Atresia complications, Liver Transplantation, Ultrasonography methods
- Abstract
Biliary atresia (BA) is a congenital disease that occurs when extrahepatic bile ducts are either absent or deficient, resulting in liver fibrosis, portal hypertension, and eventually cirrhosis. It is the most common cause of persistent obstructive jaundice in newborns lasting more than two weeks is this condition. Abdominal ultrasound (US) is the primary imaging technique used to diagnose BA, while computed tomography (CT) is reserved for more complex cases. The gold standard for diagnosing BA is still intraoperative cholangiogram with liver biopsy. Treatment for BA usually involves Kasai hepatoportoenterostomy, but some patients still require liver transplantation due to diagnostic delays and advanced disease. In this study, the authors present the case of a 3-month-old infant with biliary atresia and its ultrasound characteristics, who underwent liver transplantation due to advanced disease. The primary objective of imaging is to provide a prompt diagnosis, given the crucial significance of timely surgical intervention., (© 2024. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).)
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- 2024
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6. Ultrasound features of cutaneous myiasis: a rare case in a child.
- Author
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Paviglianiti G, Cariello V, Vaccaro M, Pizzicato P, Minelli R, Di Rosa G, Napolitano M, Baldazzi M, Avallone RC, Rossi A, and Rossi E
- Abstract
Cutaneous myiasis is an infestation of the skin with larvae of some dipteran species. Among humans, Dermatobia hominis is the most frequently encountered dipteran responsible for cutaneous myiasis. This insect is endemic to tropical and subtropical regions, consequently, individuals travelling from non-endemic areas are most susceptible to infection due to a lack of prior exposure. Three clinical variants of myiasis are distinguished: furuncular, migratory, and wound myiasis. Furuncular myiasis represents the most common form among travelers, yet it is a rare cause of pediatric skin manifestations in developed countries. Limited awareness of this condition in non-endemic regions contributes to diagnostic challenges. In this scenario, ultrasound is useful in the diagnostic workup, enabling the identification of the viable larva., (© 2024. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).)
- Published
- 2024
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7. Testicular juvenile granulosa cell tumor: a case report.
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Baldazzi M, Rossi E, Minelli R, Paviglianiti G, Napolitano M, Romeo P, Galuppi F, Di Vincenzo AO, Greco L, Vivacqua D, Thomas E, Lovato L, and Lima M
- Abstract
The Testicular Juvenile Granulosa Cell Tumor (JGCT) is a rare testicular neoplasm that appears in the first months of life as a painless testicular mass. Following an accurate radiological ultrasound diagnosis, through which the cystic appearance of the lesion is observed, and histological confirmation, showing follicular growth pattern and an immunoreactivity for inhibin, the treatment process involves, when feasible, conservative surgery. We present the case of a 2-months old infant with a bilateral JGCT of the testis and we review the classical findings of the patology., (© 2024. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).)
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- 2024
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8. Qualitative and quantitative characteristics of CEUS for renal cell carcinoma and angiomyolipoma: a narrative review.
- Author
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Dipinto P, Canale V, Minelli R, Capuano MA, Catalano O, Di Pierro GB, Anceschi U, Perdonà S, and Tufano A
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- Humans, Reproducibility of Results, Carcinoma, Renal Cell diagnostic imaging, Carcinoma, Renal Cell surgery, Angiomyolipoma diagnostic imaging, Angiomyolipoma surgery, Kidney Neoplasms diagnostic imaging, Kidney Neoplasms surgery, Leukemia, Myeloid, Acute
- Abstract
Incidental findings of renal masses are increasing. However, a substantial portion of surgically treated renal masses turn out to be benign on histopathological examination. Thus, there is a clear need for improved pre-surgical assessment to minimize unnecessary invasive procedures. The challenge intensifies when distinguishing between renal cell carcinoma (RCC) and angiomyolipoma (AML) in renal lesions smaller than 4 cm with minimal adipose tissue. In such cases, contrast-enhanced ultrasound (CEUS) has emerged as a valuable diagnostic tool, by utilizing both qualitative and quantitative parameters. Quantitative measures offer objectivity, reliability, and reproducibility compared to qualitative parameters, enabling the characterization of RCC subtypes and differentiation from AML. Qualitative features as enhancement pattern, degree, and peak were less helpful in distinguishing triphasic minimal fat AML (TAML) from epithelioid AML (EAML), with the pseudocapsule sign potentially being the only distinguishing qualitative feature. The pseudocapsule sign was more frequently observed in ccRCCs (38.0%) than in AMLs (15.6%). Moreover, it was detected in 40.0% of EAMLs and 34.5% of ccRCCs but not in TAMLs due to similar growth patterns between EAMLs and low-grade ccRCCs. Quantitative measures such as the time-to-peak (TTP) ratio can further enhance diagnostic accuracy and also TOC ratio should be considered, as it was higher in clear cell RCCs (ccRCCs) and in EAMLs compared to TAMLs, indicating behavior similar to ccRCCs. However, CEUS remains an operator-dependent exam., (© 2024. The Author(s).)
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- 2024
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9. A rare case of bilateral testicular metastasis from ileocecal NET: multiparametric US detection.
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Santarsiere M, Rumolo M, Menna BF, Vergara E, Minelli R, Brillantino C, Rossi E, Brunetti A, and Gisonni P
- Subjects
- Humans, Male, Testicular Neoplasms diagnostic imaging, Testicular Neoplasms secondary, Neuroendocrine Tumors pathology, Ileal Neoplasms pathology
- Abstract
Testicular metastasis are rare findings and bilateral metastasis of testes are extremely rare. Here we are describing for the first time a case of bilateral testicular metastasis in a patient with a known ileocecal valve NET using an in-depth ultra-sound studying including microvascular flow imaging (MV-flow), ultra-sound new technique, able to detect small vessel slow-signal., (© 2022. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).)
- Published
- 2023
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10. Duodenal hematoma in pediatric age: a rare case report.
- Author
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Brillantino C, Rossi E, Baldari D, Minelli R, Bignardi E, Paviglianiti G, Restivo G, Cangemi MA, Zeccolini R, and Zeccolini M
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- Acute Disease, Child, Gastrointestinal Hemorrhage complications, Hematoma diagnostic imaging, Hematoma etiology, Hematoma therapy, Humans, Male, Duodenal Diseases complications, Duodenal Diseases diagnostic imaging, Pancreatitis complications
- Abstract
In pediatric age, duodenal hematoma is rare and generally occurs following a closed abdominal trauma due to the crushing of the duodenum against the rigid plane of the spine; it rarely follows anticoagulant therapy, pancreatitis, bleeding disorders, vasculitis, tumors or upper digestive endoscopy. Duodenal hematoma is a rare cause of obstruction of the upper gastrointestinal tract and acute pancreatitis, and the diagnosis is sometimes difficult and late. On the other hand, the identification of the pathology in its initial stages allows the young patients to be subjected to a conservative treatment that resolves the issue most of the time, thus avoiding surgery. In this article we describe an unusual case of duodenal hematoma, following esophagus-gastro-duodenoscopy, in a 12-year-old boy with Di George syndrome., (© 2020. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).)
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- 2022
- Full Text
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11. Pseudopapillary solid tumour of the pancreas in paediatric age: description of a case report and review of the literature.
- Author
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Brillantino C, Rossi E, Pirisi P, Gaglione G, Errico ME, Minelli R, Menna BF, Zeccolini R, and Zeccolini M
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- Abdomen pathology, Child, Female, Humans, Pancreas diagnostic imaging, Pancreas surgery, Prognosis, Pancreatic Neoplasms diagnostic imaging, Pancreatic Neoplasms surgery
- Abstract
Pseudopapillary solid tumour of the pancreas is a rare neoplasm that mainly affects young women in the second and third decade of life and less frequently children; originates from the exocrine component of the pancreas; and is characterized by slow growth, low potential for malignancy, and excellent prognosis following complete surgical resection. The tumour often presents as an asymptomatic abdominal mass that is accidentally detected during radiological investigations performed for other reasons. In this article, we report the clinical case of a 10-year-old girl who came to our observation for pain in the left hypochondrium, which had arisen for a week following a trauma; the imaging methods revealed a voluminous expansive pancreatic formation in the abdomen; on histological examination, the mass was a solid pseudopapillary tumour. Furthermore, we present a review of the literature aimed at highlighting the salient features of this neoplasm in paediatric age., (© 2021. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).)
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- 2022
- Full Text
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12. An unusual onset of pediatric acute lymphoblastic leukemia.
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Brillantino C, Rossi E, Bifano D, Minelli R, Tamasi S, Mamone R, Bignardi E, Zeccolini R, Zeccolini M, and Vallone G
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- Acute Disease, Child, Preschool, Female, Humans, Recurrence, Precursor Cell Lymphoblastic Leukemia-Lymphoma diagnostic imaging, Precursor Cell Lymphoblastic Leukemia-Lymphoma therapy
- Abstract
Acute lymphoblastic leukemia is the most frequent cancer in children: it represents 80% of leukemias and about 24% of all neoplasms diagnosed between 0 and 14 years. Acute lymphoblastic leukemia mainly affects children between 2 and 5 years old and in this age group the incidence is about 80-90 cases per million per year. In acute lymphoblastic leukemia, cancer cells multiply rapidly and accumulate in the bone marrow and subsequently invade the blood. However, at the time of diagnosis, leukemia rarely occurs outside the bone marrow or blood vessels and the extramedullary involvement happens mostly in patients with refractory or relapsing disease. In this article, we report an unusual clinical presentation of acute B cell lymphoblastic leukemia with intestinal and ovarian localizations in a 5-year-old girl., (© 2020. Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB).)
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- 2021
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13. Gastroesophageal and gastric ultrasound in children: the state of the art.
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Minella R, Minelli R, Rossi E, Cremone G, and Tozzi A
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- Child, Esophagogastric Junction diagnostic imaging, Humans, Ultrasonography, Gastroesophageal Reflux diagnostic imaging
- Abstract
In previous years, the role of gastroesophageal (GE) ultrasound as a diagnostic tool in gastroesophageal reflux disease (GERD) has been disputed. Most authors believe that it is difficult to diagnose GERD without correlation studies between esophageal pathology and ultrasonographic signs. Indeed, there are many anatomic descriptions of the normal GE junction. The fact that GERD diagnosis was made by morphological studies was believed to be an incorrect deduction. We revisit the pathophysiologic data concerning the gastroesophageal junction and gastric function and review the data in the literature of the past 30 years.
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- 2021
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14. Pediatric encephalic ultrasonography: the essentials.
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Vitale V, Rossi E, Di Serafino M, Minelli R, Acampora C, Iacobellis F, D'Errico C, Esposito A, Esposito F, Vallone G, and Zeccolini M
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- Brain diagnostic imaging, Female, Humans, Infant, Infant, Newborn, Male, Brain Diseases diagnostic imaging, Echoencephalography methods
- Abstract
Nowadays, cranial ultrasonography (US) of the newborn represents the first imaging method in brain damage study and its possible outcomes. This exam is performed using the natural fontanelles, especially the anterior one. It is fast, non-invasive and does not produce any side effect. Ultrasonographic examination is usually performed in cases of prematurity, especially in children with birth weight less than 1500 g, because important informations about the possible presence of pathologies such as cerebral hemorrhage and hypoxic-ischemic encephalopathy are given. This approach can be useful also in the study of pre- and post-natal infections, for example, type II Herpes Simplex virus or Cytomegalovirus infections, or pointing out vascular malformations such as vein of Galen aneurysm. Although less important than methods such as computed tomography (CT) and magnetic resonance imaging (MRI) in the evaluation of trauma and tumors, ultrasound can provide useful informations or be used in first instance in the suspicion of a brain mass.
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- 2020
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