Tuberculous adrenal abscess revealed by pleurisy: An extremely rare presentation: About a case.

We report an extremely rare presentation of a tuberculous adrenal abscess discovered accidently during a chest CT scan. This case involves a 21-year-old male patient with pleurisy and a left adrenal abscess simultaneously of tuberculous origin, without clinical or biological signs of adrenal insufficiency. The condition showed complete regression of the abscess after medical treatment.

Rare case of spontaneous renal calyx rupture due to vesicoureteral junction stone in a horseshoe kidney.

A 50-year-old patient with a prior history of chronic smoking presented to the emergency department with diffuse abdominal pain, primarily localized to the right hypochondrium and epigastric region, along with nausea, but without fever, vomiting, or urinary symptoms. Laboratory tests were largely unremarkable except for isolated hematuria and a mildly elevated CRP. Given the atypical clinical presentation, a 3-phase abdominal CT scan (without contrast, portal, and delayed phases) was conducted, revealing a horseshoe kidney with an obstructing 4 mm stone at the right ureteral meatus.

Unraveling the uncommon: Pneumoperitoneum induced by emphysematous pyelonephritis.

Emphysematous pyelonephritis is a necrotizing infection of the renal parenchyma by gas-forming organisms, with a risk of the gas extending into peri-nephric or para-renal spaces and in advanced cases, the involvement may be extensive and bilateral. It is a common complication in patients with long-term diabetes, primarily caused by Gram-negative organisms or, in some cases, anaerobes. The diagnosis of emphysematous pyelonephritis is made by clinical features and confirmed by computed tomography.

Sprengel's deformity.

The features of Sprengel's deformity, also known as congenital high scapula, include abnormal positioning and dysplasia of the affected scapula, with a possible omovertebral connection or atrophy of the surrounding muscles. This case primarily aims to present the CT scan findings of a 19-year-old male with Sprengel deformity. Imaging enables the definitive diagnosis of this congenital malformation, and allows for the detection of associated anomalies, particularly the presence of the omovertebral bone, thereby facilitating appropriate management.