No abstract

Introduction. Abdominal ultrasound is considered an initial examination of the the gastrointestinal tract. The case is presented in which ultrasound (US) detected a 'pseudokidney' sign that enabled the tentative diagnosis of a colonic neoplastic lesion. Case report. A 78-year-old patient was admitted to the Department of Internal Diseases due to weight loss and anaemia. US demonstrated abnormalities in the form of intestinal wall thickening with a hyperechoic centre. This finding led to the tentative diagnosis of a neoplastic lesion. After further diagnostic procedures, i.e. colonoscopy and histopathological examination of biopsy specimens, the patient was diagnosed with colon adenocarcinoma. Conclusions. In many cases, experienced US radiologists can initially assess the intestinal wall and other organs, which effectively directs towards further diagnostic management, hence accelerates the diagnosis and decision to apply a given therapeutic option or otherwise

Infective endocarditis (IE) is an infection of the endocardium, which most commonly involves the mitral and aortic valve. The estimated incidence of IE in patients with heart defects is 1-2%. One of the predisposing factor is mitral valve leaflet prolapse accompanied by incompetence. The diagnosis of IE can prove difficult due to the possible occurrence of symptoms from multiple organs. A multidisciplinary approach, and taking into consideration possible numerous complications is essential during diagnostic procedures. The clinical picture of IE includes embolic complications. The presented study describes the case of a 58-year-old male patient with a mitral defect diagnosed due to multi-cause anaemia, which delayed the diagnosis of IE. Besides anaemia, the clinical picture was dominated by numerous embolic brain lesions, being complications of IE, which caused disorientation and confusion.