Rare Syndromes & Systemic

Esophagostomy. Exclusion of the lower esophagus (Courtesy Dr. V. Penopoulos)

Esophagostomy. Exclusion of the lower esophagus (Courtesy Dr. V. Penopoulos)

Endoscopic stent placement (Courtesy Dr. V. Penopoulos)

Upper gastrointestinal endoscopy. Esophageal perforation (Courtesy Dr. V. Penopoulos)

Forceps at the site of lower esophageal perforation (Courtesy Dr. V. Penopoulos)

Chest CT scan. Bilateral pleural effusions, more prominent on the left (Courtesy Dr. V. Penopoulos)

Gastrografin swallow. Lower esophageal perforation (Courtesy Dr. V. Penopoulos)

Esophagostomy. Exclusion of the lower esophagus (Courtesy Dr. V. Penopoulos)

Esophagostomy. Exclusion of the lower esophagus (Courtesy Dr. V. Penopoulos)

Right orchiectomy specimen. Courtesy Dr. V. Penopoulos.

Abdominal CT scan. Colonic pseudo-obstruction (Courtesy Dr. V. Penopoulos)

Abdominal CT scan. Colonic pseudo-obstruction (Courtesy Dr. V. Penopoulos)

Histological image of Brenner neoplasm (Courtesy Dr. V. Penopoulos)

Complete liberation of the left ureter (Courtesy Dr. V. Penopoulos)

Complete liberation of the left ureter (Courtesy Dr. V. Penopoulos)

Complete liberation of the left ureter (Courtesy Dr. V. Penopoulos)

Uterine fibroids (Courtesy Dr. V. Penopoulos)

Simple cyst of the left ovary (Courtesy Dr. V. Penopoulos)

Macroscopic image of the left ureteral implant (Courtesy Dr. V. Penopoulos)

Green arrow – Brenner neoplasm. Blue arrows – Uterine fibroids (Courtesy Dr. V. Penopoulos)

Dilation of the left ureter due to the presence of a probable implant (Courtesy Dr. V. Penopoulos)

Pelvic MRI – Neoplasm of the right ovary (Courtesy Dr. V. Penopoulos)

Pelvic ultrasound – Simple cyst of the left ovary (Courtesy Dr. V. Penopoulos)

Macroscopic image of the right adnexum – Benign Brenner neoplasm (Courtesy Dr. V. Penopoulos)

Red arrows. Thickened rectal wall. Green arrow. Fascia of the levator ani muscle (Courtesy Dr. V. Penopoulos)

MRI of the lumbosacral spine. Air is clearly visible within the spinal canal (Courtesy Dr. V. Penopoulos)

Clinical imaging (Courtesy Dr. V. Penopoulos)

Clinical imaging (Courtesy Dr. V. Penopoulos)

Clinical imaging (Courtesy Dr. V. Penopoulos)

Plain radiographs of lower legs, knees and ankles. Substantial calcifications were visible in the posterior tibial artery and a network of small vessels in the retromalleolar region. In the knees, the joint space exhibited obvious small vessel calcification. (Courtesy Dr. V. Penopoulos).

Calciphylaxis lesion on the right calf. (Courtesy Dr. V. Penopoulos).

Plain radiographs of lower legs, knees and ankles. Substantial calcifications were visible in the posterior tibial artery and a network of small vessels in the retromalleolar region. In the knees, the joint space exhibited obvious small vessel calcification. (Courtesy Dr. V. Penopoulos).

Plain radiographs of lower legs, knees and ankles. Substantial calcifications were visible in the posterior tibial artery and a network of small vessels in the retromalleolar region. In the knees, the joint space exhibited obvious small vessel calcification. (Courtesy Dr. V. Penopoulos).

Computed tomography angiography revealed diffuse vascular wall calcifications and atherosclerotic changes of the low abdominal aorta and bilateral iliac arteries, and marked calcification of the large and small arteries of both lower extremities. (Courtesy Dr. V. Penopoulos).

Computed tomography angiography revealed diffuse vascular wall calcifications and atherosclerotic changes of the low abdominal aorta and bilateral iliac arteries, and marked calcification of the large and small arteries of both lower extremities. (Courtesy Dr. V. Penopoulos).

Sestamibi Scan - Excised giant left sided parathyroid adenoma. (Courtesy Dr. V. Penopoulos).

Sestamibi Scan - Excised giant left sided parathyroid adenoma. (Courtesy Dr. V. Penopoulos).

Calciphylaxis Right breast. (Courtesy Dr. V. Penopoulos).

Calciphylaxis left thigh and penis. (Courtesy Dr. V. Penopoulos).

Figure 3 . Mini Right Hemicolectomy . ( Courtesy Dr . V . Penopoulos ) .

Figure 2 . Endoscopy terminal ileum . ( Courtesy Dr . T . Maris ) .

Bone scintigraphy – Presence of multiple osteolytic foci (Courtesy Dr. V. Penopoulos)

Postoperative image of sternal fracture repair (Courtesy Dr. V. Penopoulos)

Figure 1 . Typical Holt Oram syndrome’s hands malformations . ( Courtesy Dr . V . Penopoulos ) .

Right Hemicolectomy specimen . The impacted mucofeculent material in the terminal ileum is clearly seen (Courtesy Dr. V. Penopoulos)

Right Hemicolectomy specimen . The impacted mucofeculent material in the terminal ileum is clearly seen (Courtesy Dr. V. Penopoulos)

Cut surface of paraganglioma (Courtesy Dr. V. Penopoulos)

Abdominal MRI showing the sizable paraganglioma at the root of the mesentery (Courtesy Dr. V. Penopoulos)

CT Scan. Enlarged Lymph nodes in close proximity to the iliac vessels and right ureter (Courtesy Dr. V. Penopoulos)

Spinal MRI showing extradural compression at T 8 level (Courtesy Dr. V. Penopoulos).

Figure 6 . Repeat abdominal CT Scan . Abscess formation . ( Courtesy Dr . V . Penopoulos ) .

Figure 4,5 . Pectus excavatum , striae atrophicae and prominent scoliosis . (Courtesy Dr . V . Penopoulos) .

Figure 3 . Abdominal CT Scan . Acute Appendicitis .( Courtesy Dr . V . Penopoulos ) .

Figure 2 . Severe pes planus (talipes calcaneovalgus) .( Courtesy Dr . V . Penopoulos ) .

Figure 7 . Intercostal artery reconstruction protecting the spinal cord in patients undergoing extensive thoracoabdominal aortic aneurysm repair or aortic dissection . ( thoraco-abdominal incision ) .( Courtesy Dr . V . Penopoulos ) .

Figure 8 . Appendicectomy specimen and Faecaliths found retroperitonealy . (Courtesy Dr . V . Penopoulos) .

Immunohistochemical examination showing CD10 positivity within endometrial stromal cells (Courtesy Dr. V. Penopoulos)

Focus of stromal endometriosis in the muscular layer of the ileum (Courtesy Dr. V. Penopoulos)

Terminal ileum obstruction (Courtesy Dr. V. Penopoulos)

Abdominoperineal rectal resection specimen. Almost complete occupation of the rectal lumen is evident, extending to the anorectal junction, with accompanying infiltration of the sphincters (Courtesy Dr. V. Penopoulos)

Abdominoperineal rectal resection specimen. Almost complete occupation of the rectal lumen is evident, extending to the anorectal junction, with accompanying infiltration of the sphincters (Courtesy Dr. V. Penopoulos)

Abdominoperineal rectal resection specimen. Almost complete occupation of the rectal lumen is evident, extending to the anorectal junction, with accompanying infiltration of the sphincters (Courtesy Dr. V. Penopoulos)

Fasciotomy of the left lower extremity (Courtesy Dr. V. Penopoulos)

Fasciotomy of the left lower extremity (Courtesy Dr. V. Penopoulos)

Fasciotomy of the left lower extremity (Courtesy Dr. V. Penopoulos)

Urine of a patient with rhabdomyolysis (Courtesy Dr. V. Penopoulos)

Removed polyps, endoscopically and surgically (Courtesy Dr. V. Penopoulos)

Removed polyps, endoscopically and surgically (Courtesy Dr. V. Penopoulos)

Removed polyps, endoscopically and surgically (Courtesy Dr. V. Penopoulos)

Removed polyps, endoscopically and surgically (Courtesy Dr. V. Penopoulos)

Classic ultrasound image of small bowel intussusception (Courtesy Dr. V. Penopoulos)

Removed polyps, endoscopically and surgically (Courtesy Dr. V. Penopoulos)

Malignantly transformed ileal polyp (Courtesy Dr. V. Penopoulos)

Intraoperative endoscopic polyp removal (Courtesy Dr. V. Penopoulos)

Benign polyp – lead point of intussusception (Courtesy Dr. V. Penopoulos)

Histopathological image of Sweet syndrome lesions (Courtesy Dr. V. Penopoulos)

Histopathological image of Sweet syndrome lesions (Courtesy Dr. V. Penopoulos)

Rectosigmoidectomy specimen (Courtesy Dr. V. Penopoulos)

Cutaneous lesions of Sweet syndrome (Courtesy Dr. V. Penopoulos)

Histopathological image of Sweet syndrome lesions (Courtesy Dr. V. Penopoulos)

Histopathological image of Sweet syndrome lesions (Courtesy Dr. V. Penopoulos)

Histopathological image of Sweet syndrome lesions (Courtesy Dr. V. Penopoulos)