Widal syndrome

Case contributed by Dr Ammar Haouimi

Presentation

Asthmatic patient with aspirin intolerance. History of previous surgery for chronic nasal obstruction.

Patient Data

Age: 30 years
Gender: Female
MRI

Extensive mucosal thickening with almost total soft tissue opacification of the paranasal sinuses which exhibit an intermediate signal on T1WI, high signal on T2WI with areas within the left ethmoid air cells, and sphenoid sinus of high signal on T1WI, and low signal on T2WI (protein-rich content or fungal infection). Bilateral ethmoid and left sphenoid mucocele are noted. A peripheral enhancement is seen on postcontrast sequences.

Case Discussion

Widal syndrome or Widal triad is characterized by the association of aspirin intolerance, asthma, and sinonasal polyposis.

PlayAdd to Share

Case information

rID: 69821
Published: 28th Jul 2019
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.