Bursting Fracture of the Thoracic Spine in Ankylosing Spondylitis: No Visible in Standard Radiograph

Patients with ankylosing spondylitis (AS) are at high risk for spinal fracture even after a minor injury. Most spinal fractures with ankylosing spondylitis occur in the cervical spine, whereas spinal fractures in thoracic or lumbar spine are rare. These fractures are often difficult to detect on standard radiographs, because the normal anatomical landmarks are lacking and the abnormal spinal stiffness precludes optimal exposure of the spine. We report on a case of a 12th thoracic spine fracture in ankylosing spondylitis with bamboo spine after a minor injury. In this case, anteroposterior and lateral radiographs of the thoracolumbar spine showed a bamboo spine typical for ankylosing spondylitis with no evidence of fracture. However, computed tomography showed a 12th thoracic fracture with burst. Therefore, this fracture, in a patient with AS involved all three spinal columns, was considered unstable.

Acute low back pain revealed as pyogenic spondylitis: A report of 2 cases

Many people suffer from low back pain and that has caused much socioeconomic cost. As a non specific cause of low back pain, an increase in the incidence of pyogenic spondylitis has been noticed. Early radiological diagnosis is of great importance for prompt treatment and prevention of clinically significant consequences which include neurological deficit and secondary spine deformity. We describe two cases of pyogenic spondylitis with epidural abscess. The former case, we could not make an early diagnosis and proper management was delayed. Fortunately, no neurologic deficits were remained. On contrast, the latter was promptly diagnosed as a pyogenic spondylitis and proper treatment was established. Most of all, careful preliminary evaluation, especially laboratory data and analysis of radiologic findings are important prognostic factor in treatment patient for pyogenic spondylitis.

X-ray Diagnosis of the Intraductal Papilloma of Breast(A Report of 70 Cases) / 实用放射学杂志

Objective To explore the X-ray characteristic findings of the intraductal papilloma to improve the radiologic diagnostic rate.Methods The mammographic data of 70 cases with intraductal papilloma of breast by pathology were analysed.Results Among 66 patients with nipple discharge 29 cases showed circular filling defect,7 cases showed stringy filling defect,17 cases had irregular filling defect,13 cases had mammary duct blocked ;4 cases with no nipple discharge all showed nodes.Conclusion To recognize the specific X-ray findings of intraductal papilloma of breast is valuable for diagnosis.

A Study for the Radiologic Diagnosis of the Seminal Vesicles / 대한비뇨기과학회지

Since the first description on the vasoseminal vesiculography by Belfield(1913). Young and Waters (1920) had succeeded in getting the seminal vesiculograms by the routes of the ejaculatory ducts. Despite of the useful value of the seminal vesiculograms in the diagnosis of seminal vesiculopathies. it had not been used popularly due to difficulties on procedure. For evaluation of normal values of the seminal vesiculograms in Korean. 30 patients were selected. 20 patients of infertility and 10 patients of volunteers who received vasectomy. in Busan Armed Forces General Hospital from 1973 to 1975. The seminal vesiculograms had been taken by the vasectomy wounds in all cases. The results of analysis for normal seminal vesiculograms. in 15 cases, abnormal in 12 cases, and failed due to vas deference obstruction in 3 cases were as follows: 1. The length of main channel, in normal group, was 3.4+/-0.50cm, in right side. 3.3+/-0.12cm. in left side. and right side was 0.1cm longer than left. But in abnormal group it was 0.3 cm. shorter than normal group. 2. The width of lumen. in normal group. was 1.5+/-0.30cm. in right side. 1.3+/-0.34cm. in left side. and right side was 0.2cm. wider than left side. But in abnormal group it was 0.1cm. wider than normal group. 3. The angle between two long axes. in normal group, was 115+/-11. But in abnormal group it was 16 larger than normal group. 4. The ejaculatory duct, in normal group, runs directly downward to the verumontanum from the joined point of the seminal vesicle duct and the ampulla of vas. But in abnormal group it was obstructed or spastic in its contour.