ABSTRACT
Radionuclide venography in two patients with suspected deep venous disease revealed double channel drainage with cross-pelvic collateral circulation. Contrast inferior venacavograms revealed that one patient had persistent right and left supracardinal veins (double inferior vena cava) and the other had iliac vein occlusion with ascending lumbar collateral circulation. The similarity of radionuclide venographic findings in these two patients emphasizes the importance of contrast venacavography in patients with this appearance on radionuclide venography.
Subject(s)
Iliac Vein/diagnostic imaging , Phlebography , Vena Cava, Inferior/abnormalities , Adult , Collateral Circulation , Female , Humans , Male , Radionuclide Imaging , Vascular Diseases/diagnostic imaging , Vena Cava, Inferior/diagnostic imagingABSTRACT
We have classified esophageal trauma into three major categories: (1) Iatrogenic trauma including endoscopic perforation, trauma due to dilatation, surgical trauma, tube trauma, radiation trauma, and drug trauma; (2) Self-induced trauma including foreign bodies, corrosive or drug ingestion, and postemetic trauma; (3) Direct trauma including penetrating trauma and blunt trauma. Discussion and illustrative cases are presented.
Subject(s)
Esophagus/injuries , Catheters, Indwelling/adverse effects , Caustics/adverse effects , Dilatation , Esophageal Perforation/diagnostic imaging , Esophageal Perforation/etiology , Esophagoscopy/adverse effects , Esophagus/anatomy & histology , Esophagus/diagnostic imaging , Foreign Bodies , Humans , Postoperative Complications , Radiation Injuries , Radiography , Vomiting/complications , Wounds, Nonpenetrating , Wounds, PenetratingABSTRACT
Entrapment of chest tubes under one or more sternal sutures is an uncommon complication of median sternotomy. Five cases occurred among 759 median sternotomies performed during a 2 year period. A radiographic sign of chest tube entrapment is presented. Early recognition may prevent a second surgical procedure.
Subject(s)
Intubation , Postoperative Complications , Sternum/surgery , Humans , Radiography, Thoracic , SuturesABSTRACT
Radionuclide angiography is a rapid, safe, and reliable method of imaging aneurysms of the abdominal aorta in patients who are too ill to undergo contrast angiography or when time is a critical factor.
Subject(s)
Aortic Aneurysm/diagnosis , Radionuclide Imaging , Aged , Aorta, Abdominal , Humans , Male , Rupture, Spontaneous/diagnosis , TechnetiumABSTRACT
The postoperative chest radiographs of 173 patients who underwent median sternternal line. A total of 52 (30%) showed a thin lucent line one or more days after the operation. Clinical dehiscence developed in 4 patients, of whom 2 had a midsternal stripe and 2 did not. The authors feel that the presence of a sternal stripe is of little value in the radiographic diagnosis of sternal dehiscence.
Subject(s)
Sternum/diagnostic imaging , Surgical Wound Dehiscence/diagnostic imaging , Humans , Radiography , Sternum/surgeryABSTRACT
Granulomatous inflammation of the peritoneal surfaces resulting from exposure to cornstarch granules from surgical gloves produces a syndrome of abdominal pair, adynamic ileus, fever, peritonitis, variable white blood cell count, and inflammatory ascites. Symptoms develop three to four weeks after a routine abdominal surgical procedure. Recognition of this entity by nonsurgical means is necessary to avoid reoperation. Paracentesis with examination of fluid by polarized light offers the best method of non-surgical diagnosis. Treatment is with steroids or indomethacin or conservative measures. To prevent the disease, gloves must be washed effectively before operation.
