ABSTRACT
Complications from angiomyolipomas are rare but often severe depending on the size and content of the angiomyolipoma. In this study, we describe 10 cases from 63 patients with renal angiomyolipomas in whom computed tomography revealed the following complications: compression of pyelocalyceal system in three cases, intratumoral bleeding in two cases, rupture in four cases with subcapsular, perirenal, or pararenal hematoma and extensive intrarenal/parapelvic hematoma, cystic degeneration in one case.
Subject(s)
Angiomyolipoma/diagnostic imaging , Kidney Neoplasms/diagnostic imaging , Tomography, X-Ray Computed , Adult , Aged , Angiomyolipoma/complications , Female , Follow-Up Studies , Hematoma/diagnostic imaging , Hematoma/etiology , Hemorrhage/diagnostic imaging , Hemorrhage/etiology , Humans , Kidney Calices/diagnostic imaging , Kidney Diseases/diagnostic imaging , Kidney Diseases/etiology , Kidney Diseases, Cystic/diagnostic imaging , Kidney Diseases, Cystic/etiology , Kidney Neoplasms/complications , Kidney Pelvis/diagnostic imaging , Male , Middle Aged , Rupture, SpontaneousABSTRACT
This paper describes a case of tracheobronchomegaly, which is a rare condition. The radiological, bronchoscopic and computed tomographic (CT) appearance of the condition are described. Together with the patient's history, these examinations are very useful in diagnosis, since, in cases of patients with chronic recurrent respiratory infections, they help us review any anatomical abnormalities.
Subject(s)
Tracheobronchomegaly/diagnosis , Aged , Bronchi/pathology , Bronchoscopy , Humans , Male , Respiratory Function Tests , Tomography, X-Ray Computed , Trachea/pathology , Tracheobronchomegaly/diagnostic imagingABSTRACT
The blood lead concentration, an index of the environmental lead pollution, was measured in groups of individuals from many parts of greece. The mean blood lead value for urban area individuals was 27.03 micrograms/100 mL for adults, 32.30 for children and 31.03 for neonates; while for rural area individuals it was 18.81 micrograms/100 mL for adults, 22.98 for children and 21.66 for neonates. Twenty one percent of the urban individuals had laboratory evidence of "undue lead absorption" (blood lead level greater than 40 micrograms/100 mL) compared to 1.7% of the rural individuals. Children with elevated blood lead levels were found to have anemia.
Subject(s)
Lead/blood , Adolescent , Adult , Anemia/chemically induced , Child , Child, Preschool , Environmental Exposure , Female , Greece , Humans , Infant , Infant, Newborn , Male , Rural Population , Urban PopulationABSTRACT
Hemoglobin (Hb), hematocrit (Hct) and mean corpuscular hemoglobin concentration (MCHC) were determined in 36 acyanotic and 38 cyanotic patients with congenital heart disease. Serum iron (SI) was also determined in 16 cyanotic patients. Patients were classified as follows: Gp I, 0.5-5 years old and Gp II, 6-12 years. In acyanotic patients, anaemia (Hb 11 gr%) was present in 35% for Gp I and 18.7% for Gp II (Hb 11.5 gr%), a figure which is similar to the general Greek children's population. In cyanotic patients which have normal or high Hb concentration, when SI was used as an index, anaemia (SI 60 g%) was found in 37.5% for Gp I and 12.5% for Gp II. Furthermore, when using as index the MCHC the percentage of anaemia (MCHC 31%) was further increased in those patients (44% for Gp I and 23.8% for Gp II). Four cyanotic infants with MCHC 31% developed cerebrovascular accidents. The data show 1) that the MCHC is a convenient and accurate index of iron deficiency anaemia in children with cyanotic heart disease and 2) that the incidence of hypochromic anaemia is high in cyanotic patients.
