ABSTRACT
Presented here are three cases of missed ectopic pregnancy which occurred within a four month period in Alabama. In two cases the patients expired. In the third case, following a D&C, continued pelvic pain prompted a repeat pregnancy test and ultrasound, during which ectopic pregnancy was diagnosed. All three of the patients had state of the art ultrasound examinations. An emphasis is placed on interpretation of the examinations and correlation with clinical data.
Subject(s)
Abdomen, Acute/diagnostic imaging , Pregnancy, Tubal/diagnostic imaging , Pregnancy , Ultrasonography, Prenatal , Abdomen, Acute/pathology , Adult , Diagnostic Errors , Fallopian Tubes/diagnostic imaging , Fallopian Tubes/pathology , Fatal Outcome , Female , Humans , Pregnancy, Tubal/pathology , Rupture, Spontaneous , Uterus/diagnostic imaging , Uterus/pathologyABSTRACT
Optically diverged direct argon laser light energy was used prior to conventional balloon angioplasty to recanalize 30 occluded peripheral arteries in 26 patients. Three of five (60%) iliac and 22 of 25 (88%) femoropopliteal lesions ranging in length from 1 to 47 cm (mean, 17.3 cm) were successfully treated, for an overall technical success rate of 83%. In the femoropopliteal system, 13 of 14 (93%) procedures in lesions less than 20 cm and nine of 11 (82%) procedures in lesions greater than 20 cm were treated successfully. No statistically significant differences in success rate based on lesion site, lesion length, degree of lesion calcification, or severity of peripheral vascular disease were found. Major complications were a laser perforation resulting in treatment failure in one case (3%) and a successfully treated distal embolus in another (3%). No reocclusions occurred in the immediate postoperative period. While long-term follow-up will be required to assess continued patency, this system can potentially increase the number of patients amenable to conventional balloon angioplasty and is currently advocated as an alternative to amputation in patients in whom surgical bypass grafting is contraindicated or unfeasible.
Subject(s)
Arteriosclerosis/surgery , Laser Therapy , Leg/blood supply , Aged , Aged, 80 and over , Arteriosclerosis/diagnostic imaging , Embolism/etiology , Female , Femoral Artery/diagnostic imaging , Humans , Iliac Artery/diagnostic imaging , Laser Therapy/adverse effects , Male , Middle Aged , Popliteal Artery/diagnostic imaging , Radiography , ReperfusionABSTRACT
Neurilemomas can arise anywhere along the trigeminal nerve, and therefore can be either intra-axial or extra-axial. Small neurilemomas in Meckel's cavity may not be detectable with CT scanning because of bone artifact or normal enhancement of the cavernous sinus. We have reported two patients with trigeminal neurilemoma who were evaluated preoperatively with magnetic resonance imaging.
Subject(s)
Cranial Nerve Neoplasms/diagnosis , Magnetic Resonance Imaging , Neurilemmoma/diagnosis , Trigeminal Nerve/pathology , Adult , Aged , Female , HumansABSTRACT
Although pseudo-occlusion of the internal carotid artery has been previously reported, it is not widely appreciated. The purpose of this report is to demonstrate methods of making the diagnosis. We present two cases illustrating the angiographic findings in pseudo-occlusion of the internal carotid artery. Its recognition is important to the vascular surgeon in making recommendations for surgery.
