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1.
Aktuelle Radiol ; 1(6): 330-2, 1991 Nov.
Article in German | MEDLINE | ID: mdl-1821638

ABSTRACT

Five days after a blunt trauma with intrarenal rupture of a renal cyst, whereby temporarily a calyceal communication had formed, there was a spontaneous second rupture of the cyst with excessive retroperitoneal haemorrhage. Surgical treatment was necessary and could be accomplished without nephrectomy. Both an arterial bleeding at the bottom of the cyst and a several days' old renal infarction at the edge of the cyst seemed to be relevant for the two-stage rupture. The sonographic, urographic and surgical findings are reported.


Subject(s)
Kidney Diseases, Cystic/complications , Wounds, Nonpenetrating/complications , Adult , Humans , Kidney Diseases, Cystic/diagnostic imaging , Male , Rupture , Rupture, Spontaneous , Ultrasonography , Urography
2.
Rofo ; 153(4): 385-9, 1990 Oct.
Article in German | MEDLINE | ID: mdl-2171082

ABSTRACT

65 patients with penetrating or blunt scrotal trauma underwent scrotal ultrasound. High-resolution real-time sonography was able to differentiate testicular from extratesticular lesions in all cases. Lesions of the epididymis were diagnosed in 14 cases. In epididymal haematoma sonography revealed an hyperechoic enlarged epididymis whereas posttraumatic epididymitis was demonstrable as hypoechoic swelling. 14 testicular ruptures and 6 testicular haematomas without disruption of the tunica albuginea were correctly diagnosed. Diagnosis could be confirmed at operation in 12 cases and by clinical and sonographic follow-up in 8 cases. A heterogeneous parenchymal pattern, contour abnormalities, poorly defined margins and obvious fragmentation of the testicle strongly suggest testicular rupture.


Subject(s)
Scrotum/injuries , Wounds, Nonpenetrating/diagnostic imaging , Wounds, Penetrating/diagnostic imaging , Adolescent , Adult , Aged , Child , Hematocele/diagnostic imaging , Hematocele/etiology , Humans , Male , Middle Aged , Rupture , Scrotum/diagnostic imaging , Testis/diagnostic imaging , Testis/injuries , Ultrasonography
3.
Radiologe ; 30(7): 337-43, 1990 Jul.
Article in German | MEDLINE | ID: mdl-2205889

ABSTRACT

A total of 135 patients with a suspected diagnosis of post-traumatic, postoperative or inflammatory soft-tissue lesions were examined by ultrasound. The majority of patients (n = 48) showed post-traumatic soft-tissue hematomas with or without muscle rupture. Post-operative hematomas were found in 23 and hematomas after anticoagulation therapy in 4 patients. Inflammatory soft-tissue lesions were diagnosed in 14 patients and inflammatory tendon lesions in 16. The ultrasonographic diagnoses and therapeutic consequences were compared retrospectively. Therapeutic management was based upon the clinical signs and sonographic findings. Ultrasonically guided needle aspiration is of diagnostic value and is performed as a therapeutic modality as well.


Subject(s)
Hematoma/diagnosis , Inflammation/diagnosis , Postoperative Complications/diagnosis , Ultrasonography , Wounds and Injuries/complications , Adolescent , Adult , Aged , Aged, 80 and over , Child , Female , Hematoma/etiology , Hematoma/therapy , Humans , Inflammation/therapy , Male , Middle Aged , Postoperative Complications/therapy
4.
Rofo ; 151(6): 706-12, 1989 Dec.
Article in German | MEDLINE | ID: mdl-2556748

ABSTRACT

Damage to intracranial arteries was demonstrated angiographically in 24 patients with severe trauma to the skull and brain. The most common abnormalities were damage to the intima and traumatic carotid-cavernous fistulae (nine cases each). In addition, there were six traumatic aneurysms of the internal carotid artery, two extravasates from ruptured intracranial branches and one traumatic A-V fistula between the middle meningeal artery and the spheno-parietal sinus. The arterial damage was diagnosed either during the acute stage or after a latent period of days and weeks, if there were signs of intracranial bleeding or other evidence of vascular damage. Cerebral angiography in two or more projections is the method of choice for demonstrating even minor vascular lesions.


Subject(s)
Cerebral Arteries/injuries , Adolescent , Adult , Aged , Aged, 80 and over , Arteriovenous Fistula/diagnostic imaging , Arteriovenous Fistula/etiology , Carotid Artery Diseases/diagnostic imaging , Carotid Artery Diseases/etiology , Cavernous Sinus , Cerebral Angiography , Female , Humans , Intracranial Aneurysm/diagnostic imaging , Intracranial Aneurysm/etiology , Male , Middle Aged , Rupture
5.
Rofo ; 151(4): 465-9, 1989 Oct.
Article in German | MEDLINE | ID: mdl-2479059

ABSTRACT

During the course of four and a half years, transrectal sonography was performed in 724 men; in each case the seminal vesicles and prostate were evaluated. In 149 examinations, changes were found in the seminal vesicles and in 143 of these, the sonographic finding suggested that the changes were due to prostatic disease. In 95 histologically proven prostatic carcinomas, infiltration of the seminal vesicles could be demonstrated. In three patients there was an empyema and in three others a malformation of the seminal vesicles. Prostatic sonography is essential for accurate diagnosis of the basic abnormality.


Subject(s)
Prostatic Hyperplasia/pathology , Prostatic Neoplasms/pathology , Seminal Vesicles/pathology , Ultrasonography , Adult , Aged , Aged, 80 and over , Humans , Male , Middle Aged
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