Subject(s)
Mesenteric Vascular Occlusion/drug therapy , Plasminogen Activators/administration & dosage , Thrombolytic Therapy/methods , Thrombosis/drug therapy , Urokinase-Type Plasminogen Activator/administration & dosage , Aged , Female , Humans , Infusions, Intra-Arterial , Mesenteric Artery, Superior , Mesenteric Vascular Occlusion/diagnostic imaging , Mesenteric Veins , Plasminogen Activators/therapeutic use , Thrombosis/diagnostic imaging , Tomography, X-Ray Computed , Urokinase-Type Plasminogen Activator/therapeutic useABSTRACT
Perforation of the gallbladder from blunt abdominal trauma is relatively rare, and is usually diagnosed at laparotomy for associated visceral injury. Isolated injury of the gallbladder may be unrecognized leading to delayed diagnosis and its associated increased morbidity. Computerized tomography, sonography, and HIDA Tc99m may be used in the early diagnosis of the acutely perforated gallbladder.
Subject(s)
Gallbladder/injuries , Wounds, Nonpenetrating/diagnostic imaging , Abdominal Injuries/diagnostic imaging , Adult , Humans , Male , Rupture/diagnostic imaging , Tomography, X-Ray Computed , UltrasonicsABSTRACT
Total proctocolectomy following surgery for ulcerative colitis and carcinoma may be associated with difficulty in healing of the perineal wound. The presentation of delayed abscesses may be insidious in nature and present a diagnostic dilemma. We present a patient with delayed abscess eight years following total proctocolectomy for ulcerative colitis. Early use of computerized tomography is helpful in evaluating the late occurrence of pain in these patients.
Subject(s)
Abscess/etiology , Colectomy , Colitis, Ulcerative/surgery , Perineum , Rectum/surgery , Abscess/diagnostic imaging , Adult , Humans , Male , Perineum/diagnostic imaging , Postoperative Complications , Time Factors , Tomography, X-Ray ComputedABSTRACT
A case is presented of an accessory spleen that was identified on nuclear scan at the time of diagnosis of splenic rupture. This information, proven by subsequent angiography, alerted the surgeons to the ease with which functional splenic tissue could be preserved in this patient. A sulfur colloid scan obtained post surgery confirmed the success of this more conservative operation. In addition, free peritoneal blood was also demonstrated preoperatively as the patient was rotated for a left anterior oblique view.
