Subject(s)
Choroid Diseases/drug therapy , Pentamidine/therapeutic use , Pneumonia, Pneumocystis/drug therapy , Acquired Immunodeficiency Syndrome/complications , Administration, Inhalation , Adult , Choroid Diseases/complications , Choroid Diseases/microbiology , Female , Humans , Pentamidine/administration & dosage , Pneumocystis/drug effects , Pneumonia, Pneumocystis/complications , Visual Acuity , Zidovudine/therapeutic useABSTRACT
Retroperitoneal abscesses have been a difficult diagnostic and therapeutic challenge in the past. With the advent of precise noninvasive imaging modalities, they now are defined more easily. Percutaneous guided catheter drainage has changed our therapeutic approach to this disease and enabled rapid and complete drainage to be performed in the majority of cases. Although the literature is replete with documentation of the percutaneous management of intra-abdominal abscesses, series dealing with retroperitoneal abscesses exclusively are surprisingly infrequent. We report on the percutaneous treatment of 31 retroperitoneal abscesses and the combined percutaneous and surgical management of 4 additional cases.
Subject(s)
Abscess/therapy , Drainage/methods , Punctures , Retroperitoneal Space , Abscess/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Catheterization/methods , Drainage/adverse effects , Female , Humans , Male , Middle Aged , Punctures/adverse effects , Retroperitoneal Space/diagnostic imaging , Tomography, X-Ray Computed , UltrasonographyABSTRACT
Cervical esophageal varices occur rarely. Although cases of primary upper esophageal varices have been reported, the most frequent underlying etiology is superior vena cava obstruction. Usually asymptomatic, cervical esophageal varices may occasionally be responsible for significant gastrointestinal hemorrhage. Twenty-five cases of upper esophageal varices have been described in the literature to date. Three additional cases are presented and the previous literature is reviewed. Potential collateral pathways in the presence of superior vena cava obstruction are discussed.
