ABSTRACT
A case of acute cholecystitis in a high risk patient was treated in the acute phase with cholecystostomy guided by ultrasound and with introduction of a pig-tail catheter for drainage. Later, percutaneous laser lithotripsy was undertaken via a flexible choledochoscope. The recent percutaneous therapeutic principles and the possibilities in biliary calculous disease are reviewed.
Subject(s)
Cholecystostomy/methods , Cholelithiasis/surgery , Laser Therapy/methods , Lithotripsy/methods , Acute Disease , Cholelithiasis/diagnostic imaging , Female , Humans , Middle Aged , RadiographySubject(s)
Lung Diseases, Obstructive/diagnosis , Adolescent , Adult , Aged , Auscultation , Chronic Disease , Female , Heart Failure/complications , Humans , Lung Diseases, Obstructive/diagnostic imaging , Lung Diseases, Obstructive/etiology , Male , Middle Aged , Pulmonary Circulation , RadiographyABSTRACT
Pulmonary congestion in chronic heart disease was evaluated by lung auscultation and roentgen examination of the chest and compared with pressure recording of the pulmonary circulation in 49 cases. Whereas auscultation appeared not to be correlated to the pressures, the radiologic findings proved to be a reliable measure of increased pressures. The radiologic assessment was based on isolated flow shift to the upper lobes of the lungs, indicating slight pulmonary venous hypertension, and flow shift in association with blurring of the lower lobe vessels, indicating pulmonary interstitial oedema. In distinction to the results from acute cardiac failure interlobular septa were often demonstrated in association with pulmonary interstitial oedema, and pulmonary alveolar oedema rarely demonstrated in spite of marked pulmonary venous hypertension.
Subject(s)
Heart Diseases/complications , Lung Diseases/etiology , Adolescent , Adult , Aged , Auscultation , Blood Pressure , Chronic Disease , Female , Heart Diseases/diagnostic imaging , Heart Diseases/physiopathology , Humans , Lung Diseases/diagnostic imaging , Lung Diseases/physiopathology , Male , Middle Aged , Pleural Effusion/diagnostic imaging , Pleural Effusion/etiology , Pulmonary Circulation , Pulmonary Edema/diagnostic imaging , Pulmonary Edema/etiology , Radiography , Vascular Diseases/diagnostic imaging , Vascular Diseases/etiology , Vascular Diseases/physiopathologyABSTRACT
Following institution of chronic dialysis and/or renal transplantation for terminal uremia, four consecutive patients observed for 15-48 months with their polycystic kidneys in situ invariably showed a rapid relief of symptoms (pain, hematuria) followed by a gradual, but steady, involution of the kidneys. The mechanism and the practical clinical implications are discussed.
