ABSTRACT
In 1,250 consecutive patients with nondiagnostic first-dose oral cholecystograms (OCG), the authors performed an upper gastrointestinal series (UGI) that same day prior to repeating the gallbladder studies. The residual barium from the UGI obscured the gallbladder on the reinforced OCG in only 19 patients (1.5%). This approach can alleviate scheduling problems, shorten the hospital stay for patients, decrease the time lost from work for outpatients, and permit an earlier correct diagnosis when the major problem is upper gastrointestinal rather than biliary.
Subject(s)
Appointments and Schedules , Cholecystography , Digestive System/diagnostic imaging , Hospital Departments/organization & administration , Radiology Department, Hospital/organization & administration , HumansABSTRACT
There is a spectrum of endometrial stromal neoplasms which extends from borderline benign to low-grade malignant. These have a definite tendency to metastasize. Proper diagnosis is important because they have an excellent prognosis with long-term survival even with evidence of recurrence or metastases. Aggressive treatment is mandatory. This represents the first report of the radiographic spectrum of the entity as seen in 7 cases. The patients are usually in middle age and present with vaginal bleeding. Not previously stressed is the presence of diarrhea in many of them. Prior uterine surgery even for "fibroids" should be viewed with suspicion. A pelvic mass was usually seen on plain films, intervenous pyelogram (IVP), or barium enema (BE). Ultrasound showed a mixed cystic configuration of the tumors, whereas computed tomography (CT) demonstrated a definitely solid mass. The lesions simulated primary carcinoma of the colon, retroperitoneal tumor, and pelvic inflammatory disease. Metastases to the lung and the bone were also identified.
Subject(s)
Uterine Neoplasms/diagnostic imaging , Adult , Aged , Barium Sulfate , Bone Neoplasms/secondary , Enema , Female , Humans , Lung Neoplasms/secondary , Middle Aged , Prognosis , Tomography, X-Ray Computed , Ultrasonography , Urography , Uterine Neoplasms/diagnosisABSTRACT
A mother and 2 children with ureteropelvic junction obstruction are described. This is the eighth instance of familial hydronephrosis secondary to ureteropelvic junction obstruction. In this family 10 months elapsed between the diagnosis in the first sister and the realization that an obstruction also was present in the sibling. With the recognition that ureteropelvic junction obstruction can be familial it is hoped that earlier, possibly correctable cases will be found. An autosomal dominant form of inheritance with variable penetrance is suggested in this family.
Subject(s)
Ureteral Obstruction/genetics , Adult , Child, Preschool , Female , Humans , Hydronephrosis/diagnostic imaging , Hydronephrosis/etiology , Hydronephrosis/genetics , Pedigree , Radiography , Ureteral Obstruction/complications , Ureteral Obstruction/diagnostic imagingABSTRACT
Acute epiglottitis in adults is a serious, often rapidly fatal disease, unless diagnosed promptly. Any adult with pain the the throat out of proportion to the visible signs of pharyngitis should have a right and left lateral soft tissue radiograph of the neck and/or indirect laryngoscopy. When expertly interpreted, the roentgenograms can be of inestimable value. Appropriate therapy, including antibiotics and possibly a tracheostomy, should be started immediately.
Subject(s)
Laryngitis/diagnosis , Acute Disease , Adult , Epiglottis , Humans , Laryngitis/diagnostic imaging , Laryngitis/therapy , Middle Aged , RadiographyABSTRACT
Occasional reports have described contralateral displacement of the kidney, gall bladder, or liver by masses, but no ultrasonographic description of this phenomenon has been published. To our knowledge, this is the first report of contralateral displacement of all three structures by an encapsulated, well-differentiated low-grade liposarcoma. The significance to the ultrasonographer lies in the fact that he may be the first physician, as we were in this case, to have the opportunity to recognize the true anatomical relationships of all three organs and to suggest that this tumor is more likely to be benign or slowly growing rather than a highly infiltrative process.
Subject(s)
Liposarcoma/diagnosis , Retroperitoneal Neoplasms/diagnosis , Ultrasonography , Adult , Female , HumansSubject(s)
Cysts/diagnosis , Stomach Diseases/diagnosis , Ultrasonography , Female , Humans , InfantABSTRACT
Seven cases of iatrogenic rupture of the intrahepatic bile ducts were demonstrated on T-tube and/or operative cholangiography. This brings the total of documented case reports to 17. All patients had hepatic duct exploration with either the Fogarty balloon catheter and/or the biliary spoon and/or the biliary forceps and/or Bakes dilators. These extravasations usually occur from the right hepatic duct. The recognition of this entity is important because potentially serious complications may occur. Most of the previous cases of intrahepatic extravasation ascribed to excessive pressures of injection were probably surgically induced.
