ABSTRACT
A 29-year-old woman 3 weeks after her first childbirth suffered from atypical and progressive pain in the pelvis, which turned out to be a symptom of osteomyelitis of the pubic bone. She recovered after treatment with antibiotics and 6 weeks' stabilization of the pelvis. Symptoms of osteomyelitis resemble those of pubic osteitis, symphyseal rupture and symphysiolysis. Radiologically, osteomyelitis is characterized by development of infiltrates, cortical involvement and local osteopenia. Isolation of micro-organisms in a bone culture after puncture is regarded as proof of the diagnosis. The treatment is primarily with antibiotics, if abscesses or sequestra develop these should be relieved and/or removed.
Subject(s)
Enterobacteriaceae Infections/diagnosis , Osteomyelitis/diagnosis , Pain/etiology , Pubic Bone/diagnostic imaging , Pubic Bone/microbiology , Puerperal Infection/diagnosis , Adult , Diagnosis, Differential , Enterobacter aerogenes/isolation & purification , Enterobacteriaceae Infections/complications , Enterobacteriaceae Infections/microbiology , External Fixators , Female , Humans , Osteomyelitis/complications , Osteomyelitis/diagnostic imaging , Osteomyelitis/microbiology , Pregnancy , Puerperal Infection/complications , Puerperal Infection/diagnostic imaging , Puerperal Infection/microbiology , RadiographyABSTRACT
Up to now two abnormal nephrographic patterns have been described as a result of arterial hypotension as an adverse response to urographic contrast material. We would like to describe a third pattern.
Subject(s)
Iodobenzoates/adverse effects , Kidney/diagnostic imaging , Metrizoic Acid/adverse effects , Female , Humans , Hypotension/etiology , Metrizoic Acid/analogs & derivatives , Middle Aged , RadiographyABSTRACT
Sonograms of 45 consecutive patients with histologically proven acute cholecystitis were retrospectively reviewed. The following sonographic criteria were evaluated for the presence of: thickening of the gallbladder wall; enlargement of the transverse diameter; gallbladder pressure pain (Murphy's sign); local hypoechoic areas in the bladder wall, and finally the indistinct internal appearance. All 4 patients (8.9%) with acalculous cholecystitis were detected by ultrasound. Its sensitivity as a test to detect acute cholecystitis is 88.9%, its specificity and accuracy 97.8 and 96.1%, respectively.
Subject(s)
Cholecystitis/diagnosis , Gallbladder/pathology , Ultrasonography , Acute Disease , Cholecystitis/pathology , HumansABSTRACT
It is important to be aware of the position of the transabdominal infusion catheter and of the expected distribution of the chemotherapeutic agent, prior to the administration of intraperitoneal chemotherapeutic agents for metastatic tumour. The intraperitoneal introduction of technetium-99m labelled human serum albumin provides a means of studying fluid distribution, as well as identifying the catheter position. The technique used in this examination, the expected normal pattern of distribution and various pathological findings and pitfalls of the peritoneal scan are discussed on the basis of results in 10 patients, in whom 24 intraperitoneal scintigraphic studies were done. In one of these scans there was inappropriate filling of the lesser sac. In another scan the tip appeared to lie within the lumen of the small bowel. In two other patients inappropriate filling of the large bowel was seen. Only one scan showed a total widespread distribution of the scintigraphic agent throughout the abdominal cavity. In 16 other scans the spread was satisfactory. In three scans certain parts of the abdominal cavity did not show any activity at all. In these last scans computed tomography findings could explain why there was a poor peritoneal distribution of the scintigraphic agent.
