RESUMO
Splenic rupture is most commonly encountered after blunt abdominal trauma. Atraumatic spontaneous splenic rupture is a rarer entity and can occur in both histologically normal and diseased spleen. It has a high morbidity, as there is often little or no clinical history to suggest its presence, and is generally diagnosed after imaging. We describe three experiences of spontaneous splenic rupture at our institution and discuss possible causes for the radiologist to consider.
Assuntos
Dor Abdominal/diagnóstico por imagem , Hematoma/diagnóstico por imagem , Ruptura Esplênica/diagnóstico por imagem , Dor Abdominal/complicações , Idoso , Diagnóstico Diferencial , Feminino , Hematoma/cirurgia , Humanos , Pessoa de Meia-Idade , Ruptura Espontânea/diagnóstico por imagem , Ruptura Espontânea/cirurgia , Ruptura Esplênica/cirurgia , Tomografia Computadorizada por Raios X , Resultado do TratamentoAssuntos
Dor Abdominal/etiologia , Aneurisma Infectado/diagnóstico por imagem , Aneurisma da Aorta Abdominal/diagnóstico por imagem , Intoxicação Alimentar por Salmonella/complicações , Adulto , Aneurisma Infectado/tratamento farmacológico , Antibacterianos/administração & dosagem , Hérnia Diafragmática/diagnóstico por imagem , Humanos , Masculino , Radiografia , Intoxicação Alimentar por Salmonella/tratamento farmacológico , Tomógrafos Computadorizados , Resultado do TratamentoRESUMO
Dacryocystoplasty (DCP) was offered as an alternative to patients waiting for dacryocystorhinostomy (DCR) for epiphora. 31 procedures were undertaken with a technical success rate of 93% and a clinical improvement in 89% of these patients. It is concluded that DCP should be the technique of choice in the initial management of epiphora due to stenosis or occlusions of the nasolacrimal ducts before contemplating a DCR.
Assuntos
Cateterismo/métodos , Doenças do Aparelho Lacrimal/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Inadvertent retraction of a localizing wire into the breast occurred in three of a series of 158 localizations prior to biopsy for an impalpable mammographic abnormality. In each case retraction was followed by migration into the subcutaneous tissues and/or spontaneous extrusion. A wire inserted for localization prior to guided biopsy of the breast should be left long and secured externally to prevent retraction.
Assuntos
Biópsia/instrumentação , Mama , Migração de Corpo Estranho , Idoso , Biópsia/métodos , Mama/patologia , Doenças Mamárias/patologia , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
Seventy patients underwent small bowel enema (SBE) to assess the influence of experience of the radiologist on the ease of jejunal intubation and the adequacy of SBE using two types of tubes. Comparing intubation time, intubation screening time, total screening time and total room time, we conclude that jejunal intubation is achieved easily, in a reasonable time with both types of tube, by all grades of radiologist, although the experienced operator using the Silk tube achieved intubation in a significantly shorter time. Overall patient acceptability was satisfactory (75%) but was better using the Silk tube, with which entero-gastric reflux and vomiting were less.
