RESUMO
A case of traumatic haemobilia following closed injury is presented. A false aneurysm of the right hepatic artery was successfully treated by inadvertent subintimal stripping of the origin of the right hepatic artery.
Assuntos
Hemobilia/cirurgia , Adulto , Cateterismo , Hemobilia/diagnóstico , Hemobilia/patologia , Humanos , MasculinoRESUMO
Hiatal hernia with ulceration at the level of the diaphragm is a well-recognized and not uncommon condition. These ulcers may be simple gastric ulcers in patients who coincidentally have a hiatal hernia, or they may be related to trauma of the stomach against the diaphragm. They are not always readily detected on barium study. The clinical and radiological features in 3 recent cases are described, together with a brief review of the literature.
Assuntos
Hérnia Diafragmática/complicações , Úlcera Gástrica/complicações , Idoso , Feminino , Hérnia Diafragmática/diagnóstico por imagem , Humanos , Radiografia , Úlcera Gástrica/diagnóstico por imagemRESUMO
Three patients who developed obstructive jaundice after mastectomy for carcinoma of the breast are presented. Prognosis is invariably poor as widespread metastases are usually present at the time of presentation. The pathogenesis, investigations and clinical significance are discussed.
Assuntos
Neoplasias da Mama/complicações , Carcinoma/complicações , Colestase/etiologia , Adenocarcinoma/patologia , Adulto , Idoso , Neoplasias da Mama/patologia , Carcinoma/patologia , Feminino , Humanos , Neoplasias Hepáticas/patologia , Pessoa de Meia-Idade , Metástase NeoplásicaRESUMO
Myelographic changes after spinal operation are often difficult to interpret especially with regard to the differentiation between arachnoiditis and recurrent disc prolapse. The radiological appearances using iophendylate (Myodil) and the distinguishing features are discussed and illustrated.
Assuntos
Aracnoidite/diagnóstico por imagem , Deslocamento do Disco Intervertebral/diagnóstico por imagem , Mielografia , Diagnóstico Diferencial , Humanos , Disco Intervertebral/cirurgia , Iodofendilato , Complicações Pós-OperatóriasRESUMO
The computed axial tomographic (CAT) findings in 22 children with intracranial neoplasms are presented. CAT offers a rapid, non-invasive method of assessing the locality and extent of these tumours, as well as the presence of calcification and hydrocephalus. CAT is of value in the follow-up treatment, but an absolute histological diagnosis is not always possible.
Assuntos
Neoplasias Encefálicas/diagnóstico , Tomografia Computadorizada por Raios X , Adolescente , Astrocitoma/diagnóstico , Criança , Pré-Escolar , Neoplasias dos Nervos Cranianos/diagnóstico , Craniofaringioma/diagnóstico , Ependimoma/diagnóstico , Feminino , Glioblastoma/diagnóstico , Humanos , Lactente , Masculino , Meduloblastoma/diagnóstico , Neurilemoma/diagnóstico , Oligodendroglioma/diagnóstico , Pinealoma/diagnóstico , Neoplasias Hipofisárias/diagnóstico , Esclerose Tuberosa/diagnósticoRESUMO
Caecal volvulus is usually associated with a twisted caecum, seen to occupy the umbilical area or left hypochondrium on radiography. Caecal bascule refers to the form of volvulus in which the distended caecum is situated within the pelvis. The caecal bascule type of obstruction is uncommon, and clinical and radiological appearances may be confusing. Two cases are presented and the incidence, pathogenesis and radiological features are discussed.
