[Aneurysm of the cystic artery as a rare cause of hemobilia]. / Aneurysma der Arteria cystica als seltene Ursache einer Hämobilie.

A 52-year old woman was admitted to the hospital because of upper abdominal pain and hematemesis. Laboratory parameters showed marked cholestasis. Endoscopic retrograde cholangiopancreatography (ERCP) lead to the diagnosis of hemobilia. CT-scan and angiography revealed an aneurysm of the cystic artery as the cause of hemobilia. Cholecystectomy was performed because of concomitant cholecystitis. Anatomical examination confirmed clinical diagnosis.

[Diagnostic angiography in life-threatening colonic hemorrhage in Crohn disease]. / Angiographische Diagnostik einer lebensbedrohlichen Kolonblutung bei Morbus Crohn.

Life-threatening colonic hemorrhage is a very rare condition in Crohn's disease. Lower gastrointestinal hemorrhage in Crohn's disease occurs in 0.6-2.5% of cases. In a patient presenting with severe gastrointestinal bleeding after ileocolectomy, mesenteric angiography provided precise localisation of the bleeding site in the area of the splenic flexure.

[Mechanical high speed analysis of acute thromboembolic occlusions of t he popliteal artery. Initial experiences with the Amplatz thrombectomy catheter]. / Mechanische Hochgeschwindigkeitslyse von akuten thromboembolischen Verschlüssen der A. poplitea. Erste Erfahrungen mit dem Amplatz-Thrombektomie-Katheter.

PURPOSE: To determine the efficacy and the benefits of the Amplatz Thrombectomy Device (ATD) in acute thromboembolic occlusions of the popliteal artery. PATIENTS AND METHODS: 15 Patients (mean age 66 years) presenting with acute thromboembolic occlusions of the popliteal artery underwent mechanical thrombolysis with the ATD. The duration of symptoms was 1-22 days, mean length of occlusion was 7 cm (5-10 cm). RESULTS: Mechanical thrombolysis was successfully performed in 14/15 patients. The mean running time of the ATD was 4 minutes. The ATD failed in one patient with a 22-day history of popliteal artery occlusion. Remaining stenoses after ATD-thrombolysis were treated with percutaneous transluminal angioplasty (n = 3): pulse spray thrombolysis with urokinase was performed in two patients, in one patient aspiration thromboembolectomy with a 5F-catheter was performed to remove a small embolus from the anterior tibial artery. The ankle-brachial-index increased from 0.62 +/- 0.25 to 0.9 +/- 0.15. CONCLUSIONS: The ATD seems to be a safe, simple, and fast-acting mechanical device from mechanical thrombectomy in the lower limbs. No complications were seen.

[Thrombosis of the upper thoracic inflow vessel. Spiral CT and 3-D reconstruction]. / Thrombose der oberen thorakalen Einstrombahn. Spiral-CT and 3-D-Rekonstruktion.

Spiral-CT-Depiction and 3D-Reconstruction: A patient complaining of upper thoracic inlet syndrome after thyroidectomy underwent contrast-enhanced spiral-CT. Coronal reconstructions and three-dimensional reconstructions were used to generate phlebographic images of the thoracic inlet veins thrombosis. The diagnosis of thrombosis was confirmed by phlebography.

[Radiologic image of massive diverticulosis of the small intestine]. / Radiologisches Bild einer massiven Dünndarmdivertikulose.

Diverticulosis of the small bowel is rare compared with diverticular disease of the colon. Diverticulosis of the duodenum is more common than the involvement of the whole small bowel including the ileum which is a very rare condition. In a patient presenting with gastrointestinal bleeding extensive diverticulosis of the whole small bowel was identified; the etiology is discussed.

[Percutaneous atherectomy of the pelvic and leg arteries]. / Perkutane Atherektomie an den Becken-Bein-Arterien.

Percutaneous atherectomy, using a Simpson atherectomy catheter, was performed in 70 patients (43 men, 27 women) whose average age was 72 years (range 42 to 87 years). Between June 1988 and July 1989 all patients with disease in suitable localisations were treated in this way. The Doppler sonographic index before treatment was 0.6 (SD = 0.15), after treatment 0.89 (SD = 0.13). Recurrence was 21% after six months and 29% after twelve months. Atherectomy is superior to balloon dilation in the treatment of solitary eccentric stenoses of the superficial femoral artery and of the popliteal artery.