Fluoroscopy-Guided Biliary Procedures in a Pregnant, Liver Transplant Patient: Fetus Radiation Protection

Author(s):  
R Gerasia ◽  
C Cannataci ◽  
G S Gallo ◽  
C Tafaro ◽  
C Caruso ◽  
...  

Abstract We report three cases of clinically necessary, fluoroscopy-guided, percutaneous biliary procedures performed safely in a pregnant, liver transplant recipient using three different angiography suites. The uterine cumulative equivalent dose was 0.25 mSv, a value obtained by adding the doses of the three procedures described above, and which is relatively low when compared with the naturally occurring background radiation exposure for a 9-month pregnancy (~0.5–1 mSv). Our experience shows that staff knowledge, awareness and liaison promote the application of all dose reduction strategies possible while still achieving the clinical aim despite using different angiographic equipment.

2007 ◽  
Vol 21 (11) ◽  
pp. 753-755 ◽  
Author(s):  
Peter TW Kim ◽  
Jennifer E Davis ◽  
Siegfried R Erb ◽  
Eric M Yoshida ◽  
Urs P Steinbrecher

Malakoplakia is a rare inflammatory condition seen in transplant patients. There are two previously reported cases of malakoplakia involving the gastrointestinal tract in liver transplant patients. The present paper reports a case of colonic malakoplakia in a 58-year-old woman, a liver transplant recipient who was receiving immunosuppressive drugs. She presented with chronic diarrhea while on tacrolimus. There was no history of antecedent infection. Colonoscopy showed patchy mucosal edema, but no discrete yellow plaques or nodules. The diagnosis was made by colon biopsies, which showed chronic inflammation with many histiocytes containing Michaelis-Gutmann bodies. Although rare, malakoplakia is one of many potential causes of diarrhea in a transplant patient. The present case indicates that malakoplakia may be associated with chronic diarrhea, even if there are no macroscopic lesions seen during colonoscopy.


2019 ◽  
Vol 71 (2) ◽  
Author(s):  
Kenneth Lim ◽  
Riccardo Autorino ◽  
Alessandro Veccia ◽  
Eduardo B. Zukovksi ◽  
Marlon Levy ◽  
...  

2021 ◽  
Vol 23 (8) ◽  
Author(s):  
Parul Kakar ◽  
James Gubitosa ◽  
Christine Gerula

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