MRI of Penile Prostheses: The Challenge of Diagnosing Postsurgical Complications

Abstract Background Naso-ethmoidal meningoencephalocele is usually a congenital anomaly consisting of a protrusion of cerebral tissue and meninges into the ethmoidal labyrinth. The condition is a rare cause of structural epilepsy in dogs. We report the clinical presentation, surgical intervention, postoperative complications and outcome in a dog with drug resistant epilepsy secondary to a meningoencephalocele. Case presentation A 3.3-year-old male neutered Tamaskan Dog was referred for assessment of epileptic seizures secondary to a previously diagnosed left-sided naso-ethmoidal meningoencephalocele. The dog was drug resistant to medical management with phenobarbital, potassium bromide and levetiracetam. Surgical intervention was performed by a transfrontal craniotomy with resection of the meningoencephalocele and closure of the dural defect. Twenty-four hours after surgery the dog demonstrated progressive cervical hyperaesthesia caused by tension pneumocephalus and pneumorrhachis. Replacement of the fascial graft resulted in immediate resolution of the dog’s neurological signs. Within 5 months after surgery the dog progressively developed sneezing and haemorrhagic nasal discharge, caused by sinonasal aspergillosis. Systemic medical management with oral itraconazole (7 mg/kg orally q12h) was well-tolerated and resulted in resolution of the clinical signs. The itraconazole was tapered with no relapsing upper airway signs. The dog’s frequency of epileptic seizures was not affected by surgical resection of the meningoencephalocele. No treatment adjustments of the anti-epileptic medication have been necessary during the follow-up period of 15 months. Conclusions Surgical resection of the meningoencephalocele did not affect the seizure frequency of the dog. Further research on prognostic factors associated with surgical treatment of meningoencephaloceles in dogs is necessary. Careful monitoring for postsurgical complications allows prompt initiation of appropriate treatment.

Download Full-text

The Postoperative Pancreas Imaging

Journal of Gastrointestinal and Abdominal Radiology ◽

10.1055/s-0040-1701747 ◽

2020 ◽

Vol 3 (01) ◽

pp. 087-098

Author(s):

Ahmed Taher ◽

Bilal Mujtaba ◽

Nisha S. Ramani ◽

Asif Patel ◽

Ajaykumar C. Morani

Keyword(s):

Surgical Techniques ◽

Mortality Rates ◽

Early Postoperative Period ◽

Imaging Findings ◽

Postoperative Assessment ◽

Postsurgical Complications ◽

Postoperative Intensive Care ◽

Computed Tomography Scans ◽

Hospital Stays ◽

Postoperative Findings

Abstract Recent advances in the surgical techniques and postoperative intensive care have led to a decrease in the mortality rates after major pancreatic procedures, which now ranges from 1 to 3%. However, the morbidity rates are still high, resulting in longer hospital stays and greater cost. Imaging plays a fundamental role in the postoperative assessment. Specially, multidetector computed tomography scans (MDCT) is the modality of choice in the postoperative settings. Early diagnosis of the postoperative complications and differentiating them from being normal or expected postoperative findings is crucial to offer the best possible care for patients and to decrease the morbidity and mortality associated with surgery. In this article, we will briefly review the normal pancreatic anatomy, discuss the main types of pancreatic surgeries, and illustrate the imaging findings during the early postoperative period and of the main postsurgical complications in both acute and chronic postoperative settings.

Download Full-text

Inflatable penile prostheses for the treatment of erectile dysfunction: an update

Expert Review of Medical Devices ◽

10.1586/17434440.5.2.133 ◽

2008 ◽

Vol 5 (2) ◽

pp. 133-144 ◽

Cited By ~ 8

Author(s):

Bruce B Garber

Keyword(s):

Erectile Dysfunction ◽

Penile Prostheses

Download Full-text

A Catalog of Magnetic Resonance Imaging Compatibility of Penile Prostheses

Journal of Sexual Medicine ◽

10.1111/j.1743-6109.2012.02689.x ◽

2012 ◽

Vol 9 (5) ◽

pp. 1482-1487 ◽

Cited By ~ 7

Author(s):

Gregory Lowe ◽

Ryan P. Smith ◽

Raymond A. Costabile

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Resonance Imaging ◽

Penile Prostheses

Download Full-text

Antiseptic lavage reduces infection of inflatable penile prostheses

Nature Clinical Practice Urology ◽

10.1038/ncpuro1027 ◽

2008 ◽

Vol 5 (3) ◽

pp. 125-126

Keyword(s):

Penile Prostheses

Download Full-text

Grade of esophageal cancer and nutritional status impact on postsurgery outcomes

Arquivos de Gastroenterologia ◽

10.1590/s0004-28032010000400006 ◽

2010 ◽

Vol 47 (4) ◽

pp. 348-353 ◽

Cited By ~ 14

Author(s):

Flávia Andréia Marin ◽

Vânia Cristina Lamônica-Garcia ◽

Maria Aparecida Coelho de Arruda Henry ◽

Roberto Carlos Burini

Keyword(s):

Body Mass Index ◽

Nutritional Status ◽

Disease Severity ◽

Body Mass ◽

Disease Onset ◽

Body Weight Loss ◽

Blood Chemistry ◽

Palliative Surgery ◽

Postsurgical Complications ◽

Complications And Mortality

CONTEXT: Undernutrition is a well known underlying cause in both disease onset and outcome. OBJECTIVE: To associate disease severity with pre surgical nutritional status, the main postsurgical complications, and mortality in esophagus cancer patients. METHOD: Retrospective data from 100 patients (38-81 years old, 85% males) who had undergone esophagectomy (G1/n = 25) or gastro/jejunostomy (G2/n = 75) between 1995 and 2004. Data included clinical, endoscopic, histological (TNM-UICC), dietary, anthropometric, blood chemistry, and postsurgical (>30 days) complications and mortality. Surgical groups were compared by Student's test and existing associations between variables by either c² or Fisher exact tests with P = 0.05. RESULTS: The studied sample was predominantly male (85%), white (80%), smokers and alcoholics (95%), dysphagics (95%) mostly presenting body weight loss before cancer diagnosis (78%). TNM III and IV predominated over I and II, associated (P<0.005) with higher body mass index and hypoalbuminemia (<3.5 mg/dL) frequency. Esophagic obstructions (n = 77) were associated (P = 0.002) with lower body mass index (kg/m²). Postsurgical complications were more common in G1 (69.2%) than G2, predominantly with infections in G2 (80%) and pleura-pulmonary in G1 (61%). Body mass index and lower lymphocyte counts were associated with early infections and postsurgical complications in G2. Plasma albumin levels were lower in this group than G1, and were associated with postsurgical complications and mortality whereas lower lymphocyte counts was associated with mortality in G1. CONCLUSIONS: Disease severity (or late diagnosis) is associated with poor nutritional status and palliative surgery which lead to more complicated postsurgery outcome and mortality. Early diagnosis and nutritional intervention are the recommended actions.

Download Full-text