scholarly journals Improved accuracy of diagnosis hepatomegaly at computed tomography.

2018 ◽  
Vol 96 (5) ◽  
pp. 454-458
Author(s):  
A. I. Gromov ◽  
A. L. Alliua ◽  
N. S. Kulberg ◽  
P. A. Dulin
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Abdominal Cavity ◽  
Liver Volume ◽  
Liver Size ◽  
Organ Volume ◽  
Strong Relation ◽  
Right Lobe ◽  
The Right ◽  
Positive Results

Objectives: to increase informationvalue of computed tomography (CT) scan in assessing liver size Material and methods. The CT scan of the abdominal cavity of 108 patients from Moscow Radiological information system have been analysed. Measurement of three liver sizes, namely: width, height and thickness. Has been carried out 3D reconstruction of liver has been made on basis of its segmentation in the special module of the multimodal station Philips (IntelliSpase Portal), which permit to determine the organ volume with high accuracy. Results. It is established that in most cases (52%) judgment of liver volume is based on one kraniokaudal dimention of the right lobe. The number offalse positive results in determining the volume of the liver, according to the CT scan is 33.3% (specificity and predictability of the negative result is 60%), which reflects the hepatomegaly’s overdiagnosis. Using this data, it's been revealed that there are 2 sizes whose summation has a strong relation to the volume of the organ among all common linear size: craniocaudal and anteroposterior dimentions of the right lobe (r = 0,85). The most convenient in practice parameter for establishing the fact of a hepatomegaly is determined as the sum of given sizes and borderline value, that is 36 cm, is determined. The usage of this parameter reduces the number of false positive results to 5,6% and raises efficiency indicators of determinating of liver volume (specificity and predictability ofnegative result amount to 93,3%). Formulas for obtaining values of organ volume on the basis of two and three linear sizes of the right lobe liver sizes are developed. Conclusions. At present, there is a tendency of hyperdiagnosis of hepatomegaly, the cause of which is a complex and diverse form of the liver. The usage of the developed parameter that is the sum of the kraniokaudal and front-back the right lobe sizes increases accuracy for establishing the the fact of a hepatomegaly.

scholarly journals Delayed Extradural Hematoma after Evacuation of Contralateral Acute Extradural Hematoma

2020 ◽  
Author(s):  
Majid Anwer ◽  
Atique Ur Rehman ◽  
Farheen Ahmed ◽  
Satyendra Kumar ◽  
Md Masleh Uddin
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Postoperative Period ◽  
Road Traffic ◽  
Case Reports ◽  
Mass Effect ◽  
Extradural Hematoma ◽  
Traumatic Head Injury ◽  
Neurologic Deterioration ◽  
The Right

Abstract Introduction Traumatic head injury with extradural hematoma (EDH) is seen in 2% of patients. Development of EDH on the contralateral side is an uncommon complication that has been reported in various case reports. Case Report We report here a case of an 18-year-old male who had a road traffic injury. He was diagnosed as a case of left-sided large frontotemporoparietal acute extradural bleed with a mass effect toward the right side. He was managed with urgent craniotomy and evacuation of hematoma. A noncontrast computed tomography (NCCT) scan performed 8 hours after postoperative period showed a large frontotemporoparietal bleed on the right side with a mass effect toward the left side. He was again taken to the operating room and right-sided craniotomy and evacuation of hematoma were performed. A postoperative NCCT scan revealed a resolved hematoma. The patient made a complete recovery in the postoperative period and is doing well. Conclusion Delayed onset epidural hematoma is diagnosed when the initial computed tomography (CT) scan is negative or is performed early and when late CT scan performed to assess clinical or ICP deterioration shows an EDH. The diagnosis of such a condition requires a high index of suspicion based on the mechanism of injury along with fracture patterns. Additionally, change in pupillary size, raised intracranial pressure, and bulging of the brain intraoperatively are additional clues for contralateral bleeding. Neurologic deterioration may or may not be associated with delayed EDH presentation. An early postoperative NCCT scan within 24 hours is recommended to detect this complication with or without any neurologic deterioration.

scholarly journals Solitary staphylococcal liver abcess in a neonate

2015 ◽  
Vol 14 (3) ◽  
pp. 299-301
Author(s):  
Suman Das ◽  
Dilip Kumar Paul ◽  
Anish Chatterjee ◽  
Sumantra Raut
Keyword(s):  
Computed Tomography ◽  
Medical Science ◽  
Abdominal Distension ◽  
High Fever ◽  
Percutaneous Aspiration ◽  
Intravenous Antibiotics ◽  
Right Lobe ◽  
Sepsis Screen ◽  
The Right

A 28 days old neonate presented with high fever, abdominal distension, poor feeding and lethargy. Sepsis screen was positive; ultrasound and computed tomography of the abdomen demonstrated a multiloculated hepatic abcess in the right lobe of the liver. The baby was treated with intravenous antibiotics for 6 weeks and percutaneous aspiration of the abcess, resulting in excellent recovery.Bangladesh Journal of Medical Science Vol.14(3) 2015 p.299-301

scholarly journals Laparoscopic approach in the treatment of echinococcal liver disease - case report and literature review

2020 ◽  
Vol 148 (7-8) ◽  
pp. 480-483
Author(s):  
Nikola Grubor ◽  
Boris Tadic ◽  
Vladimir Milosavljevic ◽  
Djordje Knezevic ◽  
Slavko Matic
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Open Surgery ◽  
Laparoscopic Approach ◽  
Parasitic Disease ◽  
Hydatid Cysts ◽  
Disease Case ◽  
Right Lobe ◽  
The Right ◽  
Hepatic Hydatid

Introduction. Cystic echinococcosis or hydatid disease is a parasitic disease, zoonosis, and is most commonly caused by Echinococcus granulosus larvae. It mainly occurs in endemic areas. The most common localization is the liver. Case outline. In this paper, we will present our experience with a 67-year-old female patient diagnosed with an echinococcal cyst in the right lobe of the liver, as confirmed by computed tomography examination of the abdomen. The patient underwent laparoscopic partial pericystectomy with omentoplasty. The operation went without complications, as well as the postoperative period. Conclusion. Laparoscopic partial pericystectomy is a safe and effective treatment of available hepatic hydatid cysts. Considering all the benefits of minimally invasive surgery, laparoscopic partial pericystectomy of hepatic hydatid cysts may be the treatment of choice, over the classical open surgery approach.

scholarly journals Diagnosis and surgical treatment of liver echinococcosis

2021 ◽  
Vol 26 (4) ◽  
pp. 113-117
Author(s):  
V.O. Shaprinskyi  ◽  
O.O. Vorovskyi ◽  
O.A. Kaminskyi ◽  
Ya.M. Pashynskyi
Keyword(s):  
Blood Loss ◽  
Pleural Cavity ◽  
Abdominal Cavity ◽  
Diagnostic Value ◽  
Results Of Treatment ◽  
Before And After ◽  
Residual Cavity ◽  
Right Lobe ◽  
The Right ◽  
Duration Of Operation

The results of treatment of 72 patients with echinococcosis of the liver were analyzed, women – 62 (86.2%), men – 10 (13.8%). Primary echinococcosis was detected in 69 (95.8%) patients, secondary – in 3 (4.2%). Among instrumental research methods, ultrasound and computed tomography examination were of diagnostic value. Single liver cysts were found in 63 (87.5%) patients, multiple – in 9 (12.5%). Among patients with solitary cysts, the right lobe was more often affected than the left – 48 (66.7%) vs 24 (33.3%) cases. Echinococcosis of central localization was less common and was noted in 8 (11.1%) cases. Echinococcosis complications were observed in 16 (22.2%) patients. Among them, most often there were suppurations of the cyst – in 13 (18.1%); a bursting of the cyst into the free abdominal cavity – in 1 (1.4%), in the pleural cavity – 1 (1.4%), in the biliary tract – in 1 (1.4%). Partial or complete liming of the hand was observed in 12 (16.7%) patients. In 20 (27.8%) cases, the operation was performed from the upper median access, in 42 (58.3%) – from oblique hypochondria accesses by Kocher or by Fedorov. Pericystectomy was performed in 48 (66.7%) patients, in 8 (11.1%) patients underwent resections of liver segments with an echinococcal cyst, in 4 (5.6%) – cyst opening with removal of contents and treatment of its cavity. Laparoscopic echinococectomy was used in 12 (16.7%) patients. In the postoperative period complications were observed in 16 (22.2%) patients. The use of the welding electrocoagulator EK-300M "Swarmed" in the thermal rehabilitation of the walls of the residual cavity after echinococectomy allowed to reduce blood loss from 2200±210 ml to 250±50 ml. With the use of laparoscopic echinococectomy, intraoperative blood loss was reduced by 9 times (р=0.0001); duration of operation – 2 times (р<0.05), stay in hospital – 3.3 times (р=0.002). There were no fatal outcomes. Before and after operation antirelapse antiparasitic therapy with albendazole (Vormil) was performed in two cycles of 28 days, separated by a 14-day break. The dose at body weight over 60 kg was 400 mg 2 times a day, and for less than 60 kg the drug was calculated at a rate of 15 mg/kg/day. There were 2 (2.8%) cases of relapse, there was no mortality.

Prospective Study of the Correlation Between Postoperative Computed Tomography Scan and Primary Surgeon Assessment in Patients With Advanced Ovarian, Tubal, and Peritoneal Carcinoma Reported to Have Undergone Primary Surgical Cytoreduction to Residual Disease 1 cm or Less

2007 ◽  
Vol 25 (31) ◽  
pp. 4946-4951 ◽  
Author(s):  
Dennis S. Chi ◽  
Pedro T. Ramirez ◽  
Jerrold B. Teitcher ◽  
Svetlana Mironov ◽  
Debra M. Sarasohn ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Residual Disease ◽  
Advanced Ovarian Cancer ◽  
Ct Scans ◽  
Eligibility Criteria ◽  
Primary Surgery ◽  
The Right ◽  
Analysis Scale ◽  
Tomography Scan

Purpose To compare surgeons' operative assessments of residual disease (RD) to those identified on postoperative computed tomography (CT) scans in patients with advanced ovarian carcinoma reported to have undergone optimal primary cytoreduction. Patients and Methods All patients at one of two institutions, who were scheduled to have primary surgery for presumed advanced ovarian cancer, were asked to consent to a postoperative CT scan if cytoreduction to ≤ 1 cm RD was reported. CT scan findings were graded using a qualitative analysis scale from 1 (normal) to 5 (definitely malignant). Results From January 2001 to September 2006, 285 patients were enrolled. A total of 78 patients met eligibility criteria and had postoperative CT scans. In 41 cases (52%), postoperative scan findings correlated with the surgical report of no RD more than 1 cm, and in seven cases (9%), the CT findings were indeterminate. In 10 cases (13%), more than 1 cm RD was noted by the radiologist as probably malignant, and in 20 cases (26%), definitely malignant. In these 30 cases, the radiologically reported median largest residual mass was 1.9 cm (range, 1.1 to 5.1), with RD more than 1 cm reported most commonly in the right upper quadrant (15 patients [50%]) and central abdomen (nine patients [30%]). Conclusion There was only a 52% correlation between surgeons' assessments and postoperative CT scan evaluations of RD in patients reported to have undergone optimal cytoreduction. Further study is required to determine whether this lack of correlation is due to rapid interval tumor regrowth, RD underestimated by the surgeons, and/or overestimated by the radiologists; and to determine the clinical implications of these discrepancies.

A cavernous haemangioma of the thyroid gland

2005 ◽  
Vol 119 (10) ◽  
pp. 828-830 ◽  
Author(s):  
Motohiro Kano ◽  
Kaori Kameyama ◽  
Yasuhiro Hosoda ◽  
Kiminori Sugino ◽  
Koichi Ito
Keyword(s):  
Computed Tomography ◽  
Thyroid Gland ◽  
Soft Tissue Mass ◽  
Cavernous Haemangioma ◽  
Imaging Findings ◽  
Papillary Thyroid ◽  
Tissue Mass ◽  
Surgical Specimen ◽  
Right Lobe ◽  
The Right

Haemangioma of the thyroid gland is extremely rare. We report a case of a cavernous haemangioma of the neck that was located both inside and outside the thyroid gland of a 21-year-old man. Ultrasonography of the neck revealed numerous calcified nodules. Computed tomography (CT) showed a large calcified soft tissue mass in the right lobe of the thyroid. Based on the imaging findings a papillary thyroid carcinoma was suspected, but examination of the surgical specimen revealed a huge cavernous haemangioma containing numerous phleboliths.

scholarly journals Sexual features of facial skull asymmetry according to spiral computed tomography

2021 ◽  
Vol 12 (3) ◽  
pp. 78-85
Author(s):  
M. G. Shepetyuk ◽  
O. A. Kaplunova ◽  
M. G. Shepetyuk ◽  
O. P. Suhanova ◽  
I. M. Blinov
Keyword(s):  
Computed Tomography ◽  
Comparative Analysis ◽  
Ct Scan ◽  
Occurrence Rate ◽  
Moderate Degree ◽  
Spiral Computed ◽  
Male And Female ◽  
Linear Dimensions ◽  
Facial Skull ◽  
The Right

Objective: To perform a comparative analysis of the linear dimensions of the facial skull that are the most signifi cant in determining asymmetry in persons of diff erent sex on spiral computed tomograms (SCT).Materials and Methods: The CT scan of 104 people of both sexes (women – 52%, n = 54, men – 48%, n = 50) were studied. Measurements were made using a standard digital ruler of a computer tomograph workstation, and the asymmetry of the skulls was assessed using the “fan” method. The results were processed using the Excel program.Results: In the male and female series of SCT, according to the size of the intervals of sigma of linear dimensions of the facial skull, the occurrence rate of asymmetry of varying severity was determined.Conclusion: In the male series of SCT, right-sided asymmetry of the linear dimensions of the facial skull prevails in all “fans”, in the female – right-sided asymmetry in the upper and lateral “fans”, but left -sided asymmetry in the lower “fan”. Statistically signifi cant linear dimensions of the facial skull were revealed to determine the severity of asymmetry in both sexes. In the upper “fan”, these are the distances from the nasion to the zygomaxilar (N-Zm), from the nasion to the frontonazale (N-Fn), prevailing on the right in both sexes. In the lower “fan”– the distance from the supraspinal to the zygomaxilar (Ss-Zm), and in the lateral “fan” – the distance from the zygomaxilar to the frontonasal (Zm-Fn), prevailing on the right in both sexes. An insignifi cant or physiological and moderate degree of asymmetry in the size of the facial skull depending on gender was revealed, which did not require correction.

scholarly journals Subhepatic caecum and appendix - a rare variant in an adult male cadaver

2013 ◽  
Vol 02 (02) ◽  
pp. 093-096
Author(s):  
P. Savithri
Keyword(s):  
Iliac Fossa ◽  
Abdominal Cavity ◽  
Intestinal Loop ◽  
Diagnostic Challenge ◽  
Inferior Surface ◽  
Male Cadaver ◽  
Hypochondriac Region ◽  
Right Lobe ◽  
The Right ◽  
Symptoms And Signs

AbstractIn unusual cases of malrotation or incomplete rotation of caecum , the appendix is not located in the lower right quadrant. When the caecum is high [subhepatic caecum] the appendix is located in the right hypochondriac region and the pain in these cases is located there, not in the lower right quadrant. In this position , the symptoms and signs of acute appendicitis may mimic acute cholecystitis, diagnosis in such cases is a great diagnostic challenge. The author observed this less frequent anomaly in a middle aged male cadaver. After opening the abdomen while tracing peritoneal reflections abnormality was identified. The caecum and appendix were present in relation with inferior surface of liver. Embryologically, the caecal swelling appears as a small conical dilation of the caudal limb of primitive intestinal loop and it is the last part of the gut to reenter the abdominal cavity. It is temporarily located in the right upper quadrant directly below the right lobe of liver. From here it descends into the right iliac fossa. The failure to descend leads to subhepatic caecum.

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