scholarly journals DIAGNOSIS OF CONJUGATED ABDOMINAL LESIONS IN PANCREATIC INJURY

2020 ◽  
pp. 77-80
Author(s):  
N. M. Нoncharova ◽  
S. M. Teslenko
Keyword(s):  
Abdominal Cavity ◽  
Abdominal Ultrasound ◽  
Pancreatic Injury ◽  
Diagnostic Value ◽  
Anatomical Location ◽  
Traumatic Injuries ◽  
Abdominal Organs ◽  
Immediate Surgery ◽  
Abdominal Lesions ◽  
Abdominal Ultrasound Examination

Summary. Resume. Traumatic injuries of the pancreas by the difficulty in diagnosis and choice of method of therapeutic tactics are some of the most difficult among traumatic lesions of the abdominal organs. The goal of the work. Improvement of results of diagnostics of the combined damages of an abdominal cavity at a trauma of a pancreas Materials and methods. The work is based on the analysis of the results of the examination and surgical treatment of 220 patients with combined damage of the abdominal organs with software trauma from 2000 to 2019. Results and discussion. The features of the topographic-anatomical location of the pancreas more explain the absence of pathognomonic symptoms, the severity of the clinical picture in its trauma. Among 220 patients with combined trauma, 148 (67.3 %) patients were used for diagnostic abdominal ultrasound examination, 52 (23.6 %) ultrasound, and 20 (9.1 %) diagnostic laparoscopy. Conclusions. Screening in patients with “futile” laparotomy has found that the diagnostic value of each method studied is far from optimal and does not allow confirming with confidence or canceling the presence of lesions of the abdominal organs requiring immediate surgery.

scholarly journals An Optimized Procedure for Non-Contrast Magnetic Resonance Imaging in the Diagnosis of Chronic Pelvic Pain in Women

2020 ◽  
Vol 101 (2) ◽  
pp. 103-112
Author(s):  
K. A. Zavylova ◽  
B. E. Shakhov ◽  
S. V. Morovov
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Abdominal Cavity ◽  
Abdominal Ultrasound ◽  
Final Diagnosis ◽  
Diagnostic Value ◽  
Lumbosacral Spine ◽  
Morphological Examination ◽  
Gynecological Examination ◽  
Mri Protocol

Objective. To optimize a pelvic and lower abdominal cavity MRI protocol in the diagnosis of chronic pelvic pain (CPP) in women.Material and methods. A total of 57 reproductive-aged women with complaints of CPP were examined. The first stage of all patients after clinical and laboratory examination for clinical indications was performed ultrasound of the pelvis and abdominal cavity with dopplerometry. In the second stage, all the patients underwent an MRI using the standard Protocol, and then a modified Protocol. The final diagnosis was based on the results of a comprehensive examination, which included a clinical and neurological examination, gynecological examination, pelvic and abdominal ultrasound, radiography of the ileosacral joints and lumbosacral spine, fibrocolonoscopy and laparoscopy with morphological examination of the operating material (according to indications).Results. Forty-six (81%) patients were found to have gynecological factors for the development of CPP; 16 (28%) had extragenital factors. The examination results were verified by the data of surgical intervention (n = 16 (28%)), hysteroscopy (n = 21 (37%)), and laparoscopy (n = 9 (16%)) with morphological examination of biopsy specimens or surgical material.Comparing with the standard pelvic MR protocol provided evidence for the high diagnostic value of the modified protocol statistically significantly (p < 0.05): 99.2% sensitivity and 99.6% specificity.Conclusion. The developed non-contrast 1.5T MRI protocol for the pelvis permits MR images of the pelvis and adjacent anatomical areas to be obtained during one study without increasing time expenditures and upgrading equipment and software. The use of the protocol makes it possible to improve the quality of radiation diagnosis of gynecological and extragenital diseases in CPP and to recommend that the protocol in combination with other clinical and instrumental studies be introduced in clinical practice.

scholarly journals Isolated Pancreatic Injury Diagnosed Seven Months After Thoracoabdominal Trauma

2021 ◽  
Vol 10 (2) ◽  
pp. 413-416
Author(s):  
E. O. Inozemtsev ◽  
E. G. Grigoryev ◽  
A. I. Panasyuk ◽  
S. A. Kondrat’ev
Keyword(s):  
Abdominal Cavity ◽  
Pancreatic Injury ◽  
Steering Wheel ◽  
Factors Affecting ◽  
Traumatic Injuries ◽  
Results Of Treatment ◽  
Time Gap ◽  
Isolated Pancreatic Injury ◽  
Resection Of The Pancreas ◽  
Traumatic Incident

We present a case of a closed thoracoabdominal trauma with pancreatic rupture. Closed abdominal trauma is one of the main causes for urgent hospitalization and emergency surgery. Injury of pancreatic ductal system is noted for the most severe course because of complications caused by outflow of the pancreatic juice into the retroperitoneal fat and the free abdominal cavity. One of the main factors affecting the efficacy of treatment is the time gap between a traumatic incident and hospitalization with subsequent surgical treatment. We report the results of management of a 53-year-old patient with closed thoracoabdominal injury and incomplete rupture of the pancreas, diagnosed 6 months after the “steering wheel” trauma. The injury was diagnosed with radiation techniques. Surgery included laparotomy, corporocaudal resection of the pancreas with splenectomy. The incidence of pancreatic traumatic injuries and the results of treatment are the matters for discussion. 

Endoluminal Graft Exclusion of a Proximal Para-Anastomotic Pseudoaneurysm following Aortobifemoral Bypass

1997 ◽  
Vol 4 (1) ◽  
pp. 88-94 ◽  
Author(s):  
Rodney A. White ◽  
Carlos E. Donayre ◽  
Irwin Walot ◽  
Eric Wilson ◽  
George Jackson ◽  
...  
Keyword(s):  
Medical Condition ◽  
Ct Scanning ◽  
Abdominal Ultrasound ◽  
Spiral Ct ◽  
Aortobifemoral Bypass ◽  
Anastomotic Pseudoaneurysm ◽  
Left Limb ◽  
Work Up ◽  
Abdominal Ultrasound Examination

Purpose: To describe a case of endoluminal graft exclusion of a proximal para-anastomotic pseudoaneurysm that occurred 17 years following aortobifemoral bypass for occlusive disease. Methods and Results: The lesion was found on abdominal ultrasound examination as part of a work-up for acute abdominal pain and upper gastrointestinal bleeding in a 67-year-old male. A 5-cm saccular pseudoaneurysm was confirmed by preintervention aortography and spiral computed tomography (CT) scanning. Because of the patient's acute symptoms and high-risk medical condition (cardiomyopathy), he was deemed a candidate for endoluminal bypass. At the time of intervention, intravascular ultrasound (IVUS) interrogation identified a 3.5-cm-long separation of the existing aortic graft from the proximal aortic stump with a large pseudoaneurysm. The lesion was isolated and repaired by placement of an aortic-to-right iliac endoluminal bypass, ligation of the left limb of the aortofemoral graft, and femorofemoral bypass to restore blood flow to the lower extremities. Spiral CT scans at 48 hours and 3 months following the procedure confirmed complete isolation of the lesion. Conclusions: This case illustrates the feasibility of endografting for repair of aortic para-anastomotic pseudoaneurysms, and it also highlights the potential role of IVUS imaging in endoluminal graft deployment.

A case of a lacerated dermoid ovarian cyst

1937 ◽  
Vol 33 (5) ◽  
pp. 626-628
Author(s):  
N. S. Sokolova
Keyword(s):  
General Practitioner ◽  
Blood Circulation ◽  
Abdominal Cavity ◽  
Broad Ligament ◽  
Ovarian Cysts ◽  
Long Time ◽  
Circulatory Disorders ◽  
Immediate Surgery ◽  
Turn Over ◽  
Reverse Development

Ovarian cysts are quite common among gynecological patients. Surgically available for small hospitals, they are undoubtedly of interest to the general practitioner. Often unnoticed for a long time, ovarian cysts nevertheless always pose for a woman a threat of either cancerous degeneration, or the possibility of twisting, with all its consequences: subsequent fusion with surrounding organs, hemorrhages into the tumor, suppurations, ruptures, peritonitis and lacing. The reason for such detachments is, in essence, still unclear. Franz, Slavyansky believe that the pedicle of the tumor often makes a 90 turn over the upper edge of the broad ligament. With greater twisting, the blood circulation of the tumor is disrupted until it stops completely. With a slow malnutrition of the tumor, the latter first stagnates and then shrinks. Its walls undergo reverse development, and the cyst, thus, can heal itself. With rapid twisting and severe circulatory disorders in the cyst, we have a clinical picture of an "acute abdomen", which requires immediate surgery. Sometimes the cyst leg, twisted with thrombosed vessels, from lack of nutrition, atrophies, becomes thinner and interrupted. The tumor is detached, made either completely free in the abdominal cavity, or feeds through adhesions with the surrounding organs.

scholarly journals Ruling out intra-abdominal injuries in blunt trauma patients using clinical criteria and abdominal ultrasound

2017 ◽  
Vol 44 (6) ◽  
pp. 626-632 ◽  
Author(s):  
Flávia Helena Barbosa Moura ◽  
José Gustavo Parreira ◽  
Thiara Mattos ◽  
Giovanna Zucchini Rondini ◽  
Cristiano Below ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Abdominal Ultrasound ◽  
Physical Exam ◽  
Trauma Patients ◽  
Abdominal Injuries ◽  
Hemodynamic Stability ◽  
Abdominal Ultrasonography ◽  
Clinical Criteria ◽  
Clinical Variables ◽  
Abdominal Lesions

ABSTRACT Objective: to identify victims of blunt abdominal trauma in which intra-abdominal injuries can be excluded by clinical criteria and by complete abdominal ultrasonography. Methods: retrospective analysis of victims of blunt trauma in which the following clinical variables were analyzed: hemodynamic stability, normal neurologic exam at admission, normal physical exam of the chest at admission, normal abdomen and pelvis physical exam at admission and absence of distracting lesions (Abbreviated Injury Scale >2 at skull, thorax and/or extremities). The ultrasound results were then studied in the group of patients with all clinical variables evaluated. Results: we studied 5536 victims of blunt trauma. Intra-abdominal lesions with AIS>1 were identified in 144 (2.6%); in patients with hemodynamic stability they were present in 86 (2%); in those with hemodynamic stability and normal neurological exam at admission in 50 (1.8%); in patients with hemodynamic stability and normal neurological and chest physical exam at admission, in 39 (1.5%); in those with hemodynamic stability, normal neurological, chest, abdominal and pelvic physical exam at admission, in 12 (0.5%); in patients with hemodynamic stability, normal neurological, chest, abdominal and pelvic physical exam at admission, and absence of distracting lesions, only two (0.1%) had intra-abdominal lesions. Among those with all clinical variables, 693 had normal total abdominal ultrasound, and, within this group, there were no identified intra-abdominal lesions. Conclusion: when all clinical criteria and total abdominal ultrasound are associated, it is possible to identify a group of victims of blunt trauma with low chance of significant intra-abdominal lesions.

scholarly journals Mucocele of Appendix – Rare Entity –A Case Report

2011 ◽  
Vol 24 (1) ◽  
pp. 54-56
Author(s):  
KZ Shah ◽  
N Begum ◽  
MMR Khan ◽  
P Ahmed ◽  
SK Vadro
Keyword(s):  
Cystic Lesion ◽  
Ultrasound Examination ◽  
Histopathological Examination ◽  
Iliac Fossa ◽  
Abdominal Ultrasound ◽  
Clinical Syndrome ◽  
Rare Entity ◽  
Lower Abdomen ◽  
Appendiceal Mucocele ◽  
Abdominal Ultrasound Examination

Appendiceal mucocele (AM) is a rare entity that can present in a variety of clinical syndrome. The prevalence is 0.2- 0.4 % among appendicectomies.1 A 48 Years old male patient came to our Centre for Nuclear Medicine and Ultrasound (CNMU), Rajshahi for abdominal ultrasound examination. He had pain with vomiting and feeling of lumpiness in right side of lower abdomen. Ultrasonography (US) showed an elongated regular outlined semi-cystic lesion in right iliac fossa. Laparotomy done, per-operative finding reveled AM. Post-operatively histopathological examination report revealed AM. TAJ 2011; 24(1): 54-56

scholarly journals Magnetic resonance imaging in traumatic injuries of the ankle joint in children

2020 ◽  
Vol 24 (4) ◽  
pp. 266-271
Author(s):  
N. Yu. Serova ◽  
T. A. Akhadov ◽  
I. A. Melnikov ◽  
O. V. Bozhko ◽  
N. A. Semenova ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Soft Tissues ◽  
Diagnostic Value ◽  
Ankle Injuries ◽  
Deltoid Ligament ◽  
Anterior Talofibular Ligament ◽  
Mri Findings ◽  
Traumatic Injuries ◽  
Sport Activities ◽  
Bone Fragments

Introduction. Sprain of the ankle joint is one of the most common injuries in children during sport activities. Purpose. To define MRI diagnostic value in ankle joint injuries. Material and methods. 30 patients , 18 boys and 12 girls aged 8-17 ( average age 14.6 years), were enrolled into the study. 20 of them (66.7%) were 12-14 years old, 3 (10%) - < 10 years old and 7 (23.3 %) - > 14 years old. A Philips AchievadStream 3.0 Tesla scanner was used for MRI examination. Results. MRI findings showed that 17 (56.7%) patients had damage of the anterior talofibular ligament; 8 patients had avulsion of bone fragments of the lateral ankle; 9 patients (30.0%) had partial deltoid ligament injuries. Complete rupture of ligaments was rare and was seen only in two patients (6.7%). Conclusion. MRI is a method of choice in assessing ankle injuries due to high contrast of soft tissues, high resolution and multi-planar potentials. MRI is especially useful in examining soft ankle tissue structures such as tendons, ligaments, nerves and fascia, as well as in revealing hidden / subtle bone damage.

scholarly journals Abdominal ultrasound in amazonian manatee (Trichechus inunguis) (Natterer, 1883)

2023 ◽  
Vol 83 ◽  
Author(s):  
U. H. A. Barreto ◽  
A. S .S. Ribeiro ◽  
L. N. Coutinho ◽  
L. A. Moraes ◽  
P. Souza-Júnior ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Subcutaneous Tissue ◽  
Abdominal Cavity ◽  
Well Being ◽  
Abdominal Ultrasound ◽  
Diagnosis And Prognosis ◽  
Ultrasound Findings ◽  
Real Time Information ◽  
Time Information ◽  
Reduced Time

Abstract Morphophysiological species researches are fundamental, and diagnostic imaging is an excellent technique, already used in wild animals, with great application, not invasive and provide real-time information of each body. Amazonian manatees are on the list of endangered animals classified in the vulnerable category and knowledge of the normal pattern of ultrasound anatomy of organs and tissues is important for the maintenance and well-being of captive specimens contributing to reintroduction actions. The objective of the study was to standardize the examination technique and describe the ultrasound findings of the liver, gallbladder, stomach, urinary bladder and the subcutaneous tissue of the abdominal region in Trichechus inunguis, in order to contribute with the anatomical and sonographic knowledge and assist in the diagnosis and prognosis diseases. The study used 18 animals to describe the normal sonographic anatomy in the abdominal cavity of the Amazonian manatee. During abdominal scan, it was possible to visualize the features of the liver, gallbladder, stomach, urinary bladder obtained satisfactory results in this study. Therefore, other structures were not primarily identified by the reduced time, lots of fat and gases in intestines of animals.

scholarly journals The diagnostic value of intravenous contrast computed tomography in addition to plain computed tomography in dogs with head trauma

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Yasamin Vali ◽  
Ingrid Gielen ◽  
Sarang Soroori ◽  
Eberhard Ludewig
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
Head Trauma ◽  
Cerebral Edema ◽  
Diagnostic Value ◽  
Intravenous Contrast ◽  
Post Contrast ◽  
Traumatic Injuries ◽  
Severity Grading ◽  
History Of

Abstract Background The aim of this study is to evaluate additional findings which can be detected by post-contrast computed tomography (CCT) in relation to plain CT (PCT) findings in patients presented with head trauma. Medical records of canine patients with the history of head trauma from three institutions were reviewed. PCT- and CCT-anonymized images were evaluated by a veterinary radiologist separately. From the categorized findings the following conclusions were drawn as: abnormalities were identified on (A) PCT but missed on CCT, (B) CCT but missed on PCT, (C) both PCT and CCT. Results Thirty-two patients were included. The results showed that findings identified on CCT or PCT (category A and B) but missed on the other series were limited to mild soft tissue and sinus changes. Overall, 61 different fracture areas, 6 injuries of the temporomandibular joint (TMJ), 4 orbital injuries, 14 nasal cavities with soft tissue density filling, 13 areas of emphysema, 4 symphysis separations, 12 intracranial hemorrhages, 6 cerebral edema, 5 cerebral midline shifts, 3 intracranial aeroceles, 3 brain herniations and 6 intraparenchymal foreign bodies (defined as an abnormal structure located within the brain: e.g. bony fragments, bullet, teeth,..) were identified on both PCT and CCT separately (category C). Severity grading was different in 50% (3/6) of the reported cerebral edema using PCT and CCT images. Conclusion The results showed that PCT is valuable to identify the presence of intracranial traumatic injuries and CCT is not always essential to evaluate vital traumatic changes.

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