scholarly journals ODSTRANITEV LIPPESOVEGA MATERNIČNEGA VLOŽKA IZ TREBUŠNE VOTLINE PO 42 LETIH – PRIKAZ PRIMERA

2017 ◽  
Vol 86 ◽  
Author(s):  
Denis Ćatić ◽  
Boštjan Lovšin

Background: Intrauterine device is one of the most effective methods of contraception which in addition to many advantages also has its disadvantages. It can pass through the wall of the uterus and migrate into any tissue in the abdominal cavity. Since dislocation may be unrecognized for several years, re-examination after IUD insertion is necessary.Patients and methods: This article shows an example of a 72-year old patient with an accidentally discovered dislocated Lippes Loop IUD in the abdominal cavity. By the help of X-ray (RTG) and computed tomography (CT) we have determined its position and successfully removed it after 42 years.Conclusions: Migration and dislocation of an IUD is a rare complication and often completely asymptomatic. In order to avoid serious complications, it is necessary to re- examine patients regularly after insertion. An onset of pain certainly calls for the multidisciplinary approach in which a specialist of family medicine has the central role.

2020 ◽  
Author(s):  
Yu-Tse Hsiao ◽  
Wan-Ching Lien

Abstract Background:Bladder stones are common diseases, constituting 5% of urinary stones. However, iatrogenic bladder rupture with intraperitoneal bladder stones is a rare complication after a transurethral cystolithotripsy (TUCL).Case presentation:A 73-year-old male was sent to the emergency department (ED) with presentations of dyspnea and hematuria after receiving a transurethral cystolithotripsy(TUCL) with laser. Upon arrival, his vital signs were relatively stable. An abdominal X-ray showed a radiopaque lesion within the pelvis. Physical examinations showed diffuse abdominal tenderness with muscle guarding. The initial focused assessment of sonography for trauma (FAST) was positive. Computed tomography (CT) revealed bladder rupture with intraperitoneal bladder stones. The patient received conservative supportive care with antibiotics and foley drainage and was discharged 3 weeks later smoothly.Conclusion:For emergency physicians, bladder rupture should be taken into consideration in patients with intraperitoneal bladder stones following TUCL. Computed tomography remains a standard of diagnosis although ultrasonography is a convenient screening tool for ascites.


2020 ◽  
Author(s):  
Yu-Tse Hsiao ◽  
Wan-Ching Lien

Abstract Background:Bladder stones are common diseases, constituting 5% of urinary stones. However, iatrogenic bladder rupture with intraperitoneal bladder stones is a rare complication after a transurethral cystolithotripsy (TUCL).Case presentation:A 73-year-old male was sent to the emergency department (ED) with presentations of dyspnea and hematuria after receiving a transurethral cystolithotripsy(TUCL) with laser. Upon arrival, his vital signs were relatively stable. An abdominal X-ray showed a radiopaque lesion within the pelvis. Physical examinations showed diffuse abdominal tenderness with muscle guarding. The initial focused assessment of sonography for trauma (FAST) was positive. Computed tomography (CT) revealed bladder rupture with intraperitoneal bladder stones. The patient received conservative supportive care with antibiotics and foley drainage and was discharged 3 weeks later smoothly.Conclusion:For emergency physicians, bladder rupture should be taken into consideration in patients with intraperitoneal bladder stones following TUCL. Computed tomography remains a standard of diagnosis although ultrasonography is a convenient screening tool for ascites.


Author(s):  
Andrey N. Surkov ◽  
L. S. Namazova-Baranova ◽  
O. V. Kustova ◽  
A. S. Potapov ◽  
A. V. Anikin ◽  
...  

Diagnostic value of computed tomography (CT) of the liver imaging in children with glycogen storage disease (GSD) is still poorly understood, in this connection, there were examined 59 patients with essential hypertension (study group) and 27 - with Wilson's disease (WD) (control group). In dependence on the type of GSD patients of the main group were divided into 3 groups: 1st with GSD Type I (n = 18), 2nd - with GSD type III (n = 21), the third - with the GSD type VI/IX (n = 20). Reference group was consisted of 107 children without liver disease. CT of the abdominal cavity on multislice computed tomography Light Speed 16 and 750 HD (GE, USA) was performed in all cases. The pronounced hepatomegaly with predominant increase in the left lobe and the index of I segment was established to be the common diagnostic CT sign, typical for all types of GSD. The change in the X-ray density of the liver parenchyma, dependent on the type of disease is also the feature of the CT-picture of liver parenchyma. In GD type I there was often noted the decline in the X-ray density of the liver parenchyma, while in GSD types III and VI there was identified a significant increase in the density of the organ tissue, which was related with morphological changes in the liver parenchyma, caused by the deposition of glycogen in hepatocytes, fat and protein dystrophy. The authors believe that CT of the abdominal cavity can be an alternative, non-invasive, relatively inexpensive and accessible way to diagnose GD, which is especially important in pediatric practice.


2016 ◽  
Vol 60 ◽  
pp. 183
Author(s):  
Yusuf C. Kaplan ◽  
Efe Kanter ◽  
Hüseyin Can ◽  
Barış Karadaş ◽  
Tijen Kaya-Temiz

Author(s):  
Hammad Shah ◽  
Momin Salahudin ◽  
Afrasyab Altaf

Air inside the pericardial cavity is called “pneumopericardium”, which is a rare complication of pericardiocentesis. Pneumopericardium may resolve spontaneously or can complicate into tension pericardium, requiring urgent aspiration. We herein describe a 55-year-old man with pericardial effusion who underwent pericardiocentesis. The patient was completely asymptomatic after the procedure. Chest radiograph and computed tomography scan accidentally detected pneumopericardium, which was subsequently complicated by atrial fibrillation and necessitated pharmacological cardioversion. We found no case of asymptomatic pneumopericardium complicated by atrial fibrillation after pericardiocentesis in our literature review. Clinicians and cardiologists should do a post pericardiocentesis chest X-ray to diagnose pneumopericardium and prevent the catastrophic complications of tension pneumopericardium.


2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Pratishtha Singh ◽  
Kayle Warren ◽  
Victor Collier

Subcapsular liver hematoma (SLH) is a rare complication of HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome. We report a previously healthy 16-year-old female presenting with pre-eclampsia requiring emergent C-section, who developed immediate postoperative bleeding and abdominal distention. Abdominal computed tomography angiography (CTA) revealed a large encapsulated liver hematoma with active extravasation. The patient was successfully treated with a multidisciplinary approach with medical and surgical management.


2021 ◽  
pp. 1-3
Author(s):  
Begoña Alcaraz Freijo ◽  
Begoña Alcaraz Freijo ◽  
Jose Antonio López­ Fernández ◽  
Tina Martin Bayon ◽  
Emma Vilanova Blanes ◽  
...  

The intrauterine device (IUD) is a very commonly used contraceptive method among fertile women due to its high efficacy and safety. A very rare complication is uterus perforation and migration to the abdominal cavity, with injury of structures nearby. In this work three cases are reported with different organ involvement and a review of uterus perforation is made.


Author(s):  
H.W. Deckman ◽  
B.F. Flannery ◽  
J.H. Dunsmuir ◽  
K.D' Amico

We have developed a new X-ray microscope which produces complete three dimensional images of samples. The microscope operates by performing X-ray tomography with unprecedented resolution. Tomography is a non-invasive imaging technique that creates maps of the internal structure of samples from measurement of the attenuation of penetrating radiation. As conventionally practiced in medical Computed Tomography (CT), radiologists produce maps of bone and tissue structure in several planar sections that reveal features with 1mm resolution and 1% contrast. Microtomography extends the capability of CT in several ways. First, the resolution which approaches one micron, is one thousand times higher than that of the medical CT. Second, our approach acquires and analyses the data in a panoramic imaging format that directly produces three-dimensional maps in a series of contiguous stacked planes. Typical maps available today consist of three hundred planar sections each containing 512x512 pixels. Finally, and perhaps of most import scientifically, microtomography using a synchrotron X-ray source, allows us to generate maps of individual element.


1999 ◽  
Vol 11 (1) ◽  
pp. 199-211
Author(s):  
J. M. Winter ◽  
R. E. Green ◽  
A. M. Waters ◽  
W. H. Green

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