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  • 1
    ISSN: 1432-1084
    Keywords: Endometriosis ; Bladder ; Ultrasonography ; Computed tomography ; Cesarean section
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report ultrasonographic and CT findings in a patient with endometriosis of the bladder wall after cesarean section. Endometriosis is defined as ectopic endometrial tissue which responds to the endocrine changes of the menstrual cycle [1]. The incidence of the condition may be as high as 20% of all menstruating women [2]. The most common locations of endometriosis are in the true pelvis, particularly the fallopian tubes and the ovaries. The sacrouterine ligaments and Douglas' cul-de-sac are also frequently affected. Rarer sites of endometriotic implants include the gastrointestinal tract, urogenital organs, and extraabdominal sites. The diagnosis is suggested by the results of modern imaging techniques and the usually typical clinical findings and is confirmed by histopathology of a surgical specimen. The literature contains few reports on ultrasound and computed tomography (CT) findings in patients with endometriosis [3, 4].
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1920
    Keywords: Ganglioneuroma, adult presentation ; Parapharyngeal tumours
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Ganglioneuroma, a rare benign tumour, very occasionally presents in adult life. We report a case with the additional unusual feature of a retropharyngeal location.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1920
    Keywords: Key words Ganglioneuroma ; adult presentation ; Parapharyngeal tumours
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Ganglioneuroma, a rare benign tumour, very occasionally presents in adult life. We report a case with the additional unusual feature of a retropharyngeal location.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1432-1920
    Keywords: Lumbar disk surgery ; Vascular complications ; Angiography ; Computed tomography ; Sonography ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Vascular injuries in lumbar disk surgery, although rare, are serious complications which may be overlooked due to a broad range of clinical manifestations. It is important that surgeons and radiologists be aware of these potentially fatal complications and develop an appropriate symptom-based diagnostic paradigm. We reviewed 8099 consecutive cases of lumbar disk surgery, performed over a 14-year period at a single institution, for postoperative vascular complications. We identified four patients (0.05%) with lumbar disk surgery-related vascular complications: intraoperative lacerations of the abdominal aorta and median sacral artery, an arteriovenous fistula between the left common iliac artery and vein detected 19 days postdiskectomy, and a partially thrombosed aortic aneurysm with an arteriovenous fistula between the aneurysm and the inferior vena cava, diagnosed 11 months after surgery. The majority of cases in the literature of vascular injury in lumbar disk surgery were reported prior to 1965. Diagnostic approaches described in that period do not reflect the great range of diagnostic techniques available today. Angiography remains the gold standard for diagnosis and guidance as to surgical repair. However, a high index of suspicion based on clinical signs and/or the use of sonography or CT is important in the detection of these complications.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-1920
    Keywords: Key words Lumbar disk surgery ; Vascular complications ; Angiography ; Computed tomography ; Sonography ; Magnetic resonance imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Vascular injuries in lumbar disk surgery, although rare, are serious complications which may be overlooked due to a broad range of clinical manifestations. It is important that surgeons and radiologists be aware of these potentially fatal complications and develop an appropriate symptom-based diagnostic paradigm. We reviewed 8099 consecutive cases of lumbar disk surgery, performed over a 14-year period at a single institution, for postoperative vascular complications. We identified four patients (0.05 %) with lumbar disk surgery-related vascular complications: intraoperative lacerations of the abdominal aorta and median sacral artery, an arteriovenous fistula between the left common iliac artery and vein detected 19 days postdiskectomy, and a partially thrombosed aortic aneurysm with an arteriovenous fistula between the aneurysm and the inferior vena cava, diagnosed 11 months after surgery. The majority of cases in the literature of vascular injury in lumbar disk surgery were reported prior to 1965. Diagnostic approaches described in that period do not reflect the great range of diagnostic techniques available today. Angiography remains the gold standard for diagnosis and guidance as to surgical repair. However, a high index of suspicion based on clinical signs and/or the use of sonography or CT is important in the detection of these complications.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1432-1084
    Keywords: Breast radiography ; Prostheses ; Postoperative neoplasms
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The purpose of our study was to evaluate mammographic image quality of various methods of reconstructive breast surgery with specific reference to the possibility of diagnosis of recurrent tumors. A total of 39 patients who underwent breast reconstruction following modified radical mastectomy were subject to clinical and mammographic examination. Three groups were formed: (a)autonomous tissue reconstruction (TRAM flap; n = 9), (b) submuscular silicon gel prostheses (n = 21), and (c) supramuscular silicon gel prostheses (n = 9). Mammographic image quality of the groups was compared by two radiologists working together using a point system where five specific criteria were valued and scored. The result was tabulated into three quality levels: good, acceptable, and limited. Mammograms were assessed as good, acceptable, or limited, respectively, as follows: group I: 7(77.8%), 1(11.1%), (111.1%): group II. 4 (19%), 11 (52.4%), 6 (28.6%)l; group III: 3 (33.3%), 4 (44.5%), 2 (22.2%). The TRAM-flap method of reconstruction displays a high degree of mammographie image quality and therefore is preferable with respect to early diagnosis of recurrent tumors.
    Type of Medium: Electronic Resource
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