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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 19 (1994), S. 278-280 
    ISSN: 1432-0509
    Keywords: Endometriosis radiologic diagnosis ; Hysterosalpingography, efficacy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Endometriosis is a common disease in young women being evaluated for infertility. Although endometriosis may cause tubal abnormalities on hysterosal-pingography, efficacy of radiographic evaluation in this disease is not clear. We reviewed the radiographic and laparoscopic examinations in 50 women being studied for infertility. Laparoscopy was normal in 15 women and showed endometriosis in 35 patients. Endometriosis was staged at laparoscopy using the classification of the American Fertility Society. Radiographic examinations were reviewed blindly and tubal status noted in each patient. Criteria for tubal abnormality included incomplete or absent filling and ampullary dilatation or convolution. Radiographic efficacy was determined by correlating the tubal appearance to the severity and location of endometriosis. A total of 98 tubes were correlated but only 10 (10%) were felt to be involved by endometriosis based on laparoscopic findings. Radiologic sensitivity was 40% (4 of 10) and specificity was 83% (73 of 88). Positive predictive value was 21% (4 of 19) due to 15 false-positive diagnoses in tubes uninvolved by endometriosis. In conclusion, endometriosis, regardless of its severity, rarely causes radiographic abnormalities on hysterosalpingography because of the location of disease in the pelvis.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 20 (1995), S. 368-370 
    ISSN: 1432-0509
    Keywords: Bladder, abnormalities ; Ureter, calculi ; Ureter, stenosis or obstruction ; Urography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background Interureteric ridge edema may be seen at intravenous urography (IVU) and is related to acute lower ureteral obstruction, trauma, or calculi. The purpose of this study was to explore the relationship between interureteric ridge edema and acute distal ureteral obstruction caused by ureteral calculi. Methods A total of 338 patients who had IVU for various indications during a 6-month period were reviewed for the presence of interureteric ridge edema. Results Interureteric ridge edema was seen in 12 (4%) of 338 patients, all with acute lower ureteral obstruction from stones. Interureteric ridge edema was best demonstrated with the partially filled bladder film or postvoid bladder film in all cases. Conclusion Interureteric ridge edema is most commonly caused by stone-induced distal ureteral obstruction and is less commonly seen with recent passage of a stone or other etiologies. Interureteric ridge edema was present in 26% of patients with acute lower ureteral obstruction.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-0509
    Keywords: Biliary tract, obstruction ; Gallstone, diagnosis ; ERCP, interventional techniques
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Therapeutic applications of endoscopic retrograde cholangiopancreatography (ERCP) have increased dramatically, and endoscopic sphincterotomy (ES) is the cornerstone of these techniques. Indications include treatment of retained biliary duct stones, papillary stenosis, benign and malignant strictures, and acute cholangitis and pancreatitis. We reviewed our recent experience to assess the spectrum of procedures done and their results. Medical records and radiographic examinations in 60 consecutive patients undergoing therapeutic ERCP were studied. Patients were placed into one of three treatment groups; Group 1, ES alone (N=21); Group 2, ES plus stone retrieval (N=15); and Group 3, ES plus stent placement (N=24). In Group 1, all of eight patients with ductal stones had spontaneous passage. In 11 patients with papillary stenosis, nine had relief of symptoms following ES. Two patients with pancreatitis improved after ES. In Group 2, all 15 patients with ductal stones had successful retrieval. In Group 3, patients were treated for biliary stricture alone (4), retained stones (7), pancreatitis (5), neoplasms (6) and papillary stenosis (2). In these 24 patient, 21 (88%) were treated successfully or had palliation of their symptoms. In our series, a wide variety of therapeutic applications of ERCP was used to manage simple and complex biliary disease. ES alone or in combination with other techniques was done in all patients. Overall, 55 (92%) of 60 interventional procedures were successful as defined by removal of stones and relief or palliation of symptoms.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 19 (1994), S. 477-480 
    ISSN: 1432-0509
    Keywords: Infertility, hysterosalpingography ; Infertility, hysteroscopic surgery ; Uterine abnormalities
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We reviewed pre- and postoperative appearances of the uterine cavity on hysterosalpingography (HSG) in 28 patients who had hysteroscopic surgery. Twelve patients presented with primary infertility and 16 patients with secondary infertility. The uterine abormalities included synechiae (12), septa (8), submucosal fibroids (7), and polyp (1). The size and number of lesions in the uterus, the extent of improvement after surgery, and the postoperative pregnancy rate were recorded. The uterine cavity was restored to a normal appearance in 23 (82%) of 28 patients. In patients after fibroid resection, all uterine cavities reverted to normal after surgery. Two patients developed adhesions after septal resection. Three patients with lysis of synechiae remained unchanged or had worsened intrauterine scarring. The postoperative pregnancy rate was 35% (six of 17) in those patients followed for more than 6 months. One patient had a spontaneous abortion. In the six patients who became pregnant, four had secondary infertility, and all had normal or substantial improvement in the appearance of the uterine cavity after surgery. Perforation of the uterus occurred in one patient after resection of a fibroid.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Abdominal imaging 19 (1994), S. 349-354 
    ISSN: 1432-0509
    Keywords: Defecography, technique ; Anorectal disorders, management
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We reviewed the medical records and defecograms in 55 consecutive patients to determine the impact of results of defecography on clinical management. Main indication for defecography was constipation, present in 40 (73%) of 55 patients. In the remaining 15 patients, indications included obstructed defecation (5), incontinence (5), and miscellaneous symptoms (5). Defecography evaluated pelvic floor motion by assessing changes in the anorectal angle (ARA) and anorectal junction (ARJ) during various maneuvers, extent of evacuation, and structural abnormalities. Patients were grouped based on results of defecography as being normal (26) or abnormal (29). Comparison of measurements of the ARA and ARJ with various maneuvers showed no significant differences between the two groups. Clinical impact was determined by analyzing therapy done following defecography and subsequent patient response. In the normal group, 15 patients were managed medically, seven surgically, and four lost to follow-up. Clinical improvement occurred in 13 (59%) of 22 patients, with similar results between medical (60%) and surgical (57%) therapy. In the abnormal group, 16 had medical management, seven surgical therapy, and six lost to follow-up. Clinical improvement occurred in 13 (57%) of 23 patients but surgical therapy showed more improvement. In conclusion, most standard measurements of the ARA and ARJ were of no value in determining abnormality. Results of defecography did not alter selection of medical or surgical therapy, and had little impact on patient response to therapy.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Skeletal radiology 28 (1999), S. 444-446 
    ISSN: 1432-2161
    Keywords: Key words Soft tissue thickness ; Radiographic measurement ; Neck
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Purpose. The prevertebral soft tissue measurement is commonly used for assessing prevertebral pathology such as abscesses or hematomas after injury. Very few references concerning the ratio of retrotracheal thickness to C5 diameter are available in the literature. The purpose of this study was to measure the normal soft tissue thickness at the C5 level of the neck and to establish the normal ratio of retrotracheal soft tissue thickness to the diameter of C5 for daily use. Design and patients. We measured soft tissue thickness in the neck of 54 normal subjects and calculated the mean and standard deviation. Results and conclusion. Using mean plus one standard deviation the maximum retrocricoid soft tissue thickness was 0.7×C5 diameter and maximum retrotracheal thickness was 1.0×C5 diameter. Soft tissue thickness that exceeds this limit must be studied further for signs of potential disease.
    Type of Medium: Electronic Resource
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