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  • 1
    Electronic Resource
    Electronic Resource
    Posttraumatic hemobilia (1997)
    Springer
    Emergency radiology 4 (1997), S. 180-183 
    Details
    ISSN: 1438-1435
    Keywords: Hemobilia ; Computed tomography ; Liver, hemorrhage
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Hemorrhage into the biliary tract is an uncommon but potentially serious complication of traumatic liver injury. Blood loss may be minimal or massive, and the timing of onset of symptoms relative to the injury is quite variable. Radiologic evaluation, including computed tomography, ultrasound, endoscopic retrograde cholangiopancreatography, and angiography, can be used to make the diagnosis. We report a case of posttraumatic hemorrhage into the biliary tree after a liver laceration.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01508109
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Splenic nonenhancement at computed tomography: A sign of the hypoperfusion complex (1997)
    Springer
    Emergency radiology 4 (1997), S. 329-331 
    Details
    ISSN: 1438-1435
    Keywords: Spleen ; Trauma ; Shock bowel ; Hypoperfusion complex ; Computed tomography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract When splenic nonenhancement is seen at computed tomography, one should look for signs of vascular pedicle injury; if injury to the vascular pedicle is not present, nonenhancement of the spleen could be secondary to severe vasoconstriction and may be considered an additional sign of the hypoperfusion complex. The presence of splenic nonenhancement may also help differentiate the hypoperfusion complex from other types of bowel injury.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01461741
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Computed tomographic diagnosis of splenic trauma presenting with kehr's sign (referred left shoulder pain) (1996)
    Springer
    Emergency radiology 3 (1996), S. 134-136 
    Details
    ISSN: 1438-1435
    Keywords: Splenic trauma ; Shoulder pain ; Diaphragm ; Kehr's sign ; Computed tomography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Acute, posttraumatic shoulder pain is most often due to direct injury to the shoulder girdle. Occasionally, it can be due to pain referred from injury elsewhere, such as in the diaphragmatic region. In the setting of left-sided thoracoabdominal trauma, left upper quadrant tenderness, and left shoulder pain, splenic injury should be strongly suspected. Kehr's sign, or referred left shoulder pain from splenic injury, is well described in the surgery literature but has not received similar attention in the radiology literature. This communication describes a patient injured in a bicycling accident whose chief complaint was severe left shoulder pain. Negative shoulder radiographs and an unremarkable shoulder physical examination sparked concern for a splenic injury referring pain to the left shoulder, and this was confirmed on abdominopelvic computed tomography.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02440034
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    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    A new helical computed tomographic technique for appendiceal imaging: Preliminary experience with the focused appendix computed tomographic examination (1996)
    Springer
    Emergency radiology 3 (1996), S. 241-246 
    Details
    ISSN: 1438-1435
    Keywords: Computed tomography ; Appendix ; Appendicitis ; Helical
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Our objective was to describe a new, helical computed tomographic (CT) technique for evaluating appendicitis, the focused appendix CT (FACT), and report preliminary experience with its use. Thirty-five consecutive patients were selected on the basis of clinical suspicion for appendicitis. Patients received oral and colon contrast media but not intravenous contrast medium before CT scanning. A thinsection, contiguous helical scan limited to the lower abdomen and upper pelvis was performed. Each scan was interpreted as positive or negative for appendicitis, and any alternative pathology was noted, if present. Seventeen patients had a final diagnosis of appendicitis at surgery and pathology, and 18 patients had appendicitis excluded at clinical follow-up for at least 3 months (17 patients) or at surgeryand pathology (1 patient). FACT interpretations were correct in all cases. Alternative pathology was noted in 13 of the 18 cases (72%) interpreted as negative for appendicitis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01507782
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    Paper (German National Licenses)
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  • 5
    Electronic Resource
    Electronic Resource
    Computed tomographic diagnosis of posttraumatic primary adrenal insufficiency (1997)
    Springer
    Emergency radiology 4 (1997), S. 97-100 
    Details
    ISSN: 1438-1435
    Keywords: Adrenal ; Insufficiency ; Infarction ; Computed tomography ; Trauma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Acute, primary adrenal insufficiency in the posttrauma patient is a rare but lifethreatening condition that frequently is unrecognized. Abdominal computed tomographic imaging is useful in establishing its diagnosis.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01508036
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    The magnetic resonance diagnosis of diaphragmatic rupture: A report of two cases (1996)
    Springer
    Emergency radiology 3 (1996), S. 137-141 
    Details
    ISSN: 1438-1435
    Keywords: Diaphragmatic rupture ; Blunt abdominal trauma ; Magnetic resonance imaging ; Plain radiographs ; Computed tomography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Two patients are reported with rupture of the right and left hemidiaphragms, respectively, after blunt abdominal trauma. The diagnosis in both cases was suggested by plain radiographs and computed tomography but was confirmed by magnetic resonance imaging. The magnetic resonance scan in both cases clearly showed the diaphragmatic injury and herniation of abdominal contents into the chest.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02440035
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    Paper (German National Licenses)
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  • 7
    Electronic Resource
    Electronic Resource
    Radiologic features and anatomic basis of atypical clinical presentations of ruptured abdominal aortic aneurysms (1996)
    Springer
    Emergency radiology 3 (1996), S. 166-171 
    Details
    ISSN: 1438-1435
    Keywords: Rupture ; Abdominal aortic aneurysm ; Renal colic ; Computed tomography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Ruptured abdominal aortic aneurysms (AAAs) occasionally manifest with atypical clinical presentations and can be initially misdiagnosed. Symptoms are attributable either to local mass effect from the aneurysm or a contained rupture, or to the particular cavity or anatomic space into which an aneurysm bleeds. Radiologic studies obtained in this patient population often will demonstrate signs of the ruptured AAA, and these signs should be actively searched for when a ruptured AAA can be in the differential diagnosis. Emergent computed tomographic examination is indicated to confirm any clinical or radiologic suspicion of a ruptured abdominal aortic aneurysm, provided that the patient remains hemodynamically stable. The anatomic basis for a ruptured AAA presenting clinically as renal colic is discussed and illustrated, and the spectrum of clinical presentations of ruptured AAAs is reviewed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01507736
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    Paper (German National Licenses)
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  • 8
    Electronic Resource
    Electronic Resource
    Helical computed tomography of urinary tract stones: Accuracy and diagnostic value of stone size and density measurements (1997)
    Springer
    Emergency radiology 4 (1997), S. 303-308 
    Details
    ISSN: 1438-1435
    Keywords: Computed tomography ; Helical CT ; Ureterolithiasis ; Calculi ; Stone
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This study was carried out to determine the accuracy and diagnostic utility of ureteral stone size and density measurements at helical computed tomography (CT). Sixteen calciumcontaining and eight non-calciumcontaining ureteral stones of varying size and composition were examined in vitro with helical CT. Scans were obtained with 10-,5-,3-, and 1-mm collimation. Stone size was determined with CT calipers at each collimation thickness. Stone density was determined by using the maximum value obtained at pixelgram analysis, measured in Hounsfield units. Stone size measured with CT cursors closely matched actual stone size with 10-, 5-, 3-,and 1-mm collimation. Pixelgram density measurements steadily increased as slice thickness decreased. There was better separation of calciumcontaining from non-calcium-containing stones with thinner slices. CT stone size measurement does not vary significantly with slice thickness. CT stone density measurement in Hounsfield units does vary with slice thickness; the highest density numbers were recorded with the thinnest slice thicknesses. Density measurements did not reliably separate calciumcontaining from non-calcium-containing stones, but the amount of density overlap between the two stone types was diminished on the thinnest slices.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01461737
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    Paper (German National Licenses)
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