ABSTRACT
Digital subtraction angiography is an indispensable complement to cut film studies for the detection of pulmonary artery injury. Immediate transcatheter embolization of catheter-induced pulmonary artery pseudoaneurysm is a safe, minimally invasive, fast, and cost-effective alternative to surgical treatment.
Subject(s)
Aneurysm, False/therapy , Catheterization, Swan-Ganz/instrumentation , Embolization, Therapeutic/methods , Pulmonary Artery/pathology , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Angiography, Digital Subtraction , Catheterization, Swan-Ganz/adverse effects , Cost-Benefit Analysis , Embolization, Therapeutic/economics , Embolization, Therapeutic/instrumentation , Female , Hemoptysis/etiology , Hemoptysis/therapy , Humans , Middle Aged , Minimally Invasive Surgical Procedures , Pulmonary Artery/diagnostic imaging , Pulmonary Artery/injuries , Rupture , SafetyABSTRACT
The authors present their experience with the CT appearance of pseudomembranous colitis in 6 patients. In addition to the previously reported thickened colon wall, pericolonic inflammation was also noted in 5 of the patients.
Subject(s)
Enterocolitis, Pseudomembranous/diagnostic imaging , Tomography, X-Ray Computed , Adult , Aged , Colitis/complications , Female , Humans , Male , Middle AgedABSTRACT
A variety of methods are currently used for urinary diversion after cystectomy in adults. Radiologists are generally familiar with ileal and colonic conduits but are less familiar with the recently popularized continent urinary reservoirs. We describe and illustrate the surgical technique, normal anatomy, and normal radiographic appearance of a variety of urinary reservoirs, including the Kock pouch, Camey procedure, and various ileocecal reservoirs. Complications of various reservoirs are also discussed and illustrated.
Subject(s)
Cecum/surgery , Cystectomy/rehabilitation , Ileum/surgery , Urinary Diversion/methods , Cecum/diagnostic imaging , Female , Humans , Ileum/diagnostic imaging , Male , RadiographyABSTRACT
Penetrating wounds of the central vasculature are highly lethal. Ten cases of aorta-left innominate vein fistulas have been reported in the past, but most have presented late after injury. We report three successfully managed cases that had a short interval between injury and repair, and where we used cardiopulmonary bypass with total circulatory arrest. Preoperative arteriography facilitated planning the operative approach. The ready availability of complete radiologic and surgical resources at a trauma center were responsible for the successful outcome of these highly lethal central vascular injuries.