RESUMEN
Splenic rupture is most commonly encountered after blunt abdominal trauma. Atraumatic spontaneous splenic rupture is a rarer entity and can occur in both histologically normal and diseased spleen. It has a high morbidity, as there is often little or no clinical history to suggest its presence, and is generally diagnosed after imaging. We describe three experiences of spontaneous splenic rupture at our institution and discuss possible causes for the radiologist to consider.
Asunto(s)
Dolor Abdominal/diagnóstico por imagen , Hematoma/diagnóstico por imagen , Rotura del Bazo/diagnóstico por imagen , Dolor Abdominal/complicaciones , Anciano , Diagnóstico Diferencial , Femenino , Hematoma/cirugía , Humanos , Persona de Mediana Edad , Rotura Espontánea/diagnóstico por imagen , Rotura Espontánea/cirugía , Rotura del Bazo/cirugía , Tomografía Computarizada por Rayos X , Resultado del TratamientoAsunto(s)
Dolor Abdominal/etiología , Aneurisma Infectado/diagnóstico por imagen , Aneurisma de la Aorta Abdominal/diagnóstico por imagen , Intoxicación Alimentaria por Salmonella/complicaciones , Adulto , Aneurisma Infectado/tratamiento farmacológico , Antibacterianos/administración & dosificación , Hernia Diafragmática/diagnóstico por imagen , Humanos , Masculino , Radiografía , Intoxicación Alimentaria por Salmonella/tratamiento farmacológico , Tomógrafos Computarizados por Rayos X , Resultado del TratamientoRESUMEN
Dacryocystoplasty (DCP) was offered as an alternative to patients waiting for dacryocystorhinostomy (DCR) for epiphora. 31 procedures were undertaken with a technical success rate of 93% and a clinical improvement in 89% of these patients. It is concluded that DCP should be the technique of choice in the initial management of epiphora due to stenosis or occlusions of the nasolacrimal ducts before contemplating a DCR.
Asunto(s)
Cateterismo/métodos , Enfermedades del Aparato Lagrimal/terapia , Adulto , Anciano , Anciano de 80 o más Años , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Inadvertent retraction of a localizing wire into the breast occurred in three of a series of 158 localizations prior to biopsy for an impalpable mammographic abnormality. In each case retraction was followed by migration into the subcutaneous tissues and/or spontaneous extrusion. A wire inserted for localization prior to guided biopsy of the breast should be left long and secured externally to prevent retraction.
Asunto(s)
Biopsia/instrumentación , Mama , Migración de Cuerpo Extraño , Anciano , Biopsia/métodos , Mama/patología , Enfermedades de la Mama/patología , Femenino , Humanos , Persona de Mediana EdadRESUMEN
Seventy patients underwent small bowel enema (SBE) to assess the influence of experience of the radiologist on the ease of jejunal intubation and the adequacy of SBE using two types of tubes. Comparing intubation time, intubation screening time, total screening time and total room time, we conclude that jejunal intubation is achieved easily, in a reasonable time with both types of tube, by all grades of radiologist, although the experienced operator using the Silk tube achieved intubation in a significantly shorter time. Overall patient acceptability was satisfactory (75%) but was better using the Silk tube, with which entero-gastric reflux and vomiting were less.