Assuntos
Neoplasias do Apêndice/diagnóstico por imagem , Neoplasias Peritoneais/diagnóstico por imagem , Pseudomixoma Peritoneal/diagnóstico por imagem , Idoso , Neoplasias do Apêndice/cirurgia , Diagnóstico Diferencial , Feminino , Humanos , Neoplasias Peritoneais/cirurgia , Pseudomixoma Peritoneal/cirurgia , Tomografia Computadorizada por Raios X , UltrassonografiaAssuntos
Glândulas Bulbouretrais/anormalidades , Cistos/diagnóstico , Imageamento por Ressonância Magnética , Ultrassonografia , Obstrução Uretral/etiologia , Transtornos Urinários/etiologia , Urografia , Adulto , Diagnóstico Diferencial , Dilatação Patológica , Humanos , Masculino , Períneo/patologia , Obstrução Uretral/diagnóstico , Transtornos Urinários/diagnósticoRESUMO
Rupture of the gravid uterus is a rare, life-threatening obstetric complication. Major symptoms are hypovolemic shock and abdominal pain during late pregnancy or after vaginal delivery. Immediate surgical therapy is required. We report a case of uterine rupture after vaginal delivery diagnosed by means of ultrasonography and computed tomography.
Assuntos
Parto Obstétrico , Ruptura Uterina/diagnóstico por imagem , Dor Abdominal/etiologia , Adulto , Feminino , Humanos , Gravidez , Choque/etiologia , Tomografia Computadorizada por Raios X , Ultrassonografia Pré-NatalRESUMO
BACKGROUND: A detailed analysis of the costs of ERCP is needed to provide medical staff, hospital administrators, and health care insurers with a solid basis for decision making. METHODS: An incremental cost analysis was performed from the hospital perspective. Cost calculations were based on a prospective registration of materials, labor time, and equipment needed to perform 204 ERCPs in a tertiary care center. RESULTS: Annual fixed cost related to the organization of the ERCP-unit amounted to $136,213. Variable costs per procedure, including labor and material costs, amounted to $344 and $961 for diagnostic and therapeutic procedures, respectively. Average reimbursement was $221. For the actual situation in our unit, with about 900 procedures yearly and a ratio diagnostic versus therapeutic procedures of 35 to 65, a net yearly loss because of the performance of ERCP activities amounts to $608,038. Theoretical measures to decrease costs could reduce this loss to $394,798, with an average loss of $439 per procedure. CONCLUSIONS: This analysis of costs related to performance of ERCPs clearly shows that ERCP is not sufficiently reimbursed. From our model, it appears that increasing the reimbursement rate for therapeutic procedures to $600 per procedure would generate a net positive balance.
Assuntos
Colangiopancreatografia Retrógrada Endoscópica/economia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Bélgica , Criança , Pré-Escolar , Custos e Análise de Custo , Feminino , Hospitais Universitários , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Mecanismo de ReembolsoRESUMO
We report a case of hydatidosis of the kidney and stress the importance of the different radiological modalities. In the presented case, diagnostic radiological procedures included plain radiography of the abdomen, intravenous urography, ultrasonography, computerized tomography and magnetic resonance imaging. The combination of all the radiological findings lead to a correct pre-operative diagnosis, which is important as cyst rupture and spillage may cause anaphylactic reaction.
