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Ultrasound in Medicine & Biology Mar 2012Fetal intraabdominal umbilical vein (FIUV) dilatation, or varix, is a rare ultrasonographic (US) finding of focal dilatation of the umbilical vein. This article...
Fetal intraabdominal umbilical vein (FIUV) dilatation, or varix, is a rare ultrasonographic (US) finding of focal dilatation of the umbilical vein. This article describes FIUV tortuosity in cases with suspected varix and provides ultrasonographic criteria for its diagnosis. Cases of suspected FIUV varix referred to our unit for final diagnosis and follow-up were studied. Each woman underwent comprehensive US evaluations that included basic grayscale scan and color Doppler scan. In 12 singleton pregnancies, primary grayscale scan confirmed FIUV dilatation. Supplementary color Doppler scans, however, revealed linear bidirectional blood flow and FIUV tortuosity in all cases. Color Doppler scans did not depict true FIUV dilatations or varix but rather a tortuous course of the vein. A normal pregnancy outcome can be expected in these cases.
Topics: Dilatation, Pathologic; Evidence-Based Medicine; Female; Fetal Diseases; Humans; Male; Pregnancy; Reproducibility of Results; Sensitivity and Specificity; Ultrasonography, Prenatal; Umbilical Veins; Varicose Veins
PubMed: 22261512
DOI: 10.1016/j.ultrasmedbio.2011.09.019 -
Acta Paediatrica (Oslo, Norway : 1992) Aug 2007
Topics: Abdomen; Dilatation, Pathologic; Female; Humans; Hydronephrosis; Infant
PubMed: 17655625
DOI: 10.1111/j.1651-2227.2007.00366.x -
Pediatric Surgery International Nov 2015To clarify the status of segmental dilatation of the intestine (SD) using a nationwide retrospective cohort survey.
PURPOSE
To clarify the status of segmental dilatation of the intestine (SD) using a nationwide retrospective cohort survey.
METHODS
Supported by the Ministry of Health, Labour and Welfare in Japan, preliminary questionnaires requesting the numbers of SD cases from 2000 to 2009 were sent to 161 Japanese major institutes of pediatric surgery and gastroenterology. We present the results of our analysis of the data from secondary questionnaires.
RESULTS
Twenty-eight cases of SD were reported, including 19 males and 9 females. The average gestational age was 30.2 weeks and the average birth weight was 2.319 g. The period of onset was neonatal in 18 cases and infancy in 6 cases, including 7 cases diagnosed prenatally. The dilated segment was ileum in 14 cases and colon in 10 cases, and symptoms included abdominal distention, vomiting, and chronic constipation. Concurrent intestinal malformation such as malrotation, intestinal atresia, and anal atresia were present in 4 cases and 27 of 28 cases were successfully treated by surgical resection. Histologically, abnormal muscle layers were found in three cases and ectopic tissue in two cases.
CONCLUSION
We determined the clinical features of SD based on data from 28 cases occurring over 10 years.
Topics: Age Distribution; Child; Child, Preschool; Cohort Studies; Dilatation, Pathologic; Female; Health Surveys; Humans; Infant; Intestinal Diseases; Intestines; Japan; Male; Retrospective Studies; Surveys and Questionnaires
PubMed: 26342490
DOI: 10.1007/s00383-015-3788-7 -
Clinical Radiology Mar 2000
Topics: Abdomen; Adult; Dilatation, Pathologic; Humans; Lymph Nodes; Male; Thoracic Duct; Tomography, X-Ray Computed
PubMed: 10708624
DOI: 10.1053/crad.1999.0266 -
Sinusoidal dilatation and congestion in liver biopsy: is it always due to venous outflow impairment?Archives of Pathology & Laboratory... Aug 2004Impairment of venous outflow manifests as zone 3 sinusoidal dilatation and congestion (SDC) in liver biopsy. However, the finding of SDC is not specific for venous... (Review)
Review
CONTEXT
Impairment of venous outflow manifests as zone 3 sinusoidal dilatation and congestion (SDC) in liver biopsy. However, the finding of SDC is not specific for venous outflow impairment.Objectives.-To determine the specificity of SDC in liver biopsies for venous outflow impairment and to seek an explanation for SDC in patients without clinical or radiologic features of venous outflow impairment.
DESIGN
Liver biopsies from 51 patients with sinusoidal dilatation were reviewed. Biopsies from transplant recipients, patients with cirrhosis, and patients with hepatic neoplasms (primary or metastatic) were not included. Clinical records were reviewed for laboratory tests and final clinicopathologic diagnosis.
RESULTS
Thirty-four patients (66.7%) had confirmed venous outflow impairment. Of the 17 cases (33.3%) without clinical and/or radiologic evidence of venous outflow impairment, vascular causes were present in 5 cases (9.8%; nodular regenerative hyperplasia in 2 cases and portal vein thrombosis, congenital absence of the portal vein, and sickle cell anemia in 1 case each). Systemic inflammatory disorders were identified in 6 patients (11.8%). These included 2 cases of Castleman disease and 1 each of sarcoidosis, Crohn disease, rheumatoid arthritis, and Still disease. Three patients (5.9%) had tumors without direct involvement of the liver (1 case each of Hodgkin lymphoma, renal cell carcinoma, and pancreatic serous pseudopapillary tumor). In the remaining 3 patients, SDC was identified in wedge liver biopsies performed at the time of surgery, including gastric bypass surgery, cholecystectomy, and splenectomy. No other disease association was apparent in these cases.
CONCLUSION
Sinusoidal dilatation and congestion in liver biopsy is associated with venous outflow impairment in two thirds of the cases. In the absence of clinical and/or radiological evidence of venous outflow, diagnostic considerations include other vascular conditions, such as portal vein insufficiency and nodular regenerative hyperplasia. Sinusoidal dilatation and congestion can also occur in the setting of systemic inflammatory diseases, granulomatous disorders, and neoplasms, as well as in wedge biopsies obtained during abdominal surgery.
Topics: Arthritis, Rheumatoid; Biopsy; Carcinoma, Renal Cell; Castleman Disease; Crohn Disease; Cystadenoma, Papillary; Dilatation, Pathologic; Hodgkin Disease; Humans; Kidney Neoplasms; Liver; Liver Diseases; Pancreatic Neoplasms; Retrospective Studies; Sarcoidosis; Still's Disease, Adult-Onset; Veins
PubMed: 15270610
DOI: 10.5858/2004-128-901-SDACIL -
Pediatrics International : Official... 2023
Topics: Humans; Superior Mesenteric Artery Syndrome; Gastric Dilatation; Binge-Eating Disorder; Dilatation, Pathologic; Acute Disease; Mesenteric Artery, Superior
PubMed: 37804074
DOI: 10.1111/ped.15640 -
Cirugia Y Cirujanos 2019Anterior spinal artery syndrome, usually resulting in flaccid paraplegia, is a rare but disastrous complication that can occur after surgery of aortic aneurysms and...
BACKGROUND
Anterior spinal artery syndrome, usually resulting in flaccid paraplegia, is a rare but disastrous complication that can occur after surgery of aortic aneurysms and aortic dissections. Spinal cord infarct as the initial clinical presentation of aortic dissection is a very rare finding.
CASE REPORT
A 42-year-old male patient who comes to the emergency department due to severe chest pain associated with presyncope and paraplegia of the lower limbs in the context of type A aortic dissection.
CONCLUSIONS
Recognizing this atypical clinical presentation of aortic dissection and knowing how to approach it is critical for an early diagnosis and to minimize the risk of spinal cord ischemia during surgery.
Topics: Adult; Aortic Dissection; Anterior Spinal Artery Syndrome; Aortic Aneurysm, Abdominal; Aortic Aneurysm, Thoracic; Chest Pain; Dilatation, Pathologic; Humans; Magnetic Resonance Imaging; Male; Paraplegia; Renal Artery; Spinal Cord; Spine; Tomography, X-Ray Computed
PubMed: 31264980
DOI: 10.24875/CIRU.18000357 -
Federation Proceedings 1947
Topics: Abdomen; Dilatation, Pathologic; Humans
PubMed: 20342645
DOI: No ID Found -
The Journal of Urology May 1991In 1966 Melnick and Needles described a syndrome of multiple skeletal anomalies in a 3-year-old girl. A dilated ureter was noted but not associated with the disorder.... (Review)
Review
In 1966 Melnick and Needles described a syndrome of multiple skeletal anomalies in a 3-year-old girl. A dilated ureter was noted but not associated with the disorder. Subsequent to this report there have been 8 additional cases published of patients with the Melnick-Needles syndrome in association with a variety of urogenital and abdominal wall abnormalities. A 10-year-old girl with this syndrome and bilateral ureteral ectasia is described and the literature on this association is reviewed.
Topics: Child; Dilatation, Pathologic; Female; Humans; Hydronephrosis; Osteochondrodysplasias; Ureteral Diseases
PubMed: 2016783
DOI: 10.1016/s0022-5347(17)38519-1 -
The Australian and New Zealand Journal... Dec 1977
Topics: Aged; Aorta, Abdominal; Aortic Aneurysm; Arteries; Arteriosclerosis; Dilatation, Pathologic; Female; Humans; Male; Middle Aged
PubMed: 274118
DOI: 10.1111/j.1445-2197.1977.tb06617.x