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Journal of Vascular Surgery Sep 2003
Review
Topics: Aortic Aneurysm, Abdominal; Aortic Rupture; Cytokines; Dilatation, Pathologic; Female; Humans; Male; Metalloendopeptidases; Molecular Biology; Prognosis; Risk Assessment; Stress, Mechanical
PubMed: 12947280
DOI: 10.1016/s0741-5214(03)00324-0 -
Journal of Pregnancy 2014The aim of this review was to identify clinically significant ultrasound predictors of adverse neonatal outcome in fetal gastroschisis. (Review)
Review
OBJECTIVES
The aim of this review was to identify clinically significant ultrasound predictors of adverse neonatal outcome in fetal gastroschisis.
METHODS
A quasi-systematic review was conducted in PubMed and Ovid using the key terms "gastroschisis," "predictors," "outcome," and "ultrasound."
RESULTS
A total of 18 papers were included. The most common sonographic predictors were intra-abdominal bowel dilatation (IABD), intrauterine growth restriction (IUGR), and bowel dilatation not otherwise specified (NOS). Three ultrasound markers were consistently found to be statistically insignificant with respect to predicting adverse outcome including abdominal circumference, stomach herniation and dilatation, and extra-abdominal bowel dilatation (EABD).
CONCLUSIONS
Gastroschisis is associated with several comorbidities, yet there is much discrepancy in the literature regarding which specific ultrasound markers best predict adverse neonatal outcomes. Future research should include prospective trials with larger sample sizes and use well-defined and consistent definitions of the adverse outcomes investigated with consideration given to IABD.
Topics: Dilatation, Pathologic; Female; Fetal Growth Retardation; Gastroschisis; Humans; Intestines; Predictive Value of Tests; Pregnancy; Pregnancy Outcome; Ultrasonography, Prenatal
PubMed: 25587450
DOI: 10.1155/2014/239406 -
Urology Jan 2022We describe a case of congenital giant megaureter in a 16-year-old female. She presented with a 5-day history of abdominal distention, right flank pain and tenderness.... (Review)
Review
We describe a case of congenital giant megaureter in a 16-year-old female. She presented with a 5-day history of abdominal distention, right flank pain and tenderness. Right pyelonephritis was suspected. Computerized tomography showed a large cystic abdominal mass with no appreciably functioning left kidney causing secondary compression of the contralateral right ureter. A left upper nephroureterectomy was performed, draining over 3.5 L of fluid. Our experience suggests that congenital giant megaureter should be considered in the differential for pediatric patients presenting with a cystic abdominal mass.
Topics: Abdominal Pain; Adolescent; Dilatation, Pathologic; Female; Humans; Ureteral Diseases
PubMed: 34728334
DOI: 10.1016/j.urology.2021.10.016 -
Ultrasound in Obstetrics & Gynecology :... Nov 2006To determine in fetuses with gastroschisis the association between intra-abdominal bowel dilation in the second trimester and neonatal bowel atresia. (Review)
Review
OBJECTIVE
To determine in fetuses with gastroschisis the association between intra-abdominal bowel dilation in the second trimester and neonatal bowel atresia.
METHODS
We reviewed ultrasound and medical records of fetuses with gastroschisis from January 1998 to August 2004. Fetuses with intra-abdominal bowel dilation in the second trimester were identified and followed into the neonatal period.
RESULTS
We identified 58 mother-infant pairs showing fetal gastroschisis, with at least one prenatal ultrasound at our hospital and which were delivered there, or were transported there as newborns. Forty-eight of the 58 fetuses had no intra-abdominal bowel dilation and none of these neonates had bowel atresia. Ten of the 58 fetuses had intra-abdominal bowel dilation and all had bowel atresia at birth (P<0.0001). In eight cases in which ultrasound was performed at <25 weeks' gestation, intra-abdominal bowel dilation was already present.
CONCLUSION
Intra-abdominal bowel dilation in the second trimester predicts neonatal bowel atresia in fetuses with gastroschisis.
Topics: Dilatation, Pathologic; Female; Fetal Diseases; Gastroschisis; Humans; Infant, Newborn; Intestinal Atresia; Pregnancy; Pregnancy Outcome; Retrospective Studies; Ultrasonography
PubMed: 17029299
DOI: 10.1002/uog.2858 -
Radiology Mar 2004
Topics: Acute Disease; Adipose Tissue; Crohn Disease; Diagnosis, Differential; Dilatation, Pathologic; Humans; Ileum; Mesentery; Neovascularization, Pathologic; Radiographic Image Enhancement
PubMed: 14990842
DOI: 10.1148/radiol.2303020645 -
Digestive and Liver Disease : Official... Jun 2005Coeliac disease is the most common gastrointestinal immunological disorder in the western countries. Many adult patients present non-specific symptoms and signs of...
BACKGROUND
Coeliac disease is the most common gastrointestinal immunological disorder in the western countries. Many adult patients present non-specific symptoms and signs of malabsorption such as chronic diarrhoea, anaemia, weight loss and abdominal distention. In non-specific and doubtful conditions, computed tomography is often the first medical examination performed. In a clinical practice, a critical review of computed tomography signs is therefore mandatory.
AIMS
To evaluate the abdominal computed tomography findings, which are useful to suggest the presence of coeliac disease in adult patients.
PATIENTS AND METHODS
The computed tomography studies of 28 coeliac patients were reviewed, looking for any intestinal and extraintestinal abnormality. The computed tomography findings evaluated were: abnormalities of intestinal fold pattern, bowel dilatation, fluid and air excess, duodenal abnormalities, intestinal intussusception, bowel wall thickening, lymphadenopathy, ascites, intestinal stenosis, mesenteric vascular changes. The abdominal computed tomography of a group of 30 normal subjects was also analysed.
RESULTS
Intestinal fold pattern abnormalities were seen in 23/28 patients. Intestinal dilatation was seen in 21/28. Fluid excess in 18/28 and lymphadenopathy was seen in 12/28 patients; engorgement of mesenteric vessels in 7/28. Bowel wall thickening was observed in 6/28 patients and transient intussusception was observed in 6/28 patients. Increased air content within the bowel in 4/28 and ascites in 2/28 patients. Bowel dilatation together with fluid excess was observed in 18/28 patients. None of the above mentioned abnormalities abnormalities were seen in normal subjects.
CONCLUSIONS
Data of the present study show that several abdominal computed tomography findings may be seen in coeliac adult patients; these findings should be taken into consideration with a high in level of suspicion by radiologists, to avoid diagnostic delay and unnecessary diagnostic and therapeutic procedures.
Topics: Adult; Aged; Air; Ascites; Body Fluids; Case-Control Studies; Celiac Disease; Colonic Diseases; Constriction, Pathologic; Dilatation, Pathologic; Female; Humans; Intestinal Mucosa; Intestines; Intussusception; Lymphatic Diseases; Male; Mesenteric Arteries; Mesenteric Veins; Middle Aged; Regional Blood Flow; Retrospective Studies; Tomography, X-Ray Computed
PubMed: 15893278
DOI: 10.1016/j.dld.2004.10.016 -
Pediatric Annals Oct 2010
Topics: Abdomen; Abdominal Pain; Adolescent; Bradycardia; Cachexia; Delirium; Dilatation, Pathologic; Folic Acid; Humans; Hypophosphatemia; Hypotension; Male; Pancytopenia; Parenteral Nutrition, Total; Superior Mesenteric Artery Syndrome; Vitamins; Vomiting; Weight Loss
PubMed: 20954605
DOI: 10.3928/00904481-20100922-07 -
Clinical Imaging Jan 2020The magnetic resonance (MR) enterography technique has improved over the past few years to provide an excellent means of evaluating the gastrointestinal tract for... (Review)
Review
The magnetic resonance (MR) enterography technique has improved over the past few years to provide an excellent means of evaluating the gastrointestinal tract for suspected Crohn's disease. Although the prevalent intestinal manifestations of Crohn's disease have been extensively discussed in the radiology literature, some of its rare complications, especially extra intestinal, have received less attention. Uncommon findings that may be seen on MR enterography and abdominal CT examinations performed in patients with Crohn's disease include hepatic sinusoidal dilatation, primary sclerosing cholangitis, fistulas in unusual locations, hepatic and splenic abscesses, and spondylarthritis. Radiologists should be aware of these potentially rare manifestations. They should be kept in mind during clinical examinations and should be routinely searched for and reported if present.
Topics: Abdomen; Adolescent; Adult; Aged; Crohn Disease; Dilatation, Pathologic; Female; Humans; Intestines; Magnetic Resonance Imaging; Male; Middle Aged; Splenic Diseases; Tomography, X-Ray Computed
PubMed: 31715515
DOI: 10.1016/j.clinimag.2019.04.010 -
AJR. American Journal of Roentgenology Sep 2008
Topics: Dilatation, Pathologic; Enterocolitis; Humans; Infant; Infant, Newborn; Radiography, Abdominal
PubMed: 18798378
DOI: 10.2214/ajr.191.3.0931a -
Archivos Argentinos de Pediatria Oct 2016Hydatid cyst, which is caused by Echinococcus granulosus, is mostly seen in the liver and lungs although it may also rarely be found in any organ or soft tissue. This...
INTRODUCTION
Hydatid cyst, which is caused by Echinococcus granulosus, is mostly seen in the liver and lungs although it may also rarely be found in any organ or soft tissue. This study presents an interesting case of pancreatic hydatid cyst in which the pancreatic duct opened into this cyst.
CASE REPORT
A 10-year-old boy presented to our clinic with significant abdominal distension and pain in the epigastric region which had started 10 days previously. Serum amylase level was 3709 U/L and hemagglutination inhibition for hydatid disease was 1/160. At abdominal computed tomography, two separate lesions and ascites were determined, a CE2 hydatid cyst in the region of the tail of the pancreas and a CE1 hydatid cyst in the left lobe of the liver. Percutaneous drainage was applied to the cyst in the pancreatic tail, and the patient was started on albendazole. The drainage catheter was removed, and the patient has since been followed-up on an outpatient basis with no complications.
Topics: Abdomen; Acute Disease; Animals; Child; Dilatation, Pathologic; Echinococcosis; Echinococcus granulosus; Humans; Male; Pancreatic Ducts
PubMed: 27606660
DOI: 10.5546/aap.2016.eng.e346