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  • Hepatic veins, thrombosis  (1)
  • Surgery complications  (1)
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  • 1
    ISSN: 1432-1084
    Keywords: Key words: Foreign bodies ; Textiloma ; Surgery complications ; Medicolegal problems ; CT ; MR imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. We describe changes in imaging features of a textiloma (retained surgical sponge or retained foreign body) left in the renal fossa after exploratory renal surgery. One year after the initial surgery, the MR aspect of the textiloma was not specific, with a homogeneous low signal intensity on T1-weighted images. Serial CT examinations over 4 years demonstrated progressive growth and calcification of the mass which appeared pseudocystic with a peripheral inflammatory wall. Granulomas caused by a retained surgical sponge should be considered as a cause of retroperitoneal mass in patients with a history of prior surgery.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1084
    Keywords: Budd-Chiari syndrome ; Hepatic veins ; Doppler studies ; Hepatic veins, thrombosis ; Hepatic veins, ultrasound studies
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract This retrospective study was designed to evaluate duplex sonography in the diagnosis and follow-up of patients with Budd-Chiari syndrome. Thirteen patients with clotting disease and histologically proven Budd-Chiari syndrome (3 acute and 10 chronic cases) were examined, using conventional duplex sonography (n=5) or colour-coded duplex sonography (n=8). Results were compared with CT in 6 cases, MRI in 11, coeliac and mesentric angiography in 5, and hepatic wedge venography and cavography in 6. Of 39 hepatic veins examined, 33 had an abnormal appearance on ultrasound studies: endoluminal thrombus, stenosis, dilatation, thick wall echoes. Doppler findings included total obstruction of 8 hepatic veins, reversed flow in 22 hepatic veins and intrahepatic collaterals with continous non-phasic flow in all cases. Duplex sonography showed portal thrombosis (n=1), evidence of portal hypertension (n=8) and inferior vena cava thrombosis (n=2). Nine patients were treated surgically. Patency of portocaval shunts was correctly assessed with colour coded duplex sonography in 8 of 9 patients. We believe that colour Doppler imaging is the procedure of choice for initial diagnosis of Budd-Chiari syndrome.
    Type of Medium: Electronic Resource
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