The diagnosis of Amyand's hernia, the development of acute appendicits within an inguinal hernia, is rarely made preoperatively and is often confused clinically with an incarcerated right inguinal ...hernia. The use of CT to prospectively diagnose Amyand's hernia and corresponding imaging findings are not well described in the literature. We report a case of Amyand's hernia, which was correctly diagnosed by CT in a female patient presented to the emergency department with right lower quadrant pain and clinical suspicion of a strangulated omentocele.
Trauma is the most common cause of death in young adults. A multidisciplinary trauma team consists of at least a surgical team, an anesthesiology team, radiologic team, and an emergency department ...team.
Recognize the integration of multidisciplinary medical team in managing the trauma patient and which must include the radiologist physician responsible for the institutional approach to the systematization of the trauma patient regarding any radiological and imaging study with emphasis on the FAST (del inglés, Focused Assessment with Sonography in Trauma)/USTA, Whole body computed tomography.
Ultrasound is a cross-sectional method available for use in patients with major trauma. Whole-body multidetector computed tomography became the imaging modality of choice in the late 1990s.
In patients with major trauma, examination FAST often is the initial imaging examination, extended to extraabdominal regions. Patients who have multitrauma from blunt mechanisms often require multiple diagnostic examinations, including Computed Tomography imaging of the torso as well as abdominopelvic Computed Tomography angiography.
Multiphasic Whole-body trauma imaging is feasible, helps detect clinically relevant vascular injuries, and results in diagnostic image quality in the majority of patients. Computed Tomography has gained importance in the early diagnostic phase of trauma care in the emergency room. With a single continuous acquisition, whole-body computed tomography angiography is able to demonstrate all potentially injured organs, as well as vascular and bone structures, from the circle of Willis to the symphysis pubis.
La empatía, la comunicación efectiva y la asertividad, en la práctica médica actual representan habilidades y herramientas necesarias y vigentes, en un mundo de grandes avances y realidades ...tecnológicas que no superan, en nuestra perspectiva, lo indispensable del uso de esas habilidades y herramientas para mantener y fortalecer la relación del profesional de la salud con el paciente y especificamente de la relación médico-paciente. Es conveniente identificar y reconocer el hecho de que estas relaciones interpersonales deben ser modificadas mediante el reconocimiento de su bidireccionalidad y de que deben centrarse en un carácter educativo, de realimentación y atención mutua, con una mejora continua de la regla de las “15 C”: Comunicación, Cercanía, Comprensión, Compasión, Confianza, Capacidad, Consistencia, Certificación, Creatividad, Cooperación/Coordinación y Compromiso bidireccional y Conexión, con las resultantes, Calidad y Calidez.
pancreatic focal neoplastic lesions (PFNL) should be characterized through image methods to differentiate from no neoplastic lesions, suggesting one or more probable diagnosis, and staging of ...malignant lesions, in order to help define the estrategy of medial or surgical management. The multidetector computed tomography (MDCT) offers multiple properties and advantages that enable adequate characterization of the PFNL. The objective of this study is to evaluate de usefulness of MDCT in characterizing PFNL.
a descriptive, retrospective caseseries study has been conducted. It consisted of reviewing MDCT studies in which PFNL were found, over a period of 4 years 11 months from January 2006 to November 2010.
we obtained 54 cases of PFNL which were characterized by MDCT; 75.9% for a specific diagnosis, and were categorized as indeterminate 24.1%, considering more than one possible diagnosis. The most frequent PFNL type was pancreatic ductal adenocarcinoma in 51.9%. Pancreatic cystic neoplasms accounted for 16.7%.
MDCT is useful for identifying and characterizing LFNP, this means the possibility of establishing one or more diagnostic possibilities and guide medical management.
Gastroesophageal reflux disease (GERD) is a common medical problem in the United States. As a result, laparoscopic antireflux surgery is a common surgical procedure. At the authors' institution, the ...barium esophagram before and after antireflux surgery is a critical examination in patients with GERD. This article summarizes the authors' examination protocol and describes how the findings are integrated in the care of these patients.
El cáncer es la tercera causa de muerte en México; es la segunda causa de mortalidad por tumores malignos y su incidencia no ha disminuido en las últimas décadas.
Entre el 1 de mayo de 2011 y el 2 de ...marzo de 2015, se incluyeron pacientes quienes, por sospecha clínica de lesión tumoral primaria, gástrica, fueron estudiados por endoscopia y TC con cualquier protocolo, obteniéndose el diagnóstico histopatológico tanto del gástrico primario como otros diagnósticos alternos.
Participaron 45 pacientes, 28 masculinos (62%), 17 femeninos (38%). Las edades fluctuaron entre los 32 y los 86 años. El motivo clínico más frecuente correspondió a síndrome consuntivo solo o asociado a otros datos clínicos en 18 pacientes (40%); en 30 (66%) se corroboró cáncer gástrico por histopatología, en 16 (53%) la actividad tumoral se detectó en forma tardía, con carcitomatosis peritoneal en 13 (43%), 3 de ellos con metástasis hepáticas y uno de ellos con trombosis venosa; 2 con metástasis hepáticas y uno de ellos con trombosis venosa. En 12 pacientes (27%), se realizó la gastro-TC con o sin inclusión de tórax contrastado. El hallazgo de engrosamiento de pliegues gástricos se detectó en el 20%, con engrosamiento gástrico concéntrico en el 48% y asociado a lesión ulcerada, carcitomatosis peritoneal, metástasis hepáticas y trombosis venosa en un 32%. Ningún paciente fue detectado en forma temprana.
La distensión gástrica es crítica, y la gastro-TC representa la técnica ideal para la estadificación del cáncer gástrico. La asociación entre el síndrome consuntivo y el cáncer gástrico alcanzó un porcentaje elevado, siendo recomendable el abordaje diagnóstico con gastro-TC.
Cancer is the third cause of death in Mexico, and is the second cause of malignant tumour-related mortality, with an incidence that has not declined over the last decades.
The study included patients who were studied by endoscopy and CT using any protocol due to clinical suspicion of primary gastric tumour lesion in the period from 1 May 2011 to 2 March 2015. Primary gastric tumour diagnosis, as well as other alternative diagnoses, was established by histopathology.
The study included 45 patients, of whom, 28 were male (62%) and 17 were female (38%). Ages ranged from 32 to 86 years. The most common clinical reason was constitutional syndrome, either alone or associated with other clinical symptoms in 18 patients (40%). The gastric cancer was histopathologically confirmed in 30 patients (66%), with 16 (53%) being detected late, with peritoneal carcinomatosis (PC) in 13 (43%), 3 of them with liver metastasis (LM), 1 with venous thrombosis (VT), 2 with LM, and 1 with VT. The gastric CT protocol, with and without contrast-enhanced thoracic images, was performed in 12 patients (27%). Gastric folds thickening was detected in 20%, with concentric gastric thickening in 48% and associated with an ulcerated lesion, PC, LM and VT in 32%. No patients were detected early.
Gastric distension is critical in abdominal imaging and gastric CT represents the ideal imaging technique for gastric cancer staging and classification. The association between constitutional syndrome and gastric cancer reached an elevated rate, with gastric CT being recommendable for the diagnostic approach.
Pelvic congestion syndrome is a condition not yet fully understood, hence provokes controversy. It is cause of up to 40% of visits to the doctor; affecting women of reproductive age who experience ...non-specific symptoms such as characteristic pelvic pain with more than six months of evolution and difficult to treat dyspareunia in which even narcotics are insufficient for control.
To recognize the vascular anatomy of the pelvic cavity and identify the characteristics of pelvic congestion syndrome demonstrable by computed tomography.
A descriptive, observational, cross-sectional and retrospective study at Hospital Angeles del Pedregal, in the Department of Radiology and Imaging with patients who reported imaging studies with key findings to recognize the pelvic congestion syndrome. All women with incidental finding of abnormal dilation of the gonadal vein were included, allowing to suggest pelvic congestion syndrome as a possible diagnosis.
There were 17 cases (0.9%) of patients with abdominopelvic pain syndrome who underwent multislice computed tomography to 3 mm, with extension from the lung bases to the pubic symphysis. Predominance of left gonadal vein is conditioned by the anatomical arrangement of the left gonadal vein. During the arterial phase opacification of the gonadal vein was identified in 11 patients (65%), a circumstance that correlates with retrograde venous flow valve incompetence. In computed tomography findings of pelvic congestion syndrome were also identified 12 patients (70%) with abdominopelvic pain syndrome.
Pelvic congestion syndrome is a rare condition that radiologists do not consider because they don't know it and the clinical diagnoses give no clinical data to suggest this condition. But if one takes into account the literature, it refers to it as the origin of up to 40% of the visits to the gynecologist, and there may be more cases that will increase its prevalence.
Cráneo en cobre batido Luján-Cortés, Emmanuel Itzcoatl; Montoya-Moreno, Karla Patricia; Del Ángel-Cruz, Magnolia ...
Revista mexicana de pediatría (Sociedad Mexicana de Pediatría),
2023, Volume:
90, Issue:
1
Journal Article
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