Diagnostic and interventional radiology : official journal of the Turkish Society of Radiology
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Diagn Interv Radiol · Jul 2012
Case ReportsPercutaneous embolization of a caroticoazygous fistula with the Amplatzer Vascular Plug 1.
We present the case of a five-year-old boy with a caroticoazygous fistula, which is an extremely rare congenital vascular malformation. The patient also had patent ductus arteriosus, a common cause of continuous murmur. ⋯ The fistula was successfully embolized using the Amplatzer(®) Vascular Plug 1. Transcatheter occlusion of caroticoazygous fistula was performed easily, safely, and efficiently with a vascular plug.
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The purpose of this study was to determine the frequency of scrotal calculi in men referred for scrotal ultrasonography (US), to identify any associated pathologies, and to investigate if any relationship exists between scrotal lithiasis and pain. ⋯ The frequency of scrotal calculi was 1.95%. Approximately one-quarter of patients with scrotal calculi and pain had no additional abnormalities. Therefore, scrotal calculi should be considered in the differential diagnosis of scrotal pain.
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Diagn Interv Radiol · Mar 2012
How protective are the lead aprons we use against ionizing radiation?
To evaluate, in terms of their protective features, the lead aprons used in areas working with ionizing radiation at a hospital by analyzing qualitative and quantitative aspects using a variety of methods. ⋯ All of the aprons were found insufficient for protection and were more radioparent than the defined limits; it was concluded that they must be replaced by new ones.
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Diagn Interv Radiol · Jan 2012
Case ReportsExpanding refractory rectus sheath hematoma: a therapeutic dilemma.
Rectus sheath hematoma is an uncommon but well-described complication of a tussive paroxysm. It is an accumulation of blood within the sheath of the rectus abdominis secondary to disruption of the epigastric vessels or the rectus muscle and is often misdiagnosed as acute abdomen. Increases in the number of elderly patients and the use of therapeutic anticoagulation may increase the prevalence and severity of rectus sheath hematomas encountered in clinical practice. ⋯ Repeated computed tomography showed two separate expanding rectus sheath hematomas, which were not accompanied by obvious contrast extravasation on angiography. Empiric left inferior epigastric artery embolization resulted in rapid hemodynamic stabilization, and the hematomas shrank gradually. Early empiric transcatheter arterial embolization may be appropriate for patients who are poor surgical candidates and have enlarging hematomas that are refractory to conservative treatment.
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Diagn Interv Radiol · Jan 2012
Ideal combination of MRI sequences for perianal fistula classification and the evaluation of additional findings for readers with varying levels of experience.
The aim of our study was to assess the contribution of various magnetic resonance imaging (MRI) sequences in determining the type of perianal fistula and in obtaining critical information for surgical decisions, as well as to define the optimal combination of sequences for readers with varying levels of experience. ⋯ For experienced readers, combining FS-CE-T1W-GRE images with either T2W or STIR images collected in both the coronal and axial planes was sufficient to make an assessment before deciding the surgical extent of the procedure.