J Radiol
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Case Reports
[Portal venous gas and necrotizing enterocolitis. Apropos of a case diagnosed by x-ray computed tomography].
Hepatic portal vein gas is defined as the presence of gas in the portal system. Its presence is exceptional in adults and indicates severe disease. ⋯ We report the case of a patient with acute abdominal pain associated with vascular and neurological symptoms; abdominal C. T. scan revealed hepatic portal vein gas and supported the diagnosis of necrotizing enterocolitis.
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Out of 2,888 blunt head injuries that were treated at the Hermann Hospital Trauma Center of the University of Texas at Houston, only 123 temporal bone fractures were diagnosed in 110 patients. The clinical diagnosis was confirmed with high resolution computerized tomography of the temporal bones. Three main categories of fractures were identified: oblique in 74%, longitudinal in 13% and transverse in 13%. ⋯ Thirteen patients who had delayed facial paralysis also recovered spontaneously. One third of the patients had persistent unsteadiness 6 weeks following the injury. Other unusual complications encountered include 6 cases of abducent paralysis, 2 cases of trigeminal paralysis and 2 cases of aseptic sigmoid sinus thrombosis.