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Spleen ultrasound

Corrado Tagliati, Giulio Argalia, Gian Marco Giuseppetti
AIMS: To assess contrast enhanced ultrasound (CEUS) performance in the prediction of non-operatively managed blunt spleen injuries requiring only observation and monitoring during follow-up and to evaluate if CEUS accuracy was higher than conventional ultrasound (US) in this field. MATERIAL AND METHODS: In 112 hemodynamic stable blunt spleen trauma patients, CEUS was performed for follow-up after computed tomography evaluation in the emergency department. CEUS and US performance were assessed considering as true negative cases patients that had not underwent interventional or surgical treatment during follow-up and were assessed as negative for splenic complications respectively by CEUS or US examinations...
February 17, 2019: Medical Ultrasonography
Michael Schreiber, Clemens-Alexander Greim
The rising impact of perioperative sonography is mainly based on mobile high quality ultrasound systems. Relevant bleedings or functional limitations of the abdomen are easy to identify with sonography. The FAST-Concept can be the first access to continue proceedings in ultrasound examination of the abdomen. This paper demonstrates some important ultrasound examinations of the abdomen. The clinical main issues are traumatic and atraumatic bleedings of heart, liver and spleen with haemodynamic instability and functional limitations of abdominal organs like bile cystitis, gastrointestinal passage disability and obstructive uropathy...
February 2019: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
Sally Griffin
PRACTICAL RELEVANCE: Abdominal ultrasound plays a vital role in the diagnostic work-up of many cats presenting to general and specialist practitioners. Ultrasound examination of the liver can be key in the diagnosis of diseases such as hepatic lipidosis and hepatic neoplasia. CLINICAL CHALLENGES: Despite ultrasonography being a commonly used modality, many practitioners are not comfortable performing an ultrasound examination or interpreting the resulting images...
January 2019: Journal of Feline Medicine and Surgery
Margherita Trinci, Stefania Ianniello, Michele Galluzzo, Carlo Giangregorio, Riccardo Palliola, Vito Briganti, Stefano Tursini, Vittorio Miele
INTRODUCTION: Accessory spleen, also known as supernumerary spleen or splenunculum, is a congenital anomaly of the spleen due to a fusion defect during the embryogenesis. Usually it is detected casually during an ultrasound (US) examination of the abdomen and it is asymptomatic. CASE REPORT: RESULTS: We present a case of a 12 years old male patient, with 2-days history of left abdominal pain, without fever, gastrointestinal or genitourinary symptoms. The day before our observation, the patient had gone to another hospital, from where he had been discharged with medical analgesic therapy, without any benefit...
February 13, 2019: Journal of Ultrasound
Matthias Pfahler, Sven Baumann, Jasmin Schuhbaur, Wolfgang Kratzer
Ultrasound is the most commonly used diagnostic method in everyday clinical practice aside from conventional radiography. For prospective physicians, there is a gap between the increased requirements in everyday clinical practice and the skills acquired thus far, especially when dealing with sonography. In this work, we would like to present the structure of our sonography course and its implementation in the Ulm core curriculum of medical studies. The sonography course is based on two pillars. The Sonography Seminar (Pillar 1) has a lecturer who regularly conveys interdisciplinary theoretical content, fundamentals and possible fields of application for sonography during 13 appointments of 45 minutes...
February 2019: Zeitschrift Für Gastroenterologie
Elton Dajti, Federico Ravaioli, Antonio Colecchia, Giovanni Marasco, Amanda Vestito, Davide Festi
Aims: Budd-Chiari Syndrome (BCS) is a rare vascular disease of the liver caused by the obstruction of the hepatic venous outflow located from the small hepatic venules up to the entrance of the inferior vena cava (IVC) into the right atrium. Current prognostic indexes are suboptimal for an individual prognostic assessment and subsequent management of patients with BCS. Liver (LSM) and spleen (SSM) stiffness measurements are widely validated prognostic tools in hepatology, but the evidence in patients with BCS is limited...
2019: Canadian Journal of Gastroenterology & Hepatology
Yuki Yokota, Yoshito Tomimaru, Takashi Iwazawa, Kozo Noguchi, Hirotsugu Nagase, Takayuki Ogino, Masashi Hirota, Kazuteru Oshima, Tsukasa Tanida, Shingo Noura, Tomono Kawase, Hiroshi Imamura, Kenzo Akagi, Keizo Dono
A 72-year-old man received chemoradiotherapy for lung squamous cell carcinoma(T4N2M0, Stage Ⅲb). Nine months after the start of chemoradiotherapy, a 60 mm sized mass was identified in the spleen on abdominal CT. FDG-PET/CT examination revealed abnormal FDG accumulation in the tumor, and no obvious accumulation was observed in other sites. By endoscopic ultrasound-guided fine needle aspiration cytology, the tumor was diagnosed as splenic metastasis from lung cancer. Since the primary lung tumor was well controlled by the chemoradiotherapy and no metastatic lesions were found except in the spleen, laparoscopic excision of the splenic metastasis was planned...
December 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
V Konduri, M M Halpert, Y C Baig, R Coronado, J R Rodgers, J M Levitt, B Cerroni, S Piscoya, N Wilson, L DiBernardi, Z Omarbekov, L Seelhoff, V Ravi, L Douglass, W K Decker
Angiosarcoma is a deadly neoplasm of the vascular endothelium. Metastatic disease is often present at diagnosis, and 5-year survival is only 10-35%. Although there exist no immunocompetent mouse models of angiosarcoma with which to study immune-based approaches to therapy, angiosarcoma is a major killer of companion dogs, responsible for up to 2% of all canine deaths in some susceptible breeds or an estimated 120,000 per year in the US. The canine disease (HSA) often presents in the spleen as acute hemoabdomen secondary to splenic rupture...
January 23, 2019: Cancer Gene Therapy
Iuri Corsini, Niccolò Parri, Caterina Coviello, Valentina Leonardi, Carlo Dani
Congenital diaphragmatic hernia (CDH) occurs in approximately 1 in 2500 to 5000 infants. The use of lung ultrasound (LUS) for its diagnosis has been reported in only two case reports. The aim of this study was to report the LUS pattern of CDH in a case series of infants with respiratory distress. This case series was part of a cohort enrolled in a larger prospective observational study. LUS was performed at the point-of-care during the first 24 h of life of the neonates and its operation time was measured...
January 21, 2019: European Journal of Pediatrics
Citra N Z Mattar, Yi-Wan Tan, Nuryanti Johana, Arijit Biswas, Lay-Geok Tan, Mahesh Choolani, Sonia Bakkour, Mark Johnson, Jerry K Y Chan, Alan W Flake
INTRODUCTION: Significant limitations with existing treatments for major haemoglobinopathies motivate the development of effective intrauterine therapy. We assessed the feasibility of fetoscopic and ultrasound-guided intrauterine haemopoietic cell transplantation (IUHCT) in macaque fetuses in early gestation when haemopoietic and immunological ontogeny is anticipated to enable long-term donor cell engraftment. MATERIAL AND METHODS: Fluorescent-labelled bone marrow-derived mononuclear cells from 10 pregnant Macaca fascicularis were injected into their fetuses at E71-114 (18...
January 18, 2019: Fetal Diagnosis and Therapy
Yonghua Shen, Ling Nie, Yuling Yao, LiQing Yuan, Zhenqing Liu, Ying Lv
RATIONALE: Cancer recurrence and metastasis after liver transplantation (LT) is common in some hepatocellular carcinoma (HCC) patients. The most common sites of extrahepatic metastases are lung, regional lymph node, adrenal gland, and bone. To our knowledge, HCC metastasis to the seminal vesicle after LT has not been reported in the literature. PATIENT CONCERNS: A 56-year-old Asian man presented at hospital with a 9-year history of orthotopic LT because of HCC. The patient underwent surgery and radiotherapy for HCC metastasis to adrenal gland and 1 year later, chemotherapy for peritoneal metastasis...
January 2019: Medicine (Baltimore)
Oshri Barel, Ramy Rahamim Suday, Jonathan Stanleigh, Mordechai Pansky
OBJECTIVE: To present the presentation, diagnosis and management of a patient with abdominal pregnancy and to illustrate the laparoscopic technique in which management was preformed. DESIGN: A descriptive study (Canadian task force level III) approved by our local institutional review board. Consent was given from the patient. SETTING: A university hospital in Ashdod, Israel. PATIENT: On May 15th 2018, a Gravida-3 Para-2, 37-year-old asymptomatic patient was referred to the gynecological emergency department due to a suspected ectopic pregnancy...
January 9, 2019: Journal of Minimally Invasive Gynecology
Leonardo de Souza Vasconcellos, Andy Petroianu, Juliana Ribeiro Romeiro, Wilson Campos Tavares Junior, Vivian Resende
PURPOSE: To evaluate a possible relationship between the size of the spleen and values of circulating blood elements in patients with schistosomatic splenomegaly. METHODS: ixty one patients with hepatosplenic schistosomiasis mansoni underwent a clinical exam and peripheral venous blood was collected for a hemogram. The erythrocyte, hemoglobin, hematocrit, leukocyte, and platelet values were determined. All patients underwent abdominal ultrasound to measure the spleen...
December 2018: Acta Cirúrgica Brasileira
Heechul Yoon, Yiying I Zhu, Steven K Yarmoska, Stanislav Y Emelianov
This paper introduces a configurable combined laser, ultrasound, and elasticity (CLUE) imaging platform. The CLUE platform enables imaging sequences capable of simultaneously providing quantitative acoustic, optical, and mechanical contrast for comprehensive diagnosis and monitoring of complex diseases, such as cancer. The CLUE imaging platform was developed on a Verasonics ultrasound scanner integrated with a pulsed laser, and it was designed to be modular and scalable to allow researchers to create their own specific imaging sequences efficiently...
December 27, 2018: IEEE Transactions on Medical Imaging
Han Ah Lee, Seung Up Kim, Yeon Seok Seo, Young-Sun Lee, Seong Hee Kang, Young Kul Jung, Moon Young Kim, Ji Hoon Kim, Sang Gyune Kim, Ki Tae Suk, Soung Won Jung, Jae Young Jang, Hyonggin An, Hyung Joon Yim, Soon Ho Um
BACKGROUNDS & AIMS: The Baveno VI guidelines proposed criteria including liver stiffness (LS) and platelet count to avoid screening endoscopy in patients with compensated advanced chronic liver disease (cACLD). This study was performed to validate the Baveno IV criteria and to compare its diagnostic accuracy with other non-invasive models. METHODS: Patients with cACLD who underwent laboratory tests, upper gastrointestinal endoscopy and abdominal ultrasound within 6 months of transient elastography were included...
December 27, 2018: Liver International: Official Journal of the International Association for the Study of the Liver
Rabea Hasadia, Olga Kazarin, Orit Sofer, Katerina Shulman, Anton Troitsa, Ricardo Alfici, Itamar Ashkenazi
We report a 48-year-old woman with metastatic infiltrating lobular carcinoma of the breast. Though her metastatic disease remained stable, she was repeatedly admitted for symptomatic anaemia and treated by red blood cell and platelet transfusions with increasing frequency as time elapsed. Abdominal examination and ultrasound revealed splenomegaly (27 cm span). A bone marrow biopsy showed fibrosis and foci of metastatic carcinoma. Splenectomy ameliorated her transfusion-dependent anaemia and thrombocytopaenia...
December 18, 2018: BMJ Case Reports
Kamal-Eldeen Fouad, Sayed Elzomor, Haithem A M Farghali, Ibrahim A Emam
There are varieties of surgical approaches reported for equine splenectomy and all of them were dealing with the most reachable situation of splenic hilus and easy handling of the spleen. The aim of this work was to establish the normal ultrasound parameters of spleen in donkeys (normal echogenicity, hilus situation, topographic location and correlation with neighboring organs) as a guide to select the best approach for total splenectomy in donkeys. Splenic ultrasound was carried out on six normal donkeys before experimental total splenectomy in the standing position...
December 2018: International Journal of Veterinary Science and Medicine
Jing Shen, Shoubo Cao, Xin Sun, Bo Pan, Jingyan Cao, Dehai Che, Shi Jin, Yingyue Cao, Ye Tian, Yan Yu
BACKGROUND/AIMS: Sonodynamic therapy (SDT) is expected to be a new method to solve the clinical problems caused by advanced metastasis in patients with lung cancer. The use of ultrasound has the advantage of being noninvasive, with deep-penetration properties. This study explored the anti-tumor effect of SDT with a new sonosensitizer, sinoporphyrin sodium (DVDMS), on the human small cell lung cancer H446 cell line in vitro and in vivo. METHODS: Absorption of DVDMS was detected by a fluorescence spectrophotometer, and DVDMS toxicity was determined using a Cell Counting Kit-8...
December 14, 2018: Cellular Physiology and Biochemistry
C I Okongwu, F A Fasola, A J Adekanmi, A A Onifade
Introduction: In sickle cell anemia patients (SCA), the spleen suffers multiple occlusion of its microvasculature causing ischemia and subsequently autosplenectomy. Among the functions of the spleen is the production of gamma interferon (IFN-γ) which has several immunological roles. This function could be impaired in these patients. Therefore, this study aimed at determining the extent to which autosplenectomy affects the immunity of SCA patients as reflected by the level of IFN-γ, frequency of infections, and crises (vaso-occlusive, hemolytic, aplastic) in these patients...
December 2018: Nigerian Journal of Clinical Practice
Anna Olchowy, Cyprian Olchowy, Mateusz Łasecki, Rafał Mazur, Małgorzata Sierpowska, Marek Waligóra, Mieszko Więckiewicz
BACKGROUND: Ovarian hyperstimulation syndrome (OHSS) is a common complication of an in-vitro fertilization (IVF) procedure, which is usually clinically insignificant. However, without monitoring, it can progress into a life-threatening condition. With the increasing popularity of IVF technology, patients with OHSS may begin visiting emergency departments (EDs) more frequently. CASE REPORT: We report the case of a patient admitted to the ED presenting with severe abdominal pain, cough, and nausea...
December 14, 2018: Journal of Emergency Medicine
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