scholarly journals CEUS Retrograde Cystography Is Helpful in Percutaneous Drainage of Complex Posttransplant Lymphocele

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Stefano Di Domenico ◽  
Valentina Patti ◽  
Federico Fazio ◽  
Elisabetta Moggia ◽  
Iris Fontana ◽  
...  
Keyword(s):  
Percutaneous Drainage ◽  
Ultrasound Examination ◽  
Fluid Collection ◽  
Ultrasound Guided ◽  
Contrast Enhanced ◽  
Renal Vessels ◽  
Conventional Ultrasound ◽  
Mutual Relations ◽  
Inferior Limb ◽  
Renal Hilus

After monolateral dual kidney transplantation, a 69 years old male patient developed symptomatic lymphocele with mild hydroureteronephrosis, impaired renal function, and right inferior limb oedema. A percutaneous ultrasound-guided drainage of the fluid collection was planned, but the complex mutual relations between the collection and the renal hilus did not allow to identify a suitable route for a safe drainage insertion during conventional ultrasound examination. A retrograde cystography using echographic contrast agent was, therefore, performed, and it clarified the position of both ureters and the renal vessels, permitting an harmless ultrasound-guided percutaneous lymphocele drainage. In conclusion contrast-enhanced ultrasound retrograde cystography may be helpful in percutaneous drainage of complex posttransplant lymphocele.

scholarly journals Percutaneous drainage of a parotid gland abscess under contrast-enhanced ultrasound guidance: A case report

Ultrasound ◽  
2018 ◽  
Vol 26 (3) ◽  
pp. 182-186
Author(s):  
Sean Scattergood ◽  
Stephen Moore ◽  
Andrew Prior ◽  
Gibran T Yusuf ◽  
Paul S Sidhu
Keyword(s):  
Parotid Gland ◽  
Percutaneous Drainage ◽  
Ultrasound Guidance ◽  
Surgical Intervention ◽  
Ultrasound Examination ◽  
Contrast Enhanced Ultrasound ◽  
Ultrasound Guided ◽  
Contrast Enhanced ◽  
Co Morbidity ◽  
Warthin’S Tumour

A parotid gland abscess is uncommon and if not responding to conservative management, requires surgical intervention. However, surgery is invasive with the risk of complicating facial nerve damage and possible poor cosmetic outcome. We present a case of a parotid gland abscess in association with an underlying Warthin’s tumour requiring percutaneous drainage, as patient co-morbidity precluded a safe surgical approach. Percutaneous drainage was aided by a contrast-enhanced ultrasound examination, which permitted delineation of the fluid aspects of the collection from the underlying tumour and allowed successful percutaneous ultrasound-guided aspiration without complication.

Contrast-enhanced ultrasound-guided thrombin injection in the management of iatrogenic pseudoaneurysm (PSA): A case report and review of literatures

2020 ◽  
pp. 1-8
Author(s):  
Xiao-Long Li ◽  
Chen-Yi Xie ◽  
Hui-Xiong Xu
Keyword(s):  
Endovascular Procedures ◽  
Thrombin Injection ◽  
Contrast Enhanced Ultrasound ◽  
Ultrasound Guided ◽  
Arterial Complication ◽  
Contrast Enhanced ◽  
Conventional Ultrasound ◽  
Complete Thrombosis ◽  
Iatrogenic Pseudoaneurysm

Pseudoaneurysm (PSA) formation is the most common arterial complication of endovascular procedures requiring arterial puncture. The present study reported a case of a 72-year-old male patient with iatrogenic femoral artery PSA treated with contrast-enhanced ultrasound (CEUS) - guided thrombin injection. Conventional ultrasound (US) and CEUS were used to diagnose, guide treatment, and evaluate the treatment efficacy. In the case, the PSA was successfully occluded with 1000 IU of thrombin. During the follow-up after 48 hours of thrombin injection, US found that the PSA had complete thrombosis without arterial supply. No complications occurrence in the course of the treatment. CEUS - guided thrombin injection for the treatment of PSA was effective and safety and the associated literatures were also reviewed.

Dynamic endoluminal contrast enhanced ultrasound (CEUS) for display of drainages in inflammatory abdominal fluid collections1

2022 ◽  
pp. 1-11
Author(s):  
E.M. Jung ◽  
F. Jung ◽  
C. Stroszczynski ◽  
I. Wiesinger
Keyword(s):  
Intestinal Anastomosis ◽  
Fluid Collection ◽  
Contrast Enhanced Ultrasound ◽  
Sulphur Hexafluoride ◽  
Clinical Value ◽  
Contrast Enhanced ◽  
Conventional Ultrasound ◽  
Fluid Collections ◽  
Independent Assessment

AIM: To evaluate the additive clinical value of endoluminal contrast enhanced ultrasound (CEUS) after interventional placement of drainages in abdominal fluid collections. MATERIAL/METHOD: Examination of 30 patients using a 1–6 MHz convex probe (Resona 7, Mindray) to locate the fluid collection in B-Mode. Additionally, dynamic endoluminal CEUS with 1 ml sulphur-hexafluoride microbubbles was performed to measure the extent of the percutaneously drained abscesses. Independent assessment of dynamically stored images in PACS in DICOM format. Correlation to reference imaging using computed tomography (CT). RESULTS: A total of 30 patients were examined (17 m, 19–78 years, mean 56.1 years). Drainages were positioned in the liver in 15 cases, in the pelvis after kidney transplantation in 4 cases, close to the spleen in 1 case and in the abdomen in 10 cases. In all cases abscesses showed marginal hyperaemia with reactive septations in CEUS. The drainage position was assessed by means of B-mode in all cases first and then by CEUS. In 4 cases CEUS showed a fistula to the pleura, in 5 cases to the peritoneum, in 2 cases to the intestine, in 5 cases to the biliary tract, corresponding to the CT. In 2 cases there was a hint of an anastomotic leakage after intestinal anastomosis, which was reliably detected by CT. The drainage was removed in 11 cases within a period of 2 to 5 days after CEUS control, in 9 cases within a period of 5 to 10 days. Another operation was necessary in 3 cases. A new drainage was placed in 2 cases. The required amount of contrast medium is 1 ml endoluminally diluted to 9 ml sodium chloride. CONCLUSION: CEUS facilitates the exact localization and characterization of inflammatory abdominal fluid collections. Furthermore, possible fistulas can be detected that cannot be seen with conventional ultrasound.

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