scholarly journals Wandering spleen with a ten-time twisted vascular pedicle

2016 ◽  
Vol 38 (3) ◽  
Author(s):  
Marta Peretti ◽  
Arianna Mariotto ◽  
Gabriella Scirè ◽  
Elisa Pani ◽  
Silvia Zambaldo ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Abdomen ◽  
Doppler Ultrasonography ◽  
Color Doppler ◽  
Color Doppler Ultrasonography ◽  
Wandering Spleen ◽  
Vascular Pedicle ◽  
Pediatric Case ◽  
Enhanced Computed Tomography

Torsion of a wandering spleen is a rare cause of acute abdomen in children, usually diagnosed with color-Doppler ultrasonography and enhanced computed tomography. We report a pediatric case of torsion of wandering spleen.

scholarly journals The role of the color doppler ultrasonography and computed tomography in estimation of portal hypertension

2016 ◽  
Vol 144 (11-12) ◽  
pp. 602-607 ◽  
Author(s):  
Dijana Niciforovic ◽  
Viktor Till ◽  
Viktorija Vucaj-Cirilovic ◽  
Kosta Petrovic ◽  
Mirela Jukovic ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Portal Hypertension ◽  
Doppler Ultrasonography ◽  
Color Doppler ◽  
Diagnostic Technique ◽  
Color Doppler Ultrasonography ◽  
Vein Thrombosis ◽  
Precise Diagnosis ◽  
Contrast Ct

Introduction. Liver diseases with disturbances of hepatic and splanchnic circulation lead to the portal hypertension, with or without a portal vein thrombosis. Objective. This study was based on the testing of hypothesis that more data and more precise diagnosis in patients with disorders of portal circulation can be obtained by using color Doppler ultrasonography (CDU) and computed tomography (CT) with contrast. Methods. The study was conducted from February 2011 to May 2014 and it comprised 120 patients who were suspected to have portal hypertension or already had clinical confirmation of the portal hypertension, patients with hepatitis, and some patients with hematological diseases. The first group of 40 patients was examined by conventional ultrasonography and CDU, the second group by contrast CT, and the third group of patients was examined by both methods (CDU and contrast CT). After six months of adequate therapy, the patients had control examinations with the same diagnostic technique used during their first examination. Results. Retrospective analysis showed that CDU is more sensitive than CT in the assessment of presence and age of thrombi (CDU 93.9%; CT 86.1%). CT gives precise data in detection of portosystemic collaterals. Sensitivity of CT is 100% and its specificity is 67%. Cumulative sensitivity and specificity for most parameters were increased in patients with portal hypertension when both methods were applied. Conclusion. This study emphasizes the possibility of early and more accurate diagnosis achieved when combining two radiological techniques (CDU and contrast CT scan), which is not the case when these methods are used separately.

scholarly journals Unusual Cause of Acute Scrotal Pain-Inflammatory Noncommunicating Hydrocele: A Pediatric Case Report

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Yoshinobu Moritoki ◽  
Kentaro Mizuno ◽  
Taiki Kato ◽  
Takahiro Yasui ◽  
Yutaro Hayashi
Keyword(s):  
Differential Diagnosis ◽  
Emergency Surgery ◽  
Doppler Ultrasonography ◽  
Color Doppler ◽  
Color Doppler Ultrasonography ◽  
Acute Scrotum ◽  
Pediatric Case ◽  
Scrotal Pain ◽  
Acute Scrotal Pain ◽  
General Physicians

The etiology of scrotal pain is clinically classified in terms of the necessity for emergency surgery. Lately, color Doppler ultrasonography has reduced unnecessary surgeries, but there are still some cases that require immediate exploration because of an uncertain diagnosis. Here, we describe the case of a 14-month-old boy, who could not deliver his complaint accurately, presenting with a grumpy mood and a red swollen scrotum. Emergency surgery revealed that the cause was intense inflammation of the hydrocele wall, which typically does not cause acute scrotum. We also reviewed rare etiologies of scrotal pain for general physicians to develop the differential diagnosis.

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