W E Berdon, D H Baker, H J Wigger, S M Mitsudo, H Williams, H J Kaufmann, L Shapiro
{"title":"Calcified intraluminal meconium in newborn males with imperforate anus. Enterolithiasis in the newborn.","authors":"W E Berdon, D H Baker, H J Wigger, S M Mitsudo, H Williams, H J Kaufmann, L Shapiro","doi":"10.2214/ajr.125.2.449","DOIUrl":"https://doi.org/10.2214/ajr.125.2.449","url":null,"abstract":"<p><p>Five cases are reported and reference is made to 3 previous similar cases of calcified intraluminal meconium in newborn males with \"imperforate anus.\" A rectourinary fistula was found in most of the patients; none of the cases had meconium peritonitis. The calcifications may develop in areas of prolonged stasis; the possible added role of the mixture of urine and meconium in utero is raised.</p>","PeriodicalId":22266,"journal":{"name":"The American journal of roentgenology, radium therapy, and nuclear medicine","volume":"125 2","pages":"449-55"},"PeriodicalIF":0.0,"publicationDate":"1975-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2214/ajr.125.2.449","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12377484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Roentgenologic evaluation of a new prosthetic sphincter for the treatment of urinary incontinence.","authors":"T M Silver, A C Diokno","doi":"10.2214/ajr.125.2.479","DOIUrl":"https://doi.org/10.2214/ajr.125.2.479","url":null,"abstract":"<p><p>A new prosthetic device for the treatment of urinary incontinence, caused by a variety of etiologies, has been used 8 times at the University of Michigan Medical Center. Since the entire device is filled with contrast medium, the radiologist plays a major role in its evaluation. A brief description of the implantable urinary sphincter and its normal and abnormal roentgenographic appearances are presented and discussed. Roentgenologic findings which could lead to early clinical detection of mechanical failure are illustrated.</p>","PeriodicalId":22266,"journal":{"name":"The American journal of roentgenology, radium therapy, and nuclear medicine","volume":"125 2","pages":"479-85"},"PeriodicalIF":0.0,"publicationDate":"1975-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2214/ajr.125.2.479","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12377382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tomography of the kidney bed as an aid in differentiating renal pelvic tumor and stone.","authors":"M A Ambos, M A Bosniak","doi":"10.2214/ajr.125.2.331","DOIUrl":"https://doi.org/10.2214/ajr.125.2.331","url":null,"abstract":"<p><p>Plain film tomography is of value in detecting small amounts of calcium in \"non-opaque\" stones. The use of this technique to help differentiate renal pelvic tumor from stone in patients presenting with a filling defect in the renal pelvis is suggested. Four cases in which plain film tomography detected calcium in a renal pelvic stone that could not be seen on routine roentgenograms are presented.</p>","PeriodicalId":22266,"journal":{"name":"The American journal of roentgenology, radium therapy, and nuclear medicine","volume":"125 2","pages":"331-6"},"PeriodicalIF":0.0,"publicationDate":"1975-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2214/ajr.125.2.331","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12375437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V P Chuang, S R Reuter, J Walter, W D Foley, J J Bookstein
{"title":"Control of renal hemorrhage by selective arterial embolization.","authors":"V P Chuang, S R Reuter, J Walter, W D Foley, J J Bookstein","doi":"10.2214/ajr.125.2.300","DOIUrl":"https://doi.org/10.2214/ajr.125.2.300","url":null,"abstract":"<p><p>An attempt was made to control renal hemorrhage by selective embolization of the renal artery in 7 patients. In 2 patients the bleeding site was single, but in 2 others, several sites of arterial extravasation were present. Two patients had arteriovenous fistulas, and 1 had an unsalvageable, macerated kidney. Six of the 7 patients (86 per cent) were treated successfully. Nephrectomy was avoided in 5. No patient developed hypertension during the follow-up of 4 months to 2 years. Our results in these patients indicate that selective arterial embolization should have an important place in the management of patients with renal trauma.</p>","PeriodicalId":22266,"journal":{"name":"The American journal of roentgenology, radium therapy, and nuclear medicine","volume":"125 2","pages":"300-6"},"PeriodicalIF":0.0,"publicationDate":"1975-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2214/ajr.125.2.300","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12375432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gallstone ileus. The importance of contrast examinations in the roentgenographic diagnosis.","authors":"E J Balthazar, L S Schechter","doi":"10.2214/ajr.125.2.374","DOIUrl":"https://doi.org/10.2214/ajr.125.2.374","url":null,"abstract":"<p><p>Our experience based on the analysis of 12 proved cases of gallstone ileus is presented emphasizing the fact that the plain abdominal roentgenogram may be inconclusive or deceiving. It allowed us to suggest the correct diagnosis in only 4 cases. A high index of suspicion, particularly in elderly female patients, followed by barium examination of the upper gastrointestinal tract leads to a correct and rapid diagnosis. The demonstration of a diverticulum-like structure or a fistulous tract adjacent to the first portion of the duodenum associated with jejunal dilatation and barium dilution is highly reliable.</p>","PeriodicalId":22266,"journal":{"name":"The American journal of roentgenology, radium therapy, and nuclear medicine","volume":"125 2","pages":"374-9"},"PeriodicalIF":0.0,"publicationDate":"1975-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2214/ajr.125.2.374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12377475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T L Slovis, W E Berdon, J O Haller, D H Baker, L Rosen
{"title":"Pancreatitis and the battered child syndrome. Report of 2 cases with skeletal involvement.","authors":"T L Slovis, W E Berdon, J O Haller, D H Baker, L Rosen","doi":"10.2214/ajr.125.2.456","DOIUrl":"https://doi.org/10.2214/ajr.125.2.456","url":null,"abstract":"<p><p>Two cases of pancreatitis associated with the trauma of child abuse are reported. In the first case the skeletal survey was initially negative but the child later showed widespread roentgen evidence of intramedullary necrosis and periosteal new bone reaction. These lesions healed without treatment. In the second patient, the pancreatitis was accompanied by ascites and subsequently by bile peritonitis, duodenal obstruction, and a bile-filled abscess in the pancreas. This patient had skeletal fractures. The clinical problems of these 2 patients emphasize the need not only to relate pancreatitis to the battered child syndrome but also to distinguish between the bone changes due to direct trauma and those related to pancreatitis.</p>","PeriodicalId":22266,"journal":{"name":"The American journal of roentgenology, radium therapy, and nuclear medicine","volume":"125 2","pages":"456-61"},"PeriodicalIF":0.0,"publicationDate":"1975-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2214/ajr.125.2.456","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12377485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T H Berquist, R R Hattery, G W Hartman, P P Kelalis, J H DeWeerd
{"title":"Vesicoureteral reflux in adults.","authors":"T H Berquist, R R Hattery, G W Hartman, P P Kelalis, J H DeWeerd","doi":"10.2214/ajr.125.2.314","DOIUrl":"https://doi.org/10.2214/ajr.125.2.314","url":null,"abstract":"<p><p>Vesicoureteral reflux was detected in 200 adults seen in a 4 year period. In group 1 (no history of urinary tract infection and negative urine cultures), all patients had abnormalities on excretory urograms that were suggestive of reflux. In patients with a history of recurrent urinary tract infection (groups 2 and 3), the excretory urograms showed an abnormality in 79 per cent of those with negative cultures and in 83 per cent of those with positive cultures. Thus, reflux should be suspected in patients with a history of recurrent urinary tract infection even if infection cannot be documented with urine culture. Urographic evidence of renal parenchymal scarring, ureteral dilatation, or mucosal striations should also suggest the possibility of vesicoureteral reflux even when the patient may have no urinary tract symptoms. Voiding cystourethrography should be performed in all adults with these findings to exclude the possibility of vesicoureteral reflux.</p>","PeriodicalId":22266,"journal":{"name":"The American journal of roentgenology, radium therapy, and nuclear medicine","volume":"125 2","pages":"314-21"},"PeriodicalIF":0.0,"publicationDate":"1975-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2214/ajr.125.2.314","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12375435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Yeast bezoar formation following gastric surgery.","authors":"Y Perttala, P Peltokallio, T Leiviskä, J Sipponen","doi":"10.2214/ajr.125.2.365","DOIUrl":"https://doi.org/10.2214/ajr.125.2.365","url":null,"abstract":"<p><p>Yeast bezoar seems to be a relatively common late complication after various gastric operations. The incidence of bezoar depends decisively on the nature of the operation. Vagotomy in particular is conducive to the formation of a bezoar. Vagotomy + Billroth I resection proveded the most propitious conditions for the growth of yeast, for every one-half of the patients in this group developed a bezoar. Yeast bezoars usually appear within a year of the operation. The majority disappear during the first follow-up year, many without any therapy. However, in some cases the bezoar was a rather inconvenient late complication of gastric surgery and one that gave symptoms. It is difficult to draw any definite conclusions concerning the effect of therapy on the disappearance of the bezoar. We used gastric lavage and antimycotics as well as substances that increase gastric acidity. There is still no known method of preventing the formation of yeast bezoars. In the present consensus, a change in the acid conditions and disturbed gastric motility postoperatively are conducive to the formation of a bezoar.</p>","PeriodicalId":22266,"journal":{"name":"The American journal of roentgenology, radium therapy, and nuclear medicine","volume":"125 2","pages":"365-73"},"PeriodicalIF":0.0,"publicationDate":"1975-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2214/ajr.125.2.365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12375440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mediastinal neuroblastoma and ganglioneuroma. The differentiation between primary and secondary involvement on the chest roentgenogram.","authors":"J Bar-Ziv, M B Nogrady","doi":"10.2214/ajr.125.2.380","DOIUrl":"https://doi.org/10.2214/ajr.125.2.380","url":null,"abstract":"<p><p>The roentgenologic diagnosis and differentiation of mediastinal neurogenic tumors are possible on the chest roentgenogram as a rule. The soft tissue mass may be ill-defined and the tumor \"ghost-like\" in the case of primary neuroblastoma, but it is usually obvious in ganglioneuroma and metastatic disease. The presence of calcifications differentiates neurogenic tumors from other posterior mediastinal tumors of childhood. They are common in primary and rare in secondary disease. Rib erosions and displacement are striking in neuroblastoma (after a few months of age), more subtle in ganglioneuroma, and absent with secondary involvement. In 3 out of 7 posterior mediastinal neuroblastomas the diagnosis and treatment were delayed, as the adjacent rib changes were not appreciated for some time. \"Dumbbell\" shaped tumors are usually associated with vertebral changes and myelography is indicated even in the absence of neurologic deficit. Thoracic deformity and disability subsequent to laminectomy, radiation therapy, or both, are present in all survivors.</p>","PeriodicalId":22266,"journal":{"name":"The American journal of roentgenology, radium therapy, and nuclear medicine","volume":"125 2","pages":"380-90"},"PeriodicalIF":0.0,"publicationDate":"1975-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2214/ajr.125.2.380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12377476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"External iliac artery blood flow in patients with arteriosclerosis obliterans.","authors":"Y Itzchak, M Modan, R Adar, V Deutsch","doi":"10.2214/ajr.125.2.437","DOIUrl":"https://doi.org/10.2214/ajr.125.2.437","url":null,"abstract":"<p><p>Blood flow in the left external iliac artery was measured by means of a densitometric technique in 21 patients with arteriosclerosis of the lower extremities and in 21 controls. Normal flow volumes were (mean +/- S.D.) 604 +/- 104 ml./min. for males and 478 +/- ml./min. for females. Flow volume was significantly lower in the patients with ischemia of the legs. There was no correlation between flow volume through the artery and the degree of stenosis at its narrowest point. The diameter of the iliac artery and the flow volume were significantly larger in males than in females; however, flow velocity was significantly larger in females.</p>","PeriodicalId":22266,"journal":{"name":"The American journal of roentgenology, radium therapy, and nuclear medicine","volume":"125 2","pages":"437-41"},"PeriodicalIF":0.0,"publicationDate":"1975-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2214/ajr.125.2.437","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12377481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}