Journal of Ultrasonography最新文献

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Anatomically realistic aortic dissection simulator as a potential training tool for point-of-care ultrasound. 解剖逼真的主动脉夹层模拟器是一种潜在的护理点超声培训工具。
IF 1.1
Journal of Ultrasonography Pub Date : 2024-02-07 eCollection Date: 2024-02-01 DOI: 10.15557/jou.2024.0002
Mutiah Rahmah, Rania Hussien Al-Ashwal, Maheza Irna Mohamad Salim, Yan Tung Lam, Yuan Wen Hau
{"title":"Anatomically realistic aortic dissection simulator as a potential training tool for point-of-care ultrasound.","authors":"Mutiah Rahmah, Rania Hussien Al-Ashwal, Maheza Irna Mohamad Salim, Yan Tung Lam, Yuan Wen Hau","doi":"10.15557/jou.2024.0002","DOIUrl":"10.15557/jou.2024.0002","url":null,"abstract":"<p><strong>Aim: </strong>Simulators for aortic dissection diagnosis are limited by complex anatomy influencing the accuracy of point-of-care ultrasound for diagnosing aortic dissection. Therefore, this study aimed to create a healthy ascending aorta and class DeBakey, type II aortic dissection simulator as a potential point-of-care ultrasound training model.</p><p><strong>Material and methods: </strong>3D mould simulators were created based on computed tomography images of one healthy and one DeBakey type II aortic dissection patient. In the next step, two polyvinyl alcohol-based and two silicone-based simulators were synthesised.</p><p><strong>Results: </strong>The results of the scanning electron microscope assessment showed an aortic dissection simulator's surface with disorganised surface texture and higher root mean square (RMS or Rq) value than the healthy model of polyvinyl alcohol (<i>Rq<sub>AD</sub></i> = 20.28 > <i>Rq<sub>AAo</sub></i> = 10.26) and silicone (<i>Rq<sub>AD</sub></i> = 33.8 > <i>Rq<sub>AAo</sub></i> = 23.07). The ultrasound assessment of diameter aortic dissection showed higher than the healthy ascending aorta in polyvinyl alcohol (<i>d<sub>AD</sub></i> = 28.2 mm > <i>d<sub>AAo</sub></i> = 20.2 mm) and Si (<i>d<sub>AD</sub></i> = 31.0 mm > <i>d<sub>AAo</sub></i> = 22.4 mm), while the wall thickness of aortic dissection showed thinner than the healthy aorta in polyvinyl alcohol, which is comparable with the actual aorta measurement. The intimal flap of aortic dissection was able to replicate and showed a false lumen in the ultrasound images. The flap was measured quantitatively, indicating that the intimal flap was hyperechoic.</p><p><strong>Conclusions: </strong>The simulators were able to replicate the surface morphology and echogenicity of the intimal flap, which is a linear hyperechoic area representing the separation of the aorta wall.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10850942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnostic role of gray-scale and shear-wave elastography in pediatric patients with undescended testes: a prospective controlled study. 灰度和剪切波弹性成像在小儿睾丸下降症患者中的诊断作用:一项前瞻性对照研究。
IF 1.1
Journal of Ultrasonography Pub Date : 2024-02-07 eCollection Date: 2024-02-01 DOI: 10.15557/jou.2024.0004
Ismail Yurtsever, Seyma Yildiz, Samil Amirjanov, Can Yilmaz Yozgat, Serdar Balsak, Abdüsselim Adil Peker, Bahar Atasoy, Ahmet Berk Erol, Ozlem Toluk, İbrahim Aydoğdu
{"title":"Diagnostic role of gray-scale and shear-wave elastography in pediatric patients with undescended testes: a prospective controlled study.","authors":"Ismail Yurtsever, Seyma Yildiz, Samil Amirjanov, Can Yilmaz Yozgat, Serdar Balsak, Abdüsselim Adil Peker, Bahar Atasoy, Ahmet Berk Erol, Ozlem Toluk, İbrahim Aydoğdu","doi":"10.15557/jou.2024.0004","DOIUrl":"10.15557/jou.2024.0004","url":null,"abstract":"<p><strong>Aim: </strong>Ultrasound elastography is a simple non-invasive method for measuring tissue elasticity in relation to tissue fibrosis. The aim of this study was to compare echogenicity, volume and shear wave velocities of undescended vs normally descended testes.</p><p><strong>Material and methods: </strong>Sixty-six boys with undescended testes were included in this study. The median age range was 35.5 (10-118) months old. The cases included in this prospective study consisted of 66 patients with non-operated undescended testes, with 51 of them being affected unilaterally and 15 affected bilaterally, as diagnosed by physical examination. The control group consisted of 31 healthy boys without any particular health problems. This prospective study was performed by gray-scale ultrasonography and shear wave elastography in boys with undescended testes and healthy testes. The testicular volumes were established by ultrasound measurement, the echogenicity and shear wave elastography values were measured in boys with unilateral and bilateral undescended testes, and the results were compared with healthy boys' testes and their contralateral testes. The stiffness values were recorded for speed (m/s) and elasticity (kPa), and the stiffness values of undescended testes were compared with the healthy control group.</p><p><strong>Results: </strong>Echogenicity values were lower in the bilateral undescended testes group than in the healthy group, and the healthy group's echogenicity was normal (<i>p</i> <0.001). The ROC curve was used to identify a cut-off shear wave elastography value for predicting decreased testicular echogenicity by using average shear wave elastography values. The area under the curve for the undescended testes was 0.78 (95% CI: 0.70-0.85, sensitivity 83.7%, specificity 68.7%, <i>p</i> <0.001), with an average shear wave elastography value of 2.32 (m/s) for above the cut-off point indicates. This was found to be significantly associated with reduced echogenicity on gray-scale ultrasonography, suggesting that it may be correlated with fibrosis developing in patients with undescended testes.</p><p><strong>Conclusion: </strong>The study provides interesting findings in that it proposes an alternative non-invasive method for the assessment of testicular tissue in undescended testes. We used shear wave elastography to compare the stiffness of normal testes in both heathy patients and in the contralateral healthy testes of boys with undescended testes, with the values obtained for the undescended testes reflecting the level of fibrosis of the parenchyma. Another outcome of this study was observed in patients with unilateral undescended testes, where the normally descended testes showed increased shear wave elastography values, which could be an early indication of parenchymal change.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10850941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk of Ovarian Malignancy Algorithm and Pelvic Mass Score for the prediction of malignant ovarian tumors: a prospective comparative study. 预测恶性卵巢肿瘤的卵巢恶性肿瘤风险算法和盆腔肿块评分:一项前瞻性比较研究。
IF 1.1
Journal of Ultrasonography Pub Date : 2024-02-07 eCollection Date: 2024-02-01 DOI: 10.15557/jou.2024.0001
Mohamed A Ali, Mohamed S Sweed, Eman A NasrElDin, Walaa E Ahmed, Gihan E ElHawwary
{"title":"Risk of Ovarian Malignancy Algorithm and Pelvic Mass Score for the prediction of malignant ovarian tumors: a prospective comparative study.","authors":"Mohamed A Ali, Mohamed S Sweed, Eman A NasrElDin, Walaa E Ahmed, Gihan E ElHawwary","doi":"10.15557/jou.2024.0001","DOIUrl":"10.15557/jou.2024.0001","url":null,"abstract":"<p><strong>Aim: </strong>Ovarian cancer is the seventh most common female cancer worldwide. Nevertheless, there is no available universal screening method for malignant ovarian masses. This study compares the value of the Risk of Ovarian Malignancy Algorithm (ROMA) and Pelvic Mass Score (PMS) scoring systems in the diagnosis of malignant ovarian masses.</p><p><strong>Material and methods: </strong>This prospective comparative study was conducted from March 2021 until April 2022. A total of 258 women diagnosed with ovarian mass and eligible for surgical intervention according to institutional guidelines were enrolled in the study. Ultrasound was performed for the assessment of masses, ascites and metastases, also color flow Doppler was done to measure the resistance index of the mass vasculature. Preoperative venous blood samples were collected to measure CA 125 and HE4. PMS and ROMA scoring systems were calculated for each patient. All women were subjected to a surgical intervention (according to applicable institutional guidelines), using either open or laparoscopic techniques. Histopathological examination of the removed specimens was done, and in line with the recognized gold standard, the results were compared with the pre-operative diagnosis of both scoring systems.</p><p><strong>Results: </strong>Both PMS and ROMA showed a high predictive probability for ovarian malignancies (AUC = 0.93, sensitivity = 83.3%, specificity = 90.37%; AUC = 0.91, sensitivity = 84.4%, specificity = 95.56%, respectively), yet no statistical significant difference was found between the two scoring systems (<i>p</i> = 0.353, 95% CI -0.025 to 0.070).</p><p><strong>Conclusions: </strong>Both PMS and ROMA seem to be promising scoring systems for discriminating benign from malignant ovarian masses, but more research is needed to determine the optimum diagnostic pathway, especially one yielding the least false-negative results.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10850940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treat, follow-up, or discharge? An aid in sonographic decisions for the borderline centered neonatal/infantile hips. 治疗、随访还是出院?新生儿/婴儿髋关节边缘中心声像图辅助决策。
IF 1.1
Journal of Ultrasonography Pub Date : 2024-02-07 eCollection Date: 2024-02-01 DOI: 10.15557/jou.2024.0003
Konstantinos Chlapoutakis, Maria Raissaki, Styliani Markatzinou, Nikolaos Skoulikaris, Antonios Galanos, Adam Hatzidakis, Panagiotis Prassopoulos
{"title":"Treat, follow-up, or discharge? An aid in sonographic decisions for the borderline centered neonatal/infantile hips.","authors":"Konstantinos Chlapoutakis, Maria Raissaki, Styliani Markatzinou, Nikolaos Skoulikaris, Antonios Galanos, Adam Hatzidakis, Panagiotis Prassopoulos","doi":"10.15557/jou.2024.0003","DOIUrl":"https://doi.org/10.15557/jou.2024.0003","url":null,"abstract":"<p><strong>Aim: </strong>To investigate whether linear measurements or ratios on the Graf's \"standard plane\" ultrasound images of the neonatal/infantile hip, can support the clinically important differentiation between type I and type II hips.</p><p><strong>Material and methods: </strong>A total of 60 Graf type II hips and 124 randomly selected Graf type I hips, matched to the gestational age at delivery, birth weight, delivery mode, and age at the time of the examination, were identified through our hip screening service, during a period of two years. The images were diagnostically suitable, following anatomical identification and usability check, according to Graf. Anatomical landmarks including the lower limb of the os ilium, the bony rim, the silhouette of the os ilium, the labrum and the femoral head's borders, were used to determine the measurements and ratios which quantified their inter-relationships.</p><p><strong>Results: </strong>The indices which differed significantly between type I and type II hips included: (a) the width of the \"bony roof\" (cut-off value 5.91 mm, sensitivity: 75%, specificity: 70%), (b) the ratio of the width of the \"bony roof\" to the femoral head's width (cut-off value 0.40, sensitivity 83%, specificity 71%), and (c) the ratio of the cartilaginous acetabular roof's width (including the labrum), to the width of the femoral head (cut-off value 0.450, sensitivity 82%, specificity 67%).</p><p><strong>Conclusions: </strong>Newly introduced measurements and calculated ratios on \"standard plane\" ultrasound images can be used as additional indices in the differentiation between Graf's types of \"centered hips\", thus increasing the diagnostic certainty of the examiner in borderline cases and limiting unnecessary re-examinations or treatment.</p>","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10850939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diagnosis of intrahepatic cholangiocarcinoma with CEUS 利用 CEUS 诊断肝内胆管癌
IF 1.1
Journal of Ultrasonography Pub Date : 2024-02-05 DOI: 10.15557/jou.2024.0005
Giancarlo Gismondo Velardi, Matilde Lico, Angela Teti, Rosario Maccarone, Giuseppe Casuscelli, Letterio Militano, I. Trecroci, Maria Mendicino, Antonello Parlati, Adele De Caridi, Giuseppe Loria, Saverio Loria, Sveva Loria, D. Gambardella, Manfredo Tedesco, Francesca Frosina, Pierluigi Falco, F. Loria
{"title":"Diagnosis of intrahepatic cholangiocarcinoma with CEUS","authors":"Giancarlo Gismondo Velardi, Matilde Lico, Angela Teti, Rosario Maccarone, Giuseppe Casuscelli, Letterio Militano, I. Trecroci, Maria Mendicino, Antonello Parlati, Adele De Caridi, Giuseppe Loria, Saverio Loria, Sveva Loria, D. Gambardella, Manfredo Tedesco, Francesca Frosina, Pierluigi Falco, F. Loria","doi":"10.15557/jou.2024.0005","DOIUrl":"https://doi.org/10.15557/jou.2024.0005","url":null,"abstract":"Intrahepatic cholangiocarcinoma (ICC) is a rare, heterogeneous, highly lethal tumor of the biliary tract. Due to the lack of effective treatments, an early identification of ICC is essential to achieve the best outcome in terms of therapy and prognosis aiming for a curative intent. ICC may arise on a normal liver or with an underlying liver disease, making the diagnosis more difficult and complex. Contrast-enhancement ultrasound (CEUS) is an accurate procedure able to detect ICC-specific contrast vascular pattern, and thus facilitating the correlation between radiological and histopathological findings with high specificity and sensitivity. CEUS has been shown to have a high diagnostic potential in the diagnosis of ICC thanks to the possibility of studying in real time the intralesional microcirculation and evaluating the precocity of the enhancement of the lesion during the arterial phase. All these features allow to differentiate the ICC from hepatocarcinoma (HCC) with high sensitivity and specificity. Furthermore, CEUS is a rapid, non-invasive, non-nephrotoxic or non-allergenic tool. The only limitations CEUS may have are related to the disease site and patient characteristics (obesity) and compliance, including the operator’s experience. A clinical evaluation of the patient, together with tumor markers and biochemical tests assessment, to differentiate ICC from HCC are highly suggested.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139863493","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}
引用次数: 0
Prevention of life-threatening bleeding complication from splenic venous ectasia by B-mode-, color Doppler- and contrast-enhanced ultrasound in a patient with ALL 通过 B 型、彩色多普勒和造影剂增强超声检查预防一名 ALL 患者因脾静脉异位而引发危及生命的出血并发症
IF 1.1
Journal of Ultrasonography Pub Date : 2024-02-05 DOI: 10.15557/jou.2024.0006
Evelyn Martin, Christian Görg, Amjad Alhyari, Ehsan Safai Zadeh, Hajo Findeisen, Corinna Trenker
{"title":"Prevention of life-threatening bleeding complication from splenic venous ectasia by B-mode-, color Doppler- and contrast-enhanced ultrasound in a patient with ALL","authors":"Evelyn Martin, Christian Görg, Amjad Alhyari, Ehsan Safai Zadeh, Hajo Findeisen, Corinna Trenker","doi":"10.15557/jou.2024.0006","DOIUrl":"https://doi.org/10.15557/jou.2024.0006","url":null,"abstract":"Aim of the study: Spontaneous splenic rupture is a serious complication of pathologically altered spleen tissue, associated with a high mortality rate. Case description: We describe a spontaneous splenic rupture in a patient with acute lymphoblastic leukemia undergoing chemotherapy. Ultrasound revealed splenomegaly, and diffuse splenic acute lymphoblastic leukemia-infiltration was suspected. In addition, only color Doppler sonography and contrast-enhanced ultrasound diagnosed splenic vascular ectasias with a venousflow- profile. During therapy, short-term sonographic follow-up examinations were able to reveal an increase in the size of venous ectasias and the associated increased risk of spontaneous splenic rupture. Based on these sonographic findings, immediate surgical splenectomy was performed in the spontaneous splenic rupture case and the patient survived. Conclusions: Ultrasound is an important diagnostic method in patients with newly diagnosed malignant hematological diseases to detect disease-related splenic pathologies. Short-term follow-up examinations of splenic vascular pathologies can detect size progression and a potential risk of spontaneous splenic rupture with life-threatening bleeding.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139864221","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}
引用次数: 0
Diagnosis of intrahepatic cholangiocarcinoma with CEUS 利用 CEUS 诊断肝内胆管癌
IF 1.1
Journal of Ultrasonography Pub Date : 2024-02-05 DOI: 10.15557/jou.2024.0005
Giancarlo Gismondo Velardi, Matilde Lico, Angela Teti, Rosario Maccarone, Giuseppe Casuscelli, Letterio Militano, I. Trecroci, Maria Mendicino, Antonello Parlati, Adele De Caridi, Giuseppe Loria, Saverio Loria, Sveva Loria, D. Gambardella, Manfredo Tedesco, Francesca Frosina, Pierluigi Falco, F. Loria
{"title":"Diagnosis of intrahepatic cholangiocarcinoma with CEUS","authors":"Giancarlo Gismondo Velardi, Matilde Lico, Angela Teti, Rosario Maccarone, Giuseppe Casuscelli, Letterio Militano, I. Trecroci, Maria Mendicino, Antonello Parlati, Adele De Caridi, Giuseppe Loria, Saverio Loria, Sveva Loria, D. Gambardella, Manfredo Tedesco, Francesca Frosina, Pierluigi Falco, F. Loria","doi":"10.15557/jou.2024.0005","DOIUrl":"https://doi.org/10.15557/jou.2024.0005","url":null,"abstract":"Intrahepatic cholangiocarcinoma (ICC) is a rare, heterogeneous, highly lethal tumor of the biliary tract. Due to the lack of effective treatments, an early identification of ICC is essential to achieve the best outcome in terms of therapy and prognosis aiming for a curative intent. ICC may arise on a normal liver or with an underlying liver disease, making the diagnosis more difficult and complex. Contrast-enhancement ultrasound (CEUS) is an accurate procedure able to detect ICC-specific contrast vascular pattern, and thus facilitating the correlation between radiological and histopathological findings with high specificity and sensitivity. CEUS has been shown to have a high diagnostic potential in the diagnosis of ICC thanks to the possibility of studying in real time the intralesional microcirculation and evaluating the precocity of the enhancement of the lesion during the arterial phase. All these features allow to differentiate the ICC from hepatocarcinoma (HCC) with high sensitivity and specificity. Furthermore, CEUS is a rapid, non-invasive, non-nephrotoxic or non-allergenic tool. The only limitations CEUS may have are related to the disease site and patient characteristics (obesity) and compliance, including the operator’s experience. A clinical evaluation of the patient, together with tumor markers and biochemical tests assessment, to differentiate ICC from HCC are highly suggested.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139803598","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}
引用次数: 0
Prevention of life-threatening bleeding complication from splenic venous ectasia by B-mode-, color Doppler- and contrast-enhanced ultrasound in a patient with ALL 通过 B 型、彩色多普勒和造影剂增强超声检查预防一名 ALL 患者因脾静脉异位而引发危及生命的出血并发症
IF 1.1
Journal of Ultrasonography Pub Date : 2024-02-05 DOI: 10.15557/jou.2024.0006
Evelyn Martin, Christian Görg, Amjad Alhyari, Ehsan Safai Zadeh, Hajo Findeisen, Corinna Trenker
{"title":"Prevention of life-threatening bleeding complication from splenic venous ectasia by B-mode-, color Doppler- and contrast-enhanced ultrasound in a patient with ALL","authors":"Evelyn Martin, Christian Görg, Amjad Alhyari, Ehsan Safai Zadeh, Hajo Findeisen, Corinna Trenker","doi":"10.15557/jou.2024.0006","DOIUrl":"https://doi.org/10.15557/jou.2024.0006","url":null,"abstract":"Aim of the study: Spontaneous splenic rupture is a serious complication of pathologically altered spleen tissue, associated with a high mortality rate. Case description: We describe a spontaneous splenic rupture in a patient with acute lymphoblastic leukemia undergoing chemotherapy. Ultrasound revealed splenomegaly, and diffuse splenic acute lymphoblastic leukemia-infiltration was suspected. In addition, only color Doppler sonography and contrast-enhanced ultrasound diagnosed splenic vascular ectasias with a venousflow- profile. During therapy, short-term sonographic follow-up examinations were able to reveal an increase in the size of venous ectasias and the associated increased risk of spontaneous splenic rupture. Based on these sonographic findings, immediate surgical splenectomy was performed in the spontaneous splenic rupture case and the patient survived. Conclusions: Ultrasound is an important diagnostic method in patients with newly diagnosed malignant hematological diseases to detect disease-related splenic pathologies. Short-term follow-up examinations of splenic vascular pathologies can detect size progression and a potential risk of spontaneous splenic rupture with life-threatening bleeding.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139804417","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}
引用次数: 0
Hydrocele of the canal of Nuck: a rare differential diagnosis for an inguinal hernia 纳克管积水:腹股沟疝的罕见鉴别诊断
IF 1.1
Journal of Ultrasonography Pub Date : 2024-02-05 DOI: 10.15557/jou.2024.0007
Badreya Khadim, Dana AlNuaimi, Shareefa Abdulghaffar, Reem AlKetbi
{"title":"Hydrocele of the canal of Nuck: a rare differential diagnosis for an inguinal hernia","authors":"Badreya Khadim, Dana AlNuaimi, Shareefa Abdulghaffar, Reem AlKetbi","doi":"10.15557/jou.2024.0007","DOIUrl":"https://doi.org/10.15557/jou.2024.0007","url":null,"abstract":"due to the unfamiliarity of clinicians with this pathology. There are three different types of hydrocele of the canal of Nuck, with type 1 being the most common, typically presenting as a unilocular cystic lesion with no communication with the peritoneal cavity. We present a case of a two-month-old female patient with an enlarging inguinal swelling raising the suspicion for an inguinal hernia or lymphadenopathy, with sonographic imaging revealing a fluid collection in the canal of Nuck, suggestive of a hydrocele. Diagnostic radiology plays a crucial role in the initial diagnosis of a canal of Nuck hydrocele, and ultrasound is considered the modality of choice for early diagnosis differentiating it from other causes of inguinal swelling.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139804872","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}
引用次数: 0
Hydrocele of the canal of Nuck: a rare differential diagnosis for an inguinal hernia 纳克管积水:腹股沟疝的罕见鉴别诊断
IF 1.1
Journal of Ultrasonography Pub Date : 2024-02-05 DOI: 10.15557/jou.2024.0007
Badreya Khadim, Dana AlNuaimi, Shareefa Abdulghaffar, Reem AlKetbi
{"title":"Hydrocele of the canal of Nuck: a rare differential diagnosis for an inguinal hernia","authors":"Badreya Khadim, Dana AlNuaimi, Shareefa Abdulghaffar, Reem AlKetbi","doi":"10.15557/jou.2024.0007","DOIUrl":"https://doi.org/10.15557/jou.2024.0007","url":null,"abstract":"due to the unfamiliarity of clinicians with this pathology. There are three different types of hydrocele of the canal of Nuck, with type 1 being the most common, typically presenting as a unilocular cystic lesion with no communication with the peritoneal cavity. We present a case of a two-month-old female patient with an enlarging inguinal swelling raising the suspicion for an inguinal hernia or lymphadenopathy, with sonographic imaging revealing a fluid collection in the canal of Nuck, suggestive of a hydrocele. Diagnostic radiology plays a crucial role in the initial diagnosis of a canal of Nuck hydrocele, and ultrasound is considered the modality of choice for early diagnosis differentiating it from other causes of inguinal swelling.","PeriodicalId":45612,"journal":{"name":"Journal of Ultrasonography","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139864915","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}
引用次数: 0
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