Congenital mesoblastic nephroma with cystic component.
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Biomedical subjects
Publications and source records attributed to B Jagannadharao.
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During an 18 month period, five patients of all those being investigated by computed tomography (CT) for suspected abscess were found to have localized peripelvic extraabdominal fluid collections. In three, this was due to primary abscess or pyarthrosis and to probable secondary infection of a degenerated hematoma or seroma in two. The lesions were responsible for or considered contributory to the patient's febrile illness in each case. The collections were inconspicuous or poorly localized clinically but readily apparent on CT. Treatment by CT guided needle aspiration or operative drainage was performed in each patient and was followed by relief of symptoms and fever.
Computed tomography was used for preoperative localization in 12 patients with undescended testes. Because three patients had bilateral involvement, 15 absent or undescended testes were studied. Surgical confirmation of the CT findings was obtained in 12 instances. Confirmation was not obtained in one patient who refused operation and it was considered incomplete in another due to limited surgical exploration. There was one incorrect localization. The procedure is quick, simple, noninvasive, and can be performed at all ages. The testicular radiation exposure was considered acceptable on the basis of phantom measurement. The lowest possible exposure factors were used on all patients. CT findings assisted planning of operative procedures and in some cases enabled more limited and shorter operations.
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In 19 cases, a correct diagnosis of intraabdominal abscess was made by CT body scanning. There was one false-positive diagnosis and initially one false-negative diagnosis. CT proved to be an efficient imaging method for diagnosis, for planning of therapeutic procedures, and in monitoring response to operative or conservative treatment. It has advantages over ultrasound and gallium scanning especially in severely ill, postoperative, and obese subjects. In addition, needle aspiration under CT control is readily performed and can be undertaken at the same examination. Confirmation of the diagnosis and therapeutic aspiration with or without introduction of a drainage catheter can then be undertaken.