Unusual cause of biliary endoprosthesis migration.
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Biomedical subjects
Publications and source records attributed to C R Merrill.
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The case of a 32-year-old female with asymptomatic hepatomegaly due to a large cystic liver mass is described. Pathological examination after total excision revealed a benign hepatic hamartoma. Benign hepatic hamartoma is a rare cause of a cystic liver mass, usually occurring below the age of 5 years. The computed tomography findings included 'daughter cysts' and it is emphasised that these must not be regarded as pathognomonic of hydatid disease.
Patients often receive little information about the investigations they undergo. Use of an information leaflet significantly reduces patients' worries about whole body scanning, although not about the results. Patients not receiving a leaflet had a significantly higher desire for further information.
Current research shows that sigmoidoscopy or endoscopy together with a superficial mucosal biopsy taken with a fibreoptic-type instrument should not delay the subsequent performance of a barium enema. Rigid biopsy instruments are less controllable and may take 'deep', full-thickness bites when superficial biopsies are attempted. After such a biopsy, an enema should be delayed at least 7 days to allow re-epithelialisation. Neither of these two approaches is common practice as shown in our survey of British radiologists and clinicians. The radiologist should be responsible for performing the barium enema but the survey shows that there is a difference of opinion over who should be responsible for any complications arising from it. Close contact between the referring clinician and radiologist should be maintained at all times.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.