Gallbladder inertia in celiac disease: ultrasonographic demonstration.
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Biomedical subjects
Publications and source records attributed to G Trinez.
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Gallbladder emptying was evaluated in 15 adult celiac disease patients by oral cholecystography or ultrasonography, after fatty meal or cholecystokinin stimulation. Gallbladder inertia was found in 13 cases. Our study agrees with previously reported results; however it is the first one in which this abnormality was demonstrated by ultrasonography. Our findings may suggest that gallbladder inertia is due to duodenal release of an inactive endogenous cholecystokinin. Control studies demonstrates that gallbladder inertia is reversible after gluten-free diet, recurs with relapse, and thus represents a true celiac disease sign, and not an associated condition. Finally, our cases suggest that gallbladder inertia may be radiologically evident before clinical features of malabsorption become apparent. Awareness of this possibility may persuade the radiologist to research in this condition an occult celiac disease.
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A newly designed apparatus for head restraint, adapted for the newborn and infants, can frequently avoid the administration of a general anaesthetic during craniocerebral scannography examinations. The infant is placed in a block of expanded polystyrene, ensuring both restraint and maintenance of an isothermic regimen.
The radiological features of 47 villous tumors of the large bowel found in 39 patients by the double-contrast barium enema were studied. An attempt was made to determine the radiological indicators of malignancy and two features proved to be suspicious: large tumor size and indentation of tumoral base. This retrospective study emphasizes the advantages of the double-contrast technique in the detection of colonic villous tumors.
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The authors report their experience about 2,422 examinations with double contrast radiography in the study of the gastric posterior wall. This technique is of great value in the detection, analysis and follow-up of gastric ulcerations. In 54 per cent of cases, the double contrast radiography showed endoscopically proven ulcerations, which where not recognized by standard barium meal technique. The diagnosis of the benign tumours of the posterior wall of the stomach has been also increased bay double contrast radiography. Thus, this technique is recommended for routine examination of the stomach.
The authors describe the hepatic angiographic findings in two patients with primary miliary hepatic tuberculosis. The main angiographic features are abnormalities of the distal arterioles, with small, nodular and irregular formations. The hepatic and portal veins are normal. To our knowledge, it is the first report of angiographic abnormalities in miliary tuberculosis of the liver. The diagnostic and pronostic interest of these findings are discussed.
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