Radionuclide demonstration of urinary bladder-to-colon fistula following radiation therapy.
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Biomedical subjects
Publications and source records attributed to J D Slavin.
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Seventeen bone scintigrams, made after prostatectomy for proven or suspected carcinoma, showed a "cup defect" below the bladder. This defect was likely related to the volume of tissue removed at the time of transurethral prostatectomy. In two cases, the defect was not present on images made before prostatectomy but was clearly seen after the operation. The time of persistence of the "cup defect" is discussed, as well as the differential diagnosis of the finding.
Hepatobiliary imaging was performed in a woman who, at subsequent surgery, was found to have gallstone ileus due to a large gallstone obstructing the proximal jejunum. The triad of findings (failure of the radiopharmaceutical to pass beyond the point of obstruction, marked reflux into the stomach, and nonvisualization of the gallbladder) is nonspecific but, in the appropriate clinical setting, should suggest the possibility of gallstone ileus.
A case of spontaneous rupture of the gallbladder correctly diagnosed preoperatively using Tc-99m DISIDA cholescintigraphy is presented.
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A total of 116 perfusion lung images, with and without posterior oblique views, were compared by four trained observers. There was a significant increase in the number of perfusion defects detected when the posterior oblique views were included. Pairs of projections of 89 lung images were read by the four observers. The percentage of correct readings for the posterior oblique views was 78% compared with 63% and 56% for the lateral views and AP views, respectively. Inclusion of the posterior oblique views as a routine part of the examination is recommended.
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