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Biomedical subjects

J Geshner

Publications and source records attributed to J Geshner.

15 recordsLinked to original sources

Coronal renal ultrasound: I.

With recent advances in ultrasound technology, concomitant improvement in sonographic techniques have been required. Sonographic scanning in coronal orientation, both in transverse but especially in longitudinal direction, has demonstrated a number of advantages over the routine transverse and sagittal scans. Closer correlation with functional anatomy of the kidney, more comprehensive scanning with less inerference from adjacent tissues, and better understanding by the clinician are the most obvious advantages of the coronal approach.

Humans↗

Coronal renal ultrasound: II.

Coronal renal imaging with ultrasound has a number of advantages over other routine scanning orientations in nephrosonography. In a series of 214 patients coronal transverse but especially longitudinal orientation was found to be superior to other scanning methods. The main advantages were: differentiation between renal cysts and hydronephrosis as well as demonstration of renal lithiasis. This approach also should be used to augment the diagnostic sequence of investigating renal masses.

Diagnosis, Differential↗

Ultrasound followup of renal cyst puncture.

The place of ultrasound and cyst puncture in the evaluation of renal masses is reviewed. Complications of cyst puncture, although rare, do occur. A review of 16 cases of renal cyst puncture revealed only 2 minor complications: in 1 case a pericystic hemorrhage occurred and in 1 case an intracystic hemorrhage was detected. Both complications were asymptomatic and detected by ultrasound. Ultrasound has proved to be an excellent means of followup for renal cyst puncture.

Diagnosis, Differential↗

Percutaneous catheterization of the gallbladder with ultrasonic guidance.

We have described a case in which the gallbladder was catheterized by the Seldinger technic, using ultrasonic guidance. The biliary tree was flushed until clear and free passage of bile into the duodenum occurred. Thick inspissated bile can cause intrinsic echoes in the gallbladder that can be mistaken for gallstones.

Catheterization↗

False aneurysm of the superior mesenteric artery--a complication of pancreatitis.

Early recognition of pseudocyst formation in pancreatitis has been a very important contribution of diagnostic ultrasound. Furthermore, haemorrhage or abscess formation, an additional complication, can also be suspected by this diagnostic modality. False aneurysm formation of a larger, neighbouring artery is not easily recognized by ultrasound. It is for this reason that this case report is made.

Aged↗

Ultrasound diagnosis of the hyperextended head in breech presentation.

Hyperextension of the fetal head in the breech presentation can be diagnosed by ultrasound. Straightening of the fetal spine and the widest diameter of the skull posterior to the long axis of the spine is diagnostic. Face presentation should also be diagnosable by these criteria.

Adult↗