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Biomedical subjects

J K Triller

Publications and source records attributed to J K Triller.

3 recordsLinked to original sources

Computed tomography in complicated cholecystitis.

The computed tomographic (CT) findings in 23 patients with complicated cholecystitis verified at surgery in 20 cases or autopsy in three cases were analyzed. Gallbladder size, wall thickness, and bile density as determined by CT are nonspecific. Gallstones as the leading diagnostic sign are difficult to identify by CT. Pericholecystitis, inflammatory lesions, and, particularly, abscess formation indicating complications of cholecystitis are readily demonstrated by CT.

Aged↗

Morphologic aspects of hepatic abscesses at computed tomography and ultrasound.

The morphologic criteria of hepatic abscesses as demonstrated at computed tomography (CT) and ultrasound (US) were investigated in 27 patients and the diagnostic efficiency of both methods evaluated. Different appearances of hepatic abscess at CT and US were observed and investigated. No specific morphologic signs could be defined, since malignant neoplasms may show similar findings. Therefore, fine needle aspiration of possible hepatic abscesses should be performed to provide specific and bacteriologic diagnosis. US is an accurate method to evaluate patients with possible hepatic abscess. However, CT should be preferred in critically ill patients and postoperatively, since the diagnostic accuracy of CT is not limited by bowel gas, sutures and drainage tubes.

Adolescent↗

Computed tomography prior to second-look operation in advanced ovarian cancer.

Twenty-six patients treated with chemotherapy for ovarian cancer underwent a second-look laparotomy after clinical response (or in the absence of evidence of progressive disease). Abdominopelvic computed tomography (CT) was performed before this operation. Five patients (19%) who had been demonstrated as being free of disease by computed tomography were found to have a tumor larger than 1 cm. Computed tomography sensitivity was good in detection of lymph node metastases (83%), average for pelvic residual tumor (63%) and the omentum (50%), and low for other peritoneal locations (11%). Before second-look operation, the computed tomography scan provides useful surgical information about residual disease in retroperitoneal lymph nodes. However, negative computed tomography findings do not exclude residual tumor or confirm complete remission and therefore cannot replace the second-look laparotomy at this time.

Female↗