[Indications for roentgenologic colon diagnosis in gynecologic diseases].
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Biomedical subjects
Publications and source records attributed to L Abét.
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The humanus amorphus or acardiac twin is a very rare anomaly found only in monocygotic multiple pregnancies. In 8 twin pregnancies observed from 1977 to 1988 at the Charité-Hospital the findings of perinatal imaging diagnostics (sonography, amniofetrography, postnatal radiography) have been presented. For the prenatal diagnosis, especially for continuous prenatal control in these high-risk pregnancies, sonography seems to be the suitable method. However, an exact classification and morphological description of such monstrosities will be possible only by postnatal radiography (eventually in combination with a transumbilical angiography). Six ouf of eight cases were classified as an acephalous type, and two as an acardius anceps fetus.
X-ray barium-enema examination of the colon recently is an established method in gynecology performed as differential or spreading diagnosis. In 276 patients the results of 291 barium-enema examinations have been analysed retrospectively. The radiographic findings correlate 279 times with the intraoperative and histologic diagnoses (165 correct nonpathologic and 114 correct pathologic). On the basis of the obtained correct and false diagnoses, common indications for using irrigoscopy in gynecology have been suggested. In this context, abdominal and/or vaginal sonography as well as sigmoidoscopy are suitable methods which should be applicated compulsorily before radiologic examination of the colon in women suffering from gynecologic diseases.
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Imaging, biochemical, genetic, clinical, histological, cytological and morphological examinations methods are practised in perinatal diagnostics. We propose a system of data registration and processing using a personal computer regarding both prenatal therapeutic measures. Data are collected as data store "perinatal diagnostic" which may be expanded prospectively at any time.
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