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Biomedical subjects

L Engelholm

Publications and source records attributed to L Engelholm.

At least 19 recordsLinked to original sources
PubMed2001

Hereditary angio-edema involving the gastrointestinal tract: CT findings.

We report a case of hereditary angio-edema in a young man presenting with recurrent abdominal pain for many years. The diagnosis was suspected on the basis of abdominal CT performed during an abdominal attack and was then confirmed by the measurement of serum concentration of C1 esterase inhibitor (C1-INH). To our knowledge, this is the first case reported of the hereditary form of angio-edema with isolated abdominal pain and in which the diagnosis was suggested by abdominal CT findings.

Abdominal Pain↗
PubMed1999

Mucinous cystadenocarcinoma of the appendix. A rare tumour of the right iliac fossa.

A case of mucinous cystadenocarcinoma of the appendix is presented. The clinical feature is a painful syndrome of the right iliac fossa. In our observation, the diagnosis was not allowed by preoperative imaging. Appendectomy was initially performed and completed by right hemicolectomy and lymphadenectomy after histological diagnosis of the appendicular malignant tumour was forwarded. The prognosis of this tumour is generally excellent providing early diagnosis and wide enough surgery.

Aged↗
PubMed1994

[Kidney cancer: fortuitous discovery of a para-uterine mass at the beginning of pregnancy].

The authors relate the case of an incidental detection of a renal cell carcinoma in pregnancy. The tumor appeared as an heterogeneous adnexial mass. Special consideration for the diagnostic evaluation was taken because of pregnancy and a minimal number of CAT scan was performed. A radical nephrectomy was performed at 13 weeks. The patient tolerance, the pregnancy and postdelivery courses were as well as possible. No recurrence of the carcinoma occurred. This cas is discussed in the light of the literature.

Adult↗
PubMed1988

[Appendicular mucoid impaction disclosing mucoviscidosis with cirrhosis in a young adult without pulmonary lesion].

A 22-year-old man presented with pain in the right iliac fossa. Clinical examination suggested appendicitis and showed splenomegaly. Echography and abdominal CT-sca suggested the diagnosis of cystic fibrosis based on the association of signs of cirrhosis and pancreatic atrophy. The sweat test was positive. The hypothesis of a mucoid appendicular impaction with spontaneous regression was retained based on clinical and radiological signs. This atypical presentation of cystic fibrosis underscores the frequency of obstructive intestinal which occasionally reveals the disease in the adult, and on the absence in this case of otherwise frequently associated problems such as significant pulmonary disease and malnutrition.

Adult↗
PubMed1987

Sonographic demonstration of portal venous system thromboses secondary to inflammatory diseases of the pancreas.

Sonographic demonstration of abdominal venous thromboses subsequent to pancreatic benign inflammatory diseases has been seldom reported up to now. Seven cases of thromboses of the portal venous system associated with acute or chronic pancreatitis are reported. All cases were detected by sonography in patients without clinical manifestations of portal hypertension. Echogenic thrombus within the lumen of the vein was observed only in the short-term follow-up of acute pancreatitis. Cavernomatous transformation was observed in 6 patients with long-term calcifying pancreatitis. Extrinsic compression by pseudocyst of the pancreas was observed in only 1 case. In all the other cases, thromboses seems to be secondary to local inflammatory phenomena during previous episodes of acute pancreatitis.

Acute Disease↗
PubMed1987

Hepatic artery aneurysm: CT and MR features.

The authors report a case of common hepatic artery aneurysm diagnosed by computed tomography (CT) and magnetic resonance (MR). Features of both techniques are described and discussed. The surgical and radiologic literature is reviewed.

Aneurysm↗
PubMed1986

Mesenteric vein thrombosis: early CT and US diagnosis and conservative management.

We report a case of isolated superior mesenteric vein thrombosis with acute ischemic bowel disease, diagnosed early by a screening ultrasound scan of the upper abdomen and definitively assessed by computed tomography and angiography. This report stresses the contribution of cross-sectional techniques in the early diagnosis and management of venous occlusive disease of the small bowel.

Female↗
PubMed1986

Pancreas divisum.

Explore the source record for details and available documents.

Cholangiopancreatography, Endoscopic Retrograde↗
PubMed1986

Common bile duct compression by an abdominal aortic aneurysm.

A 76-year-old female was admitted to the hospital with oral bleeding. Laboratory findings were suggestive of disseminated intravascular coagulation. An endoscopic cholangiography was performed in order to rule out a biliopancreatic tumor. A symmetrical stenosis of the lower part of common bile duct was observed. This extrinsic compression was due to a calcified abdominal aortic aneurysm. CT scan confirmed the close relation between the common bile duct and the aortic aneurysm. No cholestasis was described.

Aged↗
PubMed1985

Pancreas divisum: congenital anatomic variant or anomaly? Contribution of endoscopic retrograde dorsal pancreatography.

The relationship between pancreas divisum and pancreatic disease has been studied in a series of 304 patients. This congenital anatomic variant, consisting of a separate pancreatic ductal system, was diagnosed by endoscopic pancreatography and dorsal duct opacification was achieved in 97 of these patients. This anatomic variation was observed with the same frequency in cases of pancreatitis (acute and chronic) (6.9%) and in the series of patients investigated by endoscopic pancreatography taken as a whole (5.7%). Moreover, incidences of pancreatic disease in patients with and without pancreas divisum were not statistically different when compared. These results show that pancreas divisum should not be regarded as an etiologic factor in pancreatitis but should be considered as a coincidental anatomic variant encountered in nearly 10% of the population. The results obtained herein do not support the hypothesis that stenosis of the accessory papilla occurs frequently in cases of pancreas divisum. We conclude that no further therapy should be systematically proposed for patients with pancreas divisum and pancreatitis.

Adult↗
PubMed1985

Sonographic features of portal vein thrombosis.

The ability of real-time sonography to demonstrate the liver venous network is well documented. Sonographic features of 21 cases of unsuspected portal vein thrombosis, detected by a screening sonography of the upper abdomen and subsequently confirmed by computed tomography, angiography, or surgery, are discussed. Sonographic features of portal vein thrombosis were an echogenic thrombus within the lumen of the vein (67%), demonstration of portal vein collateral circulation (48%), enlargement of the thrombosed segment of the vein (38%), and the so-called cavernomatous transformation of the portal vein (19%). Echogenic endoluminal thrombi were observed with the same incidences in malignant and benign disease. Sonography, unlike angiography, was unable to characterize neoplastic thrombi; only the combination of an echogenic thrombus and an adjacent hepatic mass was strongly suggestive of malignancy, especially hepatoma. The extensive use of sonography as a screening test in upper abdomen pathology will probably improve the detection of portal vein thrombosis, a diagnosis until now considered rare.

Adult↗
PubMed1984

Sonographic monitoring of biliary endoprostheses.

Biliary drainage by endoprosthesis, inserted either transcutaneously or endoscopically, is as effective and better supported than percutaneous drainage, but harder to control. Forty-four patients with biliary or pancreatic carcinoma treated by endoprostheses were followed up by ultrasound. Sonography was effective in the demonstration of the drainage effectiveness and the detection of prosthetic dysfunction or eventual complications. Consequently, it may be considered a valuable method to complement the biochemical tests in the monitoring of endoprostheses.

Aged↗
PubMed1979

Endoscopic appearance of irradiated gastric mucosa.

Irradiation of the epigastric area for gastric cancer may induce actinic lesions of the stomach characterized on endoscopic examination by ulcerations, haemorrhagic gastritis, fragility of the mucosa, thickening and congestion of the gastric folds.

Gastric Mucosa↗