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Biomedical subjects

L Machan

Publications and source records attributed to L Machan.

31 records · Page 2Linked to original sources
PubMed1987

The "coffee bean" sign in periappendiceal and peridiverticular abscess.

Four cases of right lower quadrant abscess, each a clinical diagnostic dilemma, were recognized as abscesses surrounding a perforated viscus by application of the "coffee bean" sign on sonographic examination. The appearance in the right lower quadrant of a brightly echogenic finger-like projection extending into a cystic mass, with or without scattered internal echoes, should suggest the possibility of periappendiceal or diverticular abscess.

Abscess↗
PubMed1986

Sonographic diagnosis of Klatskin tumors.

The sonograms of 14 patients with pathologically proven Klatskin tumors presenting between 1974 and 1985 were reviewed. All 14 patients demonstrated dilated intrahepatic bile ducts with a normal-sized extrahepatic biliary tree. In seven patients this was the only finding. The other seven patients demonstrated one or more additional abnormalities. These included an apparent intraductal mass at the confluence of the right and left intrahepatic ducts (four patients), enlarged portal lymph nodes (two patients), and hepatic metastases (one patient). With one exception, these additional findings were seen only in patients scanned after 1980, that is, using real-time sonography and up-to-date scanners. The presence of dilated intrahepatic ducts in a patient with a normal extrahepatic biliary tree should raise the possibility of Klatskin tumor. With high-resolution real-time sonography, further evidence suggestive of malignancy can be demonstrated in at least 50% of patients.

Adenoma, Bile Duct↗
PubMedDate not supplied

Power Doppler imaging and evaluation of the resistive index in focal nodular hyperplasia of the liver.

Focal lesions of the liver represent a significant diagnostic problem for various imaging modalities. The aim of this study was to assess the value of power Doppler sonography versus conventional color Doppler imaging in the depiction of hypervascular focal nodular hyperplasia (FNH) of the liver and to investigate the resistive index (RI) in the lesions' feeding arteries. Eighteen histologically proved FNHs in 14 patients were evaluated by gray-scale ultrasound, conventional color Doppler, and power Doppler sonography. With conventional color Doppler, a feeding arterial vessel could be depicted in only 4/18 lesions and hypervascularization was detected in 6/18 lesions. Power Doppler was more sensitive in detecting feeding arteries (16/18) within hypervascular lesions (15/18). RI values in the feeding arteries (mean = 0.51) significantly differed from those in the main hepatic artery or its intraparenchymal branches (mean = 0.68) in the same patient. The mean RI-difference was 0.19, suggesting hemodynamically significant arteriovenous shunting. Power Doppler sonography significantly increases sensitivity in the diagnosis of focal nodular hyperplasia of the liver and reliably permits the distinction of these lesions from hepatocellular carcinomas.

Adult↗
PubMedDate not supplied

Selective feticide in twin transfusion syndrome using ultrasound-guided insertion of thrombogenic coils.

Twin transfusion syndrome is a common complication of monozygotic twin pregnancies. Selective feticide is one of the many different aggressive and invasive therapies that has been suggested to improve an otherwise dismal perinatal outcome. The ideal method of selective feticide remains to be delineated for cases of twin transfusion syndrome that occur remote from term. We describe a case involving the use of intracardiac placement of thrombogenic coils to attempt selective termination.

Adult↗