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Biomedical subjects

M R Madamba

Publications and source records attributed to M R Madamba.

4 recordsLinked to original sources
PubMed1983

Sonography of portosystemic venous collaterals in portal hypertension.

Portosystemic venous collaterals were studied with sonography in 40 patients with known portal hypertension. Eight patients had technically inadequate scans, while 32 had optimal scans. Sixty groups of venous collaterals were identified. At least one collateral pathway was seen in 28 patients, for a sensitivity of 88% for the 32 patients with optimal scans and 70% for the total group. The overall sensitivity for detection of coronary-gastroesophageal collaterals was 80% and 64%, respectively. The small size of the coronary-gastroesophageal varices in early portal hypertension seems to be the most important factor limiting detection in patients suitable for sonography.

Collateral Circulation↗
PubMed1981

Acute cholecystitis: sonographic-pathologic analysis.

The study was performed to assess the pathogenic basis of sonographically demonstrable changes in the gallbladder wall in acute cholecystitis in an attempt to predict the degree of inflammation and to define a set of sonographic criteria for the diagnosis of acute cholecystitis. Sonograms in a control group of 30 patients (group A) without biliary tract symptoms, ascites, or cholelithiasis and 24 patients (group B) with proven diagnosis of acute cholecystitis were reviewed. The histologic sections of the gallbladder wall in the cholecystitis patients were correlated with sonographic findings. None of the gallbladders showed perforation at the time of pathologic evaluation. Data failed to show a correlation between the pathologic severity of the inflammatory process in the gallbladder wall and the degree of sonographic wall thickening and wall anechoicity. Of patients with acute cholecystitis, 70% met all of the following sonographic criteria: (1) gallbladder wallthickening of 5 mm or greater, (2) gallbladder wall anechoicity, (3) gallbladder distension, as determined by an external anteroposterior width of 4 cm or greater, and (4) cholelithiasis.

Acute Disease↗
PubMedDate not supplied

Renal transitional cell carcinoma: sonographic and pathologic correlation.

Sonography was utilized to assess six patients with renal transitional cell carcinoma and was correlated with gross pathology in five cases. The neoplasms were seen as discrete, solid masses causing separation of the central renal sinus echoes. The echogenicity of the tumors and the renal parenchyma was similar, but the neoplasms were separated from the renal parenchyma by a linear echogenic zone of renal sinus fat. Pelvicaliceal blood clots, when markedly echogenic, could be differentiated from transitional cell carcinomas. Sonography contributed most in evaluating unilateral nonvisualized kidney or in the presence of nonfilling of the affected pelvicalices on excretory urography.

Carcinoma, Transitional Cell↗