Pretreatment with corticosteroids to prevent reactions to i.v. contrast material.
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Biomedical subjects
Publications and source records attributed to P M Fitzer.
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A prospective study disclosed eight patients (three children and five adults) with anterior herniation of the nucleus pulposus (AHNP); in five of the eight, AHNP was an incidental finding. Radiologic findings included erosion and/or fracture of the anterior aspect of the vertebra, usually with interspace narrowing. The complete blood count and erythrocyte sedimentation rate were normal in children with AHNP. A five-year clinical follow-up of six of the eight patients showed minimal morbidity in five; one patient had surgery with good results. AHNP is usually confused with fracture (old or acute) or infection; the correct radiologic diagnosis obviates the need for invasive diagnostic tests. Computerized tomography and nuclear magnetic resonance may prove to be useful in the diagnosis of AHNP.
We have reported three cases of appendiceal diverticulosis diagnosed by barium enema examination, and reviewed the radiographic and clinical findings. An awareness of this lesion is important, since diverticulitis of the appendix may occur in up to two thirds of patients with DA.
The presence of a left suprarenal mass after splenectomy should strongly suggest the diagnosis of splenosis or a hypertrophied accessory spleen. Radionuclide imaging provides a specific diagnosis.
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A one year old boy with ureteral obstruction due to congenital ureteral valve is presented. This rare lesion is usually diagnosed pre-operatively as ureteral stricture or primary megaureter.
The authors report a case of rotational fixation of the atlanto-axial joint in which the diagnosis was not reached by conventional radiographic techniques. The clinical impression of rotational fixation was ultimately confirmed by computerized tomography. This new diagnostic modality can be very helpful in arriving at a very difficult diagnosis.
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It is important to separate splenic vein obstruction from other causes of variceal bleeding. The authors provide a diagnostic sequence for avoiding errors of management, citing a case to illustrate.
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