Rapid oral hydration: a cause of pelvic fluid collections at sonography.
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Biomedical subjects
Publications and source records attributed to R J Sukov.
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Spontaneous aorto-caval fistulas are uncommon. Two cases are presented, and the angiographic findings are discussed. The diagnosis may be confirmed by simultaneous opacification of an abdominal aortic aneurysm and the inferior vena cava.
The spectrum of gray scale ultrasonographic patterns are described as seen in 17 hepatic amebic abscesses in eight patients. Of the abscesses 16 had a lower gray tone than the adjacent normal liver. In patients with multiple lesions, generally there was a reciprocal relation between abscess size and echogenicity and a direct relation between internal echogenicity and through transmission. The results in these eight patients suggest a role for ultrasound both in the diagnosis and treatment of hepatic amebic abscesses.
Three cases are presented in which a fold occurred along the posterior wall of the gallbladder at the junction of the body and infundibulum at cholecystosonography. On the initial supine scans, this finding suggested a small polyp in 1 case and a calculus in the other 2. Familiarity with this normal variant as well as adherence to correct scan methodology should help to further reduce erroneous diagnoses.
A case of preoperative demonstration of inferior vena caval extension of tumor thrombus from adrenal cortical carcinoma is presented. Surgery showed that extension had occurred via the adrenal vein rather than by direct invasion. A search of the literature failed to uncover either any mention of preoperative attention to the possibility of caval involvement or of this particular mode of extension. Review of our experience with 17 adrenal cortical carcinomas suggested that carcinoma of the right adrenal gland involves the vena cava more commonly than does carcinoma of the left. We recommend that cavography be performed in the evaluation of adrenal carcinoma.
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The prostates of eight patients scheduled to undergo prostatectomies were studied prospectively by transabdominal gray scale ultrasound and computed tomography. Computed tomography gave excellent visualization of prostate morphology and pelvic anatomic relationships. Ultrasound provided more histopathologic information in the cases of carcinoma and prostatitis. Additionally, its capacity to distinguish surgical capsule from adenoma, in benign prostatic hypertrophy, made it more useful for volume determinations.
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