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Biomedical subjects

T M Silver

Publications and source records attributed to T M Silver.

83 records · Page 5Linked to original sources

Normal pancreas and splenic variants simulating suprarenal and renal tumors.

Two cases of a normal pancreas simulating a renal or suprarenal mass on excretory urography are described. Three cases of unusually shaped spleens and one case of an accessory spleen mimicking renal and suprarenal masses on excretory urography are also presented. The rare entity of splenosis presenting as a renal "mass" on arteriography is also illustrated. The importance of selective arteriography in confirming or establishing the true nature of these pseudotumors which were initially seen on excretory urography is emphasized.

Adult↗

Roentgenologic evaluation of a new prosthetic sphincter for the treatment of urinary incontinence.

A new prosthetic device for the treatment of urinary incontinence, caused by a variety of etiologies, has been used 8 times at the University of Michigan Medical Center. Since the entire device is filled with contrast medium, the radiologist plays a major role in its evaluation. A brief description of the implantable urinary sphincter and its normal and abnormal roentgenographic appearances are presented and discussed. Roentgenologic findings which could lead to early clinical detection of mechanical failure are illustrated.

Contrast Media↗

Echogenic adnexal masses associated with first-trimester pregnancy: sonographic appearance and clinical significance.

In a retrospective survey of a large obstetrical ultrasound experience, 10 echogenic adnexal masses in nine patients with a coexistent intrauterine pregnancy were detected and analyzed. Definitive follow-up data available for seven of the nine patients disclosed three ovarian teratomas, two hemorrhagic corpus luteum cysts, one endometrioma, one inflammatory mass, and one colonic pseudomass. In one additional patient, an echogenic ectopic pregnancy with an intrauterine pseudogestational sac simulated the above entities. Conservative management with follow-up sonography is generally indicated for echogenic masses coexistent with first-trimester intrauterine pregnancies.

Adnexa Uteri↗

Failed first trimester pregnancy termination: uterine anomaly as etiologic factor.

Failure of first trimester pregnancy termination is an uncommon, although potentially serious complication of attempted therapeutic abortion. We report our experience in four patients with unsuspected congenital uterine anomalies in whom attempted pregnancy termination procedures failed to completely ablate the products of conception. When dilatation and curettage fails to produce embryonic tissue, sonography is indicated to exclude ectopic gestation or uterine anomaly. In patients who are known to have anomalous uteri, intraoperative real-time guidance may increase the success of pregnancy termination procedures and decrease the incidence of retained products of conception.

Abortion, Therapeutic↗