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W J Marx

Publications and source records attributed to W J Marx.

9 recordsLinked to original sources
PubMed1982

Cystadenoma of the liver.

We report a patient with cystadenoma of the liver who presented with jaundice and abdominal mass. Although cystadenoma of the liver is a rare neoplasm, the lesion was diagnosed preoperatively by gray scale ultrasonography, PTC and ERCP. Characteristically, cystadenoma shows a multiseptated cystic appearance. While the origin of a cystadenoma is unclear, theories of synchronous development from anomalous bile ducts, endodermal diverticula, and ectopic germ cell origins have been promoted. Approximately 85% of patients with hepatic cystadenoma are women, with an insidious onset of symptoms due to the slowly growing nature of this tumor. Common symptoms include right upper quadrant mass, abdominal distension, and dull abdominal pain. Jaundice is less common. Complications include biliary obstruction, infection, hemorrhage, and rupture. As hepatic cystadenoma tends to recur after inadequate excision, and has malignant transformation potential, hepatic lobectomy has been promoted as definitive treatment.

Adult↗
PubMed1979

Renal fascia: its radiographic importance.

The renal fascia, commonly known as Gerota's fascia, is a collagenous connective tissue sheath which separates the perirenal fat from the pararenal fat. It may be visualized radiographically and is helpful in the precise localization of abdominal masses. It is also useful in the diagnosis of perinephric hematomas and abscesses and in distinguishing them from intrarenal or subcapsular hematomas and abscesses. The anatomy of the renal fascia is briefly discussed, and representative cases are presented.

Aged↗
PubMed1979

Arthritis of primary biliary cirrhosis.

We describe the clinical and roentgenographic findings in the hands of 13 patients with primary biliary cirrhosis. A nondeforming, generally asymptomatic erosive arthritis was present in 12 of 13 patients. The erosions were asymmetrically distributed and mainly involved the distal small joints of the hands. Seven patients had osteopenia due to hepatic osteodystrophy. Intraosseous lytic defects were present in three patients, chondrocalcinosis in two patients, and hypertrophic osteoarthropathy in one patient. We discuss the importance of the clinical and roentgenographic features of the arthritis of primary biliary cirrhosis.

Adult↗
PubMed1978

Hand changes in primary biliary cirrhosis.

The radiographic findings in the hands of 13 patients with primary biliary cirrhosis are described. Erosive arthritis was present in 12 of the 13 cases. Seven patients hand osteopenia due to hepatic osteodystrophy. Intraosseous lytic defects were present in 3 cases. Chondrocalcinosis, a previously unreported finding, was seen in 2 patients, and one exhibited hypertrophic osteoarthropathy. The significance of these radiographic findings is discussed.

Adult↗