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PubMedDate not supplied

[Sub-adventitial rupture of the popliteal artery and recurrent ischemia: a diagnostic pitfall in young patients].

In the absence of thromboembolic risk factors, signs of thrombosis in situ, or disorders of coagulation, two possible diagnoses must be envisaged when acute recurring ischemia is observed in a peripheral area of tissue: extrinsic compression or rupture of an arterial coat, especially when the subject is young and in good general health. The case of a 35 year old patient presenting with recurring ischemia in the popliteal artery of the right lower limb due to sub-adventitial rupture of the popliteal artery suggests three comments: the period of latency (3 months) between initial trauma to the popliteal artery and the operation of reverse saphenous vein bypass, the necessity for dynamic manipulations together with angiographic and ultrasound examination, the probable underestimation of the traumatic or functional causes of this disorder (popliteal artery), and the surgical prognosis remains excellent.

Adult↗
PubMedDate not supplied

Sciatic pain: a diagnostic pitfall.

Neurological signs such as lower spinal cord lesions and/or femoral neuritis may be the presenting symptoms of a dissecting abdominal aortic aneurysm (AAA). We describe a patient in whom a severe sciatic pain was the presenting symptom of a non-dissecting AAA. The resection of the vascular mass resulted in dramatic relief of sciatic pain, thus indicating that the neurological impairment was caused by the non-dissecting aneurysm.

Aorta, Abdominal↗
PubMed1987

The 'amputated right colon'--a diagnostic pitfall on barium enema examination. A report of 6 cases.

Six patients had strictures of the right colon not causing clinical obstruction. The strictures did not fill during barium enema tests resulting in the 'amputated' proximal right colon mimicking the caecum and/or terminal ileum. Positive caecal identification relies on terminal ileal and appendiceal filling. In 4 patients, a barium follow-through study, performed immediately after a barium enema allowed quick and safe identification of a proximal colonic stricture.

Adult↗
PubMed1986

[Chronic constipation in childhood--only crux medici or diagnostic pitfall?].

Severe chronic constipation in children is always a burden to the whole family. The typical steps of investigation such conditions are demonstrated. The most common forms of organic causes for chronic constipation are explained by examples; it is important to know them in order to avoid misdiagnosis. Step-by-step-examination is important to find out all organic possibilities.

Adolescent↗