Clinical Medicine

Download Abdominal, An Issue of Ultrasound Clinics by Alessandro Castriota-Scanderbeg, Bruno Dallapiccola PDF

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By Alessandro Castriota-Scanderbeg, Bruno Dallapiccola

This e-book makes a speciality of the radiographic adjustments of malformation syndromes and skeletal dysplasias. it really is dependent such that the reader can establish the radiographic alterations and relate them to express sickness entities. the purpose is to supply a vital, sensible instruction to the popularity of the major radiographic indicators for diagnosing malformation syndromes and skeletal dysplasias. The e-book is meant for radiologists, scientific and scientific geneticists, and pediatricians. the fabric is split into components. the 1st half is based in a symptom-oriented shape and describes nearly two hundred radiographic indicators, offering information regarding their occurrence, anatomic position, diagnostic relevance, pathogenesis, and development of inheritance, if acceptable. the second one half offers approximately a hundred syndromes and skeletal dysplasias and gives analytical info relating signs, genetics, reasons, radiographic visual appeal, and significant differential analysis.

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Portal vein thrombosis or occlusion Portal vein complications include portal vein thrombosis and stenosis, with an acute portal vein thrombus in children frequently manifesting as an anechoic thrombus that is not detectable on grayscale ultrasound [27]. Color and spectral Doppler reveal absence of flow within the portal vein. An echogenic intraluminal thrombus and vessel narrowing may also occasionally be observed [27]. Portal vein stenosis occurs at the anastomotic site and can be diagnosed when there is a reduction Nonvascular complications These include biliary complications, such as leaks, strictures, stones, and sludge, and the development of perihepatic fluid collections, such as abscess, biloma, and ascites.

1. Hepatic artery thrombosis. (A) Color Doppler image demonstrates flow in the main portal vein but no flow in the main hepatic artery (arrow). (B) Arteriogram confirming absence of flow in the hepatic artery (arrow) consistent with thrombosis. have been used to successfully treat HAT, a large number of patients require emergent retransplantation for graft or patient survival. include balloon angioplasty, vascular reconstruction, or retransplantation [18]. Hepatic artery pseudoaneurysm Hepatic artery stenosis The incidence of HAS is approximately 5% to 10% [13].

High-velocity jet flow may also be noted distal to the area of stenosis [30]. Portal vein aneurysms have also been described in the post-transplant setting as saccular dilatations of 2 to 3 cm with turbulent venous flow [30]. Fig. 22. Piggyback anastomosis in a normal liver transplant. Grayscale image shows the end-to-side anastomosis between the intact recipient IVC (arrows) and the donor vessel (arrowhead). complication after transplant includes the development of hepatic artery pseudoaneurysms at the anastomotic site that may eventually result in the formation of a fistula between the aneurysm and the biliary tree or portal vein [28].

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