Search Results
Results 401 - 450 of 786
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Romero-Torres R - - 1998
BACKGROUND/AIMS: In 1981 we described a simple porta-azygous disconnection procedure to stop the bleeding in esophago-gastric varices. This surgical technique included ligature of the splenic artery and the short gastric vessels. In spite of the arterial ligatures, no alteration was seen in splenic circulation. METHODOLOGY: In 1988, Warshaw presented a ...
Moorthy K - - 1998
A 48-year-old woman presented with symptoms of distal bowel obstruction. On examination she had abdominal distension and a lump in the left lumbar and iliac regions. X-ray revealed distension of the colon with dilated small bowel. Exploration revealed an enlarged ptotic spleen whose pedicle caused obstruction of the colon. There ...
Arul G S - - 1998
We report a case of coeliac axis thrombosis and splenic infarction presenting in a girl of 14 years who had been on the oral contraceptive pill (OCP), Marvelon (ethinyloestradiol 30 microg plus desogestrel 150 microg, Organon, Cambridge, UK), for 3 weeks. She had no other risk factors for thrombo-embolism. Diagnosis ...
Alba P M - - 1998
Microangiopathies are rare complications during treatments with ticlopidine. We describe an atypical microangiopathy, affecting almost exclusively myocardium, and thrombocytopenia, shortly after onset of ticlopidine. The patient died a few days after. Autopsy showed no bleedings or large thrombi in most organs, but were compatible with microangiopathy in myocardial small vessels.
Kaminou T - - 1998
PURPOSE: To evaluate the technical possibility of creating a percutaneous retroperitoneal splenorenal shunt (PRESS) in swine as a minimally invasive treatment of portal hypertension. MATERIALS AND METHODS: Five normal domestic swine underwent creation of a PRESS. A modified transjugular intrahepatic portosystemic shunt puncture set was introduced from the right femoral ...
Chiou R K - - 1998
PURPOSE: We assessed the location of urethral arteries in patients with urethral stricture using color Doppler ultrasound. MATERIALS AND METHODS: We performed 41 color ultrasound studies of the urethra in 33 patients 17 to 76 years old. The linear array transducer was placed on the ventral surface of the penis ...
Tolgonay G - - 1998
Aneurysms of the portal venous structures have rarely been reported. We present a case of a splenic vein aneurysm that appeared and regressed in parallel with splenic size during the course of a systemic infection in a patient with leukemia. The aneurysm was demonstrated with B-mode and color Doppler sonography ...
Seto Y - - 1998
Achieving complete dissection of the lymph nodes located at the roots of the left gastroepiploic vessels is difficult when distal gastrectomy is the surgical goal; firstly, because the short gastric vessels must be preserved to supply blood to the remnant stomach; and also, because the roots of the left gastroepiploic ...
Machálek L - - 1998
Sixty spleens were observed according to the size of the splenic hilus depending on the size of the human spleen. The diameter and area of the lumina of the arterial branches were measured in 30 casts of the vascular bed of the spleen. Results were statistically evaluated, tabelated and graphed.
Holibková A - - 1998
The authors observed in 60 human spleens the course of the splenic artery in the splenic hilus and branching of segmental branches in the spleen. Specimens of blood vessels and casts showed two extreme types of segmental branches entering the splenic parenchyma: 1. Vertical type and 2. subcapsular type. The ...
Lewis J D - - 1998
We report splenic vein thrombosis diagnosed by endoscopic ultrasonography (EUS) after the failure of extracorporeal ultrasound and contrast enhanced computed tomography to establish the diagnosis in a patient with gastrointestinal bleeding and anemia. Subsequent preoperative magnetic resonance imaging revealed findings of retroperitoneal fibrosis and confirmed the EUS findings. Splenic vein ...
Agolini S F - - 1997
We report on a patient with left upper quadrant pain as a result of splenic infarction; the patient was subsequently found to have a thoracoabdominal aortic thrombus extending through the celiac axis. The patient was successfully treated with an aortic thrombectomy guided by intraoperative transesophageal echocardiography.
Sharp H R - - 1997
Conventional methods of arterial ligation in persistent epistaxis often involve significant surgical morbidity, as well as failure due to arterial anastomosis. We have performed endoscopic intranasal end ligation or diathermy of 11 sphenopalatine arteries in 10 patients with no complications and with no further episodes of epistaxis, with an average ...
Illig K A - - 1997
The presence of splenic vein thrombosis is sometimes very difficult to diagnose. We present a patient in whom the splenic vein was thought to be patent by ultrasound and conventional celiac angiography. Because of high clinical suspicion and continued bleeding, he underwent a selective intra-arterial digital splenic angiogram. The venous ...
Urschel J D - - 1997
Occult ischemia of the mobilized gastric fundus is an important etiologic factor for esophagogastric anastomotic leaks after esophagectomy. Postoperative gastric distention is another possible predisposing factor for anastomotic leakage. We hypothesized that gastric distention could worsen gastric ischemia. To test this hypothesis, gastric tissue perfusion was studied in 20 Sprague-Dawley ...
Lee W L - - 1997
A 69-year-old man with recurrent hypoglycaemia had inappropriately elevated plasma insulin level during a symptomatic hypoglycaemia, but had a negative prolonged fast. Computerized tomography (CT) of the abdomen revealed a nodular lesion over the body of pancreas, whereas pancreatic arteriography failed to show tumour blush. Hence, arterial stimulation (with calcium) ...
Kóbori L - - 1997
BACKGROUND/AIMS: The purpose of the study was to investigate the incidence of and risk factors for splenic artery aneurysms in liver transplant patients. METHODS: Medical records and the pre- and 1-year postoperative angiograms of 337 liver transplant patients were reviewed to assess the presence and characteristics of these aneurysms. RESULTS: ...
Prabulos A M - - 1997
BACKGROUND: Ruptured arterial aneurysms during pregnancy usually are catastrophic, and the primary approach is surgical. Angiographic embolization is an alternative treatment. CASE: A 28-year-old primigravida with a history of congenital hepatic fibrosis presented at 23 weeks' gestation with abdominal pain, hypertension, and proteinuria. She underwent a cesarean delivery for preeclampsia ...
Shima M - - 1997
This report describes life-threatening spontaneous splenic rupture in two brothers with congenital afibrinogenemia. Two brothers, aged 11 and 14 years, had intra-abdominal bleeding due to splenic rupture confirmed by ECHO ultrasonography and computed tomography scans. Splenectomy was performed after administration of heat- and solvent-detergent treated fibrinogen concentrates. Hemostatic treatment for ...
Figueras J - - 1997
BACKGROUND: Arterial reconstruction is essential in liver transplantation. In some patients there may be an inadequate flow as a result of stenosis, intimal dissection, or anomalies of the hepatic artery. METHODS: This study analyzes our experience with 23 patients in whom arterial anastomosis was performed using the splenic artery due ...
Watanabe T - - 1997
Tissue specimens of the normal pancreata from three adult patients were subjected to serial sectioning and computer-assisted three-dimensional reconstruction of the lobules, blood vessels, pancreatic ducts, and islets, to establish the anatomical relation among these structures. Most lobules, although more or less imperfectly demarcated by septa, were found to receive ...
Takase M - - 1997
OBJECTIVE: To evaluate the mechanism of localized portal hypertension associated with stenosis or obstruction of the splenic vein in chronic alcoholic pancreatitis. DESIGN: Surgical and autopsy specimens from 12 patients with clinically diagnosed chronic alcoholic pancreatitis were examined histopathologically. Autopsy specimens of 10 normal pancreases served as control tissues. RESULTS: ...
Røkke O - - 1997
OBJECTIVE: To describe our experience with the management of aneurysms of the splanchnic arteries. DESIGN: Retrospective study. SETTING: Teaching hospital, Norway. SUBJECTS: Eleven consecutive patients with aneurysms of the splanchnic arteries treated between 1986 and 1996, six of them between 1994 and 1996. Four aneurysms were hepatic (37%), two splenic ...
Lawrance J A - - 1997
PURPOSE: To investigate the effect of arterial injection site and splenic volume on the hepatic zebra pattern seen at computed tomographic (CT) arterial portography. MATERIALS AND METHODS: Images from CT arterial portographic examinations, performed via either the splenic artery (SA)(n = 47) or superior mesenteric artery (SMA)(n = 51) in ...
Pompeo E - - 1997
The endoscopic approach to adrenal glands has been limited to laparoscopic and retroperitoneal access due to the relative inaccessibility of the retroperitoneal space in the former case and to the limited working space in the latter. We undertook this study to investigate the possibility of performing a left adrenalectomy through ...
Shirai H - - 1997
The effects of the placement of osteotomy site on osteogenesis during monofocal and bifocal lengthening were investigated in 47 immature rabbits allocated to 4 groups according to osteotomy site: (1) monofocal in the proximal diaphysis; (2) monofocal in the distal diaphysis; (3) bifocal in the proximal and distal diaphysis; and ...
Kaneko K - - 1997
BACKGROUND: Although helical computed tomography (HCT) has been widely employed for the evaluation of pancreatic tumors, its capability in the diagnosis of peripancreatic arterial invasion has not been established. METHODS: HCT with a sequential cine-display was carried out in 34 patients with solid pancreatic tumors and 28 control subjects without ...
Capponi A - - 1997
OBJECTIVE: Our purpose was to relate velocity waveforms from the splenic artery with pH and blood gas levels measured at cordocentesis in small-for-gestational-age fetuses and to compare the diagnostic efficiency of splenic artery waveforms with that of other fetal arterial and venous vessels in predicting acid-base status. STUDY DESIGN: Cross-sectional ...
Illuminati G - - 1997
Eight patients of a mean age of 56.4 years, have been operated on for 9 digestive arteries aneurysms in a 7-years-period. Sites of aneurysmal disease included 3 splenic, 3 superior mesenteric, 2 hepatic, and 1 left gastric arteries. Five patients (62.5%) were asymptomatic, while 3 (37.5%) presented with symptoms. Three ...
Dodson T B - - 1997
PURPOSE: Controversy exists regarding management of the descending palatine artery (DPA) during Le Fort I osteotomy. Some surgeons advocate preserving the DPA, and others ligate the vessels. The purpose of this study was to evaluate maxillary gingival blood flow (GBF) during Le Fort I osteotomy in a sample of patients ...
Kamisawa T - - 1997
The accessory pancreatic duct (APD) is the smaller and less constant pancreatic duct. The patency of the APD was investigated clinically in an effort to determine its role in pancreatic pathophysiology. Dye-injection endoscopic retrograde pancreatography (ERP) was performed in 190 cases. In the patients who exhibited filling of the fine ...
Ozan H - - 1997
In a 47-year-old male cadaver the splenic artery traveled partially through the substance of the pancreas. Additionally, the pancreas was apparently large and had an unusual shape; the neck of the organ could not be differentiated; the uncinate processus was absent; two pancreatic ducts were present. The probable reason for ...
Orr K B - - 1996
Direct fistula between the splenic, artery and the pancreatic duct is briefly reviewed. The literature indicates that such a fistula is almost always due to a pancreatic artery aneurysm. Because of diagnostic difficulties, a variety of operations have been performed on these patients prior to arriving at the correct diagnosis. ...
Kimura W - - 1996
BACKGROUND: The significance of preserving the spleen has recently been shown. However, there are few reports of spleen-preserving distal pancreatectomy for lesions of the body and tail of the pancreas, and this procedure is not generally performed. The aim of this study was to clarify the technique and indications for ...
Noma S - - 1996
A rare congenital anomaly of the left lower pulmonary artery is presented. A 39-year-old woman was admitted to our hospital for evaluation of a splenic mass. Abdominal CT disclosed abnormal vessels in the left lower lobe. Angiography revealed a large systemic artery from the descending aorta supplying the basilar segments ...
Sim J S - - 1996
BACKGROUND: To assess the frequency of visualization of pancreatic arteries in the arterial phase of helical computed tomography (CT). METHODS: The visibility of pancreatic and peripancreatic arteries in helical CT images was evaluated in 20 consecutive patients who had no evidence of pancreatic disease. CT examinations were performed by using ...
Arendt T - - 1996
A 47-year-old woman with acute necrotizing pancreatitis developed sudden cardiorespiratory arrest and needed resuscitation. A pericardial effusion was found, and 350 ml of a white nontransparent milky fluid was aspirated that contained 1020 mg triglycerides/100 ml. The diagnosis of chylous cardiac tamponade was made. Absence of amylase in the chylous ...
Settembrini P G - - 1996
Aneurysms of the splenic artery that anomalously arise from a splenomesenteric trunk are a rarity. Aneurysmal disease of visceral arteries is found in only 0.2% of the general population. The celiac trunk and superior mesenteric artery (SMA) are involved in less than 10% of all visceral aneurysms. Although rupture seems ...
Carr S C - - 1996
BACKGROUND: Visceral artery aneurysms are an uncommon but important form of abdominal vascular disease. This study reviews a contemporary experience with special emphasis on newer methods of diagnosis and treatment. METHODS: From 1980 to 1994, 37 patients were diagnosed with 46 visceral artery aneurysms. These consisted of 22 splenic, 10 ...
Dogan R - - 1996
Both coarctation of the abdominal aorta, and splenic artery aneurysm reside in the hilus, a rare but extremely important pathological condition. Herein a 36-year-old woman hospitalized for uncontrolled hypertension is presented. Aortography demonstrated segmental abdominal aortic coarctation with left renal artery and splenic artery aneurysms. Medical control of hypertension was ...
Yamashita H - - 1996
Laparoscopic splenectomy often involves difficulties in patients with splenomegaly because of a poor visual field and distorted and enlarged vessels secondary to the enlarged spleen. For safe and efficient laparoscopic splenectomy, we performed balloon occlusion of the splenic artery with the interventional angiographic technique in a patient with hereditary spherocytosis ...
Petsikas D - - 1996
Ischemia of the gastric tube during use as an esophageal substitute may have serious consequences. We describe a method to correct substernal gastric tube ischemia using the left internal thoracic artery as a source of arterial inflow to a short gastric artery. This permitted successful reconstruction of the upper alimentary ...
Gow K W - - 1996
Traumatic splanchnic artery pseudo-aneurysms are uncommon; only two cases have been reported among the pediatric population. The authors describe their experience with four patients in whom splanchnic artery pseudoaneurysms developed after blunt abdominal trauma. Splenic artery pseudo-aneurysms were found in a 6-year-old boy and an 8-year-old girl after blunt splenic ...
Kiela P - - 1996
The effects of local and peripheral administration of cholecystokinin-8 (CCK-8) and vasoactive intestinal polypeptide (VIP) on basal pancreatic secretion were investigated in conscious pigs. Five pigs (20 +/- 2 kg, mean +/- S.E.M.) were chronically fitted with a T-shaped cannula in the duodenum, and catheters in the pancreatic duct, jugular ...
Mochizuki S - - 1996
In a search for the reduplication of the spleen, a total of 227,513 swine from 130 breeders were surveyed at a slaughterhouse (Ozu Health Center, Ehime Prefecture, Japan) between October 1993 and June 1995. They were 6 to 7 months old and their body weight ranged from 95 to 120 ...
Harten P - - 1996
Thromboangiitis obliterans (TAO) occurs almost exclusively in young male smokers. Its involvement of the small and medium-sized arteries and veins leads to ischemic complaints and/or changes in the extremities. The possibility of organ involvement is a matter of controversy. The authors report a case of TAO with multiple organ involvement, ...
Cressey D - - 1996
A multigravid patient was admitted at 34 weeks with abdominal pain, signs of hypovolaemia and an intrauterine death. Ultrasonography and paracentesis revealed bleeding into the peritoneal cavity. The diagnosis of splenic artery aneurysm rupture was considered. Energetic resuscitation and a multidisciplinary approach to surgery allowed a sacular splenic artery aneurysm ...
Hwang Y T - - 1996
Hemorrhage through the pancreatic duct into the duodenum, so called "hemosuccus pancreaticus", is a rare cause of gastrointestinal bleeding with diagnostic difficulties. We report a 60-year-old man with recurrent upper gastrointestinal bleeding due to rupture of a splenic artery pseudoaneurysm into the pancreatic duct. Initial upper gastrointestinal endoscopy failed to ...
Rozenblit G - - 1996
BACKGROUND: Splenic venous hypertension (SVH) may cause variceal hemorrhage that is clinically indistinguishable from similar bleeding caused by portal hypertension (PH). This may lead to erroneous treatment, including inappropriate portosystemic shunt placement. STUDY DESIGN: A retrospective review of 58 cases of variceal hemorrhage referred for transmesenteric variceal sclerotherapy and transvenous ...
Liu D L - - 1996
BACKGROUND: Anatomic knowledge of vasculature of the splenic lobe and segment is of great clinical significance in partial resections and transplantation of the spleen. METHODS: The methods of two-colored corrosion casting, roentgenography, and anatomic dissection were used to evaluate the vasculature of the splenic hilum and intraspleen. On this basis ...
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