La tomografía computarizada multidetector en el abdomen agudo

Aja, M. Carreras; Artieda, I. Arrieta; Nacenta, S. Borruel

doi:10.1016/j.rx.2011.03.007

Cited by 9 publications

(5 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the examination of an acute abdomen on an unstable patient, the CT scan is the ideal imaging test to perform, given the capacity to identify the cause of the symptoms referred. In this specific case, it showed a mesenteric root hematoma as responsible for the ischemic enteritis [5].…”

Section: Discussionmentioning

confidence: 67%

“…Retroperitoneal hematomas are usually related to traumatic accidents or invasive procedures. There are spontaneous retroperitoneal hematomas (SRH) reported to be associated to arterial hypertension, anticoagulation, hemodialysis or vasculopathy [4][5][6][7]. In these cases, it is important to make a differential diagnosis that includes this alternative given the variety of symptoms presented.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, in patients with organs compromised secondary to the hematoma, open surgery is the election choice. In our case, with a settle intestinal ischemia, open surgery was our best choice [4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Ileal Conduit Necrosis Secondary to Spontaneous Retroperitoneal Hematoma

Ramirez¹,

SM²

2023

J Inter Med Res & Rep

View full text Add to dashboard Cite

Case Presentation: A fifty-nine years old woman with previous muscle-invasive bladder cancer treated five years prior in another medical center with radical cystectomy and Bricker’s ureteroileostomy diversion, presented to the Emergency Room (ER) describing general discomfort, diarrhea, arterial hypotension and tachycardia. After conducting an imaging test, ileal conduit ischemia and mesenteric ischemia was diagnosed secondary to retroperitoneal hematoma. Ileal reservoir resection, resection of the ischemic intestine, and bilateral cutaneous ureterostomy were performed. Relevance: In patients with previous urinary diversion and acute abdominal pain, it is imperative to dismiss conduit involvement. Clinical Implications: In cases of acute abdomen with history of urinary diversion, physical examination and imaging tests can detect if the ileal reservoir has been compromised and, therefore, guide the adequate therapeutic approach. Conclusions: Identifying the complications of the urinary diversion in early stages in order to treat the underlying cause is advisable.

show abstract

Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ileal Conduit Necrosis Secondary to Spontaneous Retroperitoneal Hematoma

Ramirez¹,

SM²

2023

J Inter Med Res & Rep

View full text Add to dashboard Cite

show abstract

“…Ahora consideramos que la TC es la técnica de elección en el diagnóstico del dolor abdominal agudo, tanto localizado como difuso, excepto cuando se sospecha colecistitis aguda, en la patología ginecológica aguda y en el dolor abdominal agudo en niños, jóvenes y embarazadas, en los que el ultrasonido es la exploración inicial, por lo que el número de exploraciones se ha incrementado en un 141% desde 1996 hasta 2005 10 . Sin embargo, bien podríamos preguntarnos: ¿en realidad la tomografía tiene la ventaja de costo-beneficio en pacientes de 60 años y más de edad?…”

Section: Antecedentesunclassified

Beneficio ampliado de la tomografía en el dolor abdominal agudo en pacientes de 60 años de edad y más

Alonso-Que¹,

Castillo-Uribe²,

Rivas-López³

et al. 2019

ARM

View full text Add to dashboard Cite

“…Currently, computed tomography (CT) is the major diagnostic method for pancreatic carcinoma. For patients with pancreatic carcinoma, suboptimal nursing can induce postoperative abdominal infection, which can further lower the survival rate of patients 5. The postoperative complications of patients with pancreatic carcinoma mainly include abscess shock and multiple organ failure, which can severely affect the quality of life of patients after surgery 6,7.…”

Section: Introductionmentioning

confidence: 99%

CT findings and features of postoperative abdominal infection patients with pancreatic carcinoma

Liu

Zhang

2017

Pak J Med Sci

View full text Add to dashboard Cite

Objective:To investigate the values of Computed Tomography (CT) in diagnosing postoperative pancreatic surgeryabdominalinfection and its efficacy and to provide a reasonable method for the diagnosis of abdominal infection.Methods:Seventy-two patients who were confirmed as resectablepancreatic carcinoma by physical examination, CT, positron emission tomography (PET)/CT, endoscopic retrograde cholangiopancreatography (ER-CP), endoscopic ultrasonography and mesenteric angiography and were admitted to the Binzhou People’s Hospital, Shandong, China, from July 2013 to July 2015 were randomly selected. The plain CT images and clinical data of the patients were retrospectively analyzed.Results:Among 72 patients, 32 patients were diagnosed as abdominal infection by CT, three patients were misdiagnosed (two cases of intestinal obstruction and one case of intraperitoneal abscess), and 2 patients were wrongly diagnosed as suppurative abdominal inflammation. As regards distribution of CT imaging positive performance, the number of patients with intestinal loop abscess accounted for 41.7%, subphrenic abscess for 16.7%, pelvic abscess for 33.3%, the existence of septation for 25%, and emphysema sign for 16.7%. As to the distribution of CT findings of intestinal obstruction, 46.1% of patients had dilatation of intestine, 30.8% for bowel wall thickening, 7.7% had abnormal enhancement, 11.1% had density abnormality, and 15.4% had mesenteric effusion. CT features of purulent peritonitis showed 57.1% of patients had peritoneal thickening, 42.9% had peritoneal effusion, 42.9% had free intraperitoneal air, 14.3% had intestinal walls edema, and 28.6% had mesenteric edema.Conclusion:The diagnosis of postoperative abdominal infection of patients with pancreatic carcinoma using CT is quick and efficient showing the pattern and distribution of collection and the gross reaction to the exciting infection.

show abstract

La tomografía computarizada multidetector en el abdomen agudo

Cited by 9 publications

References 38 publications

Ileal Conduit Necrosis Secondary to Spontaneous Retroperitoneal Hematoma

Ileal Conduit Necrosis Secondary to Spontaneous Retroperitoneal Hematoma

Beneficio ampliado de la tomografía en el dolor abdominal agudo en pacientes de 60 años de edad y más

CT findings and features of postoperative abdominal infection patients with pancreatic carcinoma

Contact Info

Product

Resources

About