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

By Alessandro Castriota-Scanderbeg, Bruno Dallapiccola

This ebook 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 adjustments and relate them to precise disorder entities. the purpose is to supply a necessary, useful instruction to the popularity of the most important radiographic symptoms for diagnosing malformation syndromes and skeletal dysplasias. The booklet is meant for radiologists, medical and scientific geneticists, and pediatricians. the fabric is split into components. the 1st half is dependent in a symptom-oriented shape and describes nearly 2 hundred radiographic symptoms, supplying information regarding their prevalence, anatomic situation, diagnostic relevance, pathogenesis, and trend of inheritance, if acceptable. the second one half provides approximately a hundred syndromes and skeletal dysplasias and offers analytical details bearing on signs, genetics, motives, radiographic visual appeal, and significant differential analysis.

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Devastating complication, because the hepatic artery represents the sole arterial supply to the transplant liver and its biliary tree. Patients may present with sepsis and fulminant hepatic failure, recurrent abscesses or bacteremia, biliary leak or obstruction, and ischemic biliary strictures. Hepatic artery thrombosis results in necrosis of the biliary epithelium and eventual infarction and necrosis of the hepatic parenchyma [28]. Doppler depiction of the complete absence of hepatic arterial flow is diagnostic (Fig.

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].

367 368 Swart & Sheth Fig. 20. Budd-Chiari syndrome in a 30-year-old man who had a history of paroxysmal nocturnal hemoglobinuria and who presented with abdominal swelling. (A) Color image demonstrates narrowing of the middle hepatic veins with color aliasing near its junction with the IVC (arrow). (B) Color and Doppler image shows that although the middle hepatic vein is patent, the flow velocity is markedly increased. (C) Color and grayscale image demonstrates an enlarged caudate lobe (arrows) with its vein draining directly in the IVC (arrowhead).

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