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Biomedical subjects

A Miselli

Publications and source records attributed to A Miselli.

31 records · Page 2Linked to original sources
PubMed1983

[Value of angiography and echotomography in injuries of the spleen].

In all the patients was performed angiography, while only 11 were studied by the means of Abdominal Ultrasonography. The Authors' aim is to evaluate the accuracy of these two methods and to define a correct diagnostic procedure. The results obtained with Angiography were 15 correct diagnosis and 1 false positive, whereas those obtained with Sonography were 7 correct diagnosis, 2 indicative diagnosis and 2 false negative. Therefore, when a patient is clinically suspected of having a traumatic spleen injury, the Authors suggest to perform an Abdominal Sonography at first. In case of evident spleen lesion, laparatomy will be directly carried out. However, if the sonographic result is negative or aspecific, it will be necessary for the patient to undergo Angiography in order to rule out possible false negative or establish the origin of endoabdominal bleeding correctly.

Angiography↗
PubMed1980

[Double contrast knee arthrography in meniscal lesions (author's transl)].

Double contrast arthrography, under fluoroscopic control, is a technically simple procedure with a high degree of diagnostic accuracy. The Authors performed 95 arthrographies in patients with suspect meniscal lesion, making a correct diagnosis of 84 (94%) out of 89 cases undergone surgical intervention. They conclude giving the indications to arthrographic examination, which needs to be limited to those cases in which the clinical diagnosis is difficult on uncertain.

Humans↗
PubMedDate not supplied

Duplex ultrasound diagnosis of symptomatic proximal deep vein thrombosis of lower limbs.

Real time ultrasound (US) was used to examine 165 consecutive inpatients with clinically suspected deep vein thrombosis of lower limbs. In order to evaluate accuracy, the results of non-invasive techniques were compared with ascending venography, performed in all patients. Assessment included only femoro-popliteal veins, because of difficulty in visualizing calf vein with US. Diagnosis of thrombosis was based on noncompressibility of the examined veins; pulsed Doppler provided further information by evaluating blood flow. In our series Duplex ultrasound was very accurate in detecting acute thrombosis of the proximal veins, sensitivity being 97% and specificity 98%. With US it is also possible to detect conditions that mimic deep vein thrombosis, such as muscular rupture, hematoma, popliteal cyst or compressive tumors. In conclusion US is considered a valid alternative to contrast venography in the diagnosis of proximal vein thrombosis of lower limbs.

Adolescent↗
PubMedDate not supplied

Transinguinal dissection of the femoral artery for aorto-bifemoral bypass.

The authors report a surgical technique for high approach to the common femoral artery, just below the inguinal ligament, which can be useful in cases of difficult dissection of the femoral region or those with diffuse fibrosis or multiple scars. It is also useful when there is a concomitant inguinal hernia to repair.

Aorta↗
PubMedDate not supplied

[Renal oncocytoma. Ultrasonographic study of 4 cases].

The authors report four cases of renal oncocytoma investigated by echography and proved by histology after surgery. Describing the clinical cases, after a brief review of the literature, the radiologic findings are analysed with particular regard to the sonographic signs that can preoperatively differentiate oncocytomas from carcinomas. The authors conclude that the only sonographic distinguishing feature is a quite characteristic central hyperechoic streak corresponding to the fibrous scar, frequently found in this benign tumor.

Adenoma↗
PubMedDate not supplied

[Traumatic intramural hematoma of the duodenum. Description of a case].

The traumatic intramural hematoma of the duodenum is the result of contusion of the retroperitoneal portion of the duodenum. This lesion occurs most frequently in children and can result in complete obstruction of the second and third portion of the duodenum.

Child, Preschool↗