Search PubMed⌕ Search

Biomedical subjects

E Montrucchio

Publications and source records attributed to E Montrucchio.

10 recordsLinked to original sources
PubMed1997

[Normal anatomy and pathologic features of the supraspinatus muscle: comparison between ultrasonography and surgery. Analysis of the potential sources of diagnostic errors].

The supraspinatus muscle performs about 60% of the elevation-abduction motion of the arm; therefore, it has a prominent functional role among the extrarotational muscles of the shoulder and is the most injured in subacromial space conditions. Seventy-four patients, aged 21-64 years, were examined to compare ultrasonography (US) results with surgical findings in supraspinatus conditions and to analyze the possible pitfalls in US diagnosis. All the patients underwent conventional X-ray, US and then surgery or arthroscopy. The following criteria were considered: morphology, thickness, echotexture, the convexity of the superior border of supraspinatus tendon, the relationships with the subacromial bursa and the tendon of the biceps long head, the regularity of the bone cortex of the humeral head. US showed: chronic degenerative tendinopathy in 10 patients; perforating focal injuries in 21 patients; deep focal injuries in 10 patients; intramural focal injuries in 6 patients; superficial focal injuries in 8 patients; complete tendon tear with detachment in 19 cases. 62/74 US diagnoses were surgically confirmed, with a specificity of 83.7%. In our experience, US provided very useful information about the pattern, size and site of the injuries and was very helpful in the surgical planning.

Adult↗
PubMed1994

[Crural hernia after inguinal hernia repair. A technical note].

A case of femoral hernia following repair of an inguinal hernia with the Shouldice method is presented. The authors discuss the pathogenesis, suggest the use of ultrasound for a precise preoperative diagnosis, and propose the "plug" technique of Lichtenstein as the method of choice for the repair. This method offers a minimally invasive approach, without disturbing the previous inguinal repair and it is very simple to perform.

Adult↗
PubMed1994

[Intraportal air secondary to gastric dilatation. A clinical case].

The authors report a case of hepatic portal venous gas (HPVG) secondary to massive gastric dilatation in a diabetic patient following blunt trauma. Both flat plate of the abdomen and ultrasound of the liver were necessary to reach the correct diagnosis. They review the pertinent literature and stress the importance of an accurate nosologic assessment of this uncommon entity in order to avoid undue mishaps.

Abdomen, Acute↗
PubMed1993

[Calculosis of the cystic duct].

The authors report on three cases of cystic duct syndrome, a fairly uncommon complication of cholelithiasis, consisting in migration of a large gallstone from the gallbladder to the common bile duct, resulting in the formation of a common cavity between cystic, hepatic and common bile ducts. They review the pathogenesis of this entity, as well as the diagnostic modalities best suited to a precise diagnosis. They stress that surgical therapy must be chosen on a case by case basis, trying to restore a functional extrahepatic biliary tree.

Aged↗
PubMed1993

[Surgical treatment of toxic megacolon].

After an introduction on the various aetiological factors involved in toxic megacolon, its onset, medical treatment and indications to surgery, the paper describes personal experience with seven cases. The report highlights the importance of medical treatment which is recommended as the appropriate initial therapeutic approach. Then after a review of evolving surgical techniques, it is suggested , again on the basis of personal experience, that the surgical approach should be neither excessively aggressive (total proctocolectomy with permanent ileostomy) nor excessively conservative (multistoma decompression). According to this report, the operation of choice is currently subtotal colectomy plus ileostomy and sigmoidostomy which combine modest morbidity and mortality with the possibility of future reconstruction.

Adult↗
PubMed1993

[Echographic study of the shoulder. Clinico-echographic correlations].

US is indicated in the study of the impingement syndrome. A series of 152 shoulders was examined in a clinical-US study carried out following a standard protocol including a physical examination first and then a US examination. The study was aimed at investigating the agreement between clinical and US findings and at assessing the diagnostic reliability of US. 57% of the shoulders were positive to clinics (1 test at least) and were then divided in 4 groups. Positivity rate was high (85-87% for at least 3 or 4 tests). US findings included several different patterns. Our results demonstrate that a correct clinical-diagnostic protocol increases reliability, besides reducing the use of more complex and expensive imaging modalities--e.g., CT and MR.

Adult↗
PubMed1991

[Diagnostic considerations in a case of pericardial effusion with anomalous distribution].

The authors report an atypical arrangement of pericardial effusion simulating an expansive mediastinal mass. Radiologic examination of the chest (standard, fluoroscopy and conventional tomography) failed to establish the correct diagnosis, its diagnostic aid was only related to demonstrate the lesion, without provided any additional anatomical and morphological features. The final and correct diagnosis was only obtained with CT and U.S. These latter imaging modalities have correctly located the lesion in pericardial space, and particularly they identified it like an loculated, completely fluid pericardial not corpusculated effusion. The authors remarked the value of CT and US techniques in the study of para and pericardial regions, especially of pericardial serosal surfaces. CT scan allow to localize the lesion, and to discriminate through densitometric values between cystic and solid masses; further more it provided information of possible extracardiac and/or mediastinal invasion. US provides the features of the fluid, its changes during systo-diastolic cycle, its mobility in different patient positions and the thickness of cardial wall. Nevertheless, at present, we consider both imaging modalities indispensable in the study of lesions occupying the cardiac-mediastinal border.

Aged↗
PubMed1987

[Computerized tomography in pulmonary sequestration].

The authors describe two cases of intra and extralobar pulmonary sequestration and evaluate its principal clinical and pathological characteristics. They outline the key role of T.C. in the approach to this pathology. The T.C. enables to collect in a short time a large quantity of useful information for a correct diagnosis which could not be obtained by means of other methods of imaging.

Adult↗