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Biomedical subjects

H Treugut

Publications and source records attributed to H Treugut.

32 records · Page 2Linked to original sources
PubMed1980

[In vitro tests of barium sulphate suspensions for double contrast examinations of the stomach (author's transl)].

Four barium sulphate suspensions were investigated with respect to their adhesion and contrast following standard means of spreading the contrast over a model stomach, which corresponds in its detailed structure with the surface of the gastric mucosa. By this means various factors, which make a true comparison in vivo impossible, could be eliminated and a comparison of the suspensions became possible. Using similar mechanical and chemical situations, the radiographs of the artificial mucosa showed very different results from the use of the different preparations. These corresponded well with the findings in vivo.

Barium Sulfate↗
PubMed1980

[Transfemoral portography (author's transl)].

In 15 cadavers the portal vein was dissected and punctured from the inferior vena cava by means of a coaxial needle (Johnson needle) introduced through the femoral vein. Success was confirmed by screening after contrast injection, by appropriate radiographs and following the use of coloured material by inspection. A modification of the technique was the use of a catheter introduced into the femoral vein by the Seldinger technique. In only one case was extravasation observed, and there was not incorrect injection into the inferior vena cava. These experiments demonstrate the feasibility of transfemoral portography. Its use in patients would also appear to be possible. The puncture is best carried out by radiographic observation and real time ultra sound. Possible complications from damage to neighbouring structures and from bleeding are possible, though apparently not serious. The indications and possible modifications of transfemoral portography are discussed and compared with other methods. The possibility of performing a portocaval shunt by means of the catheter in order to stop bleeding from oesophageal varices is stressed.

Angiography↗
PubMed1980

Pulmonary involvement by Echinococcus alveolaris.

Twenty cases of pulmonary involvement by E. alveolaris were analyzed and classified into one of two radiological types-Type l: multiple, small, ill-defined, irregular lesions that are peripherally located and develop slowly; and Type II: variable changes of the right lung base. Type 1 has a hematogenous metastatic origin, while Type II is caused by hepatic processes penetrating the hemidiaphragm. Differential diagnosis, which includes neoplasms and infections, specifically E. cysticus, is difficult. Diagnosis appears to be possible only when based on a combination of Type 1 changes, laboratory findings, and geographic occurrence.

Adult↗
PubMed1980

[Double-contrast examination of the gastric antrum without duodenal superposition (author's transl)].

By using a modified technique of double-contrast examination of the stomach it was possible in 75% to perform a study without superposition of the duodenum and jejunum on the distal stomach compared to 36% with the usual method. In this technique a small amount (50 ml) of Barium-suspension is given to the patient in left decubitus position by a straw or gastric tube after antiperistaltic medication. There was no difference in the quality of mucosa-coating compared to the technique using higher volumes of Barium.

Barium Sulfate↗
PubMed1980

[Sequence-CT: early enhancement--curves of the healthy kidney].

Ten healthy kidneys were studied by sequence-scans every 15 seconds following i. v. bolus-injection of metrizoate. Enhancement of renal cortex, medulla and the abdominal aorta was measured separately. The curves of the renal parenchyma are summations of three functions: perfusion, diffusion of contrast agent to the interstitial fluid, and accumulation of the enhanced urine and its excretion. The enhancement-curves of the aorta and of the renal cortex show two peaks due to recirculation and high perfusion. The curve of the renal medulla is characterized by a slow rise and lower and wider single peak. Knowledge of the normal enhancement-curves is essential for the evaluation of altered renal perfusion.

Contrast Media↗
PubMed1980

[Diagnosis of echinococcosis of the liver by angiography (author's transl)].

Twenty patients with Echinococcus cysticus and 15 with E. alveolaris were studied. Selective upper abdominal angiographies, performed in most of these cases, were reviewed retrospectively for typical angiographic changes. In a large percentage, E. cysticus demonstrated typical cystic and expansive signs; atypical vessels were rarely seen. How the "rim sign" develops is demonstrated. Usual signs of E. alveolaris are incomplete solid and necrotic space occupying lesions, as seen also in malignancy. Although angiography offers a high diagnostic rate in hepatic manifestation of this parasitic disease, it has been superseded today by sonography and computer tomography. It is, however, still a valuable investigation in pre-operative work-up.

Angiography↗
PubMed1980

[Ultrasound diagnosis of non-aneurysmic pulsating abdominal tumors].

Ninety-two patients with a pulsating abdominal mass and suspected abdominal aortic aneurysm (AAcA) were examined by ultrasonography. We diagnosed 48 cases (52%) of AAA and 5 unexpected lesions ventral to the aorta (5%), but in 39 cases (42%) we were not able to explain the symptom in spite of extensive diagnostic efforts and follow-up. Changes of the aorta or transmission of the pulse by adjacent structures are the main cause of a pulsating abdominal mass. Ultrasound examination appears to be optimal screening method for diagnosing AAA as well as the other symptoms no further diagnostic efforts are necessary after a negative ultrasound study.

Abdominal Neoplasms↗
PubMed1979

[Acute aortic thrombosis (author's transl)].

A case of acute thrombosis of the aorta is described; it extended from the superior mesenteric artery to the bifurkation and was probably due to oestrogen medication. The clinical features and diagnosis of this rare condition are described. The condition usually develops against a background of advanced arteriosclerosis and is initiated by certain haemodynamic factors such as intimal damage from blunt trauma, emboli or the thrombogenic effect of oestrogens. The symptoms, such as pain, absent pulses etcetera are the result of ischaemia and depend on the extent of the lesion. A definite radiological diagnosis can only be made by means of aortography, if necessary with oblique projections. The Seldinger technique with a femoral or axillary approach is the method of choice. Aortography shows a filling defect and occasionally a collateral circulation.

Acute Disease↗
PubMed1979

[Apophyseolysis, evulsion fractures and osteochondropathy of the anterior inferior iliac spine (author's transl)].

Evulsion fractures of the anterior inferior iliac spine in adults usually are the result of sudden contraction of the rectus femoris muscle during sporting activities, particularly football. In children, before fusion of the apophysis, there may be an apophyseolysis. This may result in a chondropathy because of abnormal development of the frequently multiple ossification centres. In contrast to the relatively frequent evulsion fractures of the anterior superior iliac spine, such an event is very rare in the anterior inferior iliac spine. Three illustrative cases are described showing the typical combination of history, localisation, pain recurrence during exercise and x-ray changes, which usually consist of a curved osseous structure separate from the iliac bone. These findings permit a correct diagnosis.

Adolescent↗
PubMed1979

[Malignant tumours in horseshoe kidneys (author's transl)].

Hypernephromas were found in horseshoe kidneys in two patients; the diagnostic problems arising from this combination are discussed. Detailed demonstration of horseshoe kidneys by excretion urograms may be poor and tumours may therefore be overlooked and, on palpation, an abnormality within the gastrointestinal tract may be simulated. Angiography usually indicates the diagnosis and helps in planning surgery. Although there is no increase in the incidence of adeno-carcinomas in horseshoe kidneys, there is a significant increase in the incidence of Wilm's tumours and of carcinomas of the renal pelvis. Treatment consists of heminephrectomy or resection of the tumour; complications are relatively common.

Adenocarcinoma↗
PubMed1978

[Non-traumatic myositis ossificans circumscripta (author's transl)].

The clinical, pathological and radiological features and the differential diagnosis of the very rare condition of non-traumatic myositis ossificans circumscripta are illustrated by one patient. The characteristic radiological appearances make a correct diagnosis of this localised, non-malignant process possible.

Adolescent↗