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Biomedical subjects

J F Lally

Publications and source records attributed to J F Lally.

At least 37 records · Page 2Linked to original sources

Case report 697: Neuropathic arthropathy of the shoulder with no identified cause.

Two cases of neuropathic disease of the shoulder without evidence of a neurological disorder are described. The absence of any neurological disorder led to the cases being initially mistaken for primary neoplasms of bone, lending support to the vascular theory of pathogenesis of this lesion. Careful attention to the radiographic features and knowledge that a neurological disorder need not be present should lead to the correct diagnosis.

Adult↗

Traumatic lumbar hernia: CT diagnosis.

A lumbar hernia usually involves protrusion of extraperitoneal fat or bowel through an area of weakness in the posterolateral abdominal wall bounded superiorly by the 12th rib, inferiorly by the iliac crest, posteriorly by the erector spinae muscle, and anteriorly by the posterior border of the external oblique muscle. Most are due to an acquired nontraumatic or congenital cause. Acute blunt abdominal trauma is a rare cause of lumbar hernia; to our knowledge, the CT diagnosis of this variety has not been reported. Since 1985, approximately 850 patients have undergone emergent abdominal CT for evaluation of acute abdominal trauma at our hospital; in seven of these patients, a traumatic lumbar hernia was diagnosed prospectively. In three patients, CT showed a flank hematoma with herniation of bowel through the lumbar triangle. CT showed pelvic fractures in three other patients, accompanied by herniation of bowel in one patient, herniation of extraperitoneal fat in another, and herniation of extraperitoneal fat and blood in the third. One patient had both a flank hematoma and a pelvic fracture with herniation of bowel. Acute traumatic lumbar hernia is a rare but significant abnormality that should be considered in patients with blunt abdominal trauma, especially in those with large flank hematomas and pelvic fractures. The hernia contents, associated injuries, and disrupted muscle layers are all well demonstrated on CT.

Abdominal Injuries↗

Paraspinal lipomatosis: a benign mass.

Paraspinal lipomatosis usually occurs in patients with steroid excess. In two patients a paraspinal mass was detected on conventional radiographs and was subsequently shown to represent benign fat deposition on computed tomography, thereby obviating further studies. Neither patient had been receiving steroids. Paraspinal lipomatosis may be the cause of a benign mass and may be considered in the differential diagnosis of this finding.

Aged↗

Odontoid fractures in metastatic breast carcinoma.

Six cases of odontoid fracture were recognized in patients with metastatic carcinoma of the breast. The clinical findings, radiographic diagnosis, and possible neurological sequelae are discussed. While pathologic long bone fractures are often aggressively treated, pathologic odontoid fractures are frequently not recognized despite their prognostic significance. Since patients with osseous metastasis from breast carcinoma may live for many months and undergo general anesthetic procedures that require neck manipulation, its recognition is clinically important.

Bone Neoplasms↗

Calcification in undifferentiated abdominal malignancies.

Four cases of undifferentiated abdominal malignancy are reported with a pattern of bizarre dystrophic calcifications. All of the cases had confusing histology and were long-term survivors; two being still alive. We feel that the radial, conglomerate masses of calcification, which do not conform to any organ, should suggest the diagnosis of an undifferentiated malignancy. The differential diagnosis and distinction from other causes of abdominal calcification is discussed.

Abdominal Neoplasms↗

Nephromegaly in Hemophilia.

Various renal abnormalities have been reported in patients with hemophilia. Findings in four patients with hemophilia and nonobstructive renal enlargement are described. Three of these patients also had pseudotumors of the iliac bone. The one factor common to all of these patients and patients with sickle cell anemia or thalassemia with large kidneys is multiple blood transfusions.

Adult↗