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J Pringot

Publications and source records attributed to J Pringot.

At least 127 records · Page 7Linked to original sources
PubMedDate not supplied

CT of the portal vein after portacaval shunt with arterialization.

OBJECTIVE: Our goal was to assess the state of the portal vein in cirrhotic patients treated with a portacaval shunt associated with an arterialization of the portal vein. MATERIALS AND METHODS: We reviewed the follow-up CT of 23 patients treated by portacaval shunt with arterialization of the portal vein. RESULTS: Five patients demonstrated an aneurysm of the portal vein. Follow-up studies revealed progression of the aneurysm and development of a mural thrombosis in four patients. The thrombosed portal vein was calcified in three patients. One patient demonstrated a dilatation of the saphenous vein graft in addition to the portal vein aneurysm. Only one of the five patients was symptomatic, presenting with ascites, dilatation of intrahepatic biliary ducts, and jaundice secondary to the compression of hilar structures by the huge portal vein. CONCLUSION: Aneurysm of the portal vein following portacaval shunt associated with arterialization of the portal vein is not a rare complication.

Adult↗
PubMedDate not supplied

Inflammatory pseudotumor of the liver: MRI with mangafodipir trisodium.

Inflammatory pseudotumor of the liver is a rare benign mass that is often misdiagnosed as hepatocellular carcinoma at preoperative imaging. We report a case of inflammatory pseudotumor of the liver with special emphasis on the appearance at MRI after administration of mangafodipir trisodium. On T1-weighted images the lesion was slightly hypointense relative to the liver, and on T2-weighted images it was isointense with a hyperintense capsule. No tumor enhancement was seen on T1-weighted images after administration of mangafodipir trisodium. MRI with mangafodipir trisodium might help to distinguish inflammatory pseudotumor of the liver from hepatocellular carcinoma.

Adult↗
PubMedDate not supplied

[Pictorial essay. Infarction of the greater omentum: can US and CT findings help to avoid surgery?].

Infarction with or without torsion of the greater omentum is an uncommon but well recognised acute abdominal condition which was seldom diagnosed preoperatively before the widespread clinical use of US and CT. The aetiology is unknown and speculative. In most cases the pathology is right sided and clinical presentation consists of an acute or subacute flank pain with mild peritonism usually evoking appendicitis or cholecystitis. Recently, US and CT have proved to provide sufficiently typical, consistent and well-recognizable features to avoid unnecessary surgery. We report on six typical -five right sided and one left sided- cases investigated with CT and US. Two patients underwent surgical treatment, one because the usually spontaneous regression of the entity was ignored and the other because of extremely severe clinical symptoms. In the other four patients, conservative medical management was preferred and successful. Even though US may be efficient if performed by a well-trained echographist, CT appears to be the procedure of choice as it is operator independent and reliable for excluding mimicking surgical conditions or associated pathology.

Abdomen, Acute↗
PubMedDate not supplied

[Digestive system manifestations in Steinert's disease. Analysis of 19 cases of which 10 with digestive symptoms].

We studied digestive manifestations occurring during follow-up of 19 cases of myotonic dystrophy. GI symptoms occurred in 10 patients (53%), mainly dysphagia (n = 7). In patients undergoing investigations (n = 7), their digestive troubles were probably or definitively related to the neurological disease in 6 cases. Upper GI endoscopy was normal in 5 dysphagic patients. The oesophageal manometry was abnormal in 3 of 4 patients. Complications developed in 3 cases (16%). One patient presented two episodes of spontaneous pneumoperitoneum. A second one developed a chronic colonic pseudo-obstruction with megacolon treated by subtotal colectomy. Manometric studies revealed oesophageal aperistalsis, low amplitude of gastro-jejunal contractions but persistence of migrating motor complexes and a normal recto-anal reflex. A third patient developed an acute pseudo-obstruction with ischemic colitis. In conclusion, myotonic dystrophy frequently disturbs digestive tract motility and may cause complications such as intestinal pseudo-obstruction.

Adult↗
PubMedDate not supplied

[Radiological aspects of peri-diverticular disease of the colon. An anatomo-pathological correlation (author's transl].

Sixty consecutive cases operated for diverticular disease of the colon within the last 10 years are reviewed. A comparative study is made of the anatomopathological examination of the specimens and their radiological aspect trying to establish the precise radiological picture of acute, chronic and fibrotic peri-diverticular disease. Plain films of the abdomen, intravenous uro- and cystography are very useful in acute cases. A baryum enema just prior to surgery (33 cases) heralds by the rigid aspect of the involved bowelsegment the acute case; spasms, thick disorderly folds and localized extravasation characterize the acute peridiverticulitis. Fibrotic peri-diverticular disease shows disorderly, fine but "ragged" folds associated with extrinsic fistulae. In many cases the inflammation is not purely acute nor chronic or fibrotic. The distinguishing histological types are simultaneously present and render the radiological picture complex.

Barium Sulfate↗