The pharmacology of mercurial diuretics.
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Biomedical subjects
Publications and source records attributed to K C Cho.
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Parenchymal liver complications thus far reported following laparoscopic cholecystectomy include abscess, biloma, contusion/laceration, and hematoma. We report a case of liver infarction following unrecognized ligation of the right hepatic artery (HA) during laparoscopic cholecystectomy.
On magnetic resonance imaging (MRI) studies, wedge-shaped areas of signal abnormality noted in association with liver lesions have been attributed to secondary phenomena and are said to be substantially larger than the actual tumor. We describe the MRI and pathological appearance of a wedge-shaped cholangiocarcinoma. In cases where therapy might be affected, biopsy of wedge-shaped MRI abnormalities associated with hepatic malignancy should be considered for accurate tumor staging.
We report two cases of portal vein visualization during ERCP in patients with pancreatitis, one from inadvertent cannulation of the superior mesenteric vein, and in the other, through a preexisting fistula. Prompt recognition of this potentially significant event will obviate confusion and unnecessary prolongation of the procedure.
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We describe a patient with ovarian cancer in whom computed tomography revealed a fat-fluid level within ascites, indicating chyloperitoneum. The significance of this finding is discussed, and a mechanism underlying the unusual radiological appearance is suggested.
The anatomy and pathology of the greater omentum as demonstrated by CT has been well described. Approximately 80% of cases of omental pathology are caused by malignancy and the remaining 20% are the result of inflammatory disease, mainly tuberculosis or pancreatitis. Histoplasmosis has not been previously reported to involve the greater omentum. We report a case of disseminated histoplasmosis that presented with infiltration of the greater omentum and the small bowel mesentery in a patient with acquired immuno-deficiency syndrome.
Two patients with closed loop obstruction diagnosed by CT and sonography are reported. Abdominal radiograph was nonspecific. The characteristic CT and sonographic features included (a) isolated conglomerate of dilated, fluid-filled bowel loops; (b) fixation of these "U" shaped distended loops; (c) thickened bowel wall; and (d) extraluminal fluid.
We report a case of a tuberculous pancreatic abscess in a 47-year-old human immunodeficiency virus positive intravenous drug abuser. She had a prolonged febrile course and persistent abdominal pain. On CT and sonography the lesion lacked the usual ancillary features of an abscess such as diffuse pancreatic enlargement and a peripancreatic fluid collection, and more closely resembled a necrotic neoplasm.
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We describe a case in which a focus of intense contrast enhancement within the anterior aspect of the medial segment of the left lobe of the liver was detected on abdominal CT. This led to the diagnosis of clinically unsuspected superior vena cava obstruction.