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Biomedical subjects

M S Kogutt

Publications and source records attributed to M S Kogutt.

At least 37 records · Page 2Linked to original sources

Esophageal stenosis due to cartilaginous tracheobronchial remnants.

In cases of congenital esophageal stenosis, tracheobronchial remnants in the distal esophagus should be considered a possible diagnosis. The cause is thought to be esophageal sequestration of a tracheobronchial anlage before embryologic separation. Primary resection of the stenotic portion of the esophagus with re-anastomosis is recommended. Such a case is reported.

Bronchi↗

Necrotizing enterocolitis of infancy. Early roentgen patterns as a guide to prompt diagnosis.

Necrotizing enterocolitis of infancy most commonly affects premature infants during the first several weeks of life. In most cases it is a devastating condition that often progresses to severe complications of death. The classic abnormalities, such as gas in the bowel wall and/or portal vein, are generally late manifestations. The author has consistently observed several distinct radiographic findings in early stages of the disease: (a) ileus and elongation of bowel loops; (b) loss of bowel wall definition; and (c) a disorganized, atonic pattern of intestinal gas. These findings are helpful in early diagnosis, particularly when the clinical features are nondiagnostic.

Enterocolitis, Pseudomembranous↗

Use of a curved multi-hole catheter for abdominal and femoral arteriography.

A single-curve 6.5 French polyethylene catheter with an endhole and multiple sideholes is routinely used by the authors for abdominal aortography and femoral arteriography. It allows excellent simultaneous visualization of both renal arteries and intrarenal vasculature. When withdrawn to the aorto-iliac bifurcation, it allows virtually selective bilateral femoral artery visualization in the evaluation of peripheral vascular disease.

Aorta, Abdominal↗

Systemic air embolism secondary to respiratory therapy in the neonate: six cases including one survivor.

Systemic air embolism has been described as a complication of respiratory therapy using positive pressure ventilation. This is usually a dire, if not fatal occurrence. The incidence of this severe complication will likely increase with the advent of more vigorous and aggressive respiratory therapy of the respiratory distress syndrome in neonates. It is important for both the clinician and the radiologist to be aware of this entity, its etiology, and its probable increasing frequency. This paper reports six cases of systemic air embolism, including one patient who revealed no clinical symptomatology, and in whom the diagnosis was made by radiographic findings only. This is the largest series yet reported and includes, to my knowledge, the first reported neonate to survive this complication.

Embolism, Air↗

Cervical teratoma in infants and children.

Teratoma of the neck in infants and children, though uncommon, should be included in the differential diagnosis of neck masses in this age group. Radiographic examination should be an integral part of the patient's evaluation and may allow a definitive diagnosis. The clinical and radiologic aspects of this tumor are discussed. The finding of a soft tissue mass indenting the trachea and containing calcification should indicate the diagnosis of teratoma.

Calcinosis↗

Splenoportography--a valuable diagnostic technic, revisited.

The value of splenoportography in evaluating patients with portal hypertension was assessed. The technic was found to be useful in estimating portal-venous pressure, ruling out portal vein thrombosis, evaluating the superior mesenteric and portal veins as to their suitability for shunt procedures, and defining anatomy and collateral pathways. Splenoportography is a relatively simple procedure which provides excellent visualization of the portal venous system. Other methods may require special expertise and may not yield sufficient diagnostic information.

Collateral Circulation↗

Emergency embolization in blunt hepatic trauma.

The right hepatic artery in a patient with traumatic liver tear was embolized with Gelfoam to stop an otherwise uncontrollable hemorrhage. The procedure was probably life saving in this patient. Transient elevated transaminase and bilirubin levels returned to normal 3 weeks after embolization. A repeat hepatic arteriogram 4 months after embolization demonstrated good revascularization of the right hepatic lobe from the left hepatic, left gastric, and gastroduodenal arteries. This case demonstrates the therapeutic value and safety of selective hepatic arterial branch embolization in massive life-threatening hemorrhage.

Adolescent↗