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Biomedical subjects

P J Killoran

Publications and source records attributed to P J Killoran.

At least 19 recordsLinked to original sources

Intrathoracic desmoid at previous thoracotomy site.

Desmoid tumor (aggressive fibromatosis) of the chest wall is rare and usually extrathoracic. A large extrapleural intrathoracic desmoid occurred at the site of previous thoracotomy, and recurred five years later.

Adult

Popliteal vein thrombosis secondary to popliteal artery aneurysm.

Two patients with popliteal vein thrombosis secondary to popliteal artery aneurysm are described. The association of venous abnormalities in 623 reported cases of popliteal artery aneurysm is reviewed. The high morbidity from popliteal vein thrombosis would seem to justify preoperative leg venography in patients with popliteal artery aneurysm.

Aneurysm

Multiple constrast injections in epidural venography.

Multiple contrast injections were necessary in 65% of the 140 epidural venograms performed at the Penobscot Bay Medical Center between January and December 1977. Several examples of the value of multiple injections are illustrated. Institutions interested in performing epidural venography or those performing the examination on a limited basis should be aware of the need for multiple injections, allowing time for reviewing the initial series of radiographs, for reloading the film changer and injector, and for repeating fluoroscopy and catheter manipulation.

Adult

Jejunal diverticulitis.

Two patients with jejunal diverticulitis are presented. Each demonstrated a wide spectrum of clinical and radiographic findings over several years. Radiographic abnormalities including incomplete jejunal obstruction, an omental mass displacing jejunal loops, leakage of barium into adjacent mesenteric abscess, and extrinsic serosal changes involving the transverse colon have permitted a correce preoperative diagnosis in each patient.

Aged

Outpatient arteriography at a small community hospital.

Most types of arteriographic procedures are performed on an outpatient basis at Knox County General Hospital. Four years of experience indicates no increased incidence of complications between the inpatient and outpatient groups. No patient had to be admitted to the hospital for delayed complications. Observation within the radiology department or short-stay recovery area for up to four hours seems adequate postarteriographic management and safely avoids routine overnight hospital admission.

Aged