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Biomedical subjects

T E Sumner

Publications and source records attributed to T E Sumner.

53 records · Page 3Linked to original sources

Occult anterior sacral meningocele.

Anterior sacral meningocele is a rare congenital malformation consisting of a spinal fluid-filled sac in the pelvis communicating by a small neck with the spinal subarachnoid space through a sacral defect. This entity should be considered if the characteristic scimitar sacrum is observed on a pelvic roentgenogram. If signs and symptoms also suggest a meningocele, special studies such as ultrasonography and myelography are indicated to establish the diagnosis of an anterior sacral meningocele. Computerized tomography provides additional evidence of spinal-abdominal extension of this lesion.

Child↗

Solitary spinal metastasis from Wilms' tumor.

A 7 year old boy presented with sudden lower extremity paresis six months after resection of a Wilms' tumor. Roentgenologic studies showed destruction of the sixth vertebral body and a thoracic extradural block by an epidural mass subsequently proven to be a solitary Wilms' metastasis.

Child↗

Intrapericardial teratoma in infancy.

Intrapericardial teratoma in the newborn is a rare potentially fatal neoplasm. Pre-operative diagnosis depends upon recognition of specific radiographic and echocardiographic findings in a newborn with a larg cardiothymic image and pericardial effusion. Surgical intervention is usually curative whereas undiagnosed intrapericardial teratoma is often fatal.

Angiocardiography↗

Sonolucencies in fetal and infant abdomen: implications for management.

The increased use of prenatal and antenatal ultrasonography will detect predictably abnormalities of fetal and infant anatomy not assessed or suspected previously. Three cases are presented illustrating similar ultrasonographic findings with different diagnoses and prognoses, and comparisons are made with other cases reported in the literature. Caution should be used in interpreting sonolucencies in fetal and infant abdomen to be diagnostic of a particular defect since further studies are required to define properly the specific abnormality so that proper treatment can be instituted.

Abnormalities, Multiple↗

Diagnosis of ectopic ureterocele using ultrasound.

Three children with ectopic ureteroceles were examined with ultrasound, excretory urography, and voiding cystography. In all cases the ultrasound studies outlined the ectopic ureterocele within the bladder.

Child, Preschool↗

Ultrastructures of Reilly bodies (metachromatic granules) in the Maroteaux-Lamy syndrome (mucopolysaccharidosis VI). A histochemical study.

The leukocytes from an 8-year-old white girl having features of the Maroteaux-Lamy syndrome (mucopolysaccharidosis VI) contained large granular inclusions (Reilly granules). Light and electron microscopy showed that these granules had characteristics of those seen in several other types of mucopolysaccharidoses, including Morquio's syndrome, which are of a different structure than those of other types of mucopolysaccharidosis. Similar granules were seen in the platelets, a finding which, so far as we know, has never been reported before. The granules contained an acid mucosubstance demonstrated by cytochemical studies.

Blood Platelets↗

Ultrasonic diagnosis of renal vein thrombosis in neonates.

Ultrasound findings in four neonates with renal vein thrombosis are described. Three of the patients had unilateral involvement and one had bilateral involvement. Gray scale ultrasonograms showed the affected kidney to be enlarged. Either medium level echoes were distributed evenly throughout the kidney, or there were distinct clumps of echoes randomly scattered within the kidney, sometimes surrounding echofree spaces. The ultrasound findings, combined with appropriate clinical findings, should allow diagnosis of renal vein thrombosis without requiring invasive vascular studies.

Female↗

Association of crossed fused renal ectopia and multicystic kidney.

A male newborn presented with mild azotemia, an abdominal mass and non-visualized right kidney on excretory urography. Evaluation, including ultrasound and surgical exploration, revealed the simultaneous occurence of crossed fused renal ectopia and multicystic kidney.

Humans↗

Preoperative diagnosis of splenic abscess by ultrasonography and radionuclide scanning.

Abscess of the spleen is uncommon and potentially lethal, but until recently it was rarely diagnosed except by exploratory celiotomy or at autopsy. Now, with the advent of radionuclide scanning, ultrasonography, and selective angiography, earlier diagnosis is possible in most cases. We report a case of traumatic abscess of the spleen, which was diagnosed preoperatively and ultrasonography and scanning with gallium citrate Ga 67 and technetium Tc 99m without the need for the more invasive technic of angiography.

Abscess↗

Neonatal detection and evaluation of infantile polycystic disease by gray scale echography.

Infantile polycystic disease (IPCD) is an uncommon pathologic entity involving the kidneys and liver. Gray scale echography can detect this pathologic process within the kidneys, despite the presence of renal failure. In addition, the sonic study may detect associated hepatic abnormalities even though isotopic liver scan is normal. These capabilities make the ultrasonic examination uniquely suited for evaluating patients with IPCD.

Cysts↗

Multimodal approach to diagnosis of hamartoma of the spleen.

Splenic hamartoma is a benign, primary neoplasm which usually causes a mass in the left upper quadrant of the abdomen. If radionuclide studies show a space-occupying lesion in the spleen that appears solid on the ultrasonogram, and selective abdominal arteriography reveals a richly vascular splenic tumor, hamartoma of the spleen should be the preoperative diagnosis.

Hamartoma↗