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W P Cockshott

Publications and source records attributed to W P Cockshott.

72 records · Page 4Linked to original sources
PubMedDate not supplied

Diverticular fecalith in scleroderma simulating colonic neoplasm: report of a case.

This is a report of a patient with the CRST syndrome, a mild variant of scleroderma consisting of calcinosismraynaud's phenomenon, sclerodactyly, and telangiectasia. Typical changes of scleroderma were present in the extremities, esophagus, duodenum and colon. In addition, there was a polypoid filling defect in a colonic diverticulum due to a fecalith. The radiologic appearance at first resembled a colonic neoplasm, although its location within a diverticulum and its speckled appearance suggested the possibility of a fecalith. This was confirmed at colonoscopy, which disclosed numerous wide-mouthed diverticula, with inspissated fecal material projecting from several diverticula. In patients with scleroderma and polypoid filling defects in the colon, the possibility of a fecalith within a diverticulum should be considered. Where the radiologic study is inconclusive, colonoscopy may provide a definitive diagnosis.

Adult↗
PubMedDate not supplied

Rib infarcts in sickling disease.

This communication documents the radiographic appearance of multiple rib infarcts that may develop during the course of patients with sickle cell states. It can be associated with and be the cause of the 'acute chest syndrome' which has traditionally be attributed, on scanty evidence, to lung infarcts and pneumonia. Bony changes take time to develop but extrapleural changes are readily detected in radiographs. The rib lesions repair leaving residual sclerosis. Sequestra do not develop. The pathogenesis may be due to back pressure in the azygos venous system.

Anemia, Sickle Cell↗