PubMed · 14949770
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J COENEGRACHTS. 1952-04-15. [Diagnostic errors].. https://pubmed.ncbi.nlm.nih.gov/14949770/
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CONTEXT: Pancreatitis is a very rare adverse effect of metronidazole with only six cases of metronidazole-induced pancreatitis reported in the English literature so far. CASE REPORT: We report a case of recurrent acute pancreatitis in a 46-year-old female associated with oral metronidazole therapy and review the literature with regards to metronidazole-induced pancreatitis. We are also highlighting the fact that the time lag between metronidazole exposure and development of pancreatitis is very variable. CONCLUSION: High degree of suspicion is warranted on the part of physicians to diagnose metronidazole induced pancreatitis in patients presenting with gastrointestinal symptoms after metronidazole exposure. If metronidazole is suspected as the causative agent then it should be discontinued and rechallenge should be avoided.
PURPOSE: A pelvic phantom was constructed to evaluate the effect of ultrasound probe pressure during performance of bipolar acquisition technique (BAT) for prostate localization for radiotherapy. METHODS AND MATERIALS: A pelvic phantom of a gelatin mold with a water-filled balloon representing the bladder and rectum and a central encapsulated clay sphere representing the prostate was constructed. This phantom was then scanned using planning computed tomography (CT). The geometric information of the phantom was outlined in two planes. The phantom was then scanned using the BAT system with mild and moderate ultrasound probe pressure. Differences in prostate depth between the CT and BAT systems were displayed. RESULTS: A difference of 1 cm between the phantom surface and the prostate could be produced with moderate ultrasound probe pressure. The differences were similar between the CT- and BAT-generated contours and were dependent on the ultrasound probe pressure. CONCLUSION: Care must be taken not to cause any alteration in prostate localization with increasing ultrasound probe pressure when using BAT localization. Increased probe pressure may introduce errors in prostate localization and under dose the target.
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