J Radiol Electrol Med Nucl
· 1978 Oct · PMID 745178
Presentation of a polyethylene catheter formed by the end-to-end apposition of two tubes of different calibre, the proximal being of a wide calibre and thus easy to manipulate, and the distal being of fine calibre and ve...Presentation of a polyethylene catheter formed by the end-to-end apposition of two tubes of different calibre, the proximal being of a wide calibre and thus easy to manipulate, and the distal being of fine calibre and very useful for hyperselective catheterisation.
Dupuy JP, Gaillard S, Dumontier G
… +1 more, Rousseau G
J Radiol Electrol Med Nucl
· 1978 Oct · PMID 745177
The authors report a case of thrombosis of the left popliteal artery in a man aged 20 years, secondary to repeated minimal trauma from contact with a hypertrophied internal gemellus muscle. A bifurcation abnormality was...The authors report a case of thrombosis of the left popliteal artery in a man aged 20 years, secondary to repeated minimal trauma from contact with a hypertrophied internal gemellus muscle. A bifurcation abnormality was also present. They review the anatomical variations seen at the end of the femoro-popliteal trunk and define the clinical and angiographic characteristics of popliteal thrombosis due to adjoining muscle hypertrophy.
Elie G, Rabin A, Drouillard J
… +4 more, Bruneton JN, Longy M, Moretti G, Delorme G
J Radiol Electrol Med Nucl
· 1978 Oct · PMID 745176
The authors report a case of cancer of the kidney of intermittent development for which nephro-urotomography was negative. They stress the interest of: --preliminary echotomography in patients with palpable masses in the...The authors report a case of cancer of the kidney of intermittent development for which nephro-urotomography was negative. They stress the interest of: --preliminary echotomography in patients with palpable masses in the left hypochondrium; --pharmaco-angiography for improved visualization of masses that are only weakly opaque; --a rapid infusion technique, proposed by various authors, which appears to be the most appropriate for the study of this type of mass which is mainly intermittent in its development.
J Radiol Electrol Med Nucl
· 1978 Oct · PMID 745175
The authors describe a case of Marshall-Smith's syndrome in which there was a facial dysmorphic syndrome and considerable acceleration of bone maturation (24 months to 15 days). The infant had chronic respiratory distres...The authors describe a case of Marshall-Smith's syndrome in which there was a facial dysmorphic syndrome and considerable acceleration of bone maturation (24 months to 15 days). The infant had chronic respiratory distress and the aetiology of this condition is discussed, one possibility being a pneumopathy from repeated deglutition provoked by the micro-retrognathism. Hormonal investigations were normal. Contrary to the data in the first published reports, there was a pathological increase in size, as noted in subsequent observations by Weaver. Differential diagnosis is discussed in relation to patients with non-endocrine constitutional bony diseases. The cause of this syndrome is unknown.
Leflot A, Weiller M, Pignon L
… +1 more, Mabille JP
J Radiol Electrol Med Nucl
· 1978 Oct · PMID 745173
Aorto-iliac aneurysms produce ureteric obstrucation by different mechanisms: deviation, compression and, above all, encirclement by peri-aneurysmal fibrosis. Whilst it is rare to find this as the cause for apparently pri...Aorto-iliac aneurysms produce ureteric obstrucation by different mechanisms: deviation, compression and, above all, encirclement by peri-aneurysmal fibrosis. Whilst it is rare to find this as the cause for apparently primary ureteric obstruction, individuals with aorto-iliac aneumrysms quite often show evidence of ureteral abnormalities. The two cases presented illustrate these two possibilities. Routine pre-operative urography, or seven better a urographic phase of arteriography, is therefore suggested.
Dodat H, Pouillaude JM, Renaud H
… +2 more, Chappuis JP, Daudet M
J Radiol Electrol Med Nucl
· 1978 Oct · PMID 745172
Congenital pyloric atresia is a relatively unusual condition. From three cases the authors point out the diagnosis basis. The main clinical findings are hydramnios, early non bilious vomiting and epigastric distension. D...Congenital pyloric atresia is a relatively unusual condition. From three cases the authors point out the diagnosis basis. The main clinical findings are hydramnios, early non bilious vomiting and epigastric distension. Diagnosis is based upon abdominal plain films. They demonstrate an air dilated stomach, and no air distal to the pylorus. When films can be taken in the upright position, they demonstrate a single intragastric air-fluid level. Radiologic findings are essential, because surgical inspection alone fails to demonstrate membranous atresia and cordonal atresia which are more frequent than total atresia. In the two former conditions, radiologic findings lead the surgeon to look for the obstruction by the mean of a catheter introduced by a juxta-pyloric antrotomy.
J Radiol Electrol Med Nucl
· 1978 Oct · PMID 745171
A cheiro-lumbar dysostosis is described, an association of constitutional stenosis of the lumbar canal due to the shortness and hypertrophy of the posterior arch of the vertebrae and of a dysostosis of the hand also due...A cheiro-lumbar dysostosis is described, an association of constitutional stenosis of the lumbar canal due to the shortness and hypertrophy of the posterior arch of the vertebrae and of a dysostosis of the hand also due to shortness and hypertrophy of metacarpals (brachymetacarpy) and of phalanges (brachyphalangy). This cheiro-lumbar dysostosis is frequent and described in 6 patients suffering from lumbar back pain and sciatic.
J Radiol Electrol Med Nucl
· 1978 Oct · PMID 745170
Osteo-articular changes observed in diabetic patients include diabetic osteo-arthropathy, infective osteo-arthritis, and osteo-arthrosis. A systematic review of 1,501 case-sheets demonstrated one or more bone lesions in...Osteo-articular changes observed in diabetic patients include diabetic osteo-arthropathy, infective osteo-arthritis, and osteo-arthrosis. A systematic review of 1,501 case-sheets demonstrated one or more bone lesions in 55% of the diabetic patients studied. There was a striking absence of the most typical lesions of the foot, probably party due to the fact that there has been an improvement in the treatment of diabetes. Osteolytic and reconstructive lesions were more common in women.
J Radiol Electrol Med Nucl
· 1978 Oct · PMID 745169
The authors study the long term course of 37 cases of purulent arthritis of the limbs in the child, for which complete radiological documents covering a period of more than a year were available. They describe in particu...The authors study the long term course of 37 cases of purulent arthritis of the limbs in the child, for which complete radiological documents covering a period of more than a year were available. They describe in particular the sequelae observed in 25 cases, classifying them by joint and by increasing order of severity. They then attempt, in the light of their own findings and of other published series, to draw conclusions concerning the main factors in prognosis--the age at the time of onset of the arthritis, the treatment given and the joint involved. The prognosis is all the more gloomy when a newborn or young infant is involved, when there is a delay before treatment is started or in the absence of joint aspiration-drainage and when the hip is affected.
J Radiol Electrol Med Nucl
· 1978 Oct · PMID 745168
The authors studied 577 records of rheumatoid arthritis examined radiologically in the Department of Radiology B of Cochin Hospital: 165 patients showed evidence of lesions of the cervical spine. The risk of cervical inv...The authors studied 577 records of rheumatoid arthritis examined radiologically in the Department of Radiology B of Cochin Hospital: 165 patients showed evidence of lesions of the cervical spine. The risk of cervical involvement in rheumatoid arthritis is thus not negligeable: 28%. This involvement may occur at any time during the course of the disease and presents as pain or by rare and more or less slight neurological manifestations. Radiologically emphasis must be placed upon the orientation points of straight and lateral films, and the value of lateral films with the neck in flexion. Atlanto-axial dislocation is the commonest lesion, usually measured by the distance separating the anterior arch of the atlas from the odontoid peg. However, other lesions are possible, in particular involvement of the lateral masses and erosion or destruction of the odontoid. It is astonishing to discover large dislocations (of up to 10 mm) which remain well-tolerated, with minimal clinical signs. However, it is the neurological risk of quadriplegia (even though minimal) which remains the constant worry since it may result from the slightest trauma or forced movement of the neck. Fixation, usually posterior occipital C1-C2, may be indicated. It is thus necessary to carry out a routine radiological examination of C1-C2 at reasonable intervals during the clinical surveillance of a patient with rheumatoid arthritis.
J Radiol Electrol Med Nucl
· 1978 Oct · PMID 745166
2600 abdominal ultrasound examinations done over a period of one year were reviewed. Six cases of adrenal tumors were amongst them and proved to be two carcinomas, two simple cysts and two metastases of bronchial carcino...2600 abdominal ultrasound examinations done over a period of one year were reviewed. Six cases of adrenal tumors were amongst them and proved to be two carcinomas, two simple cysts and two metastases of bronchial carcinoma. The ultrasonic signs of adrenal tumors are discussed. Ultrasonography is recommended as a fairly good screening test in looking for adrenal tumors.
J Radiol Electrol Med Nucl
· 1978 Oct · PMID 311383
The results obtained in a series of 200 patients, using the transjugular approach to the common bile duct for the differential diagnosis of cholestasis, are presented and discussed. 1. The advantages of the method are: -...The results obtained in a series of 200 patients, using the transjugular approach to the common bile duct for the differential diagnosis of cholestasis, are presented and discussed. 1. The advantages of the method are: --the simplicity of the technique and the rapidity with which it can be mastered, the negligeable investment required; --the safety in use if the only contra-indication is respected: recent acute infection of the biliary tract; --the possibility of obtaining a cholangiography and a liver needle-biopsy at the same time, even in cases with disorders of the blood. 2. The limitation of the method is the failure to visualize the CBD, which is seen in 30% of cases when the latter is not dilated by an obstruction. 3. The respective indications for either transjugular cholangiography or retrograde catheterization of the papilla can be defined. 4. A preliminary series of 37 explorations of the portal system by the transjugular approach with embolization of bleeding oesophageal varices is reported.
Gaussin G, Garnier JP, Gruchy D
… +1 more, Daboville M
J Radiol Electrol Med Nucl
· 1978 · PMID 722667
A case of renal metastases from epidermoid bronchial cancer, discovered during an attack of hematuria, is reported. The patient had been operated upon for bronchial cancer two years ago and was in good general condition....A case of renal metastases from epidermoid bronchial cancer, discovered during an attack of hematuria, is reported. The patient had been operated upon for bronchial cancer two years ago and was in good general condition. Au I.V.U. showed the presence of an ill-defined renal mass. Selective renal arteriography demonstrated that the mass was hypervascularized and that a previous injection of angiotensin produced a malignant type of hypervascularization in the mass.
Lang G, Kehr P, Séjourne P
… +3 more, Paternotte H, Mathevon H, Pointu J
J Radiol Electrol Med Nucl
· 1978 · PMID 722666
After a precise review of the numerous parameters studied classically in AP and lateral films of the feet under load, the authors emphasis 5 measurements which are easy to determine and which they feel to objectively cov...After a precise review of the numerous parameters studied classically in AP and lateral films of the feet under load, the authors emphasis 5 measurements which are easy to determine and which they feel to objectively cover all the deformities which may be found in the static flat foot. These are: Talo-calcaneal divergence in AP and lateral views, the angle between the calcaneum and the floor, the lateral cavitation index and, finally, the angle of the axis of the talus and of the 2nd metatarsal in AP. A score of 20 is attributed to each. A score of 0 to 20 is attributed to each of these points, with a possible total, therefore, of 100. A study of 119 cases of flat foot in the child treated surgically over a period of 6 years made it possible to draw the distinction between the severe flat foot requiring operation and with a total of less than 45 points, and flat foot requiring medical orthopaedic treatment only (more than 45), the score for the normal foot being of the order of 90 points. This radiological study also makes it possible to distinguish, amongst flat feet in children, straight flat foot with collapse of the medial arch but no valgus of the forefoot and valgus flat foot where there is pronation of the calcaneum and abduction of the forefoot. This distinction is important since it determines the choice of operation. Thus in a case of valgus flat foot Judet's so-called "horseman" operation is indicated whilst in a flat foot without valgus, transposition of the tibialis anterior is preferable. In many cases, the lesion is mixed and both surgical gestures are required.
Enlarged Brunner glands (EBG) are an occasional finding in upper gastro-intestinal barium studies. The clinical manifestations vague upper abdominal symptoms or bleeding are rare. Brunner gland secretion is stimulated by...Enlarged Brunner glands (EBG) are an occasional finding in upper gastro-intestinal barium studies. The clinical manifestations vague upper abdominal symptoms or bleeding are rare. Brunner gland secretion is stimulated by different stimuli but especially by secretin. In our report E.B.G. has been observed in 9/15 chronically hemodialysed patients. This uncommon frequence of E.B.G. can be related to the high blood levels of secretin found in patients with chronic renal failure. E.B.G. could explain some of the gastro-intestinal complications occuring in these patients.
Based on the analysis of 87 pathologic complementary lymphangiographies of the lower limbs performed concomitantly with a lymphographic check-up of the pelvi-abdominal lymph nodes in various diseases, the authors have tr...Based on the analysis of 87 pathologic complementary lymphangiographies of the lower limbs performed concomitantly with a lymphographic check-up of the pelvi-abdominal lymph nodes in various diseases, the authors have tried to establish the relationships of the moderate secondary disturbances of the lymph flow with the different pathologic antecedents affecting the lower extremities and their clinical symptoms. Emphasis is layed on the non-specificity of the early and delayed lymphangiographic aspects. The widest semeiology was recorded in phlebites and the less marked in arthroses. The more numerous and severe the antecedents, the more evident were the clinical and lymphographic signs. Penetrating wounds have a long lasting effect on the lymphatic walls. Lymphodynamic disturbances may occur in many pathologic states, phlebites, certain skin diseases, traumas. The therapeutic implications of these observations are discussed.