Academic literature on the topic 'Late radiological complications'
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Journal articles on the topic "Late radiological complications"
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Shetty, Kishore, and Vinay Vaidyanathan. "Intracranial and Orbital Complications of Sinusitis: A Case Series and Review of Literature." An International Journal Clinical Rhinology 4, no. 2 (2011): 87–92. http://dx.doi.org/10.5005/jp-journals-10013-1080.
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ABSTRACT Complications of paranasal sinus infection most often involve the orbit and periorbita. Because of widespread use of antibiotics, intracranial extension of paranasal sinusitis is rarely seen today. Nevertheless, the clinician must be aware of the potential of these complications, as late recognition of this condition and delay in treatment can increase morbidity and mortality rates. An interesting case series of sinusitis with orbital and intracranial complication is presented, which was radiologically evaluated, and was managed by endoscopic sinus surgery with drainage of subdural empyema by appropriate neurosurgical technique. The radiological tools played a very important role in both assessment and timing of surgical intervention. Unparallel role of radiological investigations cannot be overemphasized. The key to successful treatment is aggressive management and the timing for surgical intervention should not be deferred. The patients made full recovery at the time of discharge.
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Thiyagarajan, Deepu, and Prince Deva Ruban. "Early versus late laparoscopic cholecystectomy in the management of acute cholecystitis: a retrospective study." International Surgery Journal 6, no. 11 (2019): 3897. http://dx.doi.org/10.18203/2349-2902.isj20194634.
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Background: Early laparoscopic cholecystectomy (LC) is a life-saving procedure in the management of acute cholecystitis as it helps in prevention of late complications like development of adhesions, haemorrhage and sepsis. The study aims at comparing the outcomes of early versus late laparoscopic cholecystectomy in the management of acute cholecystitis.Methods: A retrospective study was done by analyzing the past 5 years medical records of 250 patients admitted to the emergency department with diagnosis of acute cholecystitis established according to the Tokyo criteria. The relevant clinio-social demographic data of the patients, clinical and radiological parameters, intra-operative and post-operative findings and follow-up data were compared between early and late LC group of patients.Results: The study included 125 middle aged patients who underwent early LC (within 24 hours) and 125 patients who underwent late LC (after 24 4hours). The complication rate, conversion to open cholecystectomy and duration of surgery showed no significant differences between early and late laparoscopic cholecystectomy except for an increased duration of stay among the late LC group.Conclusions: Early LC is an efficient procedure for acute cholecystitis but it has risks of complications which can be minimized by careful selection of patients after clear clinical and radiological evaluation.
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Eschler, Anica, Georg Gradl, Annekatrin Wussow, and Thomas Mittlmeier. "Late Corrective Arthrodesis in Nonplantigrade Diabetic Charcot Midfoot Disease Is Associated with High Complication and Reoperation Rates." Journal of Diabetes Research 2015 (2015): 1–8. http://dx.doi.org/10.1155/2015/246792.
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Introduction. Charcot arthropathy may lead to a loss of osteoligamentous foot architecture and consequently loss of the plantigrade alignment. In this series of patients a technique of internal corrective arthrodesis with maximum fixation strength was provided in order to lower complication rates.Materials/Methods. 21 feet with severe nonplantigrade diabetic Charcot deformity Eichenholtz stages II/III (Sanders/Frykberg II/III/IV) and reconstructive arthrodesis with medial and additional lateral column support were retrospectively enrolled. Follow-up averaged 4.0 years and included a clinical (AOFAS score/PSS), radiological, and complication analysis.Results. A mean of 2.4 complications/foot occurred, of which 1.5/foot had to be solved surgically. 76% of feet suffered from soft tissue complications; 43% suffered hardware-associated complications. Feet with only 2 out of 5 high risk criteria according to Pinzur showed significantly lower complication counts. Radiographs revealed a correct restoration of all foot axes postoperatively with superior fixation strength medially.Conclusion. Late corrective arthrodesis with medial and lateral column stabilization in the nonplantigrade stages of neuroosteoarthropathy can provide reasonable reconstruction of the foot alignment. Nonetheless, overall complication/reoperation rates were high. With separation into low/high risk criteria a helpful guide in treatment choice is provided. This trial is registered with German Clinical Trials Register (DRKS) under numberDRKS00007537.
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Williams, L. R., D. Kasir, S. Penny, J. J. Homer, and H.-U. Laasch. "Radiological balloon dilatation of post-treatment benign pharyngeal strictures." Journal of Laryngology & Otology 123, no. 11 (2009): 1229–32. http://dx.doi.org/10.1017/s0022215109990508.
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AbstractAims:To assess the technical success, clinical outcomes and complications of radiologically guided balloon dilatation of benign strictures developing after treatment for head and neck cancer.Materials and methods:Forty-six balloon dilatations were performed in 20 patients. All dilatations were performed over a guidewire.Results:Technical success was 100 per cent. Fifteen of the 20 patients demonstrated clinical improvement in dysphagia scores. Improvement in dysphagia was temporary in all patients (median 102 days), with multiple dilatations usually required (total dilatations ranged from one to seven). Immediate complications were encountered in six of the 46 (13 per cent) dilatations and were all minor. Late complications occurred after two procedures (4 per cent): localised perforation (later complicated by secondary infection) and recurrence of a previous, small, pharyngo-cutaneous fistula.Conclusion:Radiologically guided balloon dilatation is straightforward to perform and is well tolerated, but there is a small risk of perforation. Relief of symptoms is likely to be temporary, requiring multiple subsequent dilatations. A minority of patients will obtain no symptomatic relief.
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Džupa, Valér, Pavel Pazdírek, Vladimír Pacovský, Jan Bartoníček, and Jiří Skála-Rosenbaum. "Primary total hip arthroplasty for displaced intracapsular fracture of the femoral neck: Medium-term functional and radiographic outcomes." Open Medicine 3, no. 2 (2008): 207–13. http://dx.doi.org/10.2478/s11536-008-0005-2.
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AbstractThe number of complications after primary total hip arthroplasty for displaced intracapsular fractures of the femoral neck is higher than that after operations for osteoarthritis. The aim of this study is to evaluate the number of complications and mid-term functional and radiological findings of patients after primary THA for displaced intracapsular fractures of the femoral neck. Between 1995 and 1998, we operated on a total of 89 patients for acute displaced intracapsular fractures of the femoral neck, i.e. Garden Type 3 and 4. In all the patients we evaluated intraoperative and early postoperative complications. We reviewed clinical and radiological results in 65 patients. The only intraoperative complication was abruption of the greater trochanter. Early postoperative complications occurred in 13 patients (15%). The specific complications, THA dislocation, occurred in 3 patients. Non-specific complications were recorded in 10 patients. No delayed healing of the surgical wound, neural lesion or early, delayed or late infection was recorded. Of 65 patients followed-up for an average of 78 months (range, 62–109 months), 8 patients underwent revision surgery. Of 57 patients with primary THA, very good and good clinical results according to the Harris Hip Score were recorded in 48 patients (84%) and poor results in only 2 patients (4%). Nine of 57 followed-up patients showed radiological signs of loosening (16%). The radiolucent line could be seen in 3 patients in the region of the cup, in 1 patient in the region of the femoral component and in 5 patients in both components. Clinical complaints that would result in indication for reimplantation were recorded in none of the mentioned patients. Number of complications, functional results and resumption of full self-reliance by patients after THA for an intracapsular fracture of the femoral neck are so positive that we consider the indication of THA for a displaced femoral neck fracture fully justified.
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Johnston, R. N. "Pulmonary Sarcoidosis after Ten to Twenty Years." Scottish Medical Journal 31, no. 2 (1986): 72–78. http://dx.doi.org/10.1177/003693308603100203.
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One hundred and fifty-nine patients with Pulmonary Sarcoidosis have been studied ten to 20 years after diagnosis with a 90 per cent follow-up of survivors. Among the 76 patients with a mean follow-up of 22.5 years there is radiological evidence of pulmonary fibrosis in 13 and respiratory function tests revealed 12 with a transfer factor of less than 80 per cent of predicted. Of the further 83 patients followed to ten years there was radiological evidence of pulmonary fibrosis in five and a reduced transfer factor in four. Thirty-one patients received Prednisolone for various complications due to Sarcoidosis. There is no evidence of late respiratory disability. The complications and causes of death at ten and 20 years are examined and among the latter eight developed various forms of malignant disease. Since 1973 a further 139 patients have been studied, i.e. a total of 298 and two of these died from progressive Sarcoidosis despite corticostroid treatment. Six patients have developed late autoimmune diseases.
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Parkhutik, Vera, Aida Lago, Fernando Aparici, et al. "Late clinical and radiological complications of stereotactical radiosurgery of arteriovenous malformations of the brain." Neuroradiology 55, no. 4 (2012): 405–12. http://dx.doi.org/10.1007/s00234-012-1115-8.
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Abilash Kumar, Jacob Abraham, Jeffrey Jayaraj, Premchandran Menon, and Manohar Arumugam. "Late Asymptomatic Medial Patella Subluxation Post Total Knee Arthroplasty." Borneo Journal of Medical Sciences (BJMS) 15, no. 1 (2021): 61. http://dx.doi.org/10.51200/bjms.v15i1.2392.
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Post-operative complications are well known to impair the functional outcomes of total knee arthroplasty (TKA). Patella subluxations post-TKA is a grim complication rendering patients disable post-surgery. Howbeit, medial patella subluxation is a rarely recorded incident altogether. This case report describes a patient post successful TKA two years ago, who was incidentally diagnosed with a medial patellofemoral subluxation during a recent routine yearly follow up. This gentleman, however, had no complaints and the only evident clinical sign was anterior knee skin puckering. A radiograph of the knee confirmed our clinical suspicion of medial patella subluxation. The patient’s symptoms, his expectations, radiological findings, what went wrong during surgery and management of this rare entity were analysed. This rarely reported entity requires a high degree of suspicion especially if the patient complains of instability and peculiar anterior knee pain. Diagnosis is customarily clinical and revision surgery is almost invariably necessary.
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Ikramov, A. I., and G. B. Khalibaeva. "Radiology diagnostics of bladder and urethral injuries in pelvic trauma." Medical Visualization, no. 2 (July 16, 2019): 109–18. http://dx.doi.org/10.24835/1607-0763-2019-2-109-118.
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Purpose. To determine the capabilities of modern methods of radiology imaging in the diagnosis of bladder and urethral injuries in the pelvic trauma.Materials and methods. Diagnostics results of 21 pa - tients with bladder and uretra injuries, concomitant with pelvic fractures or isolated injuries of bladder were analyzed. The X-ray, ultrasound and computed tomography examinations were used.Results. Describing radiological signs of bladder and uretra injuries and radiological methods informativeness are based on the resulting data.Conclusion. The use of complex radiological study of bladder and uretra injuries in pelvic trauma contributes to the optimal choice of treatment and the prevention of early and late complications.
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Christensen, R. "C.1 Cerebral venous sinus thrombosis in preterm infants." Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques 49, s1 (2022): S6. http://dx.doi.org/10.1017/cjn.2022.102.
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Background: Previous studies of neonatal cerebral venous sinus thrombosis (CVST) have focused on term infants, and studies of preterm infants are lacking. In this study, we examined the clinical and radiological features, treatment and outcome of CVST in preterm infants. Methods: This was a retrospective cohort study of preterm infants (gestational age <37 weeks) with radiologically confirmed CVST. All MRI/MRV and CT/CTV scans were re-reviewed. Clinical and radiological data were analysed using descriptive statistics, ANOVA and chi-square tests. Results: A total of 26 preterm infants with CVST were included. Of these, 65% were late preterm, 27% very preterm and 8% extreme preterm. Most (73%) were symptomatic at presentation with seizures or abnormal exam. Transverse (85%) and superior sagittal (42%) sinus were common sites of thrombosis. Parenchymal brain injury was predominantly periventricular (35%) and deep white matter (31%) in location. Intraventricular hemorrhage occurred in 46%. Most infants (69%) were treated with anticoagulation. None of the treated infants had hemorrhagic complications. Outcome at follow-up ranged from no impairment (50%), mild impairment (25%) and severe impairment (25%). Conclusions: Preterm infants with CVST are often symptomatic and have white matter brain lesions. Anticoagulation treatment of preterm CVST appeared to be safe and was not associated with hemorrhagic complications.
Books on the topic "Late radiological complications"
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Federle, Michael P., and Michael O. Griffin. Radiologic Assessment and Management of Complications. Edited by Tomasz Rogula, Philip Schauer, and Tammy Fouse. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190608347.003.0027.
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Radiology plays and important role in the evaluation of patients who have undergone a bariatric surgical procedure. This chapter discusses the imaging appearance of complications after the most common bariatric surgeries, Roux-en-Y gastric bypass, gastric banding, and sleeve gastrectomy. The fluoroscopic upper GI examination and computed tomography (CT) are the most commonly used imaging modalities for evaluating these patients. For each surgical procedure, fluoroscopic and/or CT images are used to illustrate the normal postoperative anatomy and to provide examples of common and uncommon complications seen in the early and late postoperative periods. Appropriate imaging technique is highlighted. A role for interventional radiology in the minimally invasive management of some of these complications is also briefly discussed.
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Mundy, Anthony R., and Daniela E. Andrich. Upper urinary tract trauma. Edited by Anthony R. Mundy. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0051.
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Of all the major urological injuries, injury to the kidney is the most common. Indeed it is the most commonly injured intra-abdominal organ. Blunt or penetrating external injury is almost always the cause. The diagnosis and treatment of renal trauma has changed dramatically in the last 30 years or so reflecting the development of CT scanning for diagnosis and of endovascular interventional radiological techniques for treatment, at the expense of intravenous urography and surgery, respectively. Complications can be divided into early and late. The commonest early complications are bleeding and extravasation of urine, which may in turn lead to a urinoma, infection, and abscess formation. The best way of handling bleeding is by selective microembolization or surgery if necessary, which is usually only when embolization fails. A urinoma can usually be drained percutaneously through the flank, but may require surgery occasionally.
Book chapters on the topic "Late radiological complications"
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Nova, Carolina Araújo Medeiros Vila, Caroline de Oliveira Nascimento Monteiro, Jacqueline da Silva Cardoso, Keila Andreia Martins Moreno, and Aline Tenório Lins Carnaúba. "Cesarean birth Ogilvie Syndrome: a case report." In DEVELOPMENT AND ITS APPLICATIONS IN SCIENTIFIC KNOWLEDGE. Seven Editora, 2023. http://dx.doi.org/10.56238/devopinterscie-103.
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The intestinal motility disorders during pregnancy may present adynamia, which may be confused with intestinal occlusion symptoms. Most of the time the benign evolution, however, may also show the intestinal pseudo-obstruction, also known as Ogilvie Syndrome, first described by the surgeon Heneage Ogilvie in 1948, through specific signals and symptoms and radiological findings, such as abdominal distention, nausea, vomiting, and colon dilation, simulating intestinal occlusion with no apparent mechanical cause. In the case reported, the patient was a 32-year-old breastfeeding woman, with postpartum complications, who developed Ogilvie Syndrome, in which the late diagnosis resulted in an acute intestinal pseudoobstruction of the colon after having undergone emergency surgery. This report aims to emphasize such syndrome among the postpartum complications diagnosed, following surgical delivery, so that early treatment and medical assistance may be provided to the patient, avoiding any unwanted outcome.
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Carter, R., Euan J. Dickson, and C. J. McKay. "Acute pancreatitis." In Oxford Textbook of Medicine, edited by Jack Satsangi. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198746690.003.0335.
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Acute pancreatitis affects 300 to 600 new patients per million population per year and is most commonly caused by gallstones or alcohol. Careful imaging reveals that most so-called idiopathic acute pancreatitis is due to small (1–3-mm diameter) gallstones. Diagnosis is made by a combination of a typical presentation (upper abdominal pain and vomiting) in conjunction with raised serum amylase (more than three times the upper limit of normal) and/or lipase (more than twice the upper limit of normal). Several other acute abdominal emergencies can mimic acute pancreatitis and may be associated with a raised serum amylase. In equivocal cases, a CT scan is indicated to exclude other causes and confirm the diagnosis. Initial management is with (1) analgesia, (2) ensuring adequate oxygenation, and (3) intravenous fluid administration. The revision of the Atlanta classification separates patients clinically into (1) mild—with early resolution without complications, (2) moderate—local complications without organ failure, and (3) severe—complications associated with organ failure. Mild acute pancreatitis responds to analgesia and intravenous fluids. If gallstones have been identified, then cholecystectomy (or endoscopic retrograde cholangiopancreatography (ERCP) sphincterotomy where clinically appropriate) should be performed during the same admission, or at least within 2 to 4 weeks to prevent recurrent attacks. Severe acute pancreatitis carries a high mortality (up to 20%). Management in the early stages is centred on organ support (respiratory, circulatory, and renal failure). Later management involves surgical or radiological intervention for sepsis, usually within a specialist pancreatic unit.
Conference papers on the topic "Late radiological complications"
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Lopes, Rônney Pinto, Matheus Gonçalves Maia, Lohana Santana Almeida da Silva, et al. "Hemorrhagic transformation after thrombolysis in acute ischemic stroke: a single-center crosssectional study." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.658.
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Background: Intravenous thrombolysis is the standard medical treatment for acute ischemic stroke (AIS) within 4.5 hours of symptom onset, and symptomatic hemorrhagic transformation (sHT) is the most feared complication of this treatment. Objective: To describe the prevalence, risk factors, treatment and outcome of sHT. Design and setting: This is a retrospective cross-sectional study in a quaternary care hospital in Sao Paulo, Brazil. Methods: We reviewed 90 records of patients with AIS submitted to thrombolysis from March 2018 to February 2020. Evaluation of brain imaging after thrombolysis and the treatment initiated after detection of hemorrhage were made. Results: The overall prevalence of HT was 18.9% (n = 17, mean age 69.4±14.6 years, 58.8% males) and 8.9% (n = 8) of sHT. The most prevalent comorbidities were renal impairment (82%), hypertension (76.4%), diabetes mellitus (35.2%), atrial fibrillation (35.2%) and smoking (35.2%). The median baseline NIHSS score was 17. The most prevalent radiological classification of post-thrombolysis HT was class 2 (41.1%) from the Heidelberg Bleeding Classification. Cryoprecipitate and tranexamic acid were administered in 11.8% (n = 2). The mortality rate for HT was 35.3% (n = 6). Antiplatelet or anticoagulant therapy was initiated after a mean of 24.6 days from HT diagnosis and there was no stroke recurrence at 90 days. Conclusion: We showed a prevalence of sHT and related risk factors aligned with other studies, but with high mortality rates, despite being a stroke service. The late initiation of antiplatelets or anticoagulants did not lead to stroke recurrence at 90 days.
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Borges, Lucas Paulo Andrade, Henrique Nascimento Dourado, Joanna Sousa da Fonseca Santana, Laís Fe Matos Galvão, Gabriel Vianna Pereira Aragão, and Graccho Cardoso de Silva Neto. "Diabetic striatopathy: a case report." In XIV Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2023. http://dx.doi.org/10.5327/1516-3180.141s1.785.
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Introduction: Striatopathy or non-ketonic hyperglycemia is a rare etiology, but well reported in the literature, of involuntary movements in patients with diabetes mellitus, being characterized by affecting, in general, elderly patients with hemicorrea-hemiballismus. The aim is to report a clinical case of the development of movement disorder caused by hyperglycemia. Case report: Patient E.J.D.O, 71-year-old, male, hypertensive and dyslipidemic. Admitted to the emergency room with a history of involuntary movements in the upper left limb for about two months, with recent worsening. Upon admission, a hyperglycemic state (capillary blood glucose HI) was observed, until then, the patient had not been diagnosed with diabetes. The movements were present at rest, worsened on intention and were present during sleep, being characterized as clonic/myoclonic movements. In view of the clinical picture on admission, the hypothesis of subtle focal status epilepticus was suggested, and therefore Diazepam 2 mg EV was performed as a therapeutic test, with notable improvement of the picture. As a complementary propaedeutic, brain magnetic resonance imaging was performed. An electroencephalogram was also requested, which showed no epileptiform activity in status epilepticus. Cerebrospinal fluid collection was performed, showing possible reduction of diffusion. The patient was discharged after receiving valproic acid and clobazam, however, he returned later, reporting worsening of movements to which he associated the interruption of medications. The hypothesis of autoimmune encephalitis was raised, but no immunosuppressive therapy was instituted. During the second hospitalization, he had complications, including CRA, progressing to a state of hypoxic-ischemic encephalopathy. Conclusion: In this report, we describe a patient with focal involuntary movements who made a differential diagnosis between epileptic seizures/focal status evil with movement disorders of metabolic etiology such as hyperglycemia, with the topographic radiological finding corroborating such differential diagnosis. In the literature, there is a consistent association between movement disorders and hyperglycemia, especially in elderly patients, which adds strength to the present case report. Korea.
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Lima, Maysa Ramos de, Ana Thereza da Cunha Uchoa, Ana Vitória de Sousa Melo, Maryanne Martim Furtado Lacerda, and Taynah de Almeida Melo. "SURGICAL EXERCISE OF INDUSTRIAL SILICONE IN A TRANSVESTI AFTER INFECTION: A CASE REPORT." In XXIV Congresso Brasileiro de Mastologia. Mastology, 2022. http://dx.doi.org/10.29289/259453942022v32s1076.
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Industrial liquid silicone (ILS) has been used clandestinely to modify body contours in Brazil. It is noted that both men (transvestites) and women (mainly sex workers) have been using ILS injections into the breasts. Its use can cause complications, such as infections, migration of the product to other areas of the body, deformities, siliconomas, tissue necrosis, and many other health problems. ILS is not sterile and is not intended to be applied to humans. In addition, a siliconoma is frequently found in silicone mastopathy and is probably related to the increase in breast cancer expansion, most likely due to an abnormal opening of lymphatic channels close to the granulomas and in the silicone migration sites. The authors reported that the injection of silicone breast exeresis in a male homosexual patient was performed by a layman and without medical assistance for 46 years and, in addition, complaining for 1 year. Patient HS, 61 years old, male, working as a janitor, currently retired, with a history of industrial silicone application in the breasts for 46 years, sought medical assistance with the desire to remove the silicone after manifestation of breast tenderness, ecchymosis, and edema in both breasts 1 year ago. On examination, the presence of bilateral diffuse nodules was detected, and a detailed characterization was not possible during palpation due to edema and mastalgia, medium volume breasts, without ptosis or sagging, and well-positioned nipple-areolar complex (NAC). Liver function tests, mammography, and chest x-ray were performed, also all other routine presurgical tests with normal results. The mammography showed findings of benign bilateral and radiological siliconomas of BIRADS category 0. The patient was referred for psychological evaluation and follow-up, for subsequent surgical treatment. The procedure adopted was silicone excision with a bilateral simple mastectomy, which was uneventful and, later, the patient was discharged after 24 h. He is currently in postoperative recovery and awaits postsurgical evaluation.