Postoperative Appearance and Complications of the Urinary Tract Following Surgery: A Comprehensive Review
|
|
- Donna Henry
- 5 years ago
- Views:
Transcription
1 Postoperative Appearance and Complications of the Urinary Tract Following Surgery: A Comprehensive Review Poster No.: C-2137 Congress: ECR 2018 Type: Authors: Keywords: DOI: Educational Exhibit N. Kinger 1, P. Mittal 2 ; 1 Atlanta, Georgia/US, 2 Atlanta/US Urinary Tract / Bladder, Anatomy, CT, Fluoroscopy, MR, Complications, Neoplasia, Retroperitoneum /ecr2018/C-2137 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. Page 1 of 20
2 Learning objectives To demonstrate the appearance of the urinary tract, including the kidneys, ureters, and bladder, after surgery. To illustrate a variety of postsurgical changes of the urinary tract including nephrectomies and urinary diversions. To demonstrate postoperative complications of the urinary tract. Images for this section: Table 3: Learning Objectives Page 2 of 20
3 Emory University School of Medicine - Atlanta/US Page 3 of 20
4 Background A variety of pathologies including malignancy, trauma, infection, and congenital abnormality result in the surgical intervention of the urinary tract. These interventions include resections or even creating a new type of urinary system. As a result, the resulting postsurgical changes of the urinary tract are of importance to clinicians in evaluating urinary system function. Complications of surgical intervention of the urinary system include both acute and chronic pathologies, including urinary leak, stone formation, and stricture. Images for this section: Table 4: Background Emory University School of Medicine - Atlanta/US Page 4 of 20
5 Findings and procedure details 1. Kidneys and Ureters 1.1 Partial Nephrectomy Partial nephrectomy is a treatment strategy for small renal cancers that decreases the severity of morbidity associated with complete nephrectomies, such as chronic kidney disease and cardiovascular disease Involves removal of a portion of kidney containing tumor (Fig. 1-2) Alternatives include total nephrectomy or radiofrequency ablation Common complications of partial nephrectomy include hematoma, urine leak, abscess, recurrence, iatrogenic arterial pseudoaneurysm, etc. Fig. 1: Left renal partial nephrectomy with clips. Fig. 2: Left renal partial nephrectomy. 1.2 Nephrostomy A nephrostomy is a form of urinary diversion This is often done percutaneously by radiologists Indications include urinary tract obstruction often secondary to renal stones or malignancy, need for urinary diversion, need for treatment, or diagnostic testing (Fig. 3-4) A drain is placed into the renal pelvis and allowed to communicate with the skin surface (Fig. 5) Fig. 3: Right sided percutaneous nephrostomy done for distal urinary obstruction secondary to renal stones. Residual left sided renal stones (yellow arrow). Fig. 4: Right sided percutaneous nephrostomy with gas in right renal pelvis from recent procedure (yellow arrow). Page 5 of 20
6 Fig. 5: Percutaneous nephrostomy tubes going to skin surface (yellow arrow). 1.3 Ureteroneocystostomy with Psoas Hitch Psoas hitch is done when the ureteral reimplantation/ureteroneocystostomy is not possible due to ureteral resection or stricture preventing distal ureteral reimplantation (Fig. 6). Involves pulling up the bladder and attaching/hitching to the psoas muscle (Fig. 7). The ureter can then be reimplanted Fig. 6: Shortened right ureter (yellow arrow). Normal length left ureter (white arrow). Fig. 7: Patient with history of testicular cancer status post partial cystectomy with psoas hitch and right ureteral reimplantation. Bladder is brought up and attached to psoas muscle (yellow arrow). 1.4 Boari Flap The Boari flap can be done as an alternative to the psoas hitch to reduce distance between the ureter and the bladder Involves detubularizing a flap of bladder and then bringing it up to the ureter where they are attache (Fig. 8) Can be used for long segment ureteral abnormalities (Fig. 9) Fig. 8: Shortened right ureter (yellow arrow). Detubularized bladder flap (white arrow). Bladder (blue arrow). Fig. 9: Right sided Boari flap in female with history of congenital right megaureter and infection. Page 6 of 20
7 1.5 Suprapubic Cystostomy These are known as a suprapubic catheter This type of procedure involves making a tract from bladder to skin surface, generally for use with a catheter (Fig ) Can be used for distal obstruction such as by prostate or neurogenic bladder Fig. 10: Decompressed bladder with catheter balloon (yellow arrow) in a patient with prostate cancer Fig. 11: Catheter tract to surface 2. Urinary Diversion Following renal, ureteral, or bladder intervention it is often necessary to create another way for urine to exit the body. Often this is done through a urinary diversion. There are two types of urinary diversions: 1. Continent - In continent urinary diversion the patient has control over function either using his/her own urethra or self catheterizing. 2. Incontinent - In incontinent urinary diversions, the patient is not able to have control over urinary function and the urine can exit the bladder in a variety of ways Table 5: Urinary Diversions 2.1 Indiana Pouch Most common form of continent urinary diversion Formation: 1. It is made from extracting the terminal ileum, cecum and a length of the ascending colon (Fig. 12) 2. An incision is made in the circular intestinal wall to reduce peristaltic activity Page 7 of 20
8 3. The ileum is then mobilized to form the stoma (Fig. 13) This diversion includes the ileo-cecal valve which helps prevent involuntary loss of urine Fig. 12: Mobilized proximal colon in the right lower quadrant (yellow arrow) Fig. 13: Terminal ileum is used as the ostomy (yellow arrow). The ileo-cecal valve is preserved in the diversion. 2.2 Mitrofanoff appendicovesicostomy Continent cutaneous diversion Appendix is used as reservoir between bladder and skin surface usually with exit at the umbilicus (Fig ) Allows for self catheterization and hence often used in patients requiring frequent self catheterization Fig. 14: Appendix (yellow arrow) as conduit to surface Fig. 15: Appendicovesicular junction (yellow arrow) 2.3 Studer Bladder Most common form of neobladder Formation: 1. It is made from extracting the ileum upstream from the ileocecal valve 2. The proximal portion is incised and used to create a pouch while the distal portion maintains its small bowel characteristics (Fig. 16) 3. The ureters are placed into the distal portion while the newly created pouch is anastomosed to the urethra (Fig. 17) The use of the patient's own urethra helps prevent involuntary loss of urine Page 8 of 20
9 Fig. 16: Ileal pouch (yellow arrow) Fig. 17: The newly formed ileal pouch is anastomosed to the native urethra (yellow arrow) 2.4 Hautmann Pouch W shaped form of neobladder Formation 1. It is made from extracting the ileum upstream from the ileocecal valve 2. The loop of bowel is then incised to reduce peristaltic activity and folded into a W shape. A small portion of ileum is allowed to maintain its normal shape. The urethra will be attached to this U segment (Fig. 18) 3. The ureters and urethra are placed into the neobladder and the limbs are sown together. The use of the patient's own urethra helps prevent involuntary loss of urine (Fig. 19) Fig. 18: Both ureters are placed into a W shaped reservoir (yellow arrow) Fig. 19: The native urethra is still used. In this case the native urethra contains a catheter (yellow arrow) 2.5 Ileal Conduit Most common form of urinary diversion Formation 1. It is made from extracting a short segment of ileum and using this portion as an ileal conduit. The ureters are implanted into the ileal segment/neobladder 2. The end towards which peristalsis is directed is made into an ostomy at the right lower quadrant abdominal wall (Fig ) Page 9 of 20
10 3. The terminal ileum is not used and the ileocecal valve is preserved within the gastrointestinal tract. Fig. 20: The peristalsing end of the ileum is made into a cutaneous ostomy Fig. 21: Isolated ileal segment acts as the urine conduit 2.6 Cutaneous Ureterostomies The ureters are brought directly to the skin surface (Fig ). One or both of the ureters may be used. Fig. 22: Scout imaging shows both ureteral stents (yellow arrows) being brought to the skin surface Fig. 23: Cutaneous ureterostomies (yellow arrow) 3 Complications Acute 1. Urine leak/urinoma 2. Bowel injury 3. Infection/abscess 4. Hematoma/seroma 5. Lymphocele Late 1. Stricture 2. Stones 3. Bowel Obstruction 3.1 Urine Leak Page 10 of 20
11 Urine leaks can occur anywhere along the course of the urinary system. Most common cause is trauma but can also be caused by anatomic problems, malignancy, and importantly surgery (Fig. 24)Leakage of contrast Renal leaks: often can resolve spontaneously, but may require percutaneous drainage Ureter leaks: require diversion or stenting Bladder leaks: Require surgical repair and close management (Fig. 25). Fig. 24: Pelvic hematoma (yellow arrow) after hysterectomy Fig. 25: Leakage of contrast (yellow arrow) demonstrating urine leak 3.2 Calculi Within Urinary Diversion A common complication or result after both continent and incontinent urinary diversion. Incidence ranges from 3 to 43% Some studies have demonstrated differences in type of diversion with Kock pouch showing greater stone formation than Indiana pouch Stones are often either metabolic or infectious Management depends on location: Kidney: PCNL for large stones and ESWL for smaller stones Ureter: Retrograde and/or anterograde access (Fig. 26) Reservoir (Fig. 27): 1. Cutaneous: Trans stomal, percutaneous, or ESWL 2. Orthotopic: Retrograde/transurethral, percutaneous, or ESWL Often there is stone recurrence Fig. 26: Cecal reservoir/indiana pouch stone (yellow arrow) Fig. 27: Ureteral stone (yellow stone) 3.3 Ureteral Stricture (Fig ) Page 11 of 20
12 Complication of urinary diversion/cystectomy, which can lead to renal failure One study demonstrated this to occur in 13% of patients with most asymptomatic Management includes stenting, dilating, or creating a new anastomosis. Fig. 28: Reservoir (white arrow). Normal right ureter with contrast (yellow arrow). Strictured left ureter with surrounding stranding and lack of contrast (blue arrow). Fig. 29: Narrowing of left ureter compatible with stricture (yellow arrow) Fig. 30: Narrowing of left ureter compatible with stricture (yellow arrow) 3.4 Ileal Conduit with Bowel Obstruction Can be secondary to adhesions or due to ileal-ileal anastomosis edema or stricture (Fig ). Fig. 31: Ileal conduit (yellow arrow). Dilated loops of small bowel (blue arrow). Fig. 32: Right lower quadrant transition point felt to be due to adhesions (yellow arrow) 3.5 Ileal Conduit with Pyelonephritis Infection is a common complication of urinary diversion. One study showed that 25% of patients with urinary diversion had pyelonephritis within 5 years (Fig ). Incontinent urinary diversions are felt to have higher risk than continent due to lack of antireflux mechanisms. Nonorthotopic urinary diversions are felt to be at increased risk due to need for frequent self catheterizations Symptomatic patients should be treated Page 12 of 20
13 Prophylactic antibiotics are suggested in patients with incontinent urinary diversions and recurrent pyelonephritis Prophylactic treatment is suggested for patients with bacteriuria growing urease positive organisms to prevent stone formation Fig. 33: Right sided perinephric stranding (yellow arrow). Right sided peri-ureteral stranding (blue arrow). Fig. 34: Right sided perinephric stranding (yellow arrow), which is asymmetric. Bilateral hydronephrosis. Fig. 35: Stone within the right lower quadrant ileal conduit (yellow arrow) causing the upstream obstruction. 3.6 Urinoma Urine leak is estimated to occur in 2-10% of patients with ileal conduit formation Leakage of urine can result in fibrosis and stricture Delayed phase imaging is important to show contrast extravasating or filling a urinoma (Fig ) A urinoma may be secondary to urine leak It is important to differentiate a urinoma from other types of fluid collections such as abscesses A urinoma will often have high levels of creatinine as demonstrated by fluid sampling These may become superinfected (Fig. 39) Fig. 36: Small amount of fluid adjacent to right lower quadrant neobladder (yellow arrow) Fig. 37: Gradual leakage of contrast on delayed phase imaging (yellow arrow) Page 13 of 20
14 Fig. 38: Contrast filling extraluminal collection (yellow arrow) Fig. 39: Partial filling of a fluid collection with air at the ileo-ureteral anastomosis on delayed phase imaging (yellow arrow). Adjacent abscess (blue arrow). 3.7 Fat Infarct Surgery can cause inflammatory changes within the peritoneum These changes can include necrosis of the mesenteric fat (Fig. 40) This should be differentiated from other causes of inflammation such as abscess Fig. 40: Well defined area of spherical inflammatory stranding (yellow arrow) adjacent to the Indiana pouch 3.8 Neobladder Perforation Rare but feared complication of urinary diversion (Fig. 41) Often presents with abdominal pain and fever Requires surgical treatment Spontaneous rupture can occur secondary to blunt trauma, adhesions or even over distension of the bladder Fig. 41: Extravasation of contrast material from the neobladder (yellow arrow). Debris within the neobladder (blue arrow). 3.9 Lymphocele Uniform fluid collection with thin walls (Fig. 42) It is located near areas of lymph node dissection (Fig. 43) Lymphoceles can resolve by themselves Large lymphoceles may require drainage Important to differentiate from abscess, hematoma, or urinoma (Fig. 44). Page 14 of 20
15 Fig. 42: Ileal conduit (blue arrow). Thinned walled fluid collection (yellow arrow) with homogenous internal density. Fig. 43: Fluid collection near surgical clips (yellow arrow) Fig. 44: Does not fill or have peripheral enhancement on delayed images Conclusion The urinary tract can take on many different forms following surgery. As a result, it is important for the radiologist to understand the anatomy of the postsurgical urinary system. Understanding postoperative anatomy can help the radiologist identify acute and late complications of surgery. Accurate diagnosis of urinary tract surgery complications is important for timely treatment. Images for this section: Page 15 of 20
16 Table 6: Conclusion Emory University School of Medicine - Atlanta/US Page 16 of 20
17 Personal information Images for this section: Table 7: Contact Emory University School of Medicine - Atlanta/US Page 17 of 20
18 References 1. Catala, Violeta, Marta Sola, Jaime Samaniego, Teresa Marta, Jorge Huguet, Juan Palou, and Pablo De La Torre. "CT Findings in Urinary Diversion after Radical Cystectomy: Postsurgical Anatomy and Complications." RadioGraphics 29.2 (2009): Web. 2. Falagas, Matthew E., and Paschalis I. Vergidis. "Urinary Tract Infections in Patients With Urinary Diversion." American Journal of Kidney Diseases 46.6 (2005): Web. 3. Gakis, Georgios, and Arnulf Stenzl. "Ileal Neobladder and Its Variants." European Urology Supplements 9.10 (2010): Web. 4. Gill, J. D., J. E. I. Cast, P. J. Thomas, and M. S. Simms. "Orthotopic Neobladder Perforation: An Unusual Presentation of Small Bowel Obstruction." Journal of Surgical Case Reports (2013): n. pag. Web. 5. Kearney, Gary E., Steven G. Docimo, Christopher J. Doyle, and Edward M. Mahoney. "Cutaneous Ureterostomy in Adults." Urology 40.1 (1992): 1-6. Web. 6. Lockhart, Alexandre, Jeff King, Lucas Wiegand, Rafael Carrion, Raul Ordorica, Jorge Lockhart, and Alejandro R. Rodriguez. "Cutaneous Ureterostomy Technique for Adults and Effects of Ureteral Stenting: An Alternative to the Ileal Conduit." The Journal of Urology (2011): Web. 7. Moomjian, Lauren N., Laura R. Carucci, Georgi Guruli, and Adam P. Klausner. "Follow the Stream: Imaging of Urinary Diversions." RadioGraphics 36.3 (2016): Web. 8. Philip, Joe, Ramaswamy Manikandan, Suresh Venugopal, John Desouza, and Pradip M. Javla. "Orthotopic Neobladder versus Ileal Conduit Urinary Diversion after Cystectomy # A Quality-of-Life Based Comparison." The Annals of The Royal College of Surgeons of England 91.7 (2009): Web. Images for this section: Page 18 of 20
19 Table 8: References Emory University School of Medicine - Atlanta/US Page 19 of 20
20 Page 20 of 20
Interventional management of postoperative ureteric complications after pelvic surgery
Interventional management of postoperative ureteric complications after pelvic surgery Poster No.: C-0169 Congress: ECR 2015 Type: Scientific Exhibit Authors: R. Tabashy, A. Hamed, S. El-Sebai; Cairo/EG
More informationRadical cystectomy and urinary diversion: Normal anatomy and complications
Radical cystectomy and urinary diversion: Normal anatomy and complications Poster No.: C-0648 Congress: ECR 2014 Type: Scientific Exhibit Authors: J. M. Marin, N. alegre, P. Perez Martin, A. Velarde Pedraza
More information90% of bladder tumours are transitional cell carcinoma (TCC), the remaining 10% of cases are squamous cell carcinoma, adenocarcinoma and sarcoma.
The Role of the Interventional Radiologist in Management of Post-Radical Cystectomy Ureteral Obstruction : A Case Review of Retrograde Transileal Conduit Ureteric Stents. Poster No.: C-2288 Congress: ECR
More informationImaging findings in complications of bariatric surgery.
Imaging findings in complications of bariatric surgery. Poster No.: C-1791 Congress: ECR 2012 Type: Educational Exhibit Authors: A. Fernandez Alfonso, G. Anguita Martinez, D. C. Olivares Morello, C. García
More informationThe "whirl sign". Diagnostic accuracy for intestinal volvulus.
The "whirl sign". Diagnostic accuracy for intestinal volvulus. Poster No.: C-0670 Congress: ECR 2014 Type: Scientific Exhibit Authors: M. Pire, M. Marti, A. Borobia, A. Verón; Madrid/ES Keywords: Abdomen,
More informationBilateral Hydronephrosis in Adults: To Do or Not To Do Percutaneous Nephrostomy
Bilateral Hydronephrosis in Adults: To Do or Not To Do Percutaneous Nephrostomy Poster No.: C-0802 Congress: ECR 2014 Type: Educational Exhibit Authors: S.-H. You, D. J. Sung, N. Y. Han, B. J. Park, M.
More informationThe role of abdominal CT and MRI in detection of complications after transplantations of liver, kidney and pancreas.
The role of abdominal CT and MRI in detection of complications after transplantations of liver, kidney and pancreas. Poster No.: C-1319 Congress: ECR 2015 Type: Educational Exhibit Authors: R. Muslimov,
More informationURINARY DIVERSION SURGERY: WHAT THE RADIOLOGIST NEEDS TO KNOW
URINARY DIVERSION SURGERY: WHAT THE RADIOLOGIST NEEDS TO KNOW Poster No.: C-2327 Congress: ECR 2012 Type: Scientific Exhibit Authors: A. Salvador; Santander/ES Keywords: Urinary Tract / Bladder, CT, Complications,
More informationImaging Features of Acute Pyelonephritis in Contrast Computed Tomography as Predictors of Need for Intervention
Imaging Features of Acute Pyelonephritis in Contrast Computed Tomography as Predictors of Need for Intervention Poster No.: C-0088 Congress: ECR 2014 Type: Scientific Exhibit Authors: C. Y. Lee, C. W.
More informationImaging Features of Acute Pyelonephritis in Contrast Computed Tomography as Predictors of Need for Intervention
Imaging Features of Acute Pyelonephritis in Contrast Computed Tomography as Predictors of Need for Intervention Poster No.: C-0088 Congress: ECR 2014 Type: Scientific Exhibit Authors: C. Y. Lee, C. W.
More information64-MDCT imaging of the pancreas: Scan protocol optimisation by different scan delay regimes
64-MDCT imaging of the pancreas: Scan protocol optimisation by different scan delay regimes Poster No.: C-051 Congress: ECR 2009 Type: Scientific Exhibit Topic: Abdominal and Gastrointestinal Authors:
More informationMDCT signs differentiating retroperitoneal and intraperitoneal lesions- diagnostic pearls
MDCT signs differentiating retroperitoneal and intraperitoneal lesions- diagnostic pearls Poster No.: C-0987 Congress: ECR 2015 Type: Educational Exhibit Authors: D. V. Bhargavi, R. Avantsa, P. Kala; Bangalore/IN
More informationURINARY DIVERSIONS. Susan Hilton, MD and Nicholas Papanicolaou, MD Co-Chiefs, CT Section Hospital of the University of Pennsylvania
URINARY DIVERSIONS Susan Hilton, MD and Nicholas Papanicolaou, MD Co-Chiefs, CT Section Hospital of the University of Pennsylvania Neither of us has any financial relationships with commercial interests
More informationCT evaluation of small bowel carcinoid tumors
CT evaluation of small bowel carcinoid tumors Poster No.: C-0060 Congress: ECR 2015 Type: Educational Exhibit Authors: N. V. V. P. Costa, L. Nascimento, T. Bilhim ; Estoril/PT, PT, 1 2 3 1 2 3 Lisbon/PT
More informationBiliary tree dilation - and now what?
Biliary tree dilation - and now what? Poster No.: C-1767 Congress: ECR 2012 Type: Educational Exhibit Authors: I. Ferreira, A. B. Ramos, S. Magalhães, M. Certo; Porto/PT Keywords: Pathology, Diagnostic
More informationComputed tomography (CT) imaging review of small bowel obstruction
Computed tomography (CT) imaging review of small bowel obstruction Poster No.: C-1602 Congress: ECR 2010 Type: Educational Exhibit Topic: GI Tract - Small Bowel Authors: A. Vousough, D. S. Prasad ; Aberdeen/UK,
More informationComputed tomography (CT) imaging review of small bowel obstruction
Computed tomography (CT) imaging review of small bowel obstruction Poster No.: C-1602 Congress: ECR 2010 Type: Educational Exhibit Topic: GI Tract Authors: A. Vousough, D. S. Prasad ; Aberdeen/UK, Leeds/UK
More informationRadiological Investigation of Renal Colic in an Emergency Department of a Teaching Hospital
Radiological Investigation of Renal Colic in an Emergency Department of a Teaching Hospital Poster No.: C-0892 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit A. Koo; Leeds, West Yorkshire/UK
More informationAudit of split-bolus CT urography for the investigation of haematuria over a 12 month period at two district general hospitals
Audit of split-bolus CT urography for the investigation of haematuria over a 12 month period at two district general hospitals Poster No.: C-1349 Congress: ECR 2010 Type: Educational Exhibit Topic: Genitourinary
More informationUltra-low dose CT of the acute abdomen: Spectrum of imaging findings
Ultra-low dose CT of the acute abdomen: Spectrum of imaging findings Poster No.: C-1452 Congress: ECR 2010 Type: Educational Exhibit Topic: GI Tract Authors: P. A. Vlachou, C. Kloeters, S. Kandel, P. Hein,
More informationPelvic inflammatory disease - spectrum of tomodensitometric findings
Pelvic inflammatory disease - spectrum of tomodensitometric findings Poster No.: C-2451 Congress: ECR 2015 Type: Educational Exhibit Authors: E. Matos, A. T. Almeida, D. Castelo; Vila Nova de Gaia/PT Keywords:
More informationVascular complications in percutaneous biliary interventions: A series of 111 procedures
Vascular complications in percutaneous biliary interventions: A series of 111 procedures Poster No.: C-0744 Congress: ECR 2013 Type: Educational Exhibit Authors: A. BHARADWAZ; AARHUS, Re/DK Keywords: Obstruction
More informationNon-calculus causes of renal colic on CT KUB
Non-calculus causes of renal colic on CT KUB Poster No.: C-1341 Congress: ECR 2010 Type: Scientific Exhibit Topic: Genitourinary Authors: A. Afaq, E. L. Leen; London/UK Keywords: renal colic, CT KUB, appendicitis
More informationIdentification and numbering of lumbar vertebrae using various anatomical landmarks on MRI of lumbosacral spine
Identification and numbering of lumbar vertebrae using various anatomical landmarks on MRI of lumbosacral spine Poster No.: C-2125 Congress: ECR 2015 Type: Authors: Scientific Exhibit S. patil 1, A. M.
More informationAudit of Micturating Cystourethrograms performed over 1 year in a Children's Hospital
Audit of Micturating Cystourethrograms performed over 1 year in a Children's Hospital Poster No.: C-1773 Congress: ECR 2012 Type: Scientific Exhibit Authors: K. Lyons, J. Sorensen, E. L. Twomey, V. Donoghue,
More informationMagnetic Resonance Imaging of Perianal Fistulas
Magnetic Resonance Imaging of Perianal Fistulas Poster No.: C-0317 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit A. P. Sathe, E. Soh, K. Y. Seto, B. Yeh, D. W. Y. chee, R. Quah,
More informationEducational Exhibit Authors:
Endoleaks in Abdominal Aortic Aneurysm Endoprosthesis: What radiologists need to know about Diagnostic, Characterization and Basic Management Strategies Poster No.: C-0150 Congress: ECR 2013 Type: Educational
More informationInfluence of pulsed fluoroscopy and special radiation risk training on the radiation dose in pneumatic reduction of ileocoecal intussusceptions.
Influence of pulsed fluoroscopy and special radiation risk training on the radiation dose in pneumatic reduction of ileocoecal intussusceptions. Poster No.: C-0599 Congress: ECR 2013 Type: Authors: Keywords:
More informationCT imaging of chronic radiation enteritis in surgical and non surgical patients
CT imaging of chronic radiation enteritis in surgical and non surgical patients Poster No.: C-0334 Congress: ECR 2017 Type: Educational Exhibit Authors: M. Zappa, S. Kemel, C. Bertin, M. Ronot, D. Cazals-Hatem,
More informationCurious case of Misty Mesentery
Curious case of Misty Mesentery Poster No.: C-1385 Congress: ECR 2015 Type: Authors: Keywords: DOI: Educational Exhibit T. Simelane 1, H. Khosa 2, N. Ramesh 2 ; 1 Dublin/IE, 2 Portlaoise/IE Abdomen, Anatomy,
More informationFollow-up after Whipple operation by CT: techniques for the improvement of the afferent jejunal loop visualization and patterns of recurrence
Follow-up after Whipple operation by CT: techniques for the improvement of the afferent jejunal loop visualization and patterns of recurrence Poster No.: C-1971 Congress: ECR 2012 Type: Educational Exhibit
More informationPictorial review of Benign Biliary tract abnormality on MRCP/MRI Liver with Endoscopic (including splyglass) and Endoscopic Ultrasound correlation
Pictorial review of Benign Biliary tract abnormality on MRCP/MRI Liver with Endoscopic (including splyglass) and Endoscopic Ultrasound correlation Poster No.: C-2617 Congress: ECR 2015 Type: Educational
More informationTreatment options for endoleaks: stents, embolizations and conversions
Treatment options for endoleaks: stents, embolizations and conversions Poster No.: C-0861 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific Exhibit G. Lombardi; napoli/it Arteries / Aorta, Abdomen,
More informationComputed tomographic dacryocystography as compared with X-ray dacryocystography in patients with dacryostenosis
Computed tomographic dacryocystography as compared with X-ray dacryocystography in patients with dacryostenosis Poster No.: C-1887 Congress: ECR 2016 Type: Authors: Keywords: DOI: Educational Exhibit M.
More informationEmergency MDCT in case of right lower quadrant pain
Emergency MDCT in case of right lower quadrant pain Poster No.: C-0563 Congress: ECR 2015 Type: Educational Exhibit Authors: M. Lisitskaya, V. Sinitsyn; Moscow/RU Keywords: Abdomen, Emergency, Gastrointestinal
More informationQuantifying Dual-energy computed tomography (DECT) in patients with renal calculi using a Toshiba Aquilion One Scanner.
Quantifying Dual-energy computed tomography (DECT) in patients with renal calculi using a Toshiba Aquilion One Scanner. Poster No.: C-2613 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific Exhibit
More informationPopliteal pterygium syndrome
Popliteal pterygium syndrome Poster No.: C-1816 Congress: ECR 2011 Type: Educational Exhibit Authors: L. B. S. Santos, J. L. D. O. Schiavon, O. O. Guimaraes Neto, 1 1 2 3 1 1 C. A. P. Braga, R. S. LEMOS,
More informationThe Role of Radionuclide Lymphoscintigraphy in the Diagnosis of Lymphedema of the Extremities
The Role of Radionuclide Lymphoscintigraphy in the Diagnosis of Lymphedema of the Extremities Poster No.: C-1229 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit M. Osher 1, A. Pallas
More informationSmall-bowel obstruction due to bezoar: CT diagnosis and characterization
Small-bowel obstruction due to bezoar: CT diagnosis and characterization Poster No.: C-1450 Congress: ECR 2013 Type: Scientific Exhibit Authors: I. lópez blasco, S. Paz Maya, R. Dosdá Muñoz, D. Soriano
More informationA pictorial review of normal anatomical appearences of Pericardial recesses on multislice Computed Tomography.
A pictorial review of normal anatomical appearences of Pericardial recesses on multislice Computed Tomography. Poster No.: C-1787 Congress: ECR 2012 Type: Educational Exhibit Authors: N. Ahmed 1, G. Avery
More informationGastrointestinal Angiodysplasia: CT Findings
Gastrointestinal Angiodysplasia: CT Findings Poster No.: C-1792 Congress: ECR 2012 Type: Authors: Keywords: DOI: Educational Exhibit G. Anguita Martinez, A. Fernandez Alfonso, D. C. Olivares Morello, J.
More informationAssessment of renal cell carcinoma by two PET tracer : dual-time-point C-11 methionine and F-18 fluorodeoxyglucose
Assessment of renal cell carcinoma by two PET tracer : dual-time-point C-11 methionine and F-18 fluorodeoxyglucose Poster No.: C-0805 Congress: ECR 2015 Type: Scientific Exhibit Authors: S. Ito, K. Kato,
More informationAcute pelvic pain in female patient: Clinical and Radiological evaluation
Acute pelvic pain in female patient: Clinical and Radiological evaluation Poster No.: C-0909 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit N. Ramesh 1, T. Simelane 2 ; 1 Portlaoise/IE,
More informationAcute pelvic pain in female patient: Clinical and Radiological evaluation
Acute pelvic pain in female patient: Clinical and Radiological evaluation Poster No.: C-0909 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit N. Ramesh 1, T. Simelane 2 ; 1 Portlaoise/IE,
More informationDiffuse high-attenuation within mediastinal lymph nodes on non-enhanced CT scan: Usefulness in the prediction of benignancy
Diffuse high-attenuation within mediastinal lymph nodes on non-enhanced CT scan: Usefulness in the prediction of benignancy Poster No.: C-1785 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific
More informationRadiofrequency ablation combined with conventional radiotherapy: a treatment option for patients with medically inoperable lung cancer
Radiofrequency ablation combined with conventional radiotherapy: a treatment option for patients with medically inoperable lung cancer Poster No.: C-0654 Congress: ECR 2011 Type: Scientific Paper Authors:
More informationCT Enteroclysis in the Diagnosis of Crohn's Disease (CD)
CT Enteroclysis in the Diagnosis of Crohn's Disease (CD) Poster No.: C-2291 Congress: ECR 2012 Type: Scientific Exhibit Authors: I. Kiss, A. Rosztóczy, F. Nagy, T. Wittmann, A. Palko; Szeged/HU Keywords:
More informationLong bones manifestations of congenital syphilis
Long bones manifestations of congenital syphilis Poster No.: C-0139 Congress: ECR 2011 Type: Educational Exhibit Authors: T. F. de Souza 1, P. P. Collier 1, E. J. M. Bronzatto 1, G. L. P. Keywords: DOI:
More informationGastrectomy procedure and its complications: Findings at TC multi-detector 64 row.
Gastrectomy procedure and its complications: Findings at TC multi-detector 64 row. Poster No.: C-2184 Congress: ECR 2012 Type: Educational Exhibit Authors: M. M. Mendigana Ramos, A. Burguete, A. Sáez de
More informationThe role of cholangiography with t-tube in the liver transplantation
The role of cholangiography with t-tube in the liver transplantation Poster No.: C-0362 Congress: ECR 2012 Type: Educational Exhibit Authors: S. Magalhães, I. Ferreira, A. B. Ramos, F. Reis, M. Ribeiro
More informationScientific Exhibit Authors: V. Moustakas, E. Karallas, K. Koutsopoulos ; Rodos/GR, 2
Diagnosis of Acute Appendicitis: the role of Color Doppler Ultrasound as first-line imaging method and evaluation of the higher diagnostic performances of CT against its disadvantages. Poster No.: C-0708
More informationHow to plan a Zenith AAA stent-graft from a CTA: Basic measurements and concepts explained
How to plan a Zenith AAA stent-graft from a CTA: Basic measurements and concepts explained Poster No.: C-3077 Congress: ECR 2010 Type: Educational Exhibit Topic: Vascular Authors: D. V. Thomas; Northampton/UK
More informationPercutaneous transluminal angioplasty in the treatment of stenosis of hemodialysis arteriovenous fistulae: our experience
Percutaneous transluminal angioplasty in the treatment of stenosis of hemodialysis arteriovenous fistulae: our experience Poster No.: C-3355 Congress: ECR 2010 Type: Scientific Exhibit Topic: Interventional
More informationThe Radiologic Features of Xanthogranulomatous Cholecystitis: An Important Mimic of Gallbladder Carcinoma
The Radiologic Features of Xanthogranulomatous Cholecystitis: An Important Mimic of Gallbladder Carcinoma Poster No.: C-0691 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit H. L. khosa
More informationImaging characterization of renal clear cell carcinoma
Imaging characterization of renal clear cell carcinoma Poster No.: C-0327 Congress: ECR 2011 Type: Educational Exhibit Authors: S. Ballester 1, A. Gaser 2, M. Dotta 1, M. F. CAPPA 1, F. Hammar 1 ; 1 2
More informationSingle cold nodule in Graves' disease: benign vs malignant
Single cold nodule in Graves' disease: benign vs malignant Poster No.: C-0073 Congress: ECR 2011 Type: Authors: Keywords: DOI: Scientific Paper L. I. Sonoda, M. Halim, K. Balan; Cambridge/UK Head and neck,
More informationFibromuscular Dysplasia (FMD) of the renal arteries Angiographic features and therapeutic options
Fibromuscular Dysplasia (FMD) of the renal arteries Angiographic features and therapeutic options Poster No.: C-0630 Congress: ECR 2012 Type: Educational Exhibit Authors: K. I. Ringe, B. Meyer, F. Wacker,
More informationShear Wave Elastography in diagnostics of supraspinatus tendon.
Shear Wave Elastography in diagnostics of supraspinatus tendon. Poster No.: C-2168 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit V. Saltykova; Moscow/RU Musculoskeletal joint, Musculoskeletal
More informationRadiological features of Legionella Pneumophila Pneumonia
Radiological features of Legionella Pneumophila Pneumonia Poster No.: E-0048 Congress: ESTI 2012 Type: Scientific Exhibit Authors: M. Vinciguerra, L. Stefanetti, E. Teti, G. Argentieri, L. G. 1 1 1 1 1
More informationLesions of the pancreaticoduodenal groove, a pictorial review
Lesions of the pancreaticoduodenal groove, a pictorial review Poster No.: C-2131 Congress: ECR 2013 Type: Educational Exhibit Authors: E. Ni Mhurchu, L. Lavelle, I. Murphy, S. Skehan ; IE, Dublin/ IE Keywords:
More informationPurpose. Methods and Materials. Results
Prevalence and significance of hypoattenuating hepatic lesions deemed too small to characterise: How are we following up these lesions and what are the outcomes? Poster No.: C-014 Congress: ECR 2009 Type:
More informationUltrasound evaluation of patients with acute abdominal pain in the emergency department
Ultrasound evaluation of patients with acute abdominal pain in the emergency department Poster No.: C-2584 Congress: ECR 2012 Type: Authors: Keywords: DOI: Educational Exhibit A. A. Falticeanu, A.-M. Alecsa-Lupu,
More informationHigh density thrombi of pulmonary embolism on precontrast CT scan: Is it dangerous?
High density thrombi of pulmonary embolism on precontrast CT scan: Is it dangerous? Poster No.: C-1753 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit B. Y. Lee, H. R. KIM, J. I. Jung,
More informationImaging of double J ureteral stents - what to look for?
Imaging of double J ureteral stents - what to look for? Poster No.: C-1181 Congress: ECR 2014 Type: Educational Exhibit Authors: V. Urban, M. Djosev, J. Ilic, G. Lukic, T. Nastasic, S. M. 1 2 1 1 3 1 3
More informationGastric banding: What radiologists need to know
Gastric banding: What radiologists need to know Poster No.: C-1606 Congress: ECR 2010 Type: Educational Exhibit Topic: GI Tract Authors: D. V. Thomas, G. Finch; Northampton/UK Keywords: Laparoscopic gastric
More informationEssure Permanent Birth Control Device: Radiological followup results at our center
Essure Permanent Birth Control Device: Radiological followup results at our center Poster No.: C-0212 Congress: ECR 2013 Type: Scientific Exhibit Authors: R. Díaz Aguilera, A. M. Higuera Higuera, V. Palomo
More informationOur experience in the endovascular treatment of female varicocele
Our experience in the endovascular treatment of female varicocele Poster No.: C-0347 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit A. Sáez de Ocáriz García, M. M. Mendigana Ramos,
More informationSlowly growing malignant nodules and rapidly growing benign nodules: Evaluation of the value of volume doubling time
Slowly growing malignant nodules and rapidly growing benign nodules: Evaluation of the value of volume doubling time Poster No.: C-208 Congress: ECR 2009 Type: Educational Exhibit Topic: Chest Authors:
More informationExtrapulmonary Manifestations of Tuberculosis: A Radiologic Review
Extrapulmonary Manifestations of Tuberculosis: A Radiologic Review Poster No.: C-1958 Congress: ECR 2014 Type: Authors: Educational Exhibit J. Isern 1, S. Llaverias Borrell 1, A. Olarte 1, E. Grive 1,
More informationCruveilhier-Baumgarten syndrome: anatomical and pathologic imaging of periumbilical venous network
Cruveilhier-Baumgarten syndrome: anatomical and pathologic imaging of periumbilical venous network Poster No.: C-0442 Congress: ECR 2014 Type: Educational Exhibit Authors: J. Isogai, H. Sakamoto ; Asahi/JP,
More informationURINARY DIVERSIONS. Winter 2016 Dr P. O Malley
URINARY DIVERSIONS Winter 2016 Dr P. O Malley OVERVIEW Who gets diversions? What s involved with cystectomy? What are the different types of diversions? What are the problems with various diversions? How
More informationPost-operative complications following hepatobiliary surgery: imaging findings and current radiological treatment options
Post-operative complications following hepatobiliary surgery: imaging findings and current radiological treatment options Poster No.: C-1501 Congress: ECR 2015 Type: Educational Exhibit Authors: A. Hadjivassiliou,
More informationRole of ultrasound in the evaluation of the ileocecal valve
Role of ultrasound in the evaluation of the ileocecal valve Poster No.: C-1581 Congress: ECR 2010 Type: Scientific Exhibit Topic: GI Tract Authors: M. Mohammed, M. Hussain, U. Momin, S. Lakhtakia, N. D.
More informationIs ascites a sensible predictive sign of peritoneal involvement in patients with ovarian carcinoma?: our experience with FDG-PET/CT
Is ascites a sensible predictive sign of peritoneal involvement in patients with ovarian carcinoma?: our experience with FDG-PET/CT Poster No.: C-1019 Congress: ECR 2013 Type: Scientific Exhibit Authors:
More informationQuantitative imaging of hepatic cirrhosis on abdominal CT images
Quantitative imaging of hepatic cirrhosis on abdominal CT images Poster No.: C-0556 Congress: ECR 2013 Type: Authors: Keywords: DOI: Scientific Exhibit S. Kido, A. Nakamura, Y. Hirano; Ube/JP Cirrhosis,
More information"Ultrasound measurements of the lateral ventricles in neonates: A comparison of multiple measurements methods."
"Ultrasound measurements of the lateral ventricles in neonates: A comparison of multiple measurements methods." Poster No.: C-1557 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit I.
More informationEthanol ablation of benign thyroid cysts and predominantly cystic thyroid nodules: factors that predict outcome.
Ethanol ablation of benign thyroid cysts and predominantly cystic thyroid nodules: factors that predict outcome. Poster No.: C-0322 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit J.
More informationIntra-abdominal abscesses radiology diagnostic
Intra-abdominal abscesses radiology diagnostic Poster No.: C-2320 Congress: ECR 2012 Type: Scientific Exhibit Authors: K. Viksna; Riga/LV Keywords: Abscess, Computer Applications-Detection, diagnosis,
More informationCognitive target MRI-TRUS fusion biopsies of MRI detected PIRADS 4 and 5 lesions
Cognitive target MRI-TRUS fusion biopsies of MRI detected PIRADS 4 and 5 lesions Poster No.: B-0704 Congress: ECR 2015 Type: Scientific Paper Authors: P. P. van Westerveld, J. Vriesema, J. H. W. van den
More informationCT findings of gastric and intestinal anisakiasis as cause of acute abdominal pain
CT findings of gastric and intestinal anisakiasis as cause of acute abdominal pain Poster No.: C-2258 Congress: ECR 2015 Type: Educational Exhibit Authors: S. Marcos 1, J. Gonzalez 1, L. Sarria Octavio
More informationPostpancreatectomy Hemorrhage: Imaging and Interventional Radiological Treatment
Postpancreatectomy Hemorrhage: Imaging and Interventional Radiological Treatment Poster No.: C-1422 Congress: ECR 2014 Type: Educational Exhibit Authors: T. Matsuura, K. Takase, T. Hasegawa, H. Ota, K.
More informationExcavated pulmonary nodule: steps to diagnosis?
Excavated pulmonary nodule: steps to diagnosis? Poster No.: C-1044 Congress: ECR 2014 Type: Authors: Keywords: DOI: Educational Exhibit W. Mnari, M. MAATOUK, A. Zrig, B. Hmida, M. GOLLI; Monastir/ TN Metastases,
More informationMRI in staging of rectal carcinoma
MRI in staging of rectal carcinoma Poster No.: C-0152 Congress: ECR 2015 Type: Scientific Exhibit Authors: J. R. Ramos Rodriguez, M. Atencia Ballesteros, M. D. M. Muñoz Ruiz, A. J. Márquez Moreno, M. D.
More informationAnatomical Variations of the Levator Scapulae Muscle - an MR Imaging Study
Anatomical Variations of the Levator Scapulae Muscle - an MR Imaging Study Poster No.: R-0016 Congress: 2015 ASM Type: Scientific Exhibit Authors: J. Au, A. Webb, G. Buirski, P. Smith, M. Pickering, D.
More informationDiffusion-weighted MRI (DWI) "claw sign" is useful in differentiation of infectious from degenerative Modic I signal changes of the spine
Diffusion-weighted MRI (DWI) "claw sign" is useful in differentiation of infectious from degenerative Modic I signal changes of the spine Poster No.: C-0894 Congress: ECR 2012 Type: Scientific Exhibit
More informationMR imaging the post operative spine - What to expect!
MR imaging the post operative spine - What to expect! Poster No.: C-2334 Congress: ECR 2012 Type: Educational Exhibit Authors: A. Jain, M. Paravasthu, M. Bhojak, K. Das ; Warrington/UK, 1 1 1 2 1 2 Liverpool/UK
More informationImaging of gastric bands and their complications: an educational pictorial review
Imaging of gastric bands and their complications: an educational pictorial review Poster No.: C-1142 Congress: ECR 2014 Type: Educational Exhibit Authors: F. Moloney, M. Twomey, C. Bogue ; Cork/IE, IE,
More informationRetrograde flow in the left ovarian vein is a shunt, not reflux
Retrograde flow in the left ovarian vein is a shunt, not reflux Poster No.: C-0846 Congress: ECR 2013 Type: Scientific Exhibit Authors: R. Livsey; Brisbane/AU Keywords: Genital / Reproductive system female,
More informationCryoplasty versus conventional angioplasty in peripheral arterial disease: 3 year analysis of reintervention free survival by treatment received.
Cryoplasty versus conventional angioplasty in peripheral arterial disease: 3 year analysis of reintervention free survival by treatment received. Poster No.: C-0343 Congress: ECR 2011 Type: Scientific
More informationValsalva-manoeuvre or prone belly position for computed tomography (CT) scan when an orbita varix is suspected: a single-case study.
Valsalva-manoeuvre or prone belly position for computed tomography (CT) scan when an orbita varix is suspected: a single-case study. Poster No.: C-0512 Congress: ECR 2012 Type: Authors: Keywords: DOI:
More informationIntraluminal gas in non-perforated acute appendicitis: a CT sign of gangrenous appendicitis
Intraluminal gas in non-perforated acute appendicitis: a CT sign of gangrenous appendicitis Poster No.: C-978 Congress: ECR 202 Type: Scientific Exhibit Authors: D. Plata Ariza, E. MARTINEZ CHAMORRO, J.
More informationAcute abdominal venous thromboses- the hyperdense noncontrast CT sign
Acute abdominal venous thromboses- the hyperdense noncontrast CT sign Poster No.: C-1095 Congress: ECR 2011 Type: Educational Exhibit Authors: M. Goldstein, K. Jhaveri; Toronto, ON/CA Keywords: Abdomen,
More informationUrethral Carcinoma Recurrence in Ileal Orthotopic Neobladder: Urethrectomy and Conversion in a Continent Pouch with Abdominal Stoma
Case Report Urol Int 1999;62:213 216 Received: June 19, 1998 Accepted after revision: March 8, 1999 Urethral Carcinoma Recurrence in Ileal Orthotopic Neobladder: Urethrectomy and Conversion in a Continent
More informationCT-guided percutaneous intraspinal needle aspiration for the diagnosis and treatment of epidural collections
CT-guided percutaneous intraspinal needle aspiration for the diagnosis and treatment of epidural collections Poster No.: P-0064 Congress: ESSR 2013 Type: Scientific Exhibit Authors: G. Petrocheilou, I.
More informationImaging Following Mini-Gastric Bypass and Sleeve Gastrectomy: what every radiologists need to know
Imaging Following Mini-Gastric Bypass and Sleeve Gastrectomy: what every radiologists need to know Poster No.: C-1264 Congress: ECR 2016 Type: Educational Exhibit Authors: C. Yazgan, S. BALCI, T. Sahin,
More informationMedical device adverse incident reporting in interventional radiology
Medical device adverse incident reporting in interventional radiology Poster No.: C-0226 Congress: ECR 2014 Type: Authors: Scientific Exhibit N. PARVIZI 1, I. Robertson 2, R. G. McWilliams 3 ; 1 Oxford/UK,
More informationFeasibility of magnetic resonance elastography using myofascial phantom model
Feasibility of magnetic resonance elastography using myofascial phantom model Poster No.: C-0971 Congress: ECR 2013 Type: Scientific Exhibit Authors: H. J. Kang, J.-S. Yoon, S.-J. Hong, C.-H. Oh, S. H.
More informationBolus administration of esmolol allows for safe and effective heart rate control during coronary computed tomography angiography
Bolus administration of esmolol allows for safe and effective heart rate control during coronary computed tomography angiography Poster No.: C-1342 Congress: ECR 2013 Type: Scientific Exhibit Authors:
More informationBasic low - field MR imaging of meniscal injuries in children.
Basic low - field MR imaging of meniscal injuries in children. Poster No.: C-2365 Congress: ECR 2012 Type: Authors: Keywords: DOI: Scientific Exhibit A. Yakimov, M. Nikonova, E. Prokhorova, D. Vybornov,
More informationDual Energy CT: a new tool in evaluation of the urinary tract stones composition in clinical practice - initial study
Dual Energy CT: a new tool in evaluation of the urinary tract stones composition in clinical practice - initial study Poster No.: C-2279 Congress: ECR 2013 Type: Scientific Exhibit Authors: M. Guzi#ski,
More information