放射線技師の為の読影シリーズ 8 回答

回答8 胆嚢内高吸収

key word :胆嚢内高吸収域、胆嚢高吸収域、胆嚢壁高吸収域、石灰乳胆汁、造影剤残存、胆石症、胆嚢内出血、胆泥、デブリス、スラッジ、スラッジボール、胆嚢癌、磁気様胆嚢、high density in gallbladder, milk of calcium of bile, residual contrast media in GB, gallstone, hemorrhage in GB, debris, sludge, sludge ball, gallbladder carcinoma, porcelain gallbladder

文献:
Itoh H. Management of limy bile syndrome: no therapy, laparotomy or endoscopic treatment?Intern Med. 2003 Jan;42:1-2
Takatori Y, et al. Limy bile syndrome complicated with primary hyperparathyroidism. Intern Med. 2003 Jan;42:44-7.
Hopper KD, et al. Vicarious excretion of water-soluble contrast media into the gallbladder in patients with normal serum creatinine. Invest Radiol. 1988 ;23:604-8.
Ford KK, Wysong B, Thompson WM. Opacification of the gallbladder following intravenous contrast injection in patients with normal renal function. Urol Radiol. 1983;5:251-2.
Yamazaki H, et al. CT assessment of gallbladder opacification 12-24 hours after angiography. Nippon Igaku Hoshasen Gakkai Zasshi. 1992;52:1281-1286
Yamazaki H, et al. Lack of correlation between gallbladder opacification in delayed CT and contrast-associated nephropathy. Eur Radiol. 1997;7:1328-31.
Pandya R, O’Malley C. Hemorrhagic cholecystitis as a complication of anticoagulant therapy: role of CT in its diagnosis. Abdom Imaging. 2008; 33:652-3
Watanabe Y, et al. MR imaging of acute biliary disorders. Radiographics. 2007; 27:477-495
Kane RA, Jacobs R, Katz J, Costello P.  Porcelain gallbladder: ultrasound and CT appearance. Radiology. 1984 ;152:137-41.
Towfigh S, McFadden DW, Cortina GR, et al. Porcelain gallbladder is not associated with gallbladder carcinoma.Am Surg. 2001; 67:7-10.
Stephen AE, Berger DL. Carcinoma in the porcelain gallbladder: a relationship revisited. Surgery, 2001; 129:699-703

放射線技師の為の読影シリーズ 7 回答

脾膿瘍と脾梗塞

 

キーワード:脾膿瘍、Splenic abscess, 脾梗塞、splenic infarction, vegitation, 被膜、隔壁、capsule, septum, gas

文献:Rabushka LS, Kawashima A, Fishman EK. Imaging of the spleen: CT with supplemental MR examination. Radiographics. 1994; 14:307-332

http://radiographics.rsnajnls.org/cgi/reprint/14/2/307

このURLは、直接Radiographics のページにPDFを取るために飛べるものです。

放射線技師の為の読影シリーズ 4 回答

膵炎とのう胞

キーワード:膵炎、のう胞、膵壊死、急性膵炎、偽嚢胞、嚢胞、balthazar、CTSI,acute pancreatitis, pancreatitis, pseudocyst, cyst

参考文献

診療群別臨床検査のガイドライン2003 急性膵炎
http://www.jscp.org/booklet/guideline/19.pdf

Balthazal EJ Dr. のCTSI の論文
http://radiology.rsnajnls.org/cgi/reprint/174/2/331
http://radiology.rsnajnls.org/cgi/reprint/223/3/603