Double-blind ureteral duplication: report of two cases

Blind ending of ureteral duplication is one of the most rare anomalies of the upper urinary tract. We report two cases of ureteral duplication with a blind ending both superiorly and inferiorly, and with no definite communication with the urinary tract.     

Double-blind ureteral duplication: report of two cases

European Radiology - Blind ending of ureteral duplication is one of the most rare anomalies of the upper urinary tract. We report two cases of ureteral duplication with a blind ending both...     

Transdiaphragmatic jejunal duplication: a report of five cases.

Five infants with intrathoracic transdiaphragmatic duplication cysts are presented. Diagnosis was possible from the combination of several features on plain chest radiographs: (a) right-sided cystic areas lying posteriorly in the chest, (b) lower cervical or upper dorsal spinal dysraphism, and (c) unusual gas collection beneath the right hemidiaphragm. Barium studies, positive-contrast myelography, and computed tomography were helpful in preoperative assessment.     

Partial duplication of the scapula

We report an extremely rare case of partial scapular duplication. Mild shoulder area deformity in a newborn prompted further evaluation that included radiography, ultrasonography and spiral CT. These revealed an additional bone in the area of the left shoulder, above the humerus and lateral to the scapula. The accessory bone articulated with the upper part of the glenoid and caused caudal displacement of the humeral head. However, it did not restrict the normal range of motion in the shoulder joint.     

小肠重复畸形2例

例1男,19岁。患者于21天前无明显诱因出现腹痛,以脐部打侧为著,阵发性加重。至当地医院就诊,给予对症治疗,症状兀明显好转。10天前始出现血便．为鲜血便或黑便,腹痛消失,偶伴有腹泻,给予抗炎、输血、输液治疗（具体小详）,效果不佳,血便渐加重,自述行血箭造影及结肠镜检查均末发现异常,为进一步治疗来我院,门诊以“血便原因待查”收入院。专科查体刚性。血常规：HGB105g/L（参考值110～170）。结肠镜：镜下未见异常。     

110例成人错(牙合)矫治体会

目的：总结成人错(牙合)矫治病经验。方法：对110例成人错(牙合)患者采用固定矫治器，利用方丝弓或直丝弓技术，配合活动矫治加辅助装置进行，疗程11个月-2．5年。结果：全部病员均不同程度达到求治目的，90．O％以上病员对结果感到满意，无失败病例。结论：对安氏Ⅱ类1分类错(牙合)和Ⅲ类错(牙合)，应以摇椅弓打开咬(牙合)；对拥挤和前突暴牙，应策略性减数拔牙；同时固定矫治器的使用，可获得准确、预期的牙齿位置，为更多成人病员接受。     

Partial Hawkins sign in fractures of the talus: a report of three cases

OBJECTIVE: We introduce the concept of the partial Hawkins sign in three cases of talar neck fracture that are associated with incomplete avascular necrosis. Our objective is to call attention to the intraosseous blood supply of the talar body, which can be interrupted by fractures to produce patterns of incomplete avascular necrosis. CONCLUSION: We conclude that the Hawkins sign does not always have to be complete. Fractures of the talus occasionally can lead to partial avascular necrosis because of the disruption of end arteries within the body of the talus, even without subluxation or dislocation. Early recognition of the partial Hawkins sign should lead to MRI evaluation that can more readily define the involvement of the talar body and assist the treating physician in recommending when the patient can bear weight.     

Gastric duplication in an adult

Congenital alimentary duplications occur most commonly in relation to the ileum and are rare in the region of the stomach. A case of gastric duplication presenting in an adult and visualized on computed tomography is reported.     

Colonic duplication in an adult

A case of colonic duplication that was diagnosed radiologically in an adult is reported. A long duplicated segment below the normal transverse colon, with a wide anastomosis at the hepatic flexure level, was observed on barium enema. The rarity of this anomaly unassociated with other malformations is emphasized.     

成人小肠重复畸形1例

患者男,47岁。因无明显诱因右侧腹痛2d,阵发性绞痛就诊。查体：腹部饱满,触诊较硬,压痛明显,无反跳痛。肠鸣音减退。     

Gastric duplication cyst: case report

We report a gastric duplication cyst in an undernourished 5-month-old child suffering from anorexia, vomiting, and melena. Clinical presentation was consistent with a Meckel's diverticulum, which, however, was not found at laparotomy. Scintigraphy and ultrasound, performed 4 months later, suggested gastric duplication, which was confirmed by surgery. Correspondence to: L. Cruz     

先天性无痛觉症2例

例1女,9岁.双踝关节肿2年,左踝关节较右踝关节轻,无疼痛感.患儿自幼无痛觉,平时肌肉注射不感疼痛.双踝关节外下方肿胀,无压痛.     

皮质旁骨肉瘤2例

本文收集经手术病理证实的皮质旁骨肉瘤2例，现就其临床、X线特征病理学关系等结合文献报告讨论如下。     

Herlyn-Werner-Wunderlich syndrome: A report of three cases in adolescents and adult woman

We report three cases with Herlyn-Werner-Wunderlich syndrome in adolescents and young female. The objective of this report was to describe the clinical presentation, ultrasound (US) and magnetic resonance imaging (MRI) findings of Herlyn-Werner-Wunderlich syndrome. The three patients were 12, 13 and 34 years old, respectively. The reason for admission and clinical symptoms varied between the 3 patients, including menstrual cramps, vaginal bleeding, and dull pain in the hypogastric region. Nevertheless, the sonographic and MRI findings of all three cases were typical for HWWS, including didelphys uterus, obstructed hemivagina, and ipsilateral renal agenesis.     

成人房间隔缺损291例的外科治疗

目的 :总结 2 91例成人继发孔型房间隔缺损的外科治疗经验。方法 :2 91例均为 18～ 6 2岁以上继发孔型房间隔缺损病人 ,均在体外循环下行房缺修补术 ,其中 179例在中低温体外循环下进行 ,112例在浅低温体外循环心脏跳动中完成。采用直接缝合或心包补片法修补房间隔缺损 ,三尖瓣明显关闭不全有 2 9例 ,均采用Devega法进行三尖瓣环成形术。结果 :全组病人无手术死亡 ,术后心功能均有明显改善。术后超声复查右心房及右心室内径明显缩小 ,左心室内径明显增大。结论 :成人房缺应该手术治疗 ,年龄不是房缺手术的禁忌证。严格的手术适应证、正确地手术治疗及不断改进的心肌保护方法是影响手术预后的关键。