B超诊断重复肾1例报告

病例女性,43岁,病案号1375431。以间歇性左侧腰痛,畏寒发热、脓性尿5年就诊。外院B超诊断左肾盂旁囊肿。CT发现左肾盂旁囊性占位,左侧输尿管上段扩张,考虑为肾盂旁囊肿左输尿管中段梗阻。此次B超声图像显示:左腰背部肾脏纵断面见上极肾盂旁一大小约6.5 cm×4.0 cm×3.5 cm的条状液性暗区,有一不完整厚壁,其下方始终不能显示边界,似与管道样结构相连;液性暗区透声性差。因盆腔内大量气体干扰,输尿管未探及;充盈的膀胱后方未见扩张输尿管。结合CT见左侧输尿管扩张,B超诊断:左肾盂旁厚壁囊性物,考虑为左肾重复肾,上位肾盂积脓。患者入院后进…     

B超诊断胎儿多囊肾1例

１临床资料孕妇，２５岁，孕２６w。常规产前B超检查示：宫腔内见一胎儿，双顶径６．８cm、头颅光环完整、脊柱连续性好，胎心博动规律，腹壁完整，胎儿右肾３６mm×２８mm，左肾５８mm×３２mm，双肾体积增大（图１），右肾实质内见多个直径２～３mm的圆形暗区，暗区间正常肾实质回声增强（图２）；左肾实质内见多个直径８～１５mm的圆形暗区，找不到正常肾实质回声，囊肿之间互不相通（图３）。胎盘附于子宫左侧壁，羊水最大厚度６９mm。２结果B超诊断：（１）宫内中孕，单活胎；（２）胎儿双侧多囊肾？两周后复查B超，胎儿肾脏无明显变…     

B超诊断肾母细胞瘤

本文报告经B超诊断、手术病理证实的10例肾母细胞瘤.1 资料与方法本组男6例,女4例.年龄2～5岁,平均3.4     

B超诊断宫颈妊娠1例

病人,2 6岁,剖腹产术后6个月,夜间突发性,一次性阴道流血,量较多,伴轻度腹痛。缓解后无流血症状,次日又突发性阴道流血1次。遂来我站检查,自述为产后首次月经来潮,憋尿后做B超检查,B超声像显示为:子宫体大小形态正常,约6 7cm×5 8cm×5 2cm ,肌层回声均质,子宫内膜回声增强,明显增厚约2 4cm。子宫颈部增大,可见妊娠囊回声,约1 2cm×1 1cm ,囊内似见胎芽,无明显胎心搏动。因宫颈妊娠为罕见病例,为排除宫颈部那氏腺囊肿,遂为患者做尿妊娠试验,结果为HCG (+) ;结合患者症状和HCG(+) ,B超诊断为宫颈妊娠。经住院流产后病理验证,确为宫…     

延迟性脾破裂1例的B超诊断体会

1临床资料 患者，男，63岁．因被汽车撞倒，以右，以右前额摔伤半小时入院。查体；体温36℃，脉搏80次/分、呼吸18次／分、血压24/13kPa。患者神清，步入病房，痛苦面容，右额有5cm长皮肤裂伤，深达骨膜，缝合5针无骨接感。胸部未见异常。腹平坦，无肌紧张，无压痛，无包块，肝脾肋下未扪及，无移动性浊音．肠鸣正常。临床诊断：①右额软组织挫裂伤；②颅内脑挫伤待排除。     

B超诊断胎儿唇裂1例

孕妇30岁，孕2产1。自述2年前曾顺产一足月唇裂男婴。此次孕30W，要求超声检查。B超检查见：胎儿头位，双顶径8．7cm，胎心140次／min，节律整齐，脊柱连续完整，胎儿腹腔脏器未见异常。胎儿左侧上唇连续线中断，约0．8cm，深度达鼻翼(图1)。胎盘附于前壁，羊水最深处4．5cm。超声提示：     

肾肿瘤的B超诊断与鉴别

肾肿瘤的Ｂ超诊断与鉴别江怡肾肿瘤恶性居多，约占９０％以上１１‘１。早期诊治对予后有决定性意义。本文报告４４例肾肿瘤声象图表现，就肾肿瘤的早期诊断与鉴别谈谈我们的体会。报告如下：１资料与方法本组４４例，男２０例，女２４例，最大年龄７２岁，最小年龄３岁，...     

B超诊断腹腔妊娠1例

患者 女，26岁。因停经5个月，下腹痛3个月，加重伴阴道流血5天入院。     

B超诊断宫颈妊娠1例

患者,女,岁。2003年7月29日因停经58d,腹痛伴31阴道流血3d而入院。超所见:膀胱充盈良好,子宫前位,宫B体大小5.2cm×4.2cm×3.6cm,表面光滑,肌层回声均匀。宫腔未见异常回声,宫颈厚3.5cm,颈管内可见1.0cm×0.6cm大小妊娠囊,隐约可见胚芽,但未见原始心博(见图1)。双附件未见异常。子宫直肠窝未见液性暗区。提示:宫颈妊娠。妇科检查,已婚外阴,阴道通畅,宫颈光滑,颈管增粗。子宫前位,大小正常,双附件未触及异常。化验尿HCG弱阳性,血HCG908MIU/ml。入院后给予抗炎、止血、对症治疗。阴道流血有所减少。因患者拒绝手术及局部化疗药MTX治疗,…     

B超诊断肾透明细胞癌1例

1　临床资料　患者 ,女 ,5 4岁 ,因阴道不规则出血 ,Ｂ超诊断“子宫肌瘤”入院治疗。入院后临床查体 :腹部平坦 ,软 ,左肋下三指可触及包块 ,上界不清 ,质硬 ,无压痛。血、尿常规化验检查无异常发现。怀疑“脾肿大”申请Ｂ超检查。Ｂ超见 :脾正常大小 ,内回声无异常。而左肾明显增大 (16 .0ｃｍ× 9.5ｃｍ) ,失去正常的肾形态 ,内无正常的肾集合系统回声 ,取而代之的为 9.1ｃｍ× 6 .4ｃｍ实质性肿物 ,呈椭圆型。肿物周边尚清晰 ,似有包膜 ,内回声不均匀并有三个不规则小低回声暗区。右肾未见异常。Ｂ超诊断 :左肾实质性肿物 (恶性可能 )。…     

Hydrometrocolpos: diagnosis and follow-up by ultrasound--a case report

Hydrometrocolpos is accumulation of secretions in the vagina and uterus, caused by excessive intrauterine stimulation of the infant's cervical mucous glands by maternal oestrogen in the presence of an intact hymen (Wilson et al 1978). Hydrocolpos is dilatation of the vagina proximal to a congenital obstruction. If the uterus is also dilated, the condition is called hydrometrocolpos. Most cases of hydrocolpos are associated with an imperforate hymen that forms a thin bulging membrane between the labia. Though many cases of hydrometrocolpos have been reported in literature, there is no case report which shows classical ultrasound findings and follow up ultrasound scans to show the involuted uterus. We are presenting a case report whose diagnosis was established on ultrasound. This case highlights the value of ultrasound in diagnosing this condition and excluding other associated renal anomalies.     

B超诊断附睾囊肿1例

患者,男,22岁。2005年12月20日因左侧睾丸胀痛1年,长途骑自行车后加重3 d就诊。患者否认结核病史。有遗精史,每月一次。查体:左侧阴囊部略肿大,轻触痛。应用美国通用GE-200E B型超声诊断仪检查患者,分别取仰卧位与立位,充分暴露阴囊,用胶布将阴茎固定在腹部皮肤上,用卫生纸垫高     

Pitfalls in the diagnosis of neuroblastoma by 99mTc-MDP scintigraphy: A case report

A routine bone scan was performed on an infant presenting with abdominal mass. Initially, the stasis of activity in the right ureter, which was compressed by a large abdominal meningocoele, was mistaken for activity in a neuroblastoma. A subsequent kidney scintigram led to the correct interpretation. The misinterpretation of abdominal ^99mTc-MDP accumulation can be prevented by the correlation of bone and kidney scintigrams. In this way, the correct site of the radiopharmaceutical concentration can be assessed, and the damage caused by any kind of abdominal mass to the compressed urinary tract and kidney can be assessed.     

Delayed diagnosis of isolated alar ligament rupture: A case report

Ligament disruptions at the craniovertebral junction are typically associated with atlantoaxial rotatory dislocation during upper cervical spine injuries and require external orthoses or surgical stabilization. Only in few patients isolated ruptures of the alar ligament have been reported. Here we present a further case, in which the diagnosis was initially obscured by a misleading clinical symptomatology but finally established six month following the trauma, demonstrating the value of contrast-enhanced high resolution 3 Tesla magnetic resonance imaging in identifying this particular lesion.     

痛风性关节炎的X线诊断

目的:探讨痛风性关节炎的X线特征。方法:回顾性分析28例确诊为痛风性关节炎患者的临床和X线资料。结果:痛风性关节炎多见于成年男性。常侵犯手、足小关节,其中以第1跖趾关节最为好发。早期X线常无阳性表现,中晚期可见典型X线表现:①位于关节边缘骨端的穿凿样骨质破坏;②)继发性退行性骨关节病;③软组织偏心性肿胀和痛风结节的形成。结论:痛风性关节炎的X线表现有一定的特征性,早期诊断须密切结合临床。     

Methamphetamine-induced profound rhabdomyolysis and myoglobin cast nephropathy: A case report and a literature review

A 46-year-old male with a history of substance abuse was found dead in custody 30 hours post incarceration for a minor offense. The scene demonstrates the body lying in a prone position in the cell room, locked from the outside. No signs of violence were found at the scene. External examination revealed no significant injuries, except for multiple minor contusions and abrasions. The autopsy demonstrated only a moderate degree of bilateral pulmonary edema. No internal injuries were found, except for fractures in the three lower left ribs.Dark reddish-brown urine was detected in the urinary bladder. Histological examination revealed a diffuse tubular injury with intraluminal eosinophilic granular casts. The myoglobin cast demonstrated pale PAS staining with a granular appearance, Masson Trichrome staining demonstrated fuschinophilic deposits on the casts, and immunoperoxidase staining for myoglobin was strongly positive in the casts (the images will be displayed). Blood myoglobin and creatine kinase levels were elevated. These findings revealed profound rhabdomyolysis caused by several factors. Blood toxicology tests revealed lethal methamphetamine and amphetamine levels. All the findings were consistent with methamphetamine-induced severe rhabdomyolysis. Therefore, forensic pathologists should carefully search for gross and histological findings and conduct thorough laboratory investigations to diagnose this condition for complete medicolegal examination.     

Prenatal diagnosis of zellweger syndrome by fetal MRI: a case report

Zellweger Syndrome (ZS) is a rare peroxisomal disorder also referred to as cerebrohepatorenal syndrome. ZS is an autosomal recessive disease often manifesting in the neonatal period with profound dysfunction of the central nervous system, liver and kidneys. Prenatal diagnosis of this syndrome is infrequent with imaging findings on fetal MRI rarely illustrated in the literature. This case highlights the pivotal role fetal MRI can play in identifying subtle features of the disease that are difficult to visualize on prenatal ultrasound. It is important for pediatric radiologists to be familiar with the most common imaging features of ZS on fetal MRI to expedite the diagnosis and help facilitate appropriate prenatal counseling.     

自发性气腹CT诊断1例

本文报道因交通事故致多发伤,以胸部钝性伤和颅脑损伤为主,经气管切开,持续呼吸机辅助呼吸后出现自发性气腹1例,并结合文献讨论了自发性气腹发生原因以及影像学诊断.     

超声诊断Mirizzi综合征1例

患者男,59岁。尿黄20天,皮肤及巩膜黄染10天。外院彩超检查发现胆囊结石,但无明显腹痛及腹胀等不适症状,应用头孢菌素对症抗炎治疗1周后,无明显好转。查体：生命体征正常,皮肤及巩膜黄染明显。