The incidence of testicular rupture by blunt trauma has been considered rare. But if testicular rupture has developed, the diagnosis of which is difficult. In the 50 cases of scrotal trauma patients, we investigated in the frequency of testicular rupture and early exploration in comparison with delayed exploration. Then the incidence of testicular rupture was in 46.1% of the cases of exploration, and early exploration of for scrotal trauma has resulted in higher testicular salvage rate than delayed exploration.
Diagnosis ; Humans ; Incidence ; Rupture*

The incidence of testicular rupture by blunt trauma has been considered rare. But if testicular rupture has developed, the diagnosis of which is difficult. In the 50 cases of scrotal trauma patients, we investigated in the frequency of testicular rupture and early exploration in comparison with delayed exploration. Then the incidence of testicular rupture was in 46.1% of the cases of exploration, and early exploration of for scrotal trauma has resulted in higher testicular salvage rate than delayed exploration.
Diagnosis ; Humans ; Incidence ; Rupture*

The intradural lumbar disc herniation which was first described by Dandy in 1942 is unusual. The pathogenesis is obscure and preoperative diagnosis is not easy. The patient usually have more severe neurologic deficits than those found in the much more common extradural disc herniations. We experienced two cases of the intradural lumbar disc herniation who had previous disc operations and the symptoms and neurologic signs were improved after removal of the intradural sequestration of disc fragments.
Diagnosis ; Humans ; Neurologic Manifestations ; Rupture*

Rupture of adrenal tumor from various primary origins is a rather rare event. We report here on a ruptured adrenal metastasis from hepatocellular carcinoma, and this ruptured metastasis was observed at the time of the initial diagnosis.
Carcinoma, Hepatocellular* ; Diagnosis ; Neoplasm Metastasis* ; Rupture ; Rupture, Spontaneous*

Rupture of the interventricular septum is a serious complication of acute myocardial infarction, accounting for 5% of death due to acute myocardial infarction. The mortality with medical therapy alone exceeds 90%. Accurate diagnosis, urgent management, and early operative correction are necessary for survival. We report cases of 3 patients with ventricular septal rupture after acute myocardial infarction.
Diagnosis ; Humans ; Mortality ; Myocardial Infarction* ; Rupture ; Ventricular Septal Rupture*

A 14-yr-old male presented with a hemoperitoneum caused by a spontaneous rupture of a primary splenic cyst. The laparotomy showed a ruptured spleen at the lower pole from one of the multiple cyst-like lesions, measuring approximately 2 cm in diameter. After the splenectomy, a microscopic examination confirmed the diagnosis of a primary splenic cyst lined with a mature, well-differentiated squamous epithelium. A hemoperitoneum caused by a spontaneous rupture of a primary splenic cyst is a rare but potentially lethal complication, because most patients with a splenic rupture present with some degree of hypovolemia.
Diagnosis ; Epithelium ; Hemoperitoneum* ; Humans ; Hypovolemia ; Laparotomy ; Male ; Rupture ; Rupture, Spontaneous* ; Spleen ; Splenectomy ; Splenic Rupture

The clinical observations were made on 66 patients of renal injuries during the period from 1985 to 1991) The results were as follows: I. The renal injuries were classified as contusion, laceration, rupture, pedicle injury according to Cass and Luxenberg`s classification. The patient numbers of each group were 42 (63.6%), 11 (16.3%).11 (16.3%) and 2 (3%). 2. The sonography was useful by complementary diagnostic tool of excretory urography in major renal injuries. 3. The computerized tomography was useful in diagnosing combined injuries and detecting injuries which were not detected in excretory pyelography. 4. The treatment of many. major renal injuries could be done conservatively with detailed and accurate diagnosis using computerized tomography.
Classification ; Contusions ; Diagnosis ; Humans ; Lacerations ; Rupture ; Urography

With the increasing age of the population, abdominal aneurysms are increasing in frequency, especially in the old age. At present, surgical excision is recommended for all abdominal aneurysm as soon as possible after the diagnosis has been made because of its high incidence of rupture, a fatal complication. Authors had experienced 3 cases of ruptured abdominal aortic anurysm with a succesfully surgical repaire in intraduodenal ruptur of abdominal aortic aneurysm is Surgical Department, St. Mary's Hosp. Leterature was briefly reviewed.
Aneurysm ; Aortic Aneurysm, Abdominal* ; Diagnosis ; Incidence ; Rupture

The use of ultrasound for evaluation of blunt testicular injury allows contusion to be differentiated from rupture, and some authors advocate reserving surgical management for testicular rupture. We reviewed 22 operated cases of blunt scrotal trauma, 10 cases of them were evaluated with ultrasound preoperatively. In 8 of 10 cases, the tunica albuginea rupture was correctly diagnosed by ultrasonography but there were one false-positive and one false-negative diagnosis of rupture. Without preoperative ultrasound diagnosis, 12 cases were explorated because of suspicious testicular rupture only by physical examination. Three cases of them had intact tunica albuginea. These results suggest that the ultrasound diagnosis of blunt scrotal trauma is not sufficiently accurate to eliminate is highly sccurate, readily available.
Contusions ; Diagnosis* ; Physical Examination ; Rupture ; Testis ; Ultrasonography*

CA-125 is an antigenic determinant expressed by more than 80% epithelial ovarian cancer. Although developed for use in the diagnosis and monitoring of epithelial ovarian cancer, elevations of CA-125 concentrations can also be associated with some normal physiologic conditions, various other malignancies and benign conditions. Adnexal cysts are frequently encountered during the reproductive years. 10 to 35% of benign cystic adnexal masses may be an endometrioma. Because endometriomas are not likely to resolve spontaneously, and may enlarge or rupture during period of observation, a test to detect an endometrioma would assist in the evaluation and management of adnexal cysts. Serum CA-125 concentration is seldom >100 U/ml in endometriosis. We reported a patient with endometrioma presenting with a very high CA-125 concentration, which may confuse diagnosis with ovarian cancer.
Diagnosis ; Endometriosis* ; Female ; Humans ; Ovarian Neoplasms ; Rupture