Spontaneous renal rupture with diversion of blood into the subcapsular and/or perinephric spaces in a patient on chronic hemodialysis is a rare clinical entity. The underlying causes found by various authors were tumours, vascular diseases, inflammatory process and cysts. Rupture of renal cysts is another complication that can be life-threatening when it gives rise to subcapsular and/or perinephric hematomas. Screening has been recommended with ultrasound for hemodialysis patients of longer than 3years'duration. We are report a case of spontaneous renal rupture associated with right renal cyst in a patient receiving chronic hemodialysis.
Hematoma ; Humans ; Mass Screening ; Renal Dialysis* ; Rupture* ; Ultrasonography ; Vascular Diseases

Spontaneous renal rupture with diversion of blood into the subcapsular and/or perinephric spaces in a patient on chronic hemodialysis is a rare clinical entity. The underlying causes found by various authors were tumours, vascular diseases, inflammatory process and cysts. Rupture of renal cysts is another complication that can be life-threatening when it gives rise to subcapsular and/or perinephric hematomas. Screening has been recommended with ultrasound for hemodialysis patients of longer than 3years'duration. We are report a case of spontaneous renal rupture associated with right renal cyst in a patient receiving chronic hemodialysis.
Hematoma ; Humans ; Mass Screening ; Renal Dialysis* ; Rupture* ; Ultrasonography ; Vascular Diseases

Diabetes mellitus (DM) can accompany many musculoskeletal (MSK) diseases. It is difficult to distinguish the DM-related MSK diseases based on clinical symptoms alone. Sonography is frequently used as a first imaging study for these MSK symptoms and is helpful to differentiate the various DM-related MSK diseases. This pictorial essay focuses on sonographic findings of various MSK diseases that can occur in diabetic patients.
Adult ; Cellulitis/ultrasonography ; Diabetes Mellitus, Type 2/*complications ; Diabetic Neuropathies/ultrasonography ; Female ; Humans ; Male ; Musculoskeletal Diseases/complications/*diagnosis/ultrasonography ; Pyomyositis/microbiology/ultrasonography ; Tenosynovitis/microbiology/ultrasonography ; Vascular Diseases/ultrasonography

No abstract available.
Animals ; Chronic Disease ; Endothelium, Vascular/*ultrasonography ; Human ; Liver/*blood supply ; Liver Diseases/*pathology ; Microcirculation/ultrasonography ; Rats

Rectus sheath hematoma is an uncommon entity of the anterior abdominal wall and an unusual cause of painful abdominal mass. Rectus sheath hematoma have been in association with trauma, infections, debilitating disease, collagen vascular disease, pregnancy. and the puerperium. Sudden disruption of a deep epigastric vessel may result in an abdominal wall hematoma, which depending upon its location and size, can produce symptoms and clinical findings compatible with a variety of acute intra-abdominal conditions. Such hematoma are infrequently encountered and early accurate diagnosis could prevent surgical intervention. Unfortunately, the clinical manifestations of rectus muscle hematoma are sometimes so dramatic that laparotomy is performed under the belief that intra-abdominal pathology is present. The diagnosis was confirmed at surgery in both patient. We present two cases of rectus sheath hematoma which were diagnosed by clinical & ultrasound examination preoperatively.
Abdominal Wall ; Collagen Diseases ; Diagnosis ; Hematoma* ; Humans ; Laparotomy ; Pathology ; Postpartum Period ; Pregnancy ; Ultrasonography ; Vascular Diseases

Contrast arteriography and phlebography remain the standard diagnostic techniques for evaluation of peripheral arterial and venous diseases. However, invasive angiographic techniques involve expense, time, discomfort, and potential risks to the patient which preclude their use as routine screening and followup procedures. In order to obtain accurate, objective information to complement the clinical diagnosis of peripheral vascular diseases, many noninvasive diagnostic techniques have recently become available to the clinican. Among these techniques, photoplethysmograph (PPG), strain gauge plethysmograph (SPG), and doppler ultrasound were adopted for our study. Fourty young volunteers were studied as a control group, and twenty peripheral vascular disease patients were studied as a patient group. We obtained average values of PPGa, blood flow, maximum PRT venous reflux folw (MVRF), maximum venous outflow (MVOF), pulse reappearance time (PRT), PRT/2 and pulsatility idex(PI) for control group. Results for patient group were analysed and compared with those of control group. 1. Normal PPGa wave has a steep upslope, a relatively narrow peak, and a dicrotic wave on the downslope which is concave toward the baseline. PPGa reflected skin blood flow sensitively than any other technique. 2. Average forearm blood flow by means of SPG was 5.7±2.0, and that of calf was 3.7±1.4ml/min/100cc tissue. MVOF of forearm was 32.9±10.4, and that of calf was 18.0±7.0ml/min/100cc tissue. Blood flow measurement was not useful for detection of arterial occlusive disease, but MV OF was useful for diagnosis of deep vein thrombosis. 3. PRT, PRT/2, over shooting reaction time by means of SPG have low diagnostic value and PI by means of doppler ultrasound was useful for localization of arterial narrowing or obstruction. 4. Noninvasive diagnostic techniques including PPG, SPG and doppler ultrasound are useful for screening and follow-up procedures in diagnosis of peripheral vascular disease. They are also valuable to supplement angiographic or physical findings.
Angiography ; Arterial Occlusive Diseases ; Complement System Proteins ; Diagnosis ; Follow-Up Studies ; Forearm ; Humans ; Mass Screening ; Peripheral Vascular Diseases ; Phlebography ; Reaction Time ; Skin ; Ultrasonography ; Vascular Diseases ; Venous Thrombosis ; Volunteers

No abstract available.
Aged ; Coronary Vessel Anomalies/radiography/*ultrasonography ; Female ; Humans ; Male ; Middle Aged ; Tomography, X-Ray Computed ; Ultrasonography, Interventional ; Vascular Diseases/*congenital/radiography/ultrasonography

PURPOSE: To evaluate the findings of carotid ultrasonography performed on patients with retinal vascular disease and to determine the risk of cardiovascular disease and association of retinal vascular disease and cardiovascular disease. METHODS: From December 2009 to May 2012, patients diagnosed with central retinal artery occlusion (CRAO, n = 18), central retinal vein occlusion (CRVO, n = 23), and branch retinal vein occlusion (BRVO, n = 68) underwent carotid ultrasonography. We evaluated the intima-media thickness (IMT) of the common carotid artery (CCA) and the internal carotid artery (ICA), stenosis and the number of plaques, and then compared these results with those of a healthy control group (n = 221). RESULTS: The mean CCA-IMT and ICA-IMT were significantly higher in the CRAO and BRVO groups compared with the control group. On the contralateral side, CCA-IMT was increased in the CRAO, BRVO, and CRVO groups and ICA-IMT was increased in the CRAO and BRVO groups compared with the control group. Contralateral CCA stenosis was higher in the CRVO group (9.1%) and ipsilateral ICA stenosis in CRAO group (21.7%) was significantly higher than that of the control group. Plaque was observed better in all groups compared with the control group. The proportion of patients risk for cardiovascular disease, i.e. those who had IMT thickenesses more than 1.0 mm, was higher in the CRAO and BRVO groups compared with the control group. CONCLUSIONS: The carotid ultrasound findings of patients with retinal vascular diseases showed increased IMT and plaque. The group of patient at risk for cardiovascular disease, which was defined with carotid artery IMT, was higher in patients with retinal vascular disease. Therefore, in patients with retinal vascular disease, carotid artery ultrasonography and the overall management and treatment of cardiovascular disease are necessary.
Cardiovascular Diseases ; Carotid Arteries ; Carotid Artery, Common ; Carotid Artery, Internal ; Constriction, Pathologic ; Ultrasonography ; Humans ; Retinal Artery Occlusion ; Retinal Vein ; Retinal Vein Occlusion ; Retinaldehyde* ; Ultrasonography* ; Vascular Diseases*

BACKGROUND: The extent of carotid atherosclerosis is a reliable predictor of systemic atherosclerosis, and pulse wave velocity (PWV), the best measure of arterial stiffness is a surrogate marker for atherosclerosis. However, the little data has been published examining the relationship between the carotid atherosclerosis and PWV in the elderly, and further research is needed to define the relationship precisely. METHODS: Two hundred twenty consecutive elderly patients(118 men, 102 women, 60~69 years old) who underwent coronary angiography for suspected coronary artery disease were evaluated the Framingham cardiovascular risk score, PWVs and the extent of carotid atherosclerosis by B-mode ultrasound. RESULTS: The heart-femoral(hf) or central PWV in PWVs showed significant positive correlation with the extent of carotid atheros- clerosis(r=0.194, p=0.004), and after controlling for the Framingham cardiovascular risk score the relations remained statistically significant(r=0.162, p=0.018). According to sex, women only showed statistically significant correlation. Subjects with advanced carotid atherosclerosis had significantly increased hfPWV(p=0.011). CONCLUSION: In the elderly, hfPWV, a index of central arterial stiffness provides a surrogate marker for carotid atherosclerosis which is a reliable predictor of systemic atherosclerosis.
Aged* ; Atherosclerosis ; Biomarkers ; Carotid Artery Diseases* ; Coronary Angiography ; Coronary Artery Disease ; Female ; Humans ; Male ; Pulse Wave Analysis ; Ultrasonography ; Vascular Stiffness*

There are many radiodiagnostic methods it renal diseases; intravenous pyelogram, retrograde pyelogram, antegrade pyelogram, nephrotomogram and renal angiogram. In recent years, ultrasonogram and computed axial tomogram were developed. They help for early detection and accurate diagnosis of renal disease Abdominal aortogram was described by dos Santos, a Portugese doctor in 1923. It was greatly advanced by Seldinger through his development of percutaneous method of transfemoral catheterization in 1956. Rentl arteriogram is a highly valuable diagnostic procedure. It appears clearly that selective angiography is a safe and excellent procedure for an early detection and accurate diagnosis of benign and maligtant disease In the past, selective renal angiography has been used mainly in diagnosis of surgical disease rather than those medical disease. But now, many information are available regarding the vascular disease, pyelonephritis, glomerulonephritis and renal tuberculosis, particularly with regard to changes in the small renal arteries And it supplied various information for anatomic vascular feature of donor kidney in renal transplantation. The intent of this report is to emphasize usefulness of this procedure in the diagnosis of certain lesion of kidney which was not clearly defined by conventional methods. Radiologic findings associated with conditions and presenting symptoms or signs were analyzed in 97 cases of renal angiogram, during the period of May 1972 to August 1978.
Angiography* ; Catheterization ; Catheters ; Diagnosis ; Glomerulonephritis ; Humans ; Kidney ; Kidney Transplantation ; Pyelonephritis ; Renal Artery ; Tissue Donors ; Tuberculosis, Renal ; Ultrasonography ; Vascular Diseases