Retroperitoneum Dotaz Zobrazit nápovědu
Hybrid imaging using various radiopharmaceuticals is currently essential not only in detection and therapy response monitoring of tumors, but also in assessment of inflammatory or systemic diseases. Combination of positron emission tomography (PET) and magnetic resonance imaging (MRI) is still relatively new method with great prospects of comprehensive assessment using anatomical and multiple functional information. However, benefits of PET/MRI in thorax, abdomen and retroperitoneum are not completely defined. Breathing movements affect imaging of thoracic, abdominal and retroperitoneal organs and pathological structures using PET and MRI. Fast MRI sequences are performed using breath-hold technique; however, acquisition of longer sequences and PET scanning need to be breathing-synchronized. Review article summarizes concrete PET/MRI protocols and importance of concrete MRI sequences and radiopharmaceuticals in different pathological lesions with focus on benefit of breathing-synchronized techniques.
- Klíčová slova
- Hybrid imaging, Oncologic imaging, PET/MRI,
- MeSH
- břicho diagnostické zobrazování MeSH
- dýchání * MeSH
- hrudník diagnostické zobrazování MeSH
- lidé MeSH
- magnetická rezonanční tomografie metody MeSH
- multimodální zobrazování metody MeSH
- pozitronová emisní tomografie metody MeSH
- retroperitoneální prostor diagnostické zobrazování MeSH
- zadržování dechu MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Klíčová slova
- LIPOSARCOMA/case reports *, RETROPERITONEAL SPACE/neoplasms *,
- MeSH
- chorobopisy * MeSH
- lidé MeSH
- liposarkom * MeSH
- nádory * MeSH
- retroperitoneální prostor * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- MeSH
- lidé MeSH
- lymfadenektomie metody MeSH
- retroperitoneální prostor MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
The authors give an account of the application of USG as the primary examination method of the kidneys and retroperitoneum based on the examination of 2330 patients aged 15-93 years. A positive USG finding was recorded in 44%. A urological case-history was recorded in 81.5% of the patients. Patients in the 6th decade were affected most frequently. Cystic changes were found in 15.1%, chronic inflammatory changes in 11.24%. Tumours of the kidneys were present in 4.3% patients. The examination was unsuccessful in 5.1%, whereby it supported in 66% the negative urological finding. Ultrasonography is recommended as the method of first choice in patients with urological symptomatology after the basic clinical and laboratory examination.
- MeSH
- dospělí MeSH
- ledviny diagnostické zobrazování MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- retroperitoneální prostor diagnostické zobrazování MeSH
- retrospektivní studie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ultrasonografie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
A case report of a female patient with pathological liquid collection in the retroperitoneum with chronic and recurrent pain in the epigastric region and dyspepsia. After a safe laparoscopic approach and removal of a cystic tumour, the finding was histologically described as lymphangioma.
METHODS: We have reviewed recent as well as older literature with the intention of compiling a summary report on hamartomas of the abdominal cavity and retroperitoneum. INTRODUCTION: Hamartoma of the abdominal cavity and retroperitoneum is a rare condition which has received relatively little attention. RESULTS: The most commonly affected organs are the liver, spleen, digestive tract, pancreas and kidneys. By its nature, hamartoma is a benign lesion with a good prognosis. However, neoplastic transformation may occur and hamartomas need to be regarded as potentially malignant. Patients are very often asymptomatic. Signs and symptoms depend on the organ involved and are caused, to different degrees, by obstruction, surrounding tissue compression, rupture or tumor bleeding. In imaging diagnostics, it is usually not possible to safely distinguish between a hamartoma and a malignant lesion. Therefore, the patient is preferably indicated for surgery (or endoscopic removal) for the purpose of histological verification and definitive treatment. CONCLUSION: Hamartomas of the abdominal cavity and retroperitoneum are relatively rare, benign and often asymptomatic diseases which, however, may manifest as compression, obstruction, perforation, bleeding or even malignant transformation. The recent case report of splenic hamartoma presented at the end of this review proves that surgical management is often the only rational option to obtain definitive confirmation of the diagnosis.Key words: splenic hamartoma hamartoma of the liver hamartoma of the pancreas hamartomatous polyps of the colon multiple hamartoma syndrome.
- MeSH
- břišní dutina MeSH
- hamartom * diagnóza chirurgie MeSH
- lidé MeSH
- nemoci sleziny * diagnóza chirurgie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- přehledy MeSH
Two statistically irrelevant case histories of abdominal dissemination of malignant neuroblastoma with the retroperitoneum confirm the preference of an active surgical approach even in onstensible hopeless malignant disseminations of unknown origin. Via the achievement of extensive cytoreduction, the terrain become ready for subsequent complex therapy, with the possibility of Sugarbaker's operation (peritonectomia) with hypertermic intraperitoneal intraoperative chemotherapy.
- MeSH
- dospělí MeSH
- lidé MeSH
- nádory břicha sekundární chirurgie MeSH
- neuroblastom sekundární chirurgie MeSH
- retroperitoneální nádory patologie chirurgie MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- kazuistiky MeSH
Retroperitoneal abscess after abdominal and retroperitoneal surgery is a relatively rare but serious complication that most often occurs as a result of a healing disorder in the postoperative period. The incidence is not high, in the literature the cases are mostly reported as case reports with a serious clinical course, high morbidity and mortality. The most important factor of effective treatment, after successful diagnosis by CT examination is rapid evacuation of the abscess and retroperitoneal drainage, in which mini-invasive surgical or radiological drainage dominate as methods of choice. Surgical drainage, burdened by higher morbidity and mortality is considered the last resort after failure of mini-invasive methods. In our case report, we present a case of retroperitoneal abscess, arising as a complication after gastric resection, which was evacuated and drained primarily surgically due to unsuitability for radiological intervention.
- Klíčová slova
- abscess, retroperitoneum, surgical drainage,
- MeSH
- absces MeSH
- břišní absces * diagnóza etiologie chirurgie MeSH
- drenáž škodlivé účinky MeSH
- lidé MeSH
- nemoci peritonea * MeSH
- retroperitoneální prostor chirurgie MeSH
- senioři MeSH
- žaludek MeSH
- Check Tag
- lidé MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- MeSH
- cysty patologie chirurgie MeSH
- lidé MeSH
- mezoteliom patologie chirurgie MeSH
- retroperitoneální nádory * patologie chirurgie MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- kazuistiky MeSH
