An investigation was carried out of the diagnostic value of hepato-jugular reflux in patients with heart failure. The effect of abdominal compression on superior vena cava pressure was assessed in patients with and without heart failure. In four of the six patients without congestive cardiac failure, during compression, whether applied in the right hypochondrium or left iliac fossa, there was a...

Median arcuate ligament syndrome is an anatomic and clinical entity characterized by dynamic compression of the proximal celiac artery by the median arcuate ligament, which leads to postprandial epigastric pain, vomiting, and weight loss. These symptoms are usually nonspecific and are easily misdiagnosed as functional dyspepsia, peptic ulcer disease, or gastropathy. In this report, we presented...

DESCRIPTION Diagnosis of appendicitis during pregnancy can be challenging because of atypical clinical presentations such as abdominal pain, nausea and vomiting, which can also appear in normal pregnancy. According to the American College of Radiology appropriateness criteria, ultrasound of the right lower quadrant with graded compression is the most appropriate initial imaging test in suspecte...

1. Isselbacher EM. Thoracic and abdominal aortic aneurysms. Circulation. 2005;111:816-28. 2. Pyatt JR, Osula S, Mushahwar SS, Somauroo JD, Charles RG. Extrinsic compression of the left atrium: an unusual complication of a type B aortic dissection. Int J Cardiol. 2001;79:89-90. 3. Vicente T, Pascual D, Pinar E, García A, López J, Valdés M. Compresión extrínseca de aurícula izquierda como present...

A 74-year-old man with a left-ventricular assist device (LVAD) as destination therapy for end-stage ischemic cardiomyopathy presented with acute upper gastrointestinal bleeding. Other symptoms included chronic early satiety, intermittent nausea, and non-specific abdominal discomfort since LVAD implantation 3 years ago. An actively bleeding duodenal arteriovenous malformation was successfully tr...

Sclerosing mesenteritis is a rare, idiopatic, usually benign, inflammatory process of the mesenteric adipose tissue. The most common site of involvement is the small bowel mesentery. We present a case of sclerosing mesenteritis of the rectosigmoid colon as a cause of severe abdominal pain, abdominal obstruction, and ischemic colic mucosal lesions. Contrast enema, colonoscopy, angiography, and C...

This white paper describes vascular incidental findings found on CT and MRI of the abdomen and pelvis. Recommendations for management are included. This represents the second of 4 such papers from the ACR Incidental Findings Committee II, which used a consensus method based on repeated reviews and revisions and a collective review and interpretation of relevant literature. Topics include defini...

In a recent German multicenter study, 25% of the patients who suffered a witnessed cardiac arrest outside the hospital were resuscitated successfully and were discharged from the hospital. Approximately 100,000 people suffer a fatal cardiac arrest in Germany annually, which is about ten times more than deaths resulting from motor vehicle accidents. New devices and techniques for cardiopulmonary...