A patient underwent surgery for peritonitis some time ago. Preoperative CT revealed hypodense lesions in the liver and right adrenal gland. Abdominal ultrasonography:
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Showing: 56 RESULTS
Abdominal ultrasound
156. Complicated pleural effusion
A 45-year-old woman with a history of type-II diabetes (peroral antidiabetics) underwent surgery for splenic abscess. Splenectomy was performed without any complication. The patient was transferred to the standard ward after surgery. Histology confirmed abscess; however, infected intraparenchymal haematoma could not be excluded. Cultivation revealed Propionibacter avidum (typical skin flora commensal). The patient reported therapy …
155. Sepsis and ARDS
An 82-year-old patient underwent elective surgery (right hemicolectomy) due to the adenocarcinoma of the ascending colon. On the 5th day, the patient vomited intestinal content. She was admitted to the ICU for respiratory insufficiency several hours later. The patient had to be intubated (after short non-invasive ventilation). Shock developed during mechanical ventilation and levels of …
154. Abscess in the spleen
Ultrasonography of a patient in sepsis. Septic focus is suspected to be localised in the abdominal cavity. A patient underwent right-sided hemicolectomy one week ago. She had to be intubated due to the development of sepsis and MODS. She received mechanical ventilation. A nasogastric tube was inserted. Let´s suppose you just finished echocardiography (the patient …
153. Right-sided volume overload and effusion
Pericardial effusion is usually revealed with use of subcostal scanning plane. The fluid is usually localised dorsally and caudally due to gravitational force. Pericardial effusion often mounts on diaphragm and liver in a patient in the semi-sitting position. It may be challenging to visualise central fibrous part of the diaphragm since it is thin at …
152. Abdominal pain after pacemaker implantation
An 80-year-old patient came to an emergency for repeated syncopes (three times last week, she had not searched for medical help before). Significant bradycardia of 28 bpm was revealed. ECG showed junctional rhythm in the terrain of sinus arrest. Lab tests revealed slight elevation of leucocytes (12 900 with 59% of neutrophils), CRP 52 mg/l, creatinine …
151. Abdominal bloating after the surgery for ileus
A 64-year-old patient underwent surgery for acute perforated appendicitis. Ileocaecal resection was performed and primary anastomosis was established. Vomiting appeared on day seven after surgery. Ileus was diagnosed and the patient underwent surgical revision. Laparotomy, multiple adhesions and fibrinous coatings of peritoneum were found. No signs of dehiscence of anastomosis were found, adhesiolysis was performed. …
150. Haematuria after the urinary catheter insertion
A patient underwent insertion of urinary catheter right before surgery for monitoring diuresis during operation. However, diuresis was minimal during surgery. Moreover, haematuria (without the formation of coagula) appeared. Is the catheter inserted properly? Is a urinary bladder empty or full of coagula? Is the whole amount of urine evacuated via a catheter, or …
149. Empty inferior vena cava
Examination of inferior vena cava is useful in conditions with borderline intravascular amount of fluid – either significant deficit or excess. Proper detection of inferior vena cava may be difficult in case of its collapse. It can often be mixed up with aorta, which would result in a completely wrong assessment of the fluid amount. …
147. Abdomen after the surgery
An 82-year-old patient underwent surgery for intestinal ischemia (superior mesenteric artery). Resection of part of ileum was performed, both ends were closed (not connected to each other). Surgical revision was necessary for diffuse bleeding into the abdominal cavity on day 1. After two more days, end-to-end anastomosis was established. On day 7 (after re-anastomosis) the …