Gray scale features of hematomas: an ultrasonic spectrum

arly treatment improves the long-term prognosis and reduced the need for operation in children with cellulitis. Although markers of acute phase reactants such as leukocyte count, erythrocyte sedimentation rate, and serum CRP level could be sensitive markers in monitoring the course of cellulitis and the response to therapy, 1 usually they are not specific. Previous reports regarding ultrasonography had shown the diagnostic capability of evaluating the hematoma or inflammation of soft tissues by the demonstration of subcutaneous tissue. [1][2][3][4] In the present study, we evaluated 105 children with suspected cellulitis by ultrasonography. The diagnostic efficacy of this imaging method was investigated, and the sonographic features of cellulitis were correlated with clinical symptoms and laboratory parameters. The therapeutic effect was also compared for sonographically guided aspiration therapy and surgical drainage for cellulitis with pus or abscess.

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Sonographic evaluation of cellulitis in children.

Chao

Lin

Huang

et al. 2000

“…The variable appearance of the thrombus with time has been well recognized but continues to pose problems in the sonographic detection of venous thrombi. [10][11][12] In an attempt to augment the usefulness of real· time ultrasonography in the diagnosis of DVT, we have devised a technique whereby the veins are manually compressed with the aid of the transducer probe. 4 This technique is based on the premise that total obliteration of the vein lumen by external pressure should not be possible in the presence of an intraluminal thrombus ( fig.…”

mentioning

confidence: 99%

Deep venous thrombosis: detection by probe compression of veins.

Raghavendra

Horii

Hilton

et al. 1986

113

The sonographic detection of echogenic, soft‐tissue mass within the veins of the lower extremities assures the diagnosis of deep venous thrombosis (DVT). However, the sonographic diagnosis remains inconclusive when fresh thrombus and/or artifacts are present within the lumen of the vein. The present study attempts to augment the clinical utility of real‐time sonography in the detection of DVT, based on the premise that total obliteration of the vein lumen by probe compression should not be possible in the presence of venous thrombi. Sonography and contrast venography of the lower extremity were performed in 20 patients with clinical suspicion of DVT. The presence of thrombi was confirmed in 14 patients. Probe compression failed to obliterate the lumen of the veins containing thrombi. The authors conclude that the technique of probe compression is useful for rapid and noninvasive detection of venous thrombi.

“…17,18 They may appear in the subcutaneous, intramuscular, and preperitoneal planes. Most hematomas are hypoechoic or of mixed echogenicity, although echogenicity varies.…”

Section: Hematomasmentioning

confidence: 99%

Abdominal Wall Hernia Mesh Repair

Jamadar

Jacobson

Girish

et al. 2008

Objective. The purposes of this study were (1) to review the sonographic in vitro and in vivo appearances of mesh for surgical repair of abdominal wall hernias, (2) to describe sonographic techniques and discuss the limitations of sonography in evaluation of mesh hernia repair, and (3) to illustrate common complications after mesh repair shown with sonography. Methods. We identified interesting cases from the musculoskeletal sonographic database as well as from the teaching files of the authors, with surgical or other cross-sectional imaging corroboration. Results. A compilation of the sonographic appearances of mesh used for anterior abdominal wall and inguinal hernia repair and complications diagnosable by sonography is presented. Conclusions. Sonography can be effective for evaluation of mesh and complications after mesh repair of anterior abdominal wall and inguinal hernias.