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By Yong-Whee Bahk

ISBN-10: 3540228802

ISBN-13: 9783540228806

The 3rd version of mixed Scintigraphic and Radiographic prognosis of Bone and Joint ailments has been comprehensively rewritten and rearranged. It now encompasses, as well as the bone and joint illnesses defined within the previous versions, hitherto unpublished novel functions of pinhole scanning to the analysis of a broader spectrum of skeletal problems than ever sooner than, together with these of the tender tissues. a great number of cutting-edge scans and corroboratory radiograms bought utilizing CT, MRI and/or sonography are awarded part by means of part. The ebook has been significantly extended to debate 5 new topics: general versions and Artifacts, Drug-Induced Osteoporosis, Soft-Tissue Tumors and Tumor-like stipulations, PET/CT in Bone and Joint illnesses and A Genetic attention of Skeletal problems. Topical chapters on rheumatic skeletal issues, malignant tumors of bone, benign tumors of bone and nerve-racking illnesses have additionally been completely rewritten and are complemented by way of the addition of a few ninety lately obtained cases.

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77 C A S E 14 A Bad Result from a Successful Operation for a Polyp in the Sigmoid Colon Male, 54 Years History The patient presented with a 3-year history of rectal bleeding and “explosive” diarrhea. Flexible sigmoidoscopy revealed a large polyp at 22 cm and 4 small polyps at lower levels. Colonoscopy identified 4 small polyps between the large lesion and the splenic eflxure. 90) With an operating sigmoidoscope and snare, the polyp was removed “piecemeal” until a “clean” mucosal defect was obtained with no visible residual polyp.

1). This was diagnosed as a mucocele of the appendix by the colonoscopist. 2). 97) The findings at operation confirmed the diagnosis. The proximal appendix was significantly dilated and continuous with a palpable intracecal swelling. The distal half of the appendix was pale, reduced in caliber, and firm in consistency, suggesting fibrosis. There was no evidence of malignancy or other intra-abdominal abnormality. A limited right hemicolectomy was performed in preference to a local excision, since an occult cystadenocarcinoma could not be excluded.

The cerebral tumor may have been coincidental, a metastasis, or another extra colonic manifestation of FAP syndrome. Kropilak et al have reported 13 patients with brain tumors and a family history of FAP. Six of the patients had documented FAP. 2 Diagram 19 Posterior aspect 43 C A S E 20 Ileorectal Anastomosis for FAP: Rectal Cancer Female 35, Years History In July 1970 the patient underwent colectomy and ileorectal anastomosis for the treatment of familial adenomatous polyposis (FAP). At follow up, villous adenomata had been removed by diathermy snare on 10 occasions.

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Colorectal Surgery by Yong-Whee Bahk

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