Catastrophic haemoptysis during rigid bronchoscopy: a discussion of treatment options to salvage patients during catastrophic haemoptysis at rigid bronchoscopy.

Objective: We report a negative experience of fatal haemorrhage during rigid bronchoscopy when an intrabronchial lesion was biopsied. Despite being prepared for and carrying out emergency sternotomy and clamping the lung hilum, the patient died.

Methods: We reviewed mainly non-surgical literature for recommendations for the management of catastrophic bleeding at bronchoscopy.

Urgent contrast enhanced computed tomography in the diagnosis of acute bowel infarction.

Bowel infarction commonly presents as an acute abdomen that rapidly progresses to severe shock. The diagnosis is often not clinically suspected. Three cases are described where the diagnosis was made during dynamic contrast enhanced computed tomography (CT), when gas was demonstrated in the portal venous system and liver.

The sonographic appearance of acute focal pyelonephritis 8 years experience.

Aim: Acute focal pyelonephritis (AFP) is a variant of pyelonephritis in which single or multiple discrete areas show changes of inflammation. The reported sonographic appearances of AFP are varied but are typically described as being echopoor. The purpose of this study was to review the sonographic appearances of AFP and attempt to explain the range of findings by correlation with clinical details.

CT appearances of HIV-related lipodystrophy syndrome.

Highly active antiretroviral therapy in HIV-1 infected patients is associated with a lipodystrophy syndrome, characterized by wasting of peripheral fat, central adiposity, hyperlipidaemia and insulin resistance. The CT findings are presented and the differential diagnosis is discussed.

Incisional hernia: an unusual cause of acute pain and swelling following renal transplant.

We present a case in which a strangulated incisional hernia following a renal transplant was sonographically diagnosed. The patient presented with acute pain and swelling over the transplant site 6 weeks after surgery. Sonograms showed a normal-sized kidney with normal echotexture, no evidence of hydronephrosis, and no perinephric collections.

Bladder diverticulum simulating a pelvic metastasis on a Tc-99m HDP bone scan.

Carcinoma of the prostate was diagnosed in a 74-year-old man. A Tc-99m HDP bone scan was performed as part of the initial staging process. The findings on the bone scan were normal except for an area of increased tracer uptake projected over the left sacroiliac joint, which was seen best on the anterior view.

Pain after small bowel meal and pneumocolon: a randomized controlled trial of carbon dioxide versus air insufflation.

Aim: To determine whether the use of CO2 rather than air insufflation results in less pain and/or distension in patients undergoing small bowel meal (SBM) and pneumocolon (PC).

Materials And Methods: One hundred patients for SBM and PC were randomized to receive either air or carbon dioxide (CO2) as the insufflating gas. Both the patient and radiologist were blinded to the gas being used.