Percutaneous nephrostomy with real-time sonographic guidance.

Purpose: Percutaneous nephrostomy (PCN) is an effective method for achieving temporary drainage of the obstructed urinary system and is usually performed under fluoroscopic guidance alone or more commonly under combined sonographic and fluoroscopic guidance. We undertook a retrospective analysis of 273 PCNs performed solely under ultrasound (US) guidance with the aim of evaluating the technique and the safety and efficacy of the procedure.

Material And Methods: A total of 273 PCN procedures in 267 patients were performed under real-time US guidance using the Seldinger technique.

Endoscopic nasobiliary drainage in the management of acute cholangitis: an experience in 143 patients.

Acute cholangitis is associated with a high mortality and morbidity and often requires drainage of the obstructed biliary system. The purpose of this study was to evaluate the usefulness and safety of endoscopic nasobiliary drainage in the treatment and prevention of acute cholangitis due to diverse etiology. During a 32-month period, 143 patients (67 males, 76 females) with age range of 15 to 84 years underwent urgent fluoroscopy guided endoscopic nasobiliary drainage using a 7 Fr catheter either to treat acute cholangitis not responding to antibiotics (group A, n = 116) or to prevent its development following endoscopic retrograde cholangiography performed in an obstructed biliary system (group B, n = 27).

Carcinoid tumor presenting as acute abdomen due to hemoperitoneum.

A patient presenting with massive hemoperitoneum due to a large retroperitoneal carcinoid tumor is reported.