visitor # 1 since May 2003
JN : J Med Assoc Thai. 2006 Sep;89 Suppl 3:S161-8.
TI : Anatomic variations of the hepatic arteries in 200 patients done by angiography.
AU : Arjhansiri K, Charoenrat P, Kitsukjit W.
EN-AB: OBJECTIVE: To evaluate and classify hepatic artery variations of 200 patients by angiography. MATERIAL AND METHOD: Celiac and superior mesenteric artery (SMA) angiographic studies of 200 patients at King Chulalongkorn Memorial Hospital (KCMH) from January 2003 to July 2004 were retrospectively reviewed. Anatomic findings were classified according to Michels and Hiatt's classifications. RESULTS: The vascular anatomy of the liver was classified according to two different established systems. Hepatic arterial patterns were analyzed in order offrequency discovered as the following; normal pattern in textbook descriptions 80.5%, a replaced or accessory right hepatic artery (RHA) originating from the SMA 11.5% and a replaced or accessory left hepatic artery (LHA) originating from the left gastric artery (LGA) 5.5%. In 0.5% of the cases, there was a combination of variations of both RHA and LHA. Variants of the common hepatic artery (CHA) arising from the SMA were found in 0.5%. 1.5% of cases were not classified by either Michels or Hiatt's classifications. CONCLUSION: The present study had the same results by the higher rates of normal hepatic anatomy with lower rates of other types compared to Michels and Hiatt's studies. In addition, the authors found cases of rare variations that were not classified by either Michels or Hiatt but were previously reported by other publications. (NO 17718283)
JN : J Med Assoc Thai. 2004 Sep;87 Suppl 2:S161-7.
TI : Sonographic evaluation of the intrascrotal disease.
AU : Arjhansiri K, Vises N, Kitsukjit W.
EN-AB: PURPOSE: To determine the causes of intrascrotal disease in patients who were sent for scrotal sonography at King Chulalongkorn Memorial Hospital and whether the imaging findings can help differentiate the tumor from infection of the testis. MATERIAL AND METHOD: Retrospective review was performed in 72 cases of extratesticular lesions and 48 cases of the intratesticular lesions to find out the causes of intrascrotal disease. The sonographic findings in the cases with final diagnosis of intratesticular infection and testicular tumor were analyzed according to the following criteria including the size of the testis, number, echogenicity, and margin of the mass, diffuse abnormal echogenicity of the testis, presence of fluid in the scrotal sac, epididymal lesion, scrotal skin thickening and calcification. RESULTS: Hydrocele was the most common extratesticular lesion (29.87%) and epididymitis was the second most common (14.28%). Infection was the most common intratesticular pathology (54.17%) and tumor was the second most common (31.25%). Most testicular tumors appeared as a focal mass while testicular infection usually caused diffuse abnormal echogenicity throughout the testis (p = 0.008). Epididymal lesions and skin thickening were usually detected together with intratesticular infection while they were not present in the cases of tumor (p = 0.000061 and 0.017). The number, echogenicity, margin of the mass, presence of testicular enlargement, fluid in the scrotal sac and calcification did not differ between testicular infection and tumor CONCLUSION: Hydrocele was the most common cause of extratesticular disease, followed by epididymitis. Most of the extratesticular pathology was benign entities. For intratesticular disease, the most common cause was infection, followed by intratesticular tumor Findings of a solitary intratesticular mass without epididymal lesion or skin thickening prefered malignant entity, while diffuse abnormal echogenicity of the testis with epididymal lesion and skin thickening prefered infectious process. (NO 16083181)
AU : Plodpliaw S, Arjhansiri K, Kanvisetsri S, Sampathanukul P.
TI : Histoplasmosis of adrenal glands studied by computed tomography.
JN : ASEAN J Radiol 1999 ; 5 (3) : 249-253 (NO 06129)
AU : Kulsamphantip S, Arjhansiri K.
TI : Cryptococcus pneumonia.
JN : Chula Med J = ¨ØÌÒÅ§¡Ã³ìàÇªÊÒÃChulalongkorn Medical Journal 1997 Mar ; 41 (3) : 211-216
EN-AB: We reported case of cryptococcosis in a normal host who suffered from 1eft upper lobe pneumonia. Cryptococcusneofor was was proved by histopathology. The patient had been treated by antifungal drug (Amphotericin B ) and was not improved. The patient then underwent resection of the 1eft upper ung. After the post-operative treatment she was improved and without serious complication. The purpose of this report is to ma~e a wareness of the clinician and radio1ogist in diagnosis of bacterial pneumonia which is often difficult to be distincted between fungal pneumonia and bronchogenic carcinoma. (NO 04917)
AU : Kulsamphantip S, Arjhansiri K.
TI : Crytococcus pneumonia.
JN : ¨ØÌÒÅ§¡Ã³ìàÇªÊÒÃ = Chula Med J 1997 Mar ; 41 (3) : 211-216
TH-AB: ÃÒÂ§Ò¹¼Ùé»èÇÂâÃ¤¤ÃÔ»âµ¤Í¤â¤«ÔÊ 1 ÃÒÂ â´Â·Õè¼Ùé»èÇÂÃÒÂ¹ÕéÁÕÀÙÁÔ¤ØéÁ¡Ñ¹»¡µÔäÁèÁÕâÃ¤ÍÂèÒ§Í×è¹ÃèÇÁ´éÇÂ ÅÑ¡É³Ð·Õè¾º¤×Í »Í´ºÇÁ·Ñé§¡ÅÕº ¢Í§à¹×éÍ»Í´´éÒ¹«éÒÂº¹ àª×éÍ·ÕèµÃÇ¨¾º¤×Í ¤ÃÔ»âµ¤Í¤¤ÑÊ ¹ÕâÍ¿ÍÃìÁÒ¹ ¨Ò¡¡ÒÃµÃÇ¨â´Â¾ÂÒ¸ÔÇÔ·ÂÒ ¼Ùé»èÇÂä´éÃÑº¡ÒÃÃÑ¡ÉÒ´éÇÂÂÒµéÒ¹àª×éÍÃÒáÅéÇÍÒ¡ÒÃäÁè´Õ¢Öé¹ ¨Ö§ä´é¹Ó¼Ùé»èÇÂä»¼èÒµÑ´ àÍÒ¡ÅÕº¢Í§à¹×éÍ»Í´·Õèà»ç¹âÃ¤ÍÍ¡ ËÅÑ§¡ÒÃÃÑ¡ÉÒ¼Ùé»èÇÂÁÕÍÒ¡ÒÃ´Õ¢Öé¹ äÁè¾ºÀÒÇÐá·Ã¡«éÍ¹ ÇÑµ¶Ø»ÃÐÊ§¤ìã¹¡ÒÃÃÒÂ§Ò¹¼Ùé»èÇÂÃÒÂ¹Õé à¾×èÍãËéá¾·Âì·Õè´ÙáÅÃÑ¡ÉÒ¼Ùé»èÇÂä´é¤Ô´¶Ö§âÃ¤»Í´ºÇÁ ·Õèà¡Ô´¨Ò¡àª×éÍÃÒ´éÇÂ «Öè§ÅÑ¡É³Ð¤ÅéÒÂâÃ¤»Í´ºÇÁ·Õèà¡Ô´¨Ò¡àª×éÍáº¤·ÕàÃÕÂ áÅÐ´Ù¤èÍ¹¢éÒ§ÃØ¹áÃ§¤ÅéÒÂâÃ¤ÁÐàÃç§¢Í§»Í´. (NO 05721)
AU : Sakwattanawekin D, Arjhansiri K.
TI : Osteosarcoma of the mandible. a case report and literature reveiw.
JN : ¨ØÌÒÅ§¡Ã³ìàÇªÊÒÃ = Chulalongkorn Medical Journal 1996 Dec ; 40 (12) : 1007-1013
EN-AB: Osteosarcoma of the mandible is very rare as compared to long bone osteosarcoma. This report describes a case of right mandibular osteosarcoma with its incidence, radiographic manifestrations and the pathophysiology of the tumors from two different sites.
TH-AB: ÁÐàÃç§¡ÃÐ´Ù¡ª¹Ô´ Osteosarcoma ·Õè¢Ò¡ÃÃä¡ÃÅèÒ§¾ºä´é¹éÍÂàÁ×èÍà·ÕÂº¡ÑºÁÐàÃç§ª¹Ô´à´ÕÂÇ¡Ñ¹·ÕèºÃÔàÇ³»Å ÒÂ¡ÃÐ´Ù¡á¢¹ËÃ×Í¢Ò«Öè§¾ºä´éºèÍÂ¡ÇèÒ º·¤ÇÒÁ¹Õéà»ç¹¡ÒÃÃÒÂ§Ò¹¼Ùé»èÇÂ 1 ÃÒÂ·ÕèÁÕ Osteosarcoma ·Õè¢Ò¡ÃÃä¡ÃÅèÒ§¢ÇÒ áÅÐä´éÇÔ¨ÒÃ³ìà»ÃÕÂºà·ÕÂºÍÑµÃÒ¤ÇÒÁªØ¡¢Í§âÃ¤ ÅÑ¡É³Ð¢Í§âÃ¤ã¹ÀÒ¾ÃÑ§ÊÕ áÅÐ¡ÒÃ´Óà¹Ô¹¡ÒÃ¢Í§âÃ¤ÃÐËÇèÒ§ÁÐàÃç§·Ñé§ÊÍ§µÓáË¹è§¹Õé. (NO 03119)
AU : Vajragupta L, Arjhansiri K.
TI : Diagnosis of mycotic aneurysm of the superior mesenteric artery.
JN : Chulalongkorn Medical Journal 1995 ; 39 (1) : 45-53
EN-AB: Mycotic aneurysm of the superior mesenteric artery is rare. In our case,a 54-year old male patient with culture-negative infective endocarditis was presented with pain at the left side of abdomen and a palpable mass in the left paraumbilical region. A superior meenteric aneurysm was diagnosed by duplex doppler ÿultrasonography and confirmed by angiography. Aneurysmectomy and ileal resection was performed. (NO 02602)
AU : Intragumtornchai T, Arjhansiri K, Posayachinda M, Kasantikul V.
TI : Obstructive uropathy due to extramedullary haematopoiesis in beta thalassaemia/haemoglobin E.
JN : Postgraduate Medical Journal 1993 Jan ; 69 (807) : 75-77
EN-AB: An 18 year old woman with beta thalassaemia/haemoglobin E developed a large pelvic tumour resulting in bilateral obstructive uropathy. Technetium-99m sulphur colloid marrow image, computed tomographic scan of the abdomen and needle biopsy of the mass confirmed the diagnosis of extramedullary haematopoiesis. Although radiation is the treatment of choice for decompression, the mass in this patient did not respond satisfactorily due to its multiple area of tumour autoinfarction. Obstructive uropathy due to extramedullary erythropoiesis has not to our knowledge been previously described. (NO 02887)
AU : Arjhansiri K, Wangsuphachart S.
TI : Orbital varix.
JN : Chulalongkorn Medical Journal 1992 ; 36 (11) : 869-876
EN-AB: A case report of orbital varix diagnosed by plain skull radiograph, orbital venography and computerized tomography with a classical radiological findings was presented. The patho-physiology, classical clinical features, various diagnostic imaging modalities, differential diagnosis and treatment of this unusual entity are discussed. (NO 02739)
AU : Mahasandana S, Arjhansiri K, Paisunthonsuk P.
TI : Fever and pulmonary infiltration in a patient with aplastic anemia.
JN : ¨ØÌÒÅ§¡Ã³ìàÇªÊÒÃ = Chulalongkorn Medical Journal 1991 ; 35 (4) : 219-229
EN-AB: A 36-year-old female patient had pancytopenia with hypocellular marrow for 4 months. She developed fever and abdominal pain for 12 days. On admission, she had been scratched by a cat at her right foot. Physical examination revealed anemia, petechial hemorrhage, high fever and tenderness of right upper quadrant of abdomen. Ultrasound revealed distended and edematous gall bladder. She was treated with systemic antibiotic. Abdominal pain subsided, while fever persisted. She developed cellulitis with necrotic tissue of right foot on the 5th hospitalized day. Pulmonary infiltration was observed in the fourth week and, white patches was also observed on buccal mucosa. She later developed hypotension and expired on the 31th day of admission. Clinical diagnosis was severe aplastic anemia with cholecystitis, disseminated fungal inffection most likely candidiasis, and pseudomonas septicemia. Postmortem diagnosis revealed severe aplastic anemia, pulmonary aspergillosis, candidiasis of gastrointestinal tract and necrotizing cellulitis and necrotizing nodule of spleen from pseudomonas. (NO 02680)
AU : Arjhansiri K.
TI : Ultrasound in the evaluation of aspergillosis liver abscess.
JN : ¨ØÌÒÅ§¡Ã³ìàÇªÊÒÃ = Chulalongkorn Medical Journal 1991 Oct ; 35 (10) : 663-668
EN-AB: The use of ultrasonogram in the evaluation of hepatic abscesses in a presumably immunocompetent patient with disseminated aspergillosis is discussed. Information or the appearance of the hepatic abscesses and a differential diagnosis of these lesions are presented along with sonographic features which could assist in diagnosis. We were indeed surprised to find that this is the first such case of aspergillosis liver abscess with sonographic features in the literature, so far. Sonographically guided needle aspiration with subsequent percutaneous drainage is suggested for providing a definitive diagnosis and a theraputic approach for treating intrahepatic abscesses.
TH-AB: º·¤ÇÒÁ¹Õéà»ç¹¡ÒÃÇÔ¨ÒÃ³ìÅÑ¡É³ÐÀÒ¾ÍÑÅµÃÒ«ÒÇ¹´ì¢Í§½Õã¹µÑºã¹¼Ùé»èÇÂÃÒÂ Ë¹Öè§ «Öè§ä´éÃÑºÇÔ¹Ô¨©ÑÂÇèÒà»ç¹âÃ¤´ÔÊÊÔÁÔà¹·àµ´ áÍÊà»ÍÃì¨ÔÅâÅ«ÔÊ á ÅÐºÃÃÂÒÂÅÑ¡É³ÐÀÒ¾½Õã¹µÑº·Õè¾ººèÍÂ æ ¨Ò¡¡ÒÃµÃÇ¨¾º´éÇÂÍÑÅµÃÒ«ÒÇ¹´ì Ã ÇÁ·Ñé§¡ÒÃÇÔ¹Ô¨©ÑÂáÂ¡¨Ò¡âÃ¤Í×è¹ æ ¡ÒÃãªéà¢çÁà¨ÒÐ½Õã¹µÑºáÅÐ¡ÒÃÃÐºÒÂË ¹Í§¨Ò¡½Õ¼èÒ¹·Ò§¼ÔÇË¹Ñ§ â´ÂãªéÍÑÅµÃÒ«ÒÇ¹´ìºè§ºÍ¡µÓáË¹è§¢Í§½Õ¨ÐªèÇÂãËé¡ÒÃÇÔ¹Ô¨©ÑÂâÃ¤áÅÐ¡ÒÃÃ Ñ¡ÉÒä´é¶Ù¡µéÍ§á¹è¹Í¹ÂÔè§¢Öé¹. (NO 03206)
AU : Pantongrag-Brown L, Suwanwela N, Arjhansiri K, Chetpukdeechit V, Kitisin P.
TI : Demonstration on computed tomography of two pseudoaneurysms complicatingchronic pancreatitis.
JN : Br J Radiol 1991 Aug ; 64 (764) : 754-757 (NO 04237)
AU : Pungrassami P, Boonjunwetwat D, Arjhansiri K, Sampatanukul P.
TI : Pedunculated hepatocellular carcinoma : a report of three cases in Thailand.
JN : Chula Med J = ¨ØÌÒÅ§¡Ã³ìàÇªÊÒÃChulalongkorn Medical Journal 1990 Aug ; 34 (8) : 613-624
EN-AB: Pedunculated hepatocellular carcinoma is an unusual entity with its extrahepatic growth, high resectability and good prognosis. Three cases are reportedpom Thailand with review of available literatures. The 76, 73 and 56 year-old male patients presented with abdominal mass, anorexia and weight loss of at least I year-duration. The US and CT of the 3 cases showed protrusion of the mass from inferior surface of the liver. Hepatic angiogmms of case No. and No.3 revealed arterial supply mainly from left and right hepatic arteries respectively. Awareness of this condition is necessary for early diagnosis and selection of surgical procedure. Presence of pedicle invasion, hepatic or portal vein thrombosis are determining factors for prognosis and adjuvant therapy. (NO 04941)
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