[57 long-standing bilharzia lesions of the ureter. Therapeutic choice].
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Biomedical subjects
Publications and source records attributed to A Carayon.
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Osseous troubles are the most frequent and earliest signs of drepanocytemia. They are due to the bone dystrophia observed in any chronic hemolytic anemia, to aseptic infarcts and to bacterial infections. These syndromes are described according to age and localizations, and proper surgical tactics are proposed.
Osseous infections have a special importance among the various polymorphic osteoarticular troubles of drepanocytemia. From 92 cases, the authors emphasize 4 points: --Osteitis and osteomyelitis are frequent, specially in the homozygotic form. --Salmonellae are the prevailing pathogenic bacterias. --Osteomyelitis caused by staphylococcus have, in drepanocytic patients, a more serious and more expanding evolution than in other patients. --Anatomic and radiologic features as well as evolution are different in the staphylococcal forms and in the salmonellal ones in which, most often, surgery may be discarded.
Thrombotic complications in drepanocytemia may induce 3 main syndromes: splenic infarctions and abscesses; severe and uncontrollable hematurias; priapism. Clinical features and surgical treatments are described with detailed procedures for priapism surgery.