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Biomedical subjects

A De Schepper

Publications and source records attributed to A De Schepper.

121 records · Page 7Linked to original sources
PubMedDate not supplied

Actinomycosis as a rare cause of vertebral osteolysis.

Actinomycosis is an uncommon entity caused by an anaerobic bacterium, Actinomyces species, most often Actinomyces israelii. We present a patient who suffered from progressive lumbar pain and high fever. Actinomycosis infection was diagnosed after extensive radiological and pathological evaluation. Treatment with i.v. ampicillin was started, followed by oral antibiotics for one year. This paper gives an overview of the different clinical presentations of actinomycosis infection, with special attention to the skeletal involvement. We also discuss diagnosis and treatment. The clinical picture can mimic several other conditions, such as lymphomas. Delay in diagnosis and treatment can significantly worsen the condition of the patient.

Actinomycosis↗
PubMedDate not supplied

[Role of arteriography in the assessment and treatment of hemorrhagic diseases of the small intestines].

We present the indications and usefulness of visceral angiography for diagnostic and therapy in patients with gastrointestinal haemorrhage. This is based on the results of a retrospective study of 265 angiographies for gastrointestinal bleeding. In fifty one cases an extravasation was seen and in one hundred and four patients a possible etiology for the gastrointestinal hemorrhage was suspected from indirect signs. In 19 cases, an embolization was performed with good result in 16 (84%).

Adolescent↗
PubMedDate not supplied

Delayed reaction to a Dacron velour bypass graft.

We report a patient with multiple inflammatory reactions to Dacron vascular grafts, simulating infection. A CT-scanning showed dense fibrous tissue surrounding the grafts, with a pseudotumoral aspect and liquification. Ultimately, the Dacron grafts were replaced with polytetrafluoroethylene grafts. The inflammatory reactions subsided quickly and did not recur for a follow-up period of more than two years.

Aorta↗
PubMedDate not supplied

[CT diagnosis of recurrent rectal carcinoma following surgery].

It is well known that CT-scan imaging is very useful for diagnosing recurrence of a rectal carcinoma after surgical resection. According to this technique of investigation, more than 95% of recurrences are discovered and their size and pattern can be accurately defined. Furthermore, in case a postoperative fibrosis may be confused with a true recurrence, it is possible to punction percutaneously the mass with the help and guidance of the CT-scan. These findings were assessed and confirmed in 43 patients in the present retrospective study.

Biopsy↗
PubMedDate not supplied

[Aneurysms of the splanchnic region].

Splanchnic artery aneurysms. The management of 16 patients, presenting with splanchnic artery aneurysms is reviewed in a retrospective study. 5 patients presented with aneurysms of the hepatic arteries, 6 patients had an aneurysm of the splenic artery and 5 patients developed aneurysms of the remaining branches of the splanchnic arteries (1 gastroduodenal, 3 pancreaticoduodenal and 1 superior mesenteric), 8 patients were treated conservatively. 8 patients had a surgical procedure performed. Two patients died from a complication of their aneurysm. Ligation of the hepatic artery, was insufficient to avoid a recurrent and fatal hemobilia in a man presenting, with a centrally located intrahepatic ruptured aneurysm. Another patient developed a fatal necrohemorrhagic pancreatitis after ligation of the splenic artery for an aneurysm that ruptured in the stomach.

Adult↗
PubMedDate not supplied

Extra-adrenal malignant phaeochromocytoma.

This paper describes a 35-year-old hypertensive woman presenting with two para-aortic catecholamine-secreting tumors. This bilateral lesion was successfully resected, but one year later proved to be malignant by spreading of the tumor to involve non-chromaffin tissues (liver and bones). A competitive inhibitor of alpha and beta receptors kept the blood pressure within reasonable limits.

Adult↗