Biomedical subjects
Publications and source records attributed to D C Keramidas.
A 20-day old female with symptoms of intermittent gastric outlet obstruction since the third day after birth was subjected to surgical exploration. Laparotomy revealed duplication of the pylorus communicating with a normal gastric cavity. The patient was successfully treated by excising the wall separating the duplication from the pylorus. Five cases of pyloric duplication reported so far in the English literature are reviewed.
Sigmoid volvulus in children is quite rare and may occur in acute fulminating form requiring early diagnosis and surgery. In this case, bowel continuity after resection of the necrotic sigmoid was reestablished in a two-stage operation.
Overwhelming sepsis is splenectomized children may be a real threat to life. As an alternative to splenectomy, ligation of the splenic artery in combination which splenorrhaphy was used successfully in two children with splenic trauma involving major segmental vessels. In both patients the postoperative course was normal. Peripheral blood tests, immunological studies, and scintigraphies disclosed no abnormalities of the spleen after the ligation of the splenic artery. Aortographies showed a collateral arterial network in the spleen. Therewith, 11 and 12 months after the operation, respectively, both cases--the first of our series--are presented and discussed.
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