Biomedical subjects

D N Reed

Publications and source records attributed to D N Reed.

24 records · Page 2Linked to original sources

PubMed1987

Jejunal atresia secondary to intrauterine intussusception, presenting as acute perforation.

Intussusception in neonates is rare. The authors report the second case in the Western literature of neonatal intussusception presenting as pneumoperitoneum. A male infant was referred 30 hours after birth because of possible midgut volvulus after emesis and failure to pass meconium. An abdominal x-ray film revealed a large amount of free air in the peritoneal cavity. At operation a type 3 jejunal atresia was found, with a 2-mm perforation in the dilated proximal end and a viable intussusceptum just inside the distal end. The authors conclude that this case represents an atresia secondary to inutero intussusception, with perforation occurring after birth (secondary to air-swallowing and gastrointestinal secretions).

Acute Disease↗

PubMed1986

Malignant retroperitoneal paragangliomas.

The authors reviewed the clinical features of 13 cases of malignant retroperitoneal paragangliomas reported in the English literature and report the 14th case. The reported case represents the first such tumor occurring in the familial form of the disease. Good response to combination chemotherapy in the reported case emphasizes the need to study the role of chemotherapy in the management of this neoplasm.

Adult↗

PubMed1986

Papillary epithelial neoplasm of the pancreas in the pediatric population.

Cancer of the pancreas is an uncommon entity in the pediatric population and there have been only three reports of what may be termed papillary epithelial neoplasm of the pancreas. We recently treated a young patient with this tumor, and comparison with the previously reported cases suggests a specific histologic and clinical picture, preferred treatment approach, and likely prognosis.

Adolescent↗

PubMed1985

Primary mucinous adenocarcinoma of the trachea: the case for complete surgical resection.

Adenocarcinomas of the trachea are rare but important because the only reported treatment in the past (radiation) has resulted in uniformly poor results. The authors recently had the opportunity to treat a young woman with a mucin-producing adenocarcinoma of the trachea. A sleeve resection of the involved trachea with reanastomosis was successful, and the patient is alive and well with no evidence of tumor four years later. Thus, primary resection should be strongly considered for adenocarcinoma of the trachea whenever possible.

Adenocarcinoma↗

PubMedDate not supplied

Malignant oncocytoma of the maxillary sinus--an ultrastructural study.

A unique case of a malignant oncocytoma of the maxillary sinus is reviewed in detail. The ultrastructural findings are presented. The histologic and ultrastructural criteria that characterize oncocytes and the clinicopathologic features of benign and malignant oncocytomas are discussed. This case represents the eleventh reported case that would truly qualify as a malignant oncocytoma of the paranasal sinuses.

Adenoma↗

PubMedDate not supplied

Peroral enteroscopic removal of a retained percutaneous transhepatic guidewire from the jejunum using a colonoscope.

Several authors have described the ability to perform small-intestine endoscopy with long, flexible fiberscopes. A peroral colonoscope has been used for small-bowel enteroscopy and biopsy. A pediatric colonoscope for jejunoscopy has been described. Herein we report a patient undergoing percutaneous transhepatic decompression for the extrahepatic biliary obstruction in whom the guidewire broke and was lost in the liver. The proximal end of the wire was within the liver, while the distal end exited the ampulla and lay within the upper jejunum. Utilizing a peroral approach with the flexible pediatric colonoscope, we recovered the guidewire without advancing it further into the jejunum, where it may have been lost and have necessitated a celiotomy.

Aged↗