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Biomedical subjects

E Antebi

Publications and source records attributed to E Antebi.

At least 37 records · Page 2Linked to original sources

[False aneurysm: a complication of carotid endarterectomy].

False aneurysm of the carotid artery is a rare complication of carotid endarterectomy. We present a 65-year-old woman and a 68-year-old man with this condition. In 1 the artery had been closed with a Dacron patch graft, and in the other by direct suture. In the first case the aneurysm was successfully repaired with an expanded GoreTex (PTFE) patch graft sutured with monofilament nylon. In neither case was an organism grown from cultures taken at operation. The incidence of false carotid aneurysm as a complication of endarterectomy is only 0.3%. Usually infection is the main cause. It is therefore surprising that closure with a synthetic patch-graft is not a predisposing factor in the development of false carotid aneurysms, neither according to the literature nor in our own very limited experience with this complication.

Aged↗

[Spontaneous external biliary fistula].

Spontaneous biliary cutaneous fistula is a rare complication of inflammatory perforation of the gallbladder. We describe a 70-year-old woman who developed a fistula between the gallbladder and the skin following drainage of an abdominal wall abscess. In such cases primary drainage of the abscess alone is advisable. Only after the active infection has subsided should definitive cholecystectomy and excision of the fistulous tract be carried out.

Abdominal Muscles↗

Cytogenetic study of patients with carcinoma of the colon and rectum: particular C-band variants as possible markers for cancer proneness.

A possible involvement of chromosomal heterochromatic polymorphisms in propensity to cancer has been considered and discussed by several investigators who studied groups of patients presenting with different forms of malignancy. We report a cytogenetic study on the circulating lymphocytes of patients suffering from colorectal carcinoma, most of whom were of European origin. Significantly increased incidence of polymorphisms of chromosomes #1 and #9 was found, especially partial inversions (PI). Emphasis is given to the problem of selecting adequate controls, which must be as homogeneous as possible.

Adenocarcinoma↗

Sclerotherapy for the treatment of fissure in ano.

Sclerotherapy has a useful part in the conservative management of anal fissure. When compared with results obtained with routine forms of local treatment, it leads to a higher incidence of successful outcome and reduced number of patients coming to operation. The complication rate was almost nonexistent and in no instance led to any permanent effects. It is an outpatient procedure and can be done with a minimum amount of equipment, technical skill and expertise, resulting in immediate relief. It does not lead to accelerated healing; this is of no consequence since the patient is asymptomatic. We recommend this procedure for acute anal fissures which cause moderate to marked symptoms, particularly when other conservative methods have failed.

Acute Disease↗

Varicose veins of the abdominal wall in a child. A case report.

A case of a venous malformation of the abdominal wall in a 13-year-old boy is hereby presented. This malformation, manifesting as varicosities which were present from infancy caused no disturbances other than cosmetic. Clinical, laboratory and radiological examinations revealed no underlying pathology linked with this malformation. Considering the patient's history, we assumed the varicosities to be sequelae of a deep thrombophlebitis of the right leg in infancy, although a congenital etiology was not excluded. The varicose veins were surgically excised with excellent postoperative results. To the best of our knowledge, no such case was previously reported in literature.

Abdominal Muscles↗

Coexistent carcinoma of the thyroid gland and Hashimoto's thyroiditis.

Three instances of Hashimoto's thyroiditis occurring in association with carcinoma of the thyroid gland are presented. Diagnosis was made by open surgical biopsy, revealing one papillary, one follicular and one mixed papillary-follicular carcinoma. Total thyroidectomy was performed and TSH suppressive therapy was administered postoperatively. All patients are alive with no evidence of local recurrence or distant metastases observed during five to 13 years of follow-up study. In our series, three of 18 patients had coexistent carcinoma of the thyroid gland and Hashimoto's disease. This figure is lower than the 25 per cent incidence of carcinoma of the thyroid gland in noninflammatory goiters observed at the same hospital. Although the number of patients is small, Hashimoto's thyroiditis does not seem to be a premalignant lesion and should not be treated by total thyroidectomy. A review of the literature points out that clinical, biochemical and radioactive scan findings in patients with Hashimoto's thyroiditis do not aid in differentiating between glands with or without coexistent carcinoma of the thyroid gland unless the goiter is uninodular and cold on the radioiodine scan. The prognosis of patients with carcinoma of the thyroid gland occurring in association with Hashimoto's disease is probably better than that of patients with carcinoma of the thyroid gland alone. It seems that the presence of the chronic inflammatory reaction may suppress growth and metastatic dissemination of the coexistent neoplasm of the thyroid gland.

Adenocarcinoma↗