Biomedical subjects
Publications and source records attributed to E Gottschalk.
The article deals with life threatening anomalies oft he lung in newborns which can only be cured by urgent surgical intervention. The clinical symptomatology is characterized in nearly all cases by intrathoracic displacement of healthy lung tissue. Own observations in connection with literature are dealt with.
An animal experimental model for the additional vascularisation of the kidney is represented by means of an excluded demucosed small intestine segment. The immediate clinical signification is to be seen in lowering the hypertension in case of pyelonephritic renal shrinkage. Histologic investigations do not show any vascular communication between intestine and kidney and not any ingrowing of intestinal vessels in the kidney. If the improvement of reno-intestinal shunts could be particularly stimulated in case of a primary restricted blood offer must remain unsolved.
Myelomeningoceles underlie critical indication for surgical closure. Clearcut contra indications such as total congenital hydrocephalus, intracranial haemorrhage and cerebral bith-traumatic lesions, severe forms of gibbus and the combination with other severe malformations eliminate the right of active surgery. The conservative treatment neither corresponds to therapeutic nihilism nor is it the inevitability of a lethal outcome. The author does not agree with conceptions such as selection of criteria of selection according to Lorber.
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Thoracic teratomas are rare in children. They present a heterogeneous and problematic group of tumours. Extramediastinal lesions are unusual. Tomography is of particular value in cases of mediastinal teratomata, as this allows differentiation between the tumour and the heart. Of 31 cases of intrapulmonary teratoma that have been described, only 3 were in children. The authors report a unique case of combined mediastinal and intrapulmonary teratoma.
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