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Biomedical subjects

E Kieffer

Publications and source records attributed to E Kieffer.

At least 163 records · Page 9Linked to original sources

[Pseudo-tumoral haematoma of the iliac fossa in haemophiliacs (author's transl)].

Pseudo-tumoral blood collections in haemophiliacs are uncommon but must be borne in mind because of their severity and of the need for timely and appropriate treatment. Surgical excision appears to be required as soon as the tendency towards enlargement is recognized and before the volume and complications of the tumour increase the difficulties, particularly in the iliac fossa. Other treatments, especially puncture-aspiration, seem to be ineffective and/or dangerous. A better knowledge of the pathogenic processes involved might lead to new therapeutic approaches.

Adult↗

[Aneurism in a persisting sciatic artery. One case (author's transl)].

The authors report on the first case of aneurism in a persisting sciatic artery observed in France. The condition was complicated by truncular embolism and fissuration and was successfully treated by endo-aneurismorrhaphy. Restoration of arterial continuity is nevertheless necessary in most cases of aneurysm affecting a complete persistant sciatic artery (providing the vascular supply for the whole lower limb) which represents the commonest anatomical type.

Aged↗

[Localizations of Takayasu's disease (author's transl)].

Localizations of Takayasu's disease are described and discussed in relation to 10 cases. The affection causes panaortitis which produces stenosis, or less often dilatation, of the thoracic and/or abdominal aorta, and stenosis of occlusion of the arteries arising from the aorta. Lesions of the aortic arch and superior aortic branches, mainly subclavian and carotid, are the most frequently observed form of the disease, but coronary stenosis and aortic incompetence are sometimes noted. Lesions in the descending thoraco-abdominal aorta are frequently present, and stenosis and occlusion of the renal arteries are usually associated with the abdominal aortitis. Stenosis of the terminal aorta and iliofemoral axes is a more rare occurrence. The association of lesions in the aortic arch and its branches, and the descending aorta and its branches, was found in about 2/3rds of cases. Pulmonary arteries are affected in about half the cases according to recent reports.

Adult↗

[Surgical treatment of chemodectomas of the neck (author's transl)].

About 16 cases of chemodectomas of the neck, with surgical management during the five past years, the authors present an actualisation about surgery of these tumors of the paraganglionnary system at the level of the neck. After recording the different means of the diagnosis, particulary carotid arteriography, they insist about the necessity of a complete excision of these tumors because of local risks due to the neurovascular compression and infiltration, and because of general risks due to malignant metastasis. Three major risks run with surgery in these cases: hemorrhagic, neurologic, and vascular risks (because of the possible extension to the carotidian axis). 14 total excisions and 1 incomplete excision were performed; 1 no-operated tumor was noted because of the death of the patient before surgery due to a metastatis paraplegia. 4 resections of the carotidian axis with 1 repair by end to end anastomosis and 3 by a vein graft were necessary. No mortality after surgery in these patients was encountered. No recurence, no metastatic phenomen in our patients after the total excision of the primary chemodectoma of the neck even for one histologically maligant tumor, three years ago.

Adult↗

[Splenic trauma complicating translumbar aortography : a report on 2 cases (author's transl)].

Two very rare cases of splenic trauma following high translumbar aortography are described. Two types of clinical picture are observed : severe intraperitoneal hemorrhage, subcapsular and then intraperitoneal, from rupture of the spleen, and septic peritonitis following rupture of an intra- and perisplenic abscess. The authors review the frequency, mechanism, and prevention of complications following translumbar aortic puncture.

Aged↗

[Aneurysm due to an exostosis of the upper end of the tibia (author's transl)].

The authors describe a case of aneurysm of the popliteal artery which developed in the vicinity of a solitary bony exostosis. In a review of the literature they found 33 other cases, in the majority of which the aneurysm was a false aneurysm. Diagnosis was made by arteriography. The results of treatment were good unless complications such as thrombosis or emboli were already present. In the authors' case, resection of the exostosis and arterial grafts were performed with a good end result.

Adult↗