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Biomedical subjects

F W Wright

Publications and source records attributed to F W Wright.

At least 37 records · Page 2Linked to original sources

Late sucessful treatment of splenic rupture in a haemophilic boy.

The recognition of traumatic splenic rupture in an 11-year-old severely affected haemophilic boy was delayed for over five weeks. Splenectomy was carried out successfully after the demonstration of splenic rupture by an isotope spleen scan. Splenic rupture is difficult to differentiate from more simple causes of retroperitoneal haematomata in haemophiliacs when there is no massive acute peritoneal bleeding, but it may be identified with isotopic spleen scans so long as the possibility of rupture is borne in mind.

Child↗

Spontaneous pneumothorax and pulmonary malignant disease--a syndrome sometimes associated with cavitating tumours. Report of nine new cases, four with metastases and five with primary bronchial tumours.

Tumours of the lung, primary or secondary, may occasionally be complicated by a pneumothorax, and on rare occasions this may be the presenting feature. Metastatic tumours associated with pneumothorax arise usually from bone or soft tissue sarcomas and hence are more common in the young.

Adolescent↗

Recurrent pneumoperitoneum due to jejunal diverticulosis. With a review of the causes of spontaneous pneumoperitoneum.

In the absence of abdominal operative procedures, symptomless spontaneous pneumoperitoneum is uncommon. The case is described of a patient with jejunal diverticulosis who developed spontaneous pneumoperitoneum on three occasions and brief details are given of six other cases of jejunal diverticulosis with pneumoperitoneum from the literature. Other causes of symptomless pneumoperitoneum include pneumatosis intestinalis, perforation in tabes dorsalis or coma, stercoral ulceration, physiological pneumoperitoneum in women due to exercise in the knee-elbow position, and vaginal douches with a bulb syringe or effervescent fluid.

Aged↗

The radiological diagnosis of "avascular" renal tumours.

In the past 9 years we have encountered 3 renal space-occupying lesions, which were "avascular" at arteriography but which appeared to be tumours, as shown by renal puncture of "antegrade" pyelography, All had an irregular inner border demonstrated. The investigation and radiological diagnosis of such masses is discussed thad compared with that of renalcysts.

Abscess↗

Bilateral renal-cell carcinomas.

The incidence of 5 cases of bilateral renal-cell carcinomas and one case of possible bilateral angiomyoliposarcomas over a period of 16 years suggests than these entities may be more frequent that previously thought. One patient successfully underwent surgery via the "workbench" technique, in which the tumor was dissected from one kidney which was then reinserted as an autograft. It is suggested that renal angiography should always be performed bilaterally when attempting to diagnose or exclude renal masses.

Adenocarcinoma↗