Search PubMed⌕ Search

Biomedical subjects

H Ringertz

Publications and source records attributed to H Ringertz.

71 records · Page 4Linked to original sources

Ectopic ureterocele in the male infant.

An account is given of a series of ectopic ureterocele present in 14 male infants. The malformation is found to be more complex than in the female. The ipsilateral renal function is severely impaired or abolished and obstruction to the bladder outflow common. Associated dilatation and elongation of the posterior urethra during micturition may result in a valvelike appearance. Eversion of the male ureterocele is common and possible mechanisms to account for this event are discussed.

Child↗

Displacement of left ventricle in atrial septal defect.

Catheterization and biplane cineangiography were performed in 28 patients with atrial septal defect. The left and right ventricular volume in end-systole and end-diastole were estimated with a computed method. The relation between the left and right stroke volume ratio and the posterior displacement of the left ventricle was analysed. A statistically highly significant positive correlation between the angle of the long axis of the left ventricle and the shunt was established.

Adolescent↗

Normal width of cranial sutures in the neonate and infant. An objective method of assessment.

A material of 107 normal skull films have been used to determine the normal range of the cranial sutures in the age group 0 to 45 days of age. Assessment is based on the lateral view and includes evaluation of both coronal and lambdoid sutures as well as the degree of V-shape of the coronal sutures. Values obtained are easily classified as normal, borderline or pathologic by use of a simple diagram.

Age Factors↗

Kidney size in children. A method of assessment.

A method for assessment of kidney size in pediatric practice is presented. Length of the kidney is correlated to length of the lumbar segment L1 to L3 including the intervertebral spaces comprised by these vertebrae. The result may either be expressed in standard deviations or as a kidney ratio. The method makes comparison with films from previous examinations or other hospitals feasible without access to any other data than those available in the film. The method also serves the purpose of properly assessing the growth of the kidneys.

Adolescent↗

Kidney size in children with unilateral urinary duplication.

Absolute kidney length and the ratio of right to left kidney lengths were estimated by the method of Eklöf & Ringertz in a series of 142 patients with unilateral renal duplication. The anomalous kidney was frequently found to be larger than the contralateral one, particularly when associated with ectopic ureterocele, which was present in 34 patients. Nevertheless, a substantial number of reduplicated kidneys had a length below mean, some of them actually below -2SD.

Adolescent↗

Perinatal haemorrhagic necrosis of the adrenal gland. A clinical and radiological evaluation of 24 consecutive cases.

Up to 1970 only13 fully verified and successfully treated cases of neonatal adrenal haemorrhage were on record. As uniform diagnostic and therapeutic guiding principles are still lacking, our experience of 24 consecutive cases appears worth presentation.--The most frequent clinical signs were a palpable mass in 21 cases, jaundice in 14 patients and urinary infection or sepsis in 10 neonates.--Intravenous urography revealed the diagnosis with a reasonable degree of reliability in all our cases. No additional information of significance was obtained at aortography, employed in 2 of our cases.--Surgical exploration with drainage of the haematoma or adrenalectomy was performed in 18 cases, 6 were treated conservatively.--Recovery was uneventful in all but for one conservatively treated patient. In this case death was caused by a second profuse bleeding, which proved fatal in spite of all life saving efforts.

Adrenal Gland Diseases↗

Pre- and postoperative urographic findings in posterior urethral valves.

In a series of 65 male infants and children, all with the diagnosis of posterior urethral valves, pre- and postoperative urographic findings were reviewed. In addition changes occurring in the bladder, and the implication of vesico-ureteral reflux were assessed.--Preoperatively diagnosed impairment of kidney function and concommitant dilatation of the upper urinary tract, with some exceptions. Remained fairly unchanged at postoperative examinations In the case of marked vesico-ureteral reflux, permanent kidney function annihilation was significantly commoner than with slight or no reflux.--Although, as a rule, both the upper urinary tract and the bladder were affected, there were cases of posterior urethral valves with a normal appearing bladder. As the intravenous urography do not exclude the urethral abnormality, voiding cysto-urethrography has to be included in the primary radiological exploration of all cases with urological problems. Key words: Intravenous urography, non-functioning kidney, upper urinary tract dilatation, voiding cysto-urethrography, posterior urethral valve, bladder outflow obstruction.

Child, Preschool↗

The value of barium enema in establishing nature and level of intestinal obstruction.

In cases with obscure abdominal symptoms, potentially obstructive in nature, barium enema constitutes a valuable supplement to the routine abdominal plain film examination. The method, extended to include a reflux examination of the distal part of the small bowel, offers an important alternative to the frequently employed follow through examination, whenever the indications for immediate surgical exploration remain conditional. In the hands of radiologists accustomed to hydrostatic reduction of intussusception, the procedure yields a fast and safe differentiation between adynamic and mechanical ileus.

Adolescent↗

The percentage of migration as indicator of femoral head position.

In childhood subluxation of one or both hips may develop rather insidiously. For lack of generally accepted objective methods of assessment, ambiguous interpretations of findings in serial examinations are common. Many subluxations are overlooked during the early stages. In order to overcome such disadvantages, determination of the percentage of migration seems to be a reasonably easy and reliable technique facilitating evaluation of impending dislocation. This investigation was carried out in order to establish norms applicable to patients in the pediatric age interval. The 98th percentile of migration increases with age from 16 per cent in patients less than 4 years of age to 24 per cent in patients greater than or equal to 12 years. Higher figures represent subluxation. If the migration exceeds 80 per cent a manifest luxation is present. A difference in migration between the two hips larger than 12 per cent indicates abnormality calling for clinical and radiologic follow-up.

Adolescent↗