[Upward displacement of the right kidney: a frequent anomaly in portal hypertension].
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Biomedical subjects
Publications and source records attributed to J Gastard.
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In connection with a case revealed by digestive tract hemorrhage per rectum, the authors emphasize the infrequency of Meckel's diverticula leiomyomas and stress the value of selective arteriography of the superior mesenteric artery as a means of pre-operative identification of these tumors.
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The authors describe the extra- and intra-hepatic echographic images of the portal system in the foetus and the adult on the basis of data from literature and their personal experience with angiographic comparisons and investigation of anatomical specimens. The knowledge gained by echography provides the means for a sure approach to systematisation of the liver and thus accurately identifies the site of focal processes (tumour, abscess, etc.) furnishes very useful information in a large number of pathological cases (foetal hypotrophy, portal hypertension, etc.), facilitates diagnostic and therapeutic instrumental exploration and will soon make it possible to carry out haemodynamic studies of the portal system through the addition of pulsed Doppler to the present echographs.
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HLA typing was performed in 90 unrelated patients with chronic alcohol-associated pancreatitis. Compared with 523 healthy controls, an increased frequency was found for the HLA-B series antigen, B40 (Pless than 0.00041, corrected P less than 0.011). The increase was slightly more pronounced in patients without pancreatic calcifications than in those with calcifications. Factors such as alcohol consumption, age of disease onset and the presence of diabetes did not affect antigen frequency distribution.
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Six patients each with an extensive ulcerating colitis are reported. Common features were a febrile nonbloody diarrhea; radiological involvement of the whole colon with superficial ulcerations and preservation of haustra, and integrity of the terminal ileum and rectum; the absence of any specific pathological finding; and, most important, the spontaneous recovery of the lesions in the absence of any treatment except sympatomatic measures. The present follow up after recovery range from 18 months to 5 years. Four cases were young women taking oral contraceptives and two patients were older. These patients with colitis could represent a new entity or could be a particular form of Crohn's disease of the colon, with delayed diagnostic pathological features.
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