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Biomedical subjects

J M Saissy

Publications and source records attributed to J M Saissy.

54 records · Page 3Linked to original sources
PubMed1985

[Acute acalculous cholecystitis after digestive caustic burn].

A case is reported of acute acalculous cholecystitis in a patient who suffered a digestive burn treated by total parenteral nutrition. Pain in the right upper abdominal quadrant and fever occurred 26 days after the start of parenteral nutrition and 24 h after abruptly resuming oral feeding. Ultrasonography showed a distended gall-bladder with a thickened wall and the formation of sludge. Cholecystectomy was followed by a complete recovery. The part played by each of the corrosive burn, the total parenteral nutrition and the abrupt resumption of oral feeding in the pathogenesis of this complication is reviewed.

Acute Disease↗
PubMed1985

[Percutaneous catheterization of the deep brachial vein].

50 attempts of deep percutaneous antecubital catheterization are reported. A tourniquet was applied to the upper arm and the medial deep brachial vein was punctured in a point immediately medial to the brachial artery, in the antecubital fossa. Venepuncture was successful in 88% of the cases (44 cases), catheterization possible in 72% of the cases (36 cases). The catheter reached the central venous compartment in 60% of the cases (30 cases). The only benign complication was injury to the brachial artery in 6 cases. Mean duration of catheterization was 20 days. This very easy and safe technique can be used when superficial veins are unusable and use of the deep central veins dangerous or impossible.

Adolescent↗
PubMed1980

[Anaphylactic reactions to modified fluid gelatins. (A case of allergy to Plasmagel)].

A case of anaphylactic reaction to an infusion of modified fluid gelatin (Plasmagel) which occurred just before the induction of anaesthesia is reported. The allergic origin of this side effect was sought by a human basophil degranulation test (Benveniste test) which proved to be positive. Intolerance reactions to gelatins have up to now been little described in the French literature (in contrast to the German literature). Their mechanism remains poorly understood, even though there are many arguments in favour of a sensitivation phenomenon which would confirm the antigenic role, denied by some, of modified fluid gelatins employed in human clinical use (with the possibility of crossover allergy). The diagnosis and treatment of such complications are reviewed in the light of their mechanism.

Aged↗
PubMedDate not supplied

[Anorectal tuberculosis disclosed by hemorrhoidal thrombosis].

The authors report on a case of anorectal tuberculosis. Revealed by an hemorroïdal thrombosis with febrile symptoma and purulent discharge, its macroscopic aspect was the one of anal mucous membrane ulceration, irregular with elevated border. The diagnosis was confirmed by anatomopathologic exam. The course was favourable under specific treatment. Etiologic investigation did not show any other localisation. Then, present aspects of anorectal tuberculosis are discussed, as well as possible relationships with hemorroïdal disease and its complications, particularly the fissural ones.

Adult↗
PubMedDate not supplied

[Thrombosis of the superior vena cava in Behcet's disease. Apropos of a case associated with chylothorax].

The authors report a case of superior vena cava thrombosis associated to a chylothorax during Behcet's disease. This thrombosis was revealed during an evolutive phase by dyspnea and a superior vena cava syndrome. Its course was favourable under a medical treatment associating: pleural drainage, parenteral feeding, corticotherapy and heparin therapy. Then the authors review the bibliography and recall the frequency, pathogenesis, clinic and treatment of this unusual complication of the Touraine's aphthosis. Such a complication appears paradoxically to present a favourable course.

Adrenal Cortex Hormones↗
PubMedDate not supplied

[Duodenal tuberculosis associated with lymph node tuberculosis (apropos of a surgical case)].

The authors report a case of duodenum tuberculosis associated to a lymph gland tuberculosis. Diagnosis has been made possible only with an exploratory laparotomy justified by an almost total duodenum stenosis. They review the different aspects (pathogenic, anatomopathologic, clinical, radiological, therapeutic) of a disease non frequent but not exceptional, especially in the african countries.

Adult↗
PubMedDate not supplied

[Experience with spinal anesthesia using pethidine in the surgery of vesicovaginal fistula in African women (30 cases)].

We report our experience of spinal anesthesia using pethidine at doses of 1 ml/5 kg applied to the surgery of the vesico-vaginal fistulas in the african woman. The sensitive block lasts 80.5 +/- 15.5 min. at its maximal block stage and its recovery lasts 25.6 +/- 12.6 min. The complete block of the motor nerves, obtained in 83.3% of cases, lasts 60.5 +/- 12.4 min. The hemodynamic tolerance has always proved to be excellent. The only noticeable after effect is pruritus (13.3% of cases). This kind of anesthesia of still unknown mode of action (local anesthetic action or/and action on the morphinic receptors) seems to be a valuable alternative both to the expensive general anesthesia and to the spinal anesthesia performed with the standard local anesthetics which are allergenic and toxic . Its very low cost must be a good reason for an infra-umbilical surgery in the African countries.

Adolescent↗