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Biomedical subjects

J Sandermann

Publications and source records attributed to J Sandermann.

31 records · Page 2Linked to original sources

Periappendicitis and diagnostic consequences.

A ten year series of 2660 appendicectomies revealed the microscopic diagnosis to be periappendicitis in 50 cases (1, 9%). In 7 cases the appendicectomy was incidental. Of the remaining 43 patients 21 had salpingitis, 15 had other intraperitoneal inflammation, and in 7 cases no obvious explanation could be found. Peroperatively, periappendicitis was suspected in 3 of the 43 cases, in 18 patients the appendix was judged to be normal and in 17 inflamed. It is important to be aware of the existence of periappendicitis as it often produces signs of intraperitoneal inflammation.

Adolescent↗

Intraarticular calcaneal fractures in children. Report of two cases and a survey of the literature.

Calcaneal fractures in young children are seen very infrequently. Intraarticular calcaneal fractures in children under the age of ten years make up 8-39% of the calcaneal fractures in that age group, and most often non or only a slight displacement is seen. The diagnosis can be delayed because of unclear symptomatology. Generally the treatment is conservative and the prognosis very good. Two cases of severely displaced intraarticular calcaneal fractures in children aged six and ten years are presented together with a survey of the literature.

Calcaneus↗

Multiple brain abscesses: treatment by a conservative approach--a case report.

A 57-year-old male with six brain abscesses was successfully treated with metronidazole and ampicillin under close CT-control. To exclude possible tuberculosis a cortical abscess was excised for culture and microscopy. Hydrocephalus which developed was drained and subsequently treated with a permanent ventriculo-peritoneal shunt. Within 42 weeks the remaining five abscesses all showed complete resolution on the CT-scan.

Ampicillin↗

Nonsurgical treatment of a traumatic brain abscess in a child.

A large traumatic brain abscess in a 9-year-old white boy was successfully treated conservatively with antibiotics, including metronidazole and ampicillin. No neurological or psychological sequelae, except for unilateral loss of the olfactory sense, were revealed at follow-up 5 years later, and on CT two minor hypodense areas remained in the right frontal lobe. Our treatment protocol includes metronidazole (0.5 g 3 times a day) and ampicillin (1 g 6 times a day) for adults. This seems to be the treatment of choice in cases of intracranial brain abscesses.

Ampicillin↗

Bilateral ureteral obstruction as a complication to a perforated appendix. Report of a case.

A 44-year-old man developed anuria 8 days after an operation for a perforated appendix. An intravenous pyelography showed delayed excretion on both sides with hydronephrosis, a right dilated ureter and no contrast passing to the bladder. On neither sides a ureter-catheter could be passed through the obstructions from below. By surgical intervention no ureter-catheter could be passed through the obstructions from above, and both ureters were drained with a T-tube. The benign obstruction was caused by a periappendicular abscess with inflammation and oedema of the ureteral and periureteral tissues. The condition was normalized within 7 days.

Adult↗