[The 65th birthday of F. Sommer].
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Biomedical subjects
Publications and source records attributed to K Reinhardt.
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A 60-year-old patient with occlusion of the inferior and superior mesenteric arteries and the coeliac axis developed a collateral circulation from the iliac arteries through the rectal vessels, the ascending ramus of the inferior mesenteric artery and the medical colic branch of the superior mesenteric artery. These collaterals were able to ensure survival of all three vascular territories. Along the medial wall of the descending colon and the sigmoid a second, less well developed collateral circulation could be demonstrated by iliac arteriography. The branches of the superior mesenteric artery and of the coeliac axis were only partly demonstrated, or failed to fill, during a free aortic injection and a counter current arteriogram. Clinically the occlusion of the unpaired aortic branches manifested itself as periumbilical pain after food. The involvement of the visceral aortic branches to this extent in the presence of generalised vascular disease is related to an attack of dysentry 38 years previously.
A review of the pathology of the intervertebral disk from the differential diagnostic angle could be neither systematic nor at all comprehensive, and had to be necessarily selective. The total relevant knowledge, without being restricted to differential diagnosis, is contained in far more than 5,000 individual publications. I hope that the few facts presented here will convey an idea of the dimensions, and that the selection will be found interesting.
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Three cases were reported with craniocaudal shadow stripes (in part double but also irregular or arched) on chest films taken in a dorsal position. The cases were elderly patients with signs of cardiac and circulatory insufficiency. It was questioned whether the cause was an atelectatic rale of the inferior lobe as Haubrich assumes. The author's own hypothese were supported overagainst Haubrich's explanation.
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