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Biomedical subjects

K Solheim

Publications and source records attributed to K Solheim.

At least 253 records · Page 14Linked to original sources
PubMed1975

Ruptured aneurysm of the superficial femoral artery.

Femoral arterial aneurysms are rare, but their existence must be considered in cases of acute ischaemia of the leg or the occurrence of a pulsating swelling in the groin. Surgical intervention is mandatory, and venous autografts should be preferred to synthetic grafts. With adequate therapy, the prognosis is favourable, but the coexistence of multiple aneurysms should always be borne in mind. A successfully treated case of ruptured femoral aneurysm, combined with abdominal aortic aneurysm, is reported.

Aged↗
PubMed1975

Portosystemic arteriovenous fistula. Case report.

A case of the rare portosystemic arteriovenous fistula is presented. This lesion, although basically simple, is not trivial. The predominant cause of death is variceal bleeding. Most often, the fistulas are due to rupture of an aneurysm of the hepatic or splenic artery, gunshot wound of the abdomen, or the use of mass ligature during abdominal surgery. The treatment is excision when possible, reconstruction of the vessels when vessels cannot be sacrificed, and ligation when everything else fails. Angiography is indispensible in defining the fistula. Because of the circulatory strain produced by these fistulas and of the danger of portal hypertension even in the asymptomatic patient, the presence of a portosystemic arteriovenous fistula is sufficient indication for surgical treatment.

Angiography↗
PubMed1975

Liver abscess. Case report.

A typical case of liver abscess is reported. The mortality rate of this surgical entity, previously very high, has been reduced markedly in recent years. The most important factors are the new diagnostic developments such as liver scans and coeliacography, making an early and exact diagnosis possible and thus forming the basis for an early and adequate surgical drainage.

Adult↗
PubMed1975

Reconstructive arterial surgery in peripheral obliterative atherosclerosis.

A series of 547 patients (678 extremities) subjected to reconstructive arterial surgery is presented, with a minimum observation period of 2 years. The incidence of associated diseases at the time of operation was high (39%) and accounted for an impressive mortality when the patients were observed for a longer period of time. The main indication for all types of reconstructions was intermittent claudication and the results are in accord with those reported in other larger series. In 244 patients subjected to open thrombendarterectomy the postopertive mortality was 10/244, with 55% of the reconstructions being open after a mean observation period of 76 months. In 158 patients undergoing femoro-popliteal vein bypass procedures, the postoperative mortality was 2/158, with 55% open grafts after a mean observation period of 61 months.

Adult↗
PubMed1975

Bile peritonitis in acute cholecystitis.

In a series of 20 patients with bile peritonitis seen during a 15-year period, 15 were men and 5 women, with an average of 72 years. They represented 1.8% of 1123 patients with acute cholecystitis admitted during the same period. Three patients were not operated upon and all died, while 5 of 17 operated patients died. The high mortality rate is due to a delay in diagnosis and treatment. Early operative treatment of acute cholecystitis should be resorted to whenever possible.

Aged↗