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Biomedical subjects

L Lantsberg

Publications and source records attributed to L Lantsberg.

14 recordsLinked to original sources
PubMed1992

Pneumomediastinum causing pneumoperitoneum.

Pneumomediastinum is characterized by the presence of air in the mediastinum and has been recognized since 1827, when described by Laënnec. To the best of our knowledge, pneumoperitoneum as a result of spontaneous pneumomediastinum has not yet been described in the English literature. We observed and treated a young patient in the intensive care unit who presented with spontaneous pneumomediastinum. Free intra-abdominal gas was observed on the chest x-ray film on the day after admission. Management was conservative. Intra-abdominal and mediastinal air disappeared within four days. This condition, when recognized, needs only observation; we report this as a medical curiosity.

Adult↗
PubMed1992

Management of periareolar abscess and mamillary fistula.

During a 15 year period, 18 patients with 28 mamillary fistulas were treated. In eight women, periareolar abscess had preceded recognition of a fistula. Ten patients were primarily diagnosed as having mamillary fistula. In six patients, when the underlying fistula tract was not identified and excised at the time of operation, discharging sinus reoccurred. Twenty-two fistulas were completely excised together with an extensive lactiferous duct system. Operative wound was primarily closed using antibiotic cover. Periareolar abscess and mamillary fistula should be treated primarily by complete excision of the fistula tract and extensive duct system of the breast.

Abscess↗
PubMed1992

How to extract an indwelling fishhook.

Fishhook injuries are fairly common in some geographic areas. Radiography assists in identifying the type of hook and determining its orientation. Two simple techniques can be employed to remove a fishhook safely and easily.

Family Practice↗
PubMed1991

Laser Doppler flowmetry, transcutaneous oxygen tension measurements and Doppler pressure compared in patients undergoing amputation.

The level of amputation continues to present a challenge for surgeons. In view of this, 24 patients who required an amputation of their ischaemic leg were studied prospectively using Laser Doppler flowmetry (LDF), TcpO2 measurements and Doppler ultrasound to assess the best level for amputation. In all patients gangrene of the leg and rest pain were the indication for an amputation. Skin oxygen tension (TcpO2) and skin blood flow (LDF) measurements were obtained the day before surgery on the proposed anterior and posterior skin flaps for below knee amputation and the maximum Doppler systolic pressure was measured. The level of amputation was chosen at surgery by clinical judgement without reference to the measurements mentioned above. A below knee amputation was performed in 17 patients and an above knee in seven. All amputations healed by primary intention. Doppler pressures showed poor discrimination with a median value of 10 mmHg (0-25) in AK patients and 35 mmHg (0-85) in the BK group (p greater than 0.05). In contrast TcpO2 showed a trend. In the BK group the median value was 20 mmHg (4-50) on the anterior and 22 mmHg (2-60) on the posterior flap compared to above knee amputees with median values of 6 mmHg (2-11) and 8 mmHg (3-38), respectively (p greater than 0.05). Laser Doppler seemed more useful. In BK patients the median LDF values were 36 mV (20-85) on the anterior and 34 mV (20-80) on the posterior flap with median LDF values of 10 mV (10-18) on the anterior and 11 mV (8-38) on the posterior flap in the above knee group (p less than 0.01). Laser Doppler flowmetry is a simple objective test, which is a better discriminator of skin flap perfusion than either TcpO2 or Doppler ankle pressures.

Aged↗
PubMed1989

[Vein ligation in cavosuprahepatic disinsertion].

We report one case of multiple injuries sustained in a traffic accident, including severe injury to the liver and rupture of one of the major suprahepatic veins. We review the techniques for controlling massive hemorrhage, which is still too often fatal in this type of hepatic injury. We notably emphasize the fact that major injury to the liver does not necessarily require wide resection such as formal lobectomy. This approach is advocated by numerous authors, as shown in our review of the literature.

Adult↗
PubMed1988

Enterolithiasis.

We have seen two cases of enterolithiasis in middle-aged Bedouin women. In the first, the cause was prestenotic saccular dilatation from a postoperative stricture of the terminal ileum. In the second, stones formed in congenital diverticula in the terminal ileum and cecum. In both patients, the diagnosis was established by small-bowel enema.

Adult↗
PubMed1986

Adenosquamous carcinoma of the common bile duct: a case report.

Reported here is a case of primary adenosquamous carcinoma of the common bile duct. This unusual variant of the ordinary adenocarcinoma has not, to the best of our knowledge, been previously reported as occurring in the extrahepatic bile ducts. A tumor of notorious prognostic significance, it represents an exceedingly rare and peculiar biological phenomenon of malignant metaplastic change.

Adenocarcinoma↗
PubMed1986

Diagnosis of acute cholecystitis by 99mTc-iminodiacetic acid cholescintigraphy.

99mTc-iminodiacetic acid (IDA) compounds are concentrated by hepatocytes and excreted into the biliary system. The utility of 99mTc-IDA imaging in 116 patients with suspected acute cholecystitis was studied retrospectively over a 2-year period. Visualization of the gallbladder ruled out obstructed cystic duct and acute cholecystitis with a high degree of accuracy.

Acute Disease↗
PubMedDate not supplied

Lower limb sympathectomy assessed by laser Doppler blood flow and transcutaneous oxygen measurements.

In a retrospective study of critical ischaemia of the lower limb, sympathectomy appeared to be of value in the majority of patients. We therefore assessed sympathectomy by measuring skin blood flow before and after the procedure using laser Doppler flowmetry (LDF) and transcutaneous oxygen tension (TCpO2) techniques. Twenty patients underwent chemical sympathectomy and there was one surgical procedure. Measurements were performed before and 1 week after sympathectomy below the knee and on the forefoot. Symptomatic improvement occurred in 20 of 21 patients. This study demonstrates that skin blood flow in the leg and foot is improved by sympathectomy and confirms objectively our clinical impression.

Adult↗
PubMedDate not supplied

Isolated popliteal artery occlusion in the young.

Three young patients with an isolated popliteal artery occlusion are presented, two with severe claudication and the third with a critical ischaemic foot. The work-up of these patients leads to certain aetiologic possibilities: microtrauma, smoking and contraceptive pills. Two of our patients underwent thromboembolectomy, the third managed conservatively. The follow-up was between six months and seven years and up to now all three patients remain well.

Adult↗