Choledochal cysts: classification and cholangiographic appearance.
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Biomedical subjects
Publications and source records attributed to M Gharib.
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The eighty-four cases of stomach duplication known to date from world literature are presented including one case of the authors' own experience. The most varied theories of pathogenesis are discussed, as well as the very different clinical course the disease may take, and the diagnostic difficulties presented by X-ray examination. Finally, attention is drawn to the current use of the scintigraphy, which has broadened the diagnostic possibilities.
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Radial-head subluxations were noted in 194 patients in the course of two years. It was more frequent in girls than boys (57.7% and 42.3%). The highest incidence was between the first and fourth year of life, with a peak in the first and second years. It no longer occurs after the seventh year. In 82.5% of cases the history was typical: a sudden longitudinal pull of the affected arm. In the remaining 17.5% no exact event could be ascertained. A questionnaire sent to the attending doctors provided replies in 82 cases (42.3%). Reposition by pull and pressure on the head of the radius, supination and acute flexing achieved repositioning in 92.7%, while in 7.3% repeat repositioning was necessary on the same or the next day. After successful repositioning complete absence of symptoms occurred in 98.8%. Incidence of recurrence was 30.5% during a follow-up period of up to a year and a half. The diagnosis had at first been had at first been missed 9.8% of cases.
With the help of four cases of urethra duplications, a report is presented on the occurrence, symptomatology, diagnostics, and therapy of the clinical picture. The developmental anatomy is dealt with briefly.
Since 1971, 35 children with prenatally ruptured omphalocele and paraumbilical abdominal wall defects were operated on in the surgical clinic of the Cologne Children's Hospital. 45.7% of them survived compared with 29.2% in earlier years. This improved chance of survival is attributed the use of the child's own fetal membranes.