[Pancreas transplantation--new trends].
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Biomedical subjects
Publications and source records attributed to M Iuchtman.
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We report on an 8-year-old girl who presented clinically with an acute abdomen. Examination revealed a left hypoplastic kidney with its ureter draining into the lower segment of the vagina, which was closed by an imperforate hymen. Initially, we thought that pressure by the urometrocolpos on the right ureter caused right hydronephrosis. Subsequently, it was found that the right ureter followed a retroiliac course and was compressed by a U-shaped iliac artery loop at the ureteral crossing. The iliac artery extended to the level of the second lumbar vertebra.
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A Doppler flowmeter was used to evaluate an acute scrotum in 23 children. A diminished or absent flow was noted in cases of torsion of the testis. Orchitis, epididymitis and torsion of the testicular appendix were accompanied with an increased blood flow. Inflammatory and ischemic lesions could be detected and in all operated cases the diagnosis proved to be correct. Unnecessary operations in cases of torsion of the testicular appendix can be avoided with this accurate non-invasive method.
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A case of transomental strangulation in an 8-yr-old boy is presented with a review of the pertinent literature. The clinical presentation was that of an intestinal obstruction. A gastrografin study indicated the necessity of immediate surgery. Etiologic aspects and nomenclature controversies are briefly discussed.
Traumatic diaphragmatic hernia is being more frequently diagnosed in the acute phase because of a higher degree of alertness. Over a period of eight years the authors treated 16 patients. Associated injuries were present in eight cases and were responsible for the two deaths. The chest roentgenogram was diagnostic in most cases, but serial films and contrast examinations eventually were necessary. In order to attain a low morbidity and mortality rate, early surgery is recommended.
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