Biomedical subjects
R R Perlberger
Publications and source records attributed to R R Perlberger.
Selective arterial embolization for control of traumatic pelvic hemorrhage.
Operative techniques for control of massive extraperitoneal bleeding after pelvic trauma have been disappointing. Extensive blood supply by ample collaterals alledgedly is responsible for the failure of proximal ligation of hypogastric arteries. Angiography has proved to be a valuable technique in the diagnosis and treatment of pelvic vascular injuries. Three patients are reported in which the diagnostic and therapeutic applications of angiography with subsequent embolization enabled the surgeon to avoid a difficult and possibly frustrating exploration. In addition, it provided an accurate indication for surgical intervention in one patient.
[Arteriographic localization and treatment of hemorrhage in pelvic fractures].
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Angiographic control of traumatic haemobilia by selective arterial embolization.
Traumatic haemobilia was diagnosed and treated successfully by selective arterial catheterization and embolization with Gelfoam particles, thus avoiding the hazards of surgical intervention, in a 16-year-old boy with tuberculous peritonitis. No ill effects to the liver parenchyma were noticed as evidenced by liver function tests and liver scan.
Control of hemobilia by angiographic embolization.
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An attempt to classify the collateral systems in total occlusions at different levels of the lumbar aorta and pelvic arteries: causes and consequences.
18 cases of total occlusion of the lumbar aorta of one common iliac artery are discussed. The collateral patterns, described in the literature, were classified into eight groups, according the localization of the occlusion. Also a new collateral plexus of paravertebral arteries was observed. A survey of the scattered information in the literature of the last five years, about the incidence and the causes and consequences of total lumbar aortic occlusion, is given.
Demonstration of bleeding from Meckel's diverticulum by means of selective arteriography of the superior mesenteric artery.
The diagnosis of a bleeding Meckel's diverticulum was made in a young man who presented several episodes of rectal bleeding over a period of 3 years. Attempted diagnosis by barium studies did not reveal the diverticulum. Angiography of the superior mesenteric artery revealed a wide and tortuous ileal branch -and at its distal end extravasation of contrast medium, within the walls of the diverticulum. It is suggested that in case of major bleeding from the lower GI tract, arteriography should be performed before other contrast medium studies.