Search PubMed⌕ Search

Biomedical subjects

V Gilsanz

Publications and source records attributed to V Gilsanz.

At least 109 records · Page 6Linked to original sources
PubMed1980

Renal hydatid cysts: communicating with collecting system.

The clinical and radiological features of five patients with renal hydatid disease communicating with the collecting system are described. Rupture into the renal pelvis of a hydatid cyst gives rise to acute flank pain followed by voiding of scolices or daughter cysts with or without hematuria and/or urinary obstruction. Intravenous urography demonstrates a renal mass frequently involving the collecting system; arteriography shows it to be avascular; sonography reveals a multicystic lesion of mixed echogenicity. When daughter cysts are present, computed tomography establishes the diagnosis.

Adult↗
PubMed1979

Pancreatic encephalopathy.

A prospective study was conducted on 17 cases of acute pancreatitis; encephalopathy was discovered in six patients (35%). The following parameters were studied: the usual ones in pancreatitis conditions (amylasemia, lipasemia, amylasuria, ions, glucose, pO2, pCO2, pH, etc.), and electroencephalographic changes and determinations in CSF of cells, proteins, lipase, amylase, lipides and cholesterol. A direct relationship was found to exist between the pancreatic encephalopahy condition and an increase in CSF-lipase. The electroencephalographic changes were nonspecific. The encephalopathy did not affect the course of the pancreatitis condition, and showed no relationship to type of treatment involved. The severity of the pancreatitis was not related to the presence or absence of encephalopathy.

Acute Disease↗
PubMed1979

Radiographic evaluation of the spine after surgical correction of scoliosis.

Scoliosis is frequently a progressive deformity despite the best efforts at external bracing and various exercises. In childhood, scoliosis is usually insidious and is rarely symptomatic. In later years, however, scoliosis leads to cardiopulmonary compromise, neurologic dysfunction, degenerative joint disease, and cosmetic deformities. Therefore, surgical correction is indicated in selected patients. Internal fixation with spinal fusion is more effective than fusion alone. Postoperative radiographs must be examined closely for general as well as orthopedic complications. Loss of correction and failure of hardware are signs of pseudarthrosis. Radiographic follow-up evaluation should include two views whenever possible.

Bone Nails↗
PubMed1978

Histiocytic medullary reticulosis in childhood.

The clinical, radiographic and pathologic findings of two children (ages 6 months and 5 1/2 years) with histiocytic medullary reticulosis are reviewed. Chest radiographs, excretory urograms, and skeletal survey revealed involvement of the mediastinum, lung parenchyma, pleural space, liver, spleen, kidneys, retroperitoneal lymph nodes, and long bones. This condition has rarely been reported in children and never during the first year of life. Histiocytic medullary reticulosis can occur in the very young; familiarity with its presentation at an early age helps to differentiate it from other infiltrative disorders of childhood.

Bone Diseases↗
PubMed1978

Pleural reaction to thoracotomy tube.

Knowledge of the transitory pleural thickening seen around thoracotomy tubes can avoid confusion with more serious pleural and pulmonary conditions. In this study of 60 children treated with chest tubes, nine had a local pleural reaction severe enough to produce findings on x-ray films taken up to ten days after removal of the tube.

Adolescent↗
PubMed1978

Congenital pseudarthrosis of the radius.

Five children with six congenital pseudarthroses of the long bones of the forearm are described. Four cases were the result of neurofibromatosis, one was related to fibrous dysplasia, and one appears to be idiopathic. Whereas congenital pseudarthrosis of the leg primarily involves the tibia, congenital pseudarthrosis of the forearm primarily involves the radius. Four of the children were treated with bone grafts of the radius, three requiring repeated grafting. The etiology, differential diagnosis, long term prognosis, and treatment correlate with the data of similar lesions in the tibia. Thus the reason for poor fusion is probably unrelated to weight bearing but is rather the result of underlying bone pathology.

Child, Preschool↗
PubMed1978

Glucagon vs anticholinergics in the treatment of acute pancreatitis. A double-blind controlled trial.

Sixty-two cases of acute pancreatitis, evaluated for severity according to uniform standards, were treated identically except that patients in one group received glucagon hydrochloride (group A) and those in the other oxyphenonium bromomethylate (group B). Each of the two homologous series comprise 31 patients, and mortality was the same for both groups (3/31, 10%). Statistical comparison of both series showed no significant differences in frequency of expected complications nor in fall of serum amylase levels. During treatment, serum calcium levels were significantly reduced in group A (P less than .005), and the duration of the abdominal pain was shortened (P less than .05). The volume of gastric aspirate was smaller in group B (P less than .005), and vesical catheterization proved necessary more frequently (P less than .005). Thus, similar results are obtained when glucagon or anticholinergics are employed in the treatment of acute pancreatitis, although secondary effects differ.

Acute Disease↗
PubMed1977

Recurrent pulmonary embolism due to hydatid disease of heart. Study of 3 cases, one with intermittent tricuspid valve obstruction (atrial pseudomyxoma).

Three cases of pulmonary hypertension caused by hydatid emboli from the right side of the heart are described; cardiac catheterisation was performed in 2. One case was confirmed at operation and 2 at necropsy. The pulmonary emboli were caused by hydatid vesicles in all 3 cases and in none was there pulmonary thrombosis; free scolices were found in the pulmonary alveoli in 2. In 1 patient with repeated syncopal attacks there was a pedunculated cyst in the right atrium which was though to have intermittently obstructed the tricuspid valve. Gamma radiography, angiocardiography, and necropsy suggested a mechanical cause for the pulmonary hypertenion with no vasoconstrictive element. The surgical patient was alive and well 18 months later.

Adult↗