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Biomedical subjects

Z Braf

Publications and source records attributed to Z Braf.

71 records · Page 4Linked to original sources

Strangulated prolapse of the urethra in the elderly female.

Circular prolapse of the urethral mucosa in the elderly female is rarely reported in the literature, but is a common clinical entity. During the years 1972-1983 thirteen women with urethral prolapse were operated upon in our department, in all of whom differentiation of the benign lesion from malignancy could not be done on clinical grounds only. The following survey is meant to draw attention to the entity and its clinical implications.

Aged↗

[An old complication returns. Anuria caused by ureteral catheterization].

A case of secondary anuria following the insertion of a double pigtail stent to treat an anuria due to a tumoral obstruction of the ureter is presented. Washing of the stent through a second ureteral catheter parallel to it proved the patency of the stent. Diuresis ensued at last by the administration of diuretics and leaving both the stent and the ureteral catheter in place. The literature is reviewed and discussed.

Anuria↗

[Sarcomatoid carcinoma of the kidney].

Sarcomatoid renal carcinoma is an uncommon renal malignancy with an aggressive biological behaviour and very poor survival rate. We treated lately 4 patients, three of which died shortly after the operation. The case reports are presented and the histology and the clinical implications are discussed.

Aged↗

[Treatment of ureteral obstruction by a double pig-tail catheter. Our experience].

The authors' experience is based upon 39 patients treated for ureteric obstruction between March 1980 and March 1984. The obstruction was of neoplastic origin in 7 cases. In 5 cases the double pig tail catheter was inserted peroperatively as a urinary drainage method. The catheter was inserted endoscopically in 10 cases and percutaneously in 9 cases. In 15 cases a temporary or permanent nephrostomy was necessary. Indications and complications of the method are analysed and the results compared with those in the literature.

Humans↗

Computerized tomography in xanthogranulomatous pyelonephritis.

Computerized tomography offers the means to recognize changes in the kidney associated with xanthogranulomatous pyelonephritis. The preoperative extent of the inflammatory process, reaction of adjacent parenchymal structures, and extension to the muscles and abdominal wall are identifiable on computerized tomography. The presence of obstructing renal stones, thickening of the perirenal fascia and inability of the kidney to handle intravenously injected contrast medium can be assessed with computerized tomography. Low density renal areas measured on computerized tomography may indicate lipid infiltration of the kidney or incorporation of the fat of the renal bed into the tumefactive mass.

Female↗

[Persistent gluteal pain after embolization of the hypogastric arteries. An unexpected complication].

Ligation or embolization of the hypogastric arteries for control of intractable hemorrhage from the bladder has been used in the past with equal results and without ill effect. Gluteal pain following hypogastric embolization is common and was reported to be resolved in less than 48 hours. A 57 year old man in our ward underwent a bilateral hypogastric embolization. The bleeding decreased considerably but a severe gluteal pain and claudication ensued. The pain persisted over a month necessitating frequent Morphine injections. We propose to use superselective catheterization technique in the future sparing the superior gluteal artery.

Buttocks↗

Sacral agenesis.

Five cases of partial or complete agenesis of the sacrum (also called the caudal regression syndrome) diagnosed at the Chaim Sheba Medical :Center are reported. Neurological dysfunction of the bladder was present in all. Two patients were diagnosed at the ages of four months and three years, and had dilated collecting systems and neurological deficits of the upper motor neuron type. In three of the patients, the malformation was recognized later, at the ages of 7 1/2, 11 and 22 years. All three had a normal urinary tract, on examination by intravenous urography, and neurological deficits of the lower motor neuron type. Although no overt reduction of renal function was noted in those of our patients in whom diagnosis was delayed, it appears that early diagnosis and treatment of the neurogenic bladder associated with the caudal regression syndrome may reduce both morbidity and discomfort.

Abnormalities, Multiple↗