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Results 451 - 500 of 693
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Marnejon T - - 1995
Spontaneous pneumothorax is infrequently caused by strenuous exertion. To our knowledge there has only been one case of spontaneous pneumothorax associated with weightlifting reported in the medical literature. We describe three consecutive cases of spontaneous pneumothorax associated with weightlifting. We postulate that spontaneous pneumothorax in these patients may be secondary ...
Bernstein R M - - 1995
Spontaneous rupture of the tibialis anterior tendon is an uncommon occurrence that most often affects men in their fifth to seventh decades. These ruptures occur through abnormal tendons, but may cause little disability. Early repair does seem to improve the likelihood of a good result, however. The following is a ...
Kong K H - - 1995
Intracranial mycotic aneurysm is a rare complication in patients with infective endocarditis occurring in about 2% to 10% of cases. Although the risk of rupture is about 1.7%, it is usually a catastrophic event with a fatality rate of 80%. Neurological deficits secondary to cortical involvement are common, given the ...
Cheung K M - - 1995
Closed avulsion of both flexor digitorum profundus and superficialis from the same finger is rare. Only ten cases have been described in the literature. The majority were treated with a two stage reconstruction of the flexor digitorum profundus. We describe a case in which primary repair of both tendons was ...
Clyde B L - - 1995
A 54-year-old woman was referred for the evaluation and treatment of spontaneous cerebrospinal fluid rhinorrhea. Magnetic resonance imaging revealed a right anteromedial intrasphenoidal encephalocele with cisternography showing the flow of contrast into the sphenoid encephalocele. Transcranial surgical repair was performed. This included the use of a vascularized split-thickness calvarial graft ...
Ben-Ari Z - - 1995
OBJECTIVE: To report the case of a patient with a spontaneous, massive and fatal intraperitoneal haemorrhage from porto-systemic collaterals, caused by portal hypertension. We also review the cases of 18 cirrhotic patients with spontaneous bleeding of intraperitoneal varices and no previous abdominal surgery reported in the literature. PATIENT: A 21-year-old ...
Selassie F G - - 1995
Seventy-two cases of pyomyositis are reported from the north-western highlands of Ethiopia. The majority (76.4%) came from highland areas over 1,800 meters above sea level. The clinical picture of the disease was similar to that seen in other East African countries. Staphylococcus aureus was recovered from 69 of 72 pus ...
Hirota T - - 1995
We present herein the case of a 66-year-old woman with disseminated malignant melanoma in whom a metastasis in the ileal mesentery ruptured into the peritoneal cavity causing an acute abdomen. The patient suddenly developed lower abdominal pain and a computed tomography (CT) scan of the pelvis confirmed the presence of ...
Dragoni S - - 1994
Partial tears of the subscapularis tendon associated with anterior shoulder dislocation, are frequently described while the isolated lesions of this tendon are quite rare. We report the case of a 33 years old water-skier who injured his right subscapularis muscle during a forced movement of adduction and internal rotation. Ultrasound ...
Mader T J - - 1994
Diverticular disease of the colon is generally considered a disease of older patients, rarely causing symptoms before age 40. Two recent cases of ruptured sigmoid diverticulitis in young female patients presenting to our Emergency Department prompted a review of the literature on this topic. Diverticulitis is more common in patients ...
Gerber G S - - 1994
We report 2 cases of necrotizing fasciitis of the perineum, perianal area, and male genitalia (Fournier's gangrene) that arose secondary to intra-abdominal infectious processes (ruptured appendicitis and diverticulitis). Management consisted of immediate debridement of necrotic tissue, exploratory laparotomy, and diverting colostomy. The presence of an acute abdominal process was not ...
Vernet M - - 1994
A case of preterm premature rupture of membranes (PROM) secondary to first trimester chorial biopsy is described. The newborn survived and physical and psychological development was normal at 1 year of age. On review of the literature, different attitudes may be found with regard to the treatment of PROM: some ...
Saccone P G - - 1994
Extensor tenosynovitis is caused by a variety of conditions, but most commonly is associated with inflammatory arthritis. Extensor tenosynovitis with secondary tendon rupture due to occupational repetitive direct trauma to the dorsal compartments of the wrist and hand is reported in a woman. Tenosynovectomy and tendon transfer were performed to ...
Noteboom J T - - 1994
This case study reports on a patient with a diagnosis of bilateral patellar tendon ruptures. Bilateral ruptures of the infrapatellar tendons are rare occurrences; approximately 20 cases have been reported in the medical literature. Much of the medical literature concentrates on surgical repair, immediate postoperative follow-up, and final outcome. There ...
Romash M M - - 1994
A unique case report of rupture of the flexor hallucis longus tendon at the great toe metatarsal head level is reported in a well-trained marathon runner. The literature regarding interruptions of the flexor hallucis longus tendon is reviewed. There is an identifiable trend: Closed ruptures of the tendons when repaired, ...
Melamed J - - 1994
The entity of spontaneous cerebrospinal fluid rhinorrhea is a rare condition that presents a special challenge to the practicing allergist. Delayed diagnosis can be associated with significant morbidity and mortality. We describe two cases of this condition occurring in association with allergic rhinitis and sinusitis. The presentation and management of ...
McCarty D J - - 1994
Two cases of hemarthrosis and rupture of the shoulder joint are described and 6 reported cases are reviewed; 5 of these were associated with a destructive glenohumeral joint arthropathy and rotator cuff dissolution. All have occurred suddenly, without trauma, in elderly persons. Conservative treatment is often successful, but recurrent episodes ...
Siegel T - - 1994
Before 1955 blunt traumatic ruptures of the heart and pericardium were reported almost exclusively in autopsy reports. Since then, because of improved prehospital care and early triage, it has been demonstrated that injuries resulting in rupture of the heart and pericardium are no longer always fatal. We present a case ...
van Enk A - - 1994
A case is described of a uterine rupture resulting from a car accident occurring in a woman who was wearing a seat belt as generally recommended. The rupture was initially not recognised and only became apparent after attempts to induce labor which led to expulsion of the fetus into the ...
Cross J J - - 1994
A 75-year-old woman arrived at our hospital 2 weeks after falling from a bus. She was shown to have a ruptured left ureter. After drainage of a urine collection and decompression of her obstructed kidney she recovered. To our knowledge ureteric rupture has not before been reported as a consequence ...
Blake R L - - 1994
Overuse posterior tibial tendinitis is caused by the increased stress placed on the tendon as it tries to compensate for the increased subtalar joint pronatory movement and velocity during physical activity. The stress can cause microtrauma and rupture of some of the fibers of the tendon. This leads to an ...
Meulman N - - 1994
Spontaneous intramural haematoma of the oesophagus is an uncommon condition which may follow rapid increases in intra-oesophageal pressure and is predisposed to by coagulation disorders. The characteristic clinical presentation and findings at radiology and endoscopy frequently result in misdiagnosis and confusion with more sinister pathology. Awareness of the condition and ...
Fernandez Fernandez A - - 1994
We report the first case of upper lumbar ureteral replacement with the vermiform appendix, in a blunt traumatic ureter rupture with important urinoma. In selected cases, in which the appendix has a required caliber and length, the vermiform appendix is a very good autograft for ureteral substitution. The vermiform appendix ...
Mont M A - - 1994
Traumatic ruptures of the triceps are very rare among tendon injuries. A unique case of hypocalcemic tetany that induced spontaneous triceps tendon avulsion with associated bilateral quadriceps tendon ruptures is reported. The current orthopaedic literature is reviewed, and a new application of an existing surgical treatment for repair of the ...
Masquelet A C - - 1993
Isolated injuries of the scapho-trapezial ligament complex are not well recognized. The ligament complex comprises the stout scapho-trapezial ligament, the floor of the flexor carpi radialis (FCR) tendon sheath and the scapho-capitate ligament. Between August 1991 and May 1992, we diagnosed and treated four cases of partial chronic post-traumatic lesions ...
Abu-Hijleh M F - - 1993
A supernumerary extensor muscle to the middle finger was found to be present bilaterally in a male cadaver. It originated from the distal end of the ulna and its tendon inserted into the proximal phalanx of the middle finger. The bilateral presence and manner of insertion appear to be unique ...
Hasaniya N - - 1993
A unique case of acute compartment syndrome of both lower legs caused by a ruptured tibial artery in a patient with polyarteritis nodosa is reported. No similar cases have been reported in the literature. A review of the literature on ruptured aneurysms in patients with polyarteritis nodosa is discussed.
Elkady A A - - 1993
Ruptured uterus is a grave obstetric complication, associated with high maternal mortality and morbidity, perinatal mortality and loss of future fertility as hysterectomy is inevitable in many cases. This study reviews the incidence, causes and other factors, to define problem areas and propose preventive measures. During 1979-1988, 126 cases of ...
Hoeffel J C - - 1993
A rare case of metaphyseal cupping of the distal femur resulting from infantile scury in a child is reported. The radiological and surgical aspects of this case are of particular interest. MRI demonstrated central epiphysiodesis of the right knee, surgery achieved rupture of the epiphyseal plate and resulted in femoral ...
al-Qattan M M - - 1993
The anatomy of the deep transverse metacarpal ligament was examined in cadaveric dissections. Previously unreported findings were transverse muscular slips from abductor digiti minimi that inserted into the medial border of the ligament and, in 1 case, an extension from the medial half of the tendon of extensor carpi ulnaris ...
Itoh Y - - 1993
We investigated consecutive 1000 autopsied cases (average age 82.9 years) clinicopathologically in order to reveal the significance of cerebral amyloid angiopathy (CAA) as a cause of senile intracranial hemorrhages. We found 101 cases with intracerebral hemorrhages, and CAA accounted for 10.9% of them (31.0% of lobar cerebral hemorrhages, and 14.3% ...
Miller M D - - 1993
We have reported an unusual case of pectoralis major muscle rupture and repair. There were three interesting aspects of this case. First, the injury occurred in a football player with an unusual mechanism of injury. Second, MRI using special techniques was valuable in confirming the diagnosis acutely and in planning ...
Van Damme H - - 1993
A spontaneous rupture of the left iliac vein is described. A 2 cm tear on the anterior surface of the left iliac vein was discovered at emergency laparotomy on a patient who was suspected of having a huge intraabdominal hemorrhage. Prodromal symptoms, cause, and treatment are discussed. The nine previously ...
Remy D - - 1993
The authors report a case of splenic aneurysm rupture in a 61-year-old woman. The diagnosis was made by computed tomography in the second phase of a "double rupture phenomenon" in circulatory collapse. This was successfully treated by aneurysmectomy and splenectomy. The case is reported together with the literature review.
Nehra D - - 1993
Five cases of spontaneous rupture of the oesophagus are reported. All cases had surgery within 12 hours, and all survived, illustrating the value of early diagnosis in this rare condition. None had their diagnosis made before admission to the hospital. Myocardial infarction is the commonest misdiagnosis and frequently results in ...
Tang J S - - 1993
Splenic hemangioma is rare. The major problem concerning splenic hemangioma is the difficulty of preoperative diagnosis. No characteristic signs allow the specific diagnosis of this tumor. Spontaneous rupture is the main complication, occurring in up to 25% of cases reported. In cases of rupture of the tumor, splenectomy is a ...
Salame J - - 1993
Atraumatic splenic ruptures in the course of infectious diseases are rare but have been reported. Various germs of viruses can be at the origin of such rupture. The more often quoted viral disease is infectious mononucleosis. The more frequently involved bacteria are Streptococcus non pneumoniae, Pseudomonas, staphylococci and Clostridium. Rupture ...
Zingman B S - - 1993
Clinicians are increasingly confronted with diagnosis and management of malarial complications. In nonfalciparum malaria, severe complications usually involve the spleen, most notably among them the condition termed spontaneous splenic rupture. A case of infection due to Plasmodium malariae resulting in a symptomatic splenic hematoma is presented. Malarial splenic enlargement and ...
Rao R C - - 1993
We report a case of unusual presentation of a patient with hemangioma of the spleen. The patient had presented with recurrent gastric hemorrhage and significant weight loss, due to ruptured hemangioma of the spleen and associated splenic tuberculosis. The true nature of the lesions remained a diagnostic dilemma despite complete ...
Bonciocat C - - 1993
The electromyographic (EMG) diagnosis of spasmophilia is based on the appearance in a susceptible muscle of spontaneous burst (multiplet) discharges after an activation procedure consisting usually in 10 minutes ischemia followed by a pause of a length that varies with the author but does not exceed 5 minutes, and finally ...
Muraguchi T - - 1993
We report herein our experience of two cases of spontaneous hemopneumothorax in which the source of bleeding was found to be aberrant vessels. Both patients were successfully treated by early thoracotomy. Case 1 was a 23-year-old female in whom chest X-ray revealed an air-fluid line and a bulla with a ...
Wuelker N - - 1993
At the foot and ankle, stenosing peroneal tendovaginitis has only rarely been described in literature. The superior and inferior peroneal retinacula, however, may cause symptoms of stenosis similar to other tendons in the foot and the hand. A case of a forty-three year-old woman is presented, where posttraumatic stenosing peroneal ...
Hasegawa Y - - 1993
We compared preoperative echograms and postoperative histological specimens from 16 patients who had undergone radical prostatectomy or radical cystourethrectomy to evaluate the correlation between the so-called capsular echogram obtained on transrectal ultrasonography and histology of the prostatic capsule. The capsular echogram corresponded to the periprostatic fatty tissue in all cases. ...
Takami H - - 1993
Nonrheumatoid ruptures of the flexor tendons in the palm are rare. We report a case in which excessive exertion caused rupture of the flexor digitorum profundus tendon to the small finger in the palm at the level of the lumbrical origin. The patient had been practicing Japanese fencing for many ...
Martinez F J - - 1992
We present 6 cases of spontaneous hemothorax and comprehensively review the medical literature on this subject. We categorize the reported causes and offer a rational diagnostic approach to patients with nontraumatic hemothorax. We recommend specific treatments for specific etiologies, and emphasize the importance of well-established surgical principles for the treatment ...
Mahan K T - - 1992
An abundance of literature has been published regarding rupture of the tendo Achillis. Certain studies review various options for management, while others focus on the mechanisms and pathogenesis of injury. There are, however, significant differences in the outcomes of these studies. This article reviews the basic anatomy of the tendo ...
Lanzetta M - - 1992
Closed ruptures of both normal flexor tendons in the same finger are extremely rare, only nine cases having been reported in the literature. We describe the case of a patient who sustained a closed rupture of both flexor digitorum profundus and flexor digitorum superficialis of the ring finger, following a ...
Shkrum M J - - 1992
A spontaneous tear of the ascending aorta, with or without medial dissection, can cause sudden death from hemorrhage due to aortic rupture. Two representative cases are described. Review of the clinical history and pathological changes showed that the terminal event was delayed allowing healing and reactive changes to occur in ...
Gutkin Z - - 1992
Spontaneous pneumoperitoneum without peritonitis is a rare phenomenon which poses a dilemma to the surgeon faced with this problem. Two such cases and their outcome are presented. The first case was caused by barotrauma during positive pressure ventilation and was treated by laparotomy. No perforated viscus was found. The second ...
Salvati M - - 1992
Electrocardiographic (ECG) alterations in the course of sub-arachnoid hemorrhage (SAH) have frequently been reported. The most frequent anomalies reported were lengthening of the QT interval, very negative or positive deep T waves, elevation or depression of the ST segment and the presence of U waves. We report 70 cases of ...
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