Search Results
Results 451 - 500 of 601
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Brennan D F - - 1997
A case of bilious vomiting in a 9-month-old male is reported. The differential diagnosis of infantile bilious vomiting is reviewed, and appropriate diagnostic studies are discussed. The child was found to have intussusception. The common manifestation of this pediatric surgical emergency may vary considerably from classic descriptions. Bilious emesis in ...
Hang L W - - 1997
Descending necrotizing mediastinitis is a rare but serious complication of oropharyngeal and deep neck infection which spreads down to the mediastinum via the cervical-facial planes. Its mortality rate remains high even with aggressive surgical drainage and appropriate antibiotics. Here, a case of descending necrotizing mediastinitis secondary to peritonsillar abscess is ...
Gignoux B - - 1997
Inflammatory pseudotumor is a rare, benign lesion of various organs and tissues that occurs in children and young adults. A case is reported in a 12-year-old boy in a retroperitoneal location with involvement of the left ureter and a thrombosis of left iliac vein. He underwent surgical resection. A local ...
Buckley R - - 1997
Mycobacterium fortuitum is a rapidly growing atypical mycobacterium frequently reported as a postsurgical wound complication from a major surgical procedure. We present a unique case of M. fortuitum infection occurring in a 4-year-old boy after a minor punch biopsy surgical procedure. As far as we know there has been no ...
Balter-Seri J - - 1997
BACKGROUND: Recurrent medulloblastoma has long been considered universally fatal. In spite of attempts to improve its treatment, only rarely have long term survivors been documented in the world's medical literature. Although the treatment of primary medulloblastoma is well established and includes surgical excision, postsurgical irradiation, and, more recently, chemotherapy, there ...
Fliegner J R - - 1997
Vulval varicosities and hypertrophic labia minora are 2 conditions that receive relatively little attention in the literature. However, they may cause especially bothersome discomfort in some women. Appropriate surgical treatment is eminently successful if certain guidelines and attention to detail are followed. The treatment of both conditions is described based ...
Meyer R - - 1997
This case report relates to the surgical treatment of arhinia in a 6-year-old child. The external nose was constructed during the first stage with a forehead flap and a triangular rib graft. The nasal cavities were drilled out and lined during the second stage. In a third stage, the cavities ...
Brindis C D - - 1997
Given that addiction is a chronic, relapsing disease, ongoing support services are considered a crucial part of preventing relapse and assisting clients in building the foundation for a drug-free life. Building on the substantial history of case management services with other at-risk client populations, drug treatment programs have begun to ...
Reinders M F - - 1996
This clinical note describes the case of a nine-year-old girl with classical Volkmann's contracture of the left forearm. The report demonstrates the results and follow-up of conservative orthotic management used as a mode of treatment by a multidisciplinary team. When using an orthosis it is essential to check regularly to ...
Pacheco R A - - 1996
Intramedullary lesions caused by Paracoccidioides brasiliensis have been rarely described. Its diagnosis may be challenging and surgical approach is indicated for diagnostic and therapeutic purposes. We hereby report a case with MRI and surgical findings in a 45 year-old woman with intramedullary paracoccidioidomycosis, and make a review of other cases ...
Nichols D D - - 1996
The authors report the use of intraoperative tissue expansion in the treatment of a neonate with aplasia cutis congenita, a congenital defect of the scalp and skull. The case for immediate surgical intervention is presented, and intraoperative tissue expansion and cranioplasty are recommended as components of an effective surgical approach.
Haninec P - - 1996
We report a case of traumatic embolization of a shotgun pellet in the middle cerebral artery. The patient was successfully treated by emergency embolectomy performed 12 h after the accident. The literature seems to support the protective role of surgical treatment against cerebral ischaemia and subsequent infarction in such cases.
Goforth W P - - 1996
Few surgical procedures have been described for the correction of the transverse plane component of medial crossover toe deformity. A review of the literature failed to reveal any consistent approach that is widely accepted for treatment of this condition. This article provides a detailed description of a procedure, similar to ...
Hamdy R C - - 1996
Forty-four consecutive cases of subacute osteomyelitis admitted at our institution over a 12-year period were retrospectively reviewed to assess the effectiveness of conservative versus surgical treatment of this condition and to determine the indications for open biopsy and surgical debridement. Twenty-four cases were treated with antibiotics only, and 20 had ...
Stein J P - - 1996
Emphysematous pyelonephritis is a rare, rapidly progressive, life-threatening infection of the renal parenchyma. It most commonly is unilateral, is found almost exclusively in diabetics, is associated with gas-forming coliform bacteria, and is characterized by the presence of gas within the renal parenchyma. Early aggressive therapy (combined medical and surgical) is ...
Braz A - - 1995
The authors, based upon previous experience in the treatment of ten children with cloacal abnormalities, among which two with female pseudohermaphroditism with cloaca, hereby present a pioneer experience in Brazil, with the "posterior sagittal transsphinctericanorectalurethrovaginoplasty" a surgical approach to neovaginoplasty described by "Cripps/Peña", which was utilized for the reconstruction of ...
Kirschenbaum I H - - 1995
Surgical scheduling and data collection is a field that has a long history as well as a bright future. Historically, surgical cases have always involved some amount of data collection. Surgical cases are scheduled and then reviewed. The classic method, that large black surgical log, actually still exists in many ...
Moore J W - - 1995
Phlegmonous enterocolitis is a rarely encountered and almost universally fatal bacterial infection seen most often in the alcoholic population. Despite being first described in 1842, fewer than 60 cases have been reported. The role of surgical management in this condition is unknown. We present a case of phlegmonous enterocolitis with ...
Gharagozloo F - - 1995
Bronchogenic cysts (BCs) are uncommon congenital anomalies. Due to the inherent complications, the mere presence of a BC should warrant surgical therapy. Partial excision of these structures leads to recurrence. Complete surgical excision using a thoracotomy or video-assisted thoracic surgery is the goal. We report a case of recurrent bronchogenic ...
Fleischli J - - 1995
The authors present a literature review and systematic approach to the diagnosis and treatment of avascular necrosis of the sesamoids of the flexor hallucis brevis tendon. Renander, in 1924, was one of the earliest authors to call attention to this condition. Since that time, many other authors have written about ...
Mishaly D - - 1995
Interrupted right sided aortic arch is a very rare anomaly, and to our knowledge only one such case in which the patient underwent complete repair has been recorded in the literature. Twelve additional cases were found on autopsy or underwent palliative surgery. We present the case of a 25-day-old infant ...
Manus D A - - 1995
The epulis gravidarum, or granuloma of pregnancy, represents a vascular lesion observed during gravidism. While histologic features may mimic those of generic pyogenic granulomas, the management may differ. Remarkably, the plastic surgical literature is conspicuously void of information concerning this common entity, with approximately 40 new cases being diagnosed and ...
Mathur M N - - 1995
Aeromonas hydrophilia, a Gram-negative facultative anaerobe, is a rare cause of cellulitis. We review the literature and report a case of Aeromonas hydrophilia cellulitis which failed to respond to the conventional management of surgical debridement and antibiotics. Hyperbaric oxygen therapy was used successfully to control the infection. As far as ...
Hromco J G - - 1995
Although case management is an important component of treatment for persons with major mental illnesses, little is known about who works in case management, what functions are performed and how much occupational stress case managers experience. Mental health care managers (CM's) throughout the state of Oregon (N = 216) completed ...
Walker L G - - 1995
Only 3 cases of persistent olecranon physes in adults have been reported previously in literature. In each case, physeal nonunion was present bilaterally and either unilateral, bipartite, or tripartite patellae were present. A case of painful unilateral physeal nonunion in an adult weight lifter is presented. The patient had begun ...
Borzone M - - 1995
Acute Posterior Fossa Subdural Haematoma (PFSDH) caused by trauma is a clinical rarity: only 13 cases have been encountered in the literature. Three consecutive personal cases of PFSDH are presented. Two of them are respectively the sixth and the seventh surgically treated cases with success. Among the 16 cases 60% ...
Chung K C - - 1995
Cephalhematoma is a collection of blood under the periosteum of the skull and is frequently associated with traumatic delivery. The distinct calcified form of this disease is rare and has not been reported in the plastic surgery literature. In this report, we present an infant with a large calcified cephalhematoma ...
Moore P J - - 1994
Encounters with the jugular bulb in ear surgery are uncommon. This communication relates three cases where the author was confronted with the bulb in middle ear surgery--one in relation to the external auditory canal when raising a tympanomeatal flap and two in the hypotympanum when entering the middle ear. The ...
Russell I D - - 1994
Intravenous injection of the oral formulation of Temazepam is a common form of drug abuse. At the request of the Home Office, manufacturers have developed solid dose forms to replace the liquid filled capsules, but a number of cases of accidental intra-arterial injection of the new formulation have been reported, ...
Goodnight J W - - 1994
BACKGROUND: A dramatic case of infected emphysema involving multiple deep cervical and mediastinal fascial planes following surgical extraction of a lower third molar in an otherwise healthy man is presented. METHODS: The differential diagnosis and management of this condition are discussed, specifically contrasting it to necrotizing fasciitis. RESULTS: The direct ...
Friedberg J - - 1994
Since the late 1970s, the author has had the opportunity to prospectively study, document, and surgically manage 40 cases of congenital cholesteatoma. All cases met strict criteria for inclusion in the study, all were surgically and pathologically confirmed, and were definitively followed. During that same period, 38 cases were managed ...
Bernard E B - - 1994
Vascular malformations are infrequent findings in the foot, especially the plantar medial foot. Deeper vascular malformations may be more difficult to diagnose due to the depth and oblique course of the medial neurovascular structures into plantar aspect of the foot. The authors present an interesting case report of a vascular ...
Feltes M - - 1994
OBJECTIVE: To describe case managers' perceptions of the physician-case manager relationship. DESIGN: A qualitative field study using in-depth open-ended interviews was used to elicit case managers' experiences and practices. A multidisciplinary team analyzed transcripts using an adaptation of the "grounded theory" approach of Glaser and Strauss. PARTICIPANTS/SETTING: Case managers were ...
Karpf A J - - 1993
A 19-year-old Arab woman who was previously operated on to desyndactylize her right second and third digits is presented in this case report. The patient's toes resyndactylized postoperatively and a keloid scar developed on the dorsum of her incision site. Syndactylism of digits is often discussed when involving the hand. ...
Forese L - - 1993
Equinovarus is the most common residual deformity of the lower extremity in patients who have sustained intracranial injury. Appreciation of the pathophysiology of the deformity aids in surgical management of selected cases. Gait analysis is a valuable tool for preoperative management. Three case reports illustrate the principles of surgical treatment.
Jolly B T - - 1993
Cholecystitis, a frequent diagnosis in emergency departments, has been discussed extensively in the medical literature. We report a case of emphysematous cholecystitis, an unusual form of this disease process, including the classic radiographic findings. We also offer a review of the literature, emphasizing the proposed pathophysiology and the life-threatening nature ...
Harder M K - - 1993
BACKGROUND: Pseudocyst of the auricle is characterized by an asymptomatic swelling caused by an intra-cartilaginous accumulation of fluid. Treatments include aspiration, steroid injection, and surgical intervention. OBJECTIVE: To present two cases of pseudocyst of the auricle treated surgically with an open, deroofing technique. METHODS: Two cases are presented and the ...
Méndez-Fernández M A - - 1993
Chronic recurrent synovial fistulae of the knee are uncommon. They can occur as a surgical complication or as a consequence of traumatic injuries. Conservative treatment is usually adequate for initial management, but no consensus exists about the treatment for chronic or recurrent cases and the literature on the subject is ...
Singer J M - - 1993
We report a case of osteoblastoma arising in the petrous temporal bone of a 16-year-old boy. Attempts at surgical resection were unsuccessful. The patient was treated with radiotherapy and is now well 10 years later. A review of the literature indicates that radiotherapy has been used rarely for this tumour ...
Ashoush R - - 1993
The authors report a case of surgical repair of total anomalous pulmonary venous connection in a 36-year-old male. This is a very rare disease in adulthood since over 80% of the infants die before one year of age. Fifty-two surgical cases were previously reported in the literature. An extensive review ...
Idezuki Y - - 1992
A nationwide survey on the treatment for esophageal varices was performed in 1990 jointly by the Japanese Research Society for Portal Hypertension and the Japanese Research Society for Sclerotherapy of Esophageal Varices to clarify the present status and strategy of this treatment in Japan. A total of 12,675 cases, including ...
da Silva J A - - 1992
The surgical findings observed in a series of 209 consecutive patients with craniovertebral anomaly are presented. The high prevalence of basilar impression in the Northeast of Brazil is noteworthy. There were 28 (13.3%) patients with basilar impression alone, 10 (4.7%) cases of pure Arnold-Chiari malformation and in 171 (81.8%) cases ...
Montgomery T A - - 1992
Transjugular intrahepatic portosystemic stent shunts (TIPSS) procedures can be a significant non-surgical treatment for patients with liver cirrhosis, portal hypertension and at least one episode of bleeding from gastroesophageal varices. This article presents an in-depth description of the TIPSS procedure and reports results obtained from 15 attempted TIPSS cases.
Schoenbaum S W - - 1992
Four patients with a superior mesenteric artery (SMA) embolism were successfully treated with intraarterial urokinase. Angiography showed partial SMA occlusion by intraluminal thrombus in two cases and almost total occlusion in two cases. Laparotomy was performed in the latter two cases, one of which required resection of infarcted bowel. Several ...
Starck W J - - 1992
There has been considerable confusion in the literature regarding the proper treatment of auricular hematoma. This has stemmed from an inadequate understanding of the mechanisms involved in the formation and propagation of this condition. This article reviews the literature and give suggestions as to the proper surgical management of this ...
Andrade L A - - 1992
A case of uterine Mullerian tumor in an adolescent is described. Surgical and clinical management is discussed, based on the experience gained by the analysis of cases described in the literature. A review of the different age groups, primary sites, surgical management and biological behavior of cases described in the ...
Mopsik E R - - 1992
A review of the literature and a case report of follicular lymphoid hyperplasia (FLH) of the hard palate has been presented. This entity should always be considered when confronted with a hard-palate swelling. A diagnosis of FLH generally can be made after a thorough medical and dental examination and immunocytochemical ...
Di Tonno F - - 1992
The authors report 2 cases of localized xanthogranulomatous pyelonephritis (XGP) in which computed tomography (CT) permitted to raise a motivated clinical suspicion of inflammatory disease: the surgical exploration documented absence of neoplasm and allowed a conservative therapy implying only the removal of the mass. A literature review confirms that some ...
Chavan B S - - 1992
Recently, many cases of Fluoxetine induced mania have been reported in the literature. The detailed analysis of these case reports demonstrates that these patients had either positive family history of affective disorder (Lebegne, 1987), past history of affective illness (Settle and Settle, 1984; Lebegne, 1987; Nakra el al., 1989) or ...
Fleishman J A - - 1991
The Robert Wood Johnson Foundation's AIDS Health Services Program uses case management to provide community-based care for people with AIDS. This article reports data concerning implementation of case management, based on interviews with program clients in nine communities. Some clients receive case management from a community-based organization (CBO), while others ...
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