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Maternal congenital diaphragmatic hernia complicating pregnancy.

BACKGROUND: Symptomatic maternal diaphragmatic hernia in a pregnant woman is a surgical emergency associated with high morbidity and mortality both for her and her fetus. Such patients are most commonly managed with immediate cesarean delivery combined with hernia repair. CASE: A woman presented at 29 weeks' gestation with symptoms of bowel obstruction due to herniation of viscera through a previously undiagnosed congenital diaphragmatic hernia of Bochdalek, and she was stabilized. Antenatal corticosteroids were administered to facilitate fetal maturity. The hernia was repaired 10 days after …

Gastroschisis: etiology, diagnosis, delivery options, and care.

Gastroschisis, one of the more common congenital abdominal wall defects, results in herniation of fetal abdominal viscera into the amniotic cavity. This article discusses theories about gastroschisis etiology, in utero diagnostic tools, delivery options, and postdelivery care. Included are detailed considerations regarding immediate interventions after delivery to support the infant's thermal and fluid management needs and to protect the exposed bowel. Surgical options and postoperative care issues and complications are reviewed, as are respiratory distress and vena cava compression from incre…

Congenital diaphragmatic hernia misdiagnosed as pneumothorax in a newborn.

Congenital diaphragmatic hernia (CDH) is usually left sided and has a large defect allowing abdominal viscera herniated into thoracic cavity. The chest films usually show air-filled stomach and/or loops of bowel in the ipsilateral hemithorax with mediastinal shift. We report a newborn with CDH, presenting as hyperlucent hemithorax, right-shifted mediastinum, apparently normal pattern of abdominal bowel gas, with the tip of nasogastric tube below the left hemidiaphragm on the radiograph. It was initially misdiagnosed as pneumothorax, and the acute respiratory distress was temporarily relieved b…

Conjoined twins in a rhesus monkey (Macaca mulatta).

Conjoined twinning is an extremely rare occurrence among human and nonhuman primates. The current report describes a case of minimally conjo … ally inserted on a large bidiscoid placenta. There were no gross or histologic abnormalities in the viscera, with the exception of enlargement of the left central liver lobes, which constituted the area of attachment. The cause of death was attributed to asphyxia and trauma experienced during parturition.

An outbreak of ciguatera fish poisoning in Victoria.

An outbreak of ciguatera fish poisoning in outer Melbourne in September 1997 was traced to a 16.2 kg Maori Wrasse fish imported into Victoria from Trunk Reef in Queensland. The outbreak involved 46 individuals attending a banquet at an Asian restaurant at which four different dishes prepared from the flesh and viscera of the fish were offered. In all 30 individuals consumed at least one of these dishes and all reported one or more symptoms, in the main gastrointestinal and/or in 18 cases neurological. Seventeen cases were seen in four different hospitals and nine were treated with parenteral m…

Dysgerminoma in an Arabian filly.

A yearling Arabian filly was referred to the Veterinary Medical Teaching Hospital with a history of weight loss, profound anemia, and peritoneal effusion. At necropsy, a large, soft, mottled tan and red neoplastic mass was at the pelvic inlet replacing the left ovary. Additional tumor nodules of various sizes were disseminated throughout the mesentery, diaphragm, and serosal surfaces of the abdominal viscera. Histologically, the neoplasm had sheets of large round to polygonal cells separated into lobules by fibrous connective tissue with multifocal areas of necrosis. Tumor cells stained strong…

Sociocultural factors and local customs related to taeniasis in east Asia.

Taeniasis is an important medical and economic problem in many countries in East Asia. According to our estimation, there is an annual loss of US$18,673,495, US$13,641,021, and US$2,425,500 due to taeniasis in the mountainous areas of Taiwan, Cheju Island of Korea, and Samosir Island of Indonesia, respectively. Although taeniasis and cysticercosis due to Taenia solium have been reported, T. saginata asiatica is the dominate species in part of the world, especially in the mountainous and remote areas where the inhabitants are fond of eating raw or undercooked meat and/or viscera of domestic or …

[Morphological diagnosis of DIC syndrome. Shock liver].

A total of 140 pathoanatomic conclusions and files collected by the author are analyzed. Morphological signs of the DIC syndrome were detect … ore death. The DIC syndrome is diagnosed during autopsy due to a complex of peculiar changes in the viscera which are called "shock" in such cases. The signs of a shock liver are as follows: a characteristic red net pattern of the sliced surface and histological phenomena related to blocking of the sinusoidal bloodflow and lobular ischemia: abnormal hepat …

A case of thoraco-omphalo-ischiopagus bipus conjoined twins.

A case of thoraco-omphalo-ischiopagus bipus conjoined twins is reported. The twins shared a common lower chest and abdominal wall, a single pelvis and two lower extremities. Our initial approach was to determine the detailed anatomy of the viscera and then to outline a surgical plan. However, the twins' general condition gradually deteriorated, and the approach was not completely realized despite maximal supportive therapy for cardiorespiratory failure. After the death of the twins, it was detected that they had a single pericardial cavity, and shared an abdominal aorta and vena cava. Furtherm…

Experimental immunization against cutaneous leishmaniasis using Leishmania major subcellular fractions alone or in combination with Phlebotomus duboscqi gut antigens.

Leishmania major-derived flagella and nuclear fractions, and a combination of flagella and sand fly gut antigens were assessed for protectio … on. Surviving cocktail-immunized animals did not ulcerate, and parasites did not metastasize to the viscera. These results provide preliminary evidence of the potential of a cock tail antigen derived from Leishmania flagella and sand fly gut in the protection against cutaneous leishmaniasis caused by L. major.

Ovariohysterectomy in six mares.

Six mares had ovariohysterectomy performed for chronic pyometra associated with cervical abnormalities, uterine neoplasia, or removal of a macerated fetus. Ovariohysterectomy was performed through a ventral midline incision with access to the ovarian and uterine vessels aided by traction on the uterus and retraction of abdominal viscera. Abdominal pain, the most common complication after surgery, occurred in four mares but resolved within 36 hours. Peritonitis occurred in two mares; one mare was subsequently euthanatized. Other complications that resolved with treatment included infection of t…

Perforated colonic carcinoma mimicking perforated peptic ulcer: an argument for full exploration of the stomach and duodenum.

Perforated peptic ulcer is one of the commonest types of hollow-viscus perforation. Because many of these ulcers are found at laparotomy to … ation in a patient with a presumed perforated peptic ulcer, a thorough exploration of the abdominal viscera is mandatory to identify the pathologic process.

Volvulus of the cecum and large colon caused by multiple mesenteric defects in a horse.

A 2-year-old Standardbred colt was examined because of signs of abdominal pain of 12 hours' duration. Clinical signs of disease, including t … ts. The dorsal mesenteric attachments of the right ventral and dorsal colons were also lacking. The viscera were repositioned, and the horse was discharged 13 days after surgery. The horse developed severe colic 6 months later and was euthanatized. Mesenteric volvulus and omental adhesions were found at necropsy.

[Mediastinal adenopathy disclosing Castleman's disease. Apropos of a case].

Castleman's disease or pseudo-tumoral lymphoid hyperplasia is a rare entity. We report a case of Castleman's tumour in the antero-superior m … patients are older and/or immunosuppressed and suffering from multiple enlarged glands also in the viscera) and the disease in above all progressive. There are associations with Kaposi sarcoma and lymphoproliferative complications are described in this multicentric form and their prognosis remains poor.

[AIDS in otorhinolaryngological practice].

The acquired immune deficiency syndrome (AIDS) presents a global problem of XX century medicine. The speed with which this pathology spreads is great and the number of AIDS patients is increasing in geometric progression. At present AIDS is a real threat to the health and life of millions of people. It is very difficult to clinically diagnose AIDS because it manifests in the form of various tumors and opportunistic infections, with lesions localized on the skin and mucosa or in the viscera (lungs, brain, esophagus, gastro-intestinal tract). The most typical AIDS manifestations are: preumocysto…

[A case report of Bochdalek's hernia with volvulus of the stomach in an adult].

We report a rare case of Bochdalekhs hernia, congenital posterolateral diaphragmatic hernia with mesenterioaxia volvulus of the stomach, in … and greater omentum were displaced into the left thoracic cavity. After reduction of the herniated viscera, a defect measuring 10 X 4 cm, in the posterolateral part of the diaphragm, was closed with double interrupted Tevdek sutures. Three months later, he was asymptomatic and his chest roentgenogram was normal.

Cat-scratch disease presenting as abdominal visceral granulomas.

Three cases of atypical, clinically unsuspected cat-scratch disease (CSD), diagnosed by demonstration of the CSD bacillus in an abdominal visceral organ, are presented. In two cases CSD bacilli were demonstrated for the first time in splenic granulomas in a child and in an adult with acquired immunodeficiency syndrome (AIDS)-related complex. In both cases, there was granulomatous hepatitis as well as splenitis. In the third case, the CSD bacillus was present in hepatic granulomas in an adult with granulomatous hepatitis. In all cases, granulomatous inflammation with suppuration in the viscera …

Inflammatory aneurysm: a cause of obstructive nephropathy.

Inflammatory aortic aneurysms are aneurysms that are surrounded by a variable amount of periaortic fibrosis. This periaortic fibrosis may involve abdominal viscera, such as the duodenum, inferior vena cava, renal veins, or ureters, to a variable degree. On ultrasonographic images, the periaortic fibrosis appears as a hypoechoic mass surrounding the anterior and anterolateral aspects of a dilated aorta. Computed tomography scans reveal a periaortic mass of inflammatory tissue surrounding a dilated atherosclerotic and thickened aorta. The inflammatory mass may enhance to the same extent or sligh…

[Reasons for the late diagnosis of pulmonary tuberculosis in the outpatient polyclinic network].

A total of 1019 patients were referred by polyclinics of Dushanbe to the Republic Tuberculosis Dispensary for examination and in 109 of them … ies. In 0.97 per cent of the persons hospitalized in a therapeutic unit for various diseases of the viscera, acute pulmonary tuberculosis was diagnosed. Retrospective analysis of the outpatient and in-hospital histories of the new cases of pulmonary tuberculosis showed that the mistakes in the diagnoses at the outpatient stage were mainly due to imperfect …

Воздействие полиморфоядерного истощения на экспериментальную аргентинскую геморрагическую лихорадку у морских свиней.

Роль полиморфоядерного лейкоцита (ПМН) в аргентинской геморрагической лихорадке (AHF), эндемо-эпидемической болезни, вызванной вирусом Хунин (JV), была исследована в экспериментально зараженных свинках, истощенных PMN в результате применения специфической антисеремии. У лейкопентических животных эволюция инфекции с высокопатогенным штаммом JV была более серьезной, с более ранней смертностью и более высоким уровнем вирусной урожайности в крови и висцерии. В ходе патологического исследования были выявлены аналогичные повреждения как у контрольных, так и у обезжиренных животных, за исключением ле

Совпадение в аннотации оригинала
The role that polymorphonuclear leukocytes (PMN) may play in Argentine hemorrhagic fever (AHF), an endemo-epidemic disease caused by Junín v … athogenic strain of JV was more severe, with earlier mortality and higher virus yields in blood and viscera. The pathological study showed similar lesions in both the control and PMN-depleted animals with the exception of the lung, which showed the pathological picture of the human "pulmonary distress syndrome of the adult" in nontreated guinea pigs and a …