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Biomedical subjects

A Bruet

Publications and source records attributed to A Bruet.

At least 19 recordsLinked to original sources

[Deep venous thromboses in erysipelas of the leg. A prospective study of 40 cases].

The treatment of lover limb erysipelas rests on antibiotic therapy directed against streptococci, but the necessity of prescribing a concomitant anticoagulant treatment has not yet been established. The incidence of deep vein thrombosis in patients with erysipelas of the leg in unknown. In a prospective study of 40 patients presenting with this type of skin disease, we looked for deep vein thrombosis, using systematically pulsed Doppler vein exploration combined with ultrasonography and, if necessary, a second Doppler examination and a phlebography. Six cases of deep vein thrombosis were diagnosed. This complication was observed in 5 patients at high risk for deep venous thrombosis; it had never been foreseen at clinical examination.

Adult↗

[Congenital mesoblastic nephroma in the adult].

Congenital mesoblastic nephroma is a benign neoplasm of the kidney which is usually diagnosed during the first three months of life. We report herein a case of mesoblastic nephroma in a 69 year-old man. At this age, diagnosis can only be made by histopathologic examination of the operative specimen. This was the case for our patient and the five other cases reported in the literature. Histogenesis of mesoblastic nephroma is open to debate: mesenchymal origin for some authors, tumor of the blastema for most of the others.

Aged↗

[Nephrotic syndrome with minimal glomerular lesions, sensitive to corticoids, disclosing a chordoid sarcoma].

A 65 year old woman had a minimal changes nephrotic syndrome (MCNS) with steroid-induced remission. An underlying malignancy was discovered at the time of relapse of proteinuria: it was a retroperitoneal chordoid sarcoma. Even though the tumor could not be excised, complete remission was again observed with corticosteroids. There was no second relapse when prednisone was discontinued and during the seven months before the patient died. This is a new unusual case of MCNS associated with carcinoma. The response of nephrotic syndrome steroid therapy is further suggestive evidence that deficiency in T-cell function may be involved.

Acute Kidney Injury↗

Peliosis hepatis in a chronic hemodialysis patient.

Peliosis has been described rarely in patients with chronic renal failure. The case reported shows the difficulty of diagnosis in a chronic hemodialysis patient with painful hepatomegaly, chronic ascites and cachexia. The rarity of this lesion under such circumstances, if the etiologies described in the literature are taken into account, is discussed.

Biopsy↗

Ileal varices revealed by recurrent hematuria in a patient with portal hypertension and Mekong Schistosomiasis.

This present report describes a unique case of a patient with ileal varices revealed by recurrent bleeding from vesical varicosities. Ileal varices were associated with portal hypertension secondary to portal thrombosis. An unusual ileovesical shunt was demonstrated by the venous phase of the superior mesenteric arteriogram. This shunt was favored by adhesions between an abnormal ileal loop, which was infiltrated with ova of schistosoma mekongi, and the superior vesical wall. The patient was treated successively by lysis of adhesions and ileal resection. No portacaval shunt was performed.

Adult↗