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Biomedical subjects

A Henkinbrant

Publications and source records attributed to A Henkinbrant.

9 recordsLinked to original sources
PubMed1995

[Wegener's granulomatosis: clinical, radiological and diagnostic characteristics. Apropos of a case].

The authors report an observation of Wegener's granulomatosis with pulmonary, bronchial, renal, cutaneous and sinusal involvement. Five years ago, the patient was referred to us because of bilateral diffuse pulmonary infiltrates of unknown origin. A corticotherapy was introduced at that time and a complete clearance of the pulmonary infiltrates was noted. Nineteen months after the treatment's withdrawal, the disease recurs with the reappearance of pulmonary infiltrates. Beyond these unusual clinical aspects, histological examination of the bronchial biopsies were of diagnostic value.

Biopsy↗
PubMed1989

[Endoscopic sphincterotomy].

The last 105 endoscopic sphincterotomies performed between 1983 and 1987 are evaluated and compared with the recent data of the literature. The sphincterotomy has been successful in 98 cases (93%). The indications were: 95 cases of common bile duct stones and 10 inflammatory stenoses of the duodenal papilla. The stones have been removed in all cases of sphincterotomy for choledocholithiasis (100% of the successful sphincterotomies, 93% of all attempts). The morbidity rate was 5%. There has been no need for emergency intervention. Mortality was zero. In order to obtain high success rates with endoscopic sphincterotomies and removal of stones with minimal morbidity and mortality, the procedure should be performed by an experienced operator who avoids precutting in case of difficult insertion and who makes calibrated incisions related to the volume of the stones (not larger than 2 cm). Endoscopic sphincterotomy is a safe method of treatment for choledocholithiasis and papillary stenosis. It carries a lower morbidity and mortality than surgery.

Adult↗
PubMedDate not supplied

[Cholestatic jaundice complicating lipomatous pseudo-hypertrophy of the pancreas].

The authors describe a major pancreatic lipomatous infiltration, causing a "pseudo-hypertrophy" of the pancreas, in a 70-year-old man. This lesion was responsible of a hyperechogenic area at ultrasonography and of an empty pancreatic bed ("vanishing pancreas") at computed tomography, suggesting lipomatosis. This entity is a special modality of senescence of pancreatic tissue whose origin remains obscure. The progressive atrophy of the acinar lobules and the islets of Langerhans was finally responsible of a mild degree of malabsorption and of diabetes type II. The compression of the main bile duct by the enlarged lipomatous pancreas, demonstrated by percutaneous cholangiography, caused a cholestatic jaundice with abdominal pain, which was treated by a surgical derivation (hepatico-duodenostomy). This is the first description of a lipomatous pseudohypertrophy of the pancreas causing an obstruction of the common bile duct.

Aged↗
PubMedDate not supplied

[Acute pancreatitis caused by a voluminous umbilical hernia. Case report].

A 65 year old woman, who had a giant umbilical hernia since more than 30 years, was admitted for a transitory cerebrovascular ischemia. During her stay, she presented an episode of acute pancreatitis localized in the head of the pancreas. All current causes of acute pancreatitis were ruled out, especially alcoholism and gallstones. Endoscopic retrograde cholangio-pancreatography performed in the patient lying on the left side demonstrated localization of the antrum and the duodenum with the head of the pancreas into the umbilical hernia. It seems clear that the giant umbilical hernia caused a progressive and intermittent passage of the head of the pancreas through chronic traction on the ligament of Treitz and acute pancreatitis by incarceration. At our knowledge, this mechanical cause of acute pancreatitis was not yet described in the literature.

Acute Disease↗