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Biomedical subjects

C C Verhage

Publications and source records attributed to C C Verhage.

12 recordsLinked to original sources

[Calcitonin treatment of metabolic bone disease induced by parenteral nutrition].

After a near total small bowel resection for an acute thrombosis of the mesenterial artery, a 61 year-old man was treated with total parenteral nutrition at home for five years. The treatment was complicated by episodes of sepsis, anaemia and uremia. After four years he developed pain in long bones and the back and grave hypercalcuria. Roentgenogram showed demineralisation. There was no hyperparathyroidism and serum phosphate and serum calcium were normal. His chronic metabolic acidosis was treated continuously with enteral acetate. He received basal amounts of vitamin D and amino acids. By administering calcitonin we were able to cure his progressive bone pains and normalize his calcium urinary output. No side effects were observed. Therefore, calcitonin may contribute to the treatment of bone disease associated with total parenteral nutrition.

Bone Diseases, Metabolic↗

[Enlarged iliopsoas bursa. A rare cause of inguinal mass].

Bursa iliopsoatica is a well-defined anatomical structure lying under the corresponding muscle on the pelvis and hip joint. If it becomes large, it can be an uncommon cause of an inguinal mass with symptoms from compressed neighbour structures. An enlarged bursa can be associated with arthritis and arthrosis of the hip. We describe a patient with an inguinal tumour, with radicular pain, and discuss the diagnostic approach, pathogenesis and treatment.

Aged↗

Hematemesis due to fistula between aorta and esophagus and later to fistula between left common carotid artery and esophagus. Case report.

A case of massive hematemesis due to an aortoesophageal fistula is presented. The diagnosis was made intraoperatively. The patient died 39 days postoperatively of an additional, previously unidentified fistula between the left common carotid artery and the esophagus. This fistula combination does not seem to have been reported previously.

Aortic Diseases↗

[Blood pressure observation during renal cyst decompression--case report on a benign solitary renal cyst as a cause of hypertension].

In patients with solitary renal cysts and only borderline hypertension for the exclusion of a connection a clarification by side-separated renin determination of the renal veins has been recommended (6). This investigation would finally clarify whether the affected kidney is responsible for the hypertension. However, this somewhat cumberous diagnostics is reserved for larger clinics. It is astonishing that in literature is scacely or not at all referred to the double diagnostic possibility of the puncture of the renal cyst: apart from the exclusion of malignity by cytologic investigation of the fluid and contrast representation of the cystic cavity a decrease of blood pressure after this relatively small intervention might refer to the necessity of further diagnostics. When at the same time a hypertension exists in punctures of the renal cysts one should therefore always use careful measurings of blood pressure before and after puncture, in order possibly to gain a valuable reference to a connection between the solitary renal cyst and the hypertension.

Humans↗