PubMed Health⌕ Search

Biomedical subjects

C L Griffiths

Publications and source records attributed to C L Griffiths.

7 recordsLinked to original sources

Acute abdomen during adjuvant chemotherapy: superior mesenteric artery thrombosis associated with CMF chemotherapy.

We report a case of superior mesenteric artery thrombosis in a 57-year-old woman undergoing chemotherapy for T1N1M0, breast cancer. Although cancer itself is associated with an increased risk of thrombotic events, treatment with chemotherapy and/or tamoxifen in breast cancer patients increases this risk. Most cases reported are of venous thromboembolism; arterial events are rare.

Abdomen, Acute↗

Surgical audit: do numbers provide good training?

There has been a growing realisation that good resource planning requires effective measurement of surgical workload by good surgical audit. This paper examines the general surgical workload at the Army's tertiary referral centre, utilising the ratio of operative workload expressed as Intermediate Equivalents to total Service Equivalent Value of a Surgical team. A suggested format to enable inclusion of specialist non-surgical therapies is proposed. The limitations of "number crunching" when assessing the value of higher surgical training are discussed.

General Surgery↗

Long-term sequelae of Palmar-Plantar erythrodysaesthesia syndrome secondary to 5-fluorouracil therapy.

Palmar-Plantar erythrodyasesthesia syndrome has been reported as a temporary complication of 5-fluorouracil therapy consisting of a debilitating erythema and tenderness of the skin of hands and feet. The syndrome has previously been observed to respond rapidly to either temporary cessation of chemotherapy or pyridoxine with little residual disability. We report a case which was characterized by persistent morbidity necessitating prolonged discontinuation of treatment.

Erythema↗

Eosinophilic gastroenteritis.

Eosinophilic gastroenteritis is an uncommon cause of abdominal pain which may mimic other causes of acute abdominal pain and result in unnecessary laparotomy. In many cases clues to the diagnosis are available prior to surgery; however a high index of suspicion must be maintained if the condition is to be identified at presentation. Two cases are described followed by a review of the disease entity.

Abdominal Pain↗

Reversal of vasectomy: vasovasostomy.

The increasing popularity of bilateral vasectomy as a method of contraception has resulted in an increased request for reversal (vasovasostomy). The technique is described and the results presented. The implications of these results to the Serviceman in particular and the current advice regarding vasectomy counselling is discussed.

Adult↗

Pseudocyst of the pancreas in childhood.

Pancreatic cysts are uncommon in childhood. Over half of those reported are caused by trauma. A case report is presented and the management of this patient discussed with reference to information from previous reports.

Abdominal Injuries↗