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Biomedical subjects

E C Weinstein

Publications and source records attributed to E C Weinstein.

18 recordsLinked to original sources

Paraesophageal hiatus hernia in the aged.

A review of the records of Granada Hills Hospital revealed 4 documented cases of paraesophageal hiatus hernia. One of these geriatric patients presented with incarceration of the gastric fundus, and required an emergency thoracotomy for relief. Paraesophageal hiatus hernia, unlike sliding hiatal hernia, often gives rise to acute surgical problems secondary to incarceration, obstruction, gangrene, perforation or hemorrhage. The approach to the repair operation, may be either abdominal or thoracic, dependent upon the need to correct other associated gastrointestinal pathologic lesions. Unless severe debilitating medical diseases are present, operative intervention is recommended.

Age Factors

Visceral angiography. A community hospital experience.

Selective visceral angiography is well within the ability of small community hospitals. If carefully performed by a well-trained interested radiologist, the procedures carry negligible morbidity and mortality. These studies can provide an exact diagnosis, a working differential or at least enough data to plan a surgical approach with accuracy. Nine cases in which the angiographic diagnosis was vital to the patients' care have been presented.

Acute Disease

Giant teratomas with benign glial abdominal seeding, mimicking diffuse abdominal carcinomatosis.

Teratomas of children represent an important part of oncology. A small percentage of teratomas in this age group is malignant and associated with a rather poor prognosis. In most cases, the malignant element is a mature ectodermal derivative, i.e., epidermal epithelium. Abdominal seeding associated with teratomas is usually considered clinically and pathologically malignant. In a few cases, the teratomatous masses are associated with abdominal seeding of essentially mature neuroglial elements and chances of long survival are good. Therefore, recognition of neurogenic teratomatous tumors associated with glial seeding is important since it will preclude unnecessary surgery and irradiation or chemotherapy. Conservative management seems to entail a good prognosis even if occasional postsurgical complications such as adhesions, fibrous bands or obstructions occur. The two presented cases illustrate the clinical and pathological entity of large ovarian teratomas associated with neuroglial abdominal seeding and their good prognosis at four and five years respectively following surgery alone. These two cases support the experience in the other 25 cases reported in the world literature that these lesions are benign clinically and pathologically.

Abdominal Neoplasms

Mammography.

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Breast Neoplasms