E Steinsvik | PubMed Health

PubMed1995

[What nobody thought possible--a "demobilization chain" gone astray. Foreign body in the urinary bladder--a current differential diagnosis].

Intravesical foreign bodies should be considered in cases of unexplainable lower urinary tract symptoms or recurrent urinary tract infections with therapy-resistant microbes like Proteus mirabilis and Pseudomonas. Usually these conditions are due to accidents in genitourinary surgery or instrumentation, but in our case occurred as a complication to an erotic procedure. This paper describes a case with a so-called "dimme-lenke", i.e. a chain used to count down days until demobilization from compulsory military service for Norwegian recruits, found in the bladder of a 13-year-old boy. A knot at the end of the chain made endoscopic removal impossible and it had to be removed by cystotomy.

Adolescent↗

PubMed1983

Diagnosis of hyperparathyroidism in patients with urolithiasis using measurement of serum immunoreactive parathyroid hormone and serum calcium.

Serum immunoreactive PTH (iPTH) was measured in 74 patients with urolithiasis and correlated to the corresponding serum calcium values. Serum iPTH was measured using a rooster antibovine iPTH antiserum which crossreacted with the human hormone within the 44-68 amino acid residue region. Sixty-six of these patients had normal serum iPTH and calcium concentrations. Their calcium values varied from 2.2 mmol/l to 2.6 mmol/l and their serum iPTH concentrations were less than 0.6 micrograms/l. The remaining 8 patients with urolithiasis were judged to have primary hyperparathyroidism because of an abnormal iPTH/calcium relationship. These patients had serum calcium concentrations varying from 2.6 mmol/l to 3.4 mmol/l and iPTH concentrations between 0.35 micrograms/l and 3.03 micrograms/l. The diagnosis was verified histologically in 7 patients after operation. In the last patient iPTH was reduced from 1.01 micrograms/l to 0.21 micrograms/l after surgery, and serum calcium changed from 2.6 mmol/l to 2.2 mmol/l. The combined evaluation of serum iPTH and calcium may improve the diagnosis for hyperparathyroidism and was in our series helpful in making a correct diagnosis in 2 out of 7 patients who had histologically verified disease. In addition, iPTH measurements are valuable to rule out hyperparathyroidism as the cause of hypercalcaemia.

Adolescent↗

PubMed1980

Sigmoidocystoplasty: a follow-up study.

Sigmoidocystoplasty was performed in 62 patients. 36 were followed up. The mean observation period was 68 months, ranging from 6 to 318 months. In 18 patients the results were considered as good, 11 were improved after the operation and in 6 cases the situation was unchanged. The importance of normal urine outflow and postoperative urine cultures is emphasized.

Adolescent↗