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Biomedical subjects

F U Steinheber

Publications and source records attributed to F U Steinheber.

14 recordsLinked to original sources
PubMed1989

Colopleural fistula presenting as tension pneumothorax in strangulated diaphragmatic hernia. Report of a case.

A case of colopleural fistula, resulting from strangulation and perforation of a diaphragmatic hernia and presenting as tension pneumothorax, is reported. The hernia was most likely a consequence of a stab wound to the left side of the chest four years before admittance. Colopleural fistula as a cause of tension pneumothorax is an extremely rare entity, reported only once in past English medical literature.

Colonic Diseases↗
PubMed1987

Association of diabetes mellitus with gastric bezoar formation.

The association of diabetes mellitus with gastric bezoars is not well documented. Our endoscopic experience over a seven-year period (1979 to 1985) included 3247 esophagoduodenoscopies (EGDs). Bezoars were found in 14 patients (0.4%). The mean age of these 14 patients was 63 years (range, 27 to 84 years); there were eight men and six women. In 11 patients, there was a history and/or findings of peptic ulcer disease (PUD). Two patients had prior surgery (Billroth II in one and vagotomy in another). Seven patients had diabetes mellitus; five had diabetes for over five years, and three of these five had diabetes for over ten years. Diabetes was newly diagnosed in one patient. Except for the newly diagnosed patient, the other diabetic patients had evidence of autonomic neuropathy. Two other patients (not included with the diabetic patients) had hyperglycemia only during stress. The three patients with bezoars but without PUD all had diabetes for many years (9, 17, and 19 years). In two control groups of 14 patients each who also underwent endoscopy, only one diabetic patient was discovered. We conclude that diabetes mellitus and associated gastropathy are major risk factors for bezoar formation, especially in the absence of PUD.

Adult↗
PubMed1986

Rightward shift of colon cancer. A feature of the aging gut.

Two hundred twenty-two patients with colon cancer, diagnosed in the past 5 years, were grouped by age into the sixth, seventh, and eighth decades. Examination showed an increased incidence of right-sided colon cancer by decade and a simultaneous fall in the incidence of rectosigmoid lesions. A trend toward a more favorable Dukes' pattern was evident with each rise in decade. We suggest that the shift in site of colon and rectal cancer toward the right is directly related to age and is a feature of the "aging gut."

Age Factors↗
PubMed1985

Ageing and the stomach.

Minor alterations of gastric function are frequently found in the elderly, but are rarely of any consequence. The attrition of normal defences followed by inadequate reparative response leads to an increasing number of significant ailments while simultaneously muting their clinical manifestations. Greater recognition of the nature of these ailments and their protean presentation should improve their detection and, hopefully, the outcome for the patient.

Adult↗
PubMed1979

Afferent loop obstruction presenting as obstructive jaundice.

The first case of obstructive jaundice secondary to a chronic afferent loop obstruction has been reported. The cause of the obstructed afferent loop was found to be a carcinoma of the gastric pouch occurring 25 years after surgery for peptic ulcer disease. The failure to develop any evidence of pancreatitis despite marked dilatation of the biliary tree and gall bladder suggests the existence of an independent functioning pancreatic sphincter, perhaps the sphincter of Boyden.

Adenocarcinoma↗
PubMed1978

Case report: primary actinomycosis of external oblique muscle.

A 67-year-old man had actinomycosis with primary involvement of the abdominal wall, which is rare. His chief complaint was an enlarging, hard, nontender mass in the right lower quadrant of the abdomen. The mass had been present for two weeks and measured 11 X 8 cm. An x-ray film of the chest, barium studies of the gastrointestinal tract, and an intravenous pyelogram showed no abnormalities. Excisional biopsy was performed, and the findings were consistent with Actinomyces israelii infection. There was no evidence of underlying bowel disease or break in continuity of the mucous membrane. The patient responded well to a three-month course of penicillin therapy.

Abdominal Muscles↗
PubMed1977

Fulminant hepatic failure associated with methyldopa.

A patient with fatal submassive hepatic necrosis after methyldopa is described. Patient had positive L.E. cell preparation. The literature and the two previous cases of submassive hepatic necrosis were briefly reviewed. Methyldopa occasionally produces severe hepatitis, chronic active and rarely submassive necrosis.

Aged↗
PubMed1976

The changing face of peptic ulcer in the elderly.

The elderly patient presents a challenge to the physician both in recognition of peptic ulcer disease and in long term management. Only with close observation and an awareness of the higher complication rate can a successful therapeutic approach be developed.

Aged↗