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Biomedical subjects

H A Brings

Publications and source records attributed to H A Brings.

5 recordsLinked to original sources

Crohn's disease presenting with Fournier's gangrene and enterovesical fistula.

Our purpose is to make a case for early operative intervention. A 37-year-old man presented with a large periurethral abscess and Fournier's gangrene. During the ensuing evaluation and treatment, he was found to have previously undiagnosed Crohn's disease with a complex enterovesical fistula. This case stands in contrast to other reports that downplay the morbidity of enterovesical fistula associated with Crohn's disease and advise medical management until gastrointestinal complications require operative intervention.

Abdominal Abscess↗

Internal iliac artery aneurysm following aortic reconstruction.

Fewer than 100 internal iliac artery aneurysms have been reported in the English literature. Of these the incidence of true aneurysms occurring after aortic reconstruction is exceedingly low. A 73-year old man presented with 7 cm asymptomatic left internal iliac artery aneurysm 12 years after repair of an abdominal aortic aneurysm with a bifurcation graft. We report our experience with this patient along with a review of the literature and recommendations for aneurysm surveillance.

Aged↗

Delayed diagnosis of herpes zoster.

Herpes zoster may cause diagnostic confusion and mimic other diseases during the early stage before development of the characteristic rash. Although the disease is usually self-limited, oral acyclovir (Zovirax) shows promise in reducing the duration and severity of symptoms in uncomplicated cases.

Adult↗