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Biomedical subjects

H Seesko

Publications and source records attributed to H Seesko.

8 recordsLinked to original sources
PubMed2003

[Anaphylactic shock caused by rupture of an echinococcal cyst in a 25-year-old asylum seeker from Georgia].

HISTORY AND ADMISSION FINDINGS: A 25-year-old asylum seeker from Georgia was admitted to hospital with acute right upper quadrant abdominal pain, vertigo, dyspnea, generalized urticaria and positive shock index (blood pressure 80/40 mmHg, pulse 120/min) several minutes after eating an instant soup. INVESTIGATIONS: Laboratory investigations showed a slight increase of the eosinophilic cell count and GOT and GPT activities. Abdominal ultrasound scan (USS) and computed tomography (CT) revealed a multivesicular septated cystic space-occupying lesion of the right liver lobe (segment VII, 13 x 9 x 8 cm) and perihepatic fluid. TREATMENT AND COURSE: Intravenous steroids, H 1 and H 2 antagonists and fluid were given. Emergency laparatomy with endocystectomy was performed. A 3-month course of antihelmintic therapy with albendazole was applied. During follow-up up to one year after surgery the patient did well. Ultrasonography and computed tomography showed only a small residual defect in the right liver lobe where the cyst had been removed. CONCLUSION: In patients from echinococcosis-endemic regions who develop an anaphylactic reaction, a ruptured Echinococcus granulosus cyst should be considered in the differential diagnosis. Abdominal ultrasonography and serology (to be noted: substantial rate of false negative results!) should be performed.

Adult↗
PubMed1996

[Malignant schwannoma of the rectum].

Malignant schwannomas are rare. These malignomas are primary nerve sheath tumors that usually arise from a peripheral nerve. They appear most frequently in the lower extremities, including the hips and buttocks (34.8%), the upper extremities (23.4%), and in the trunk (17%). To the best of our knowledge, this is the first reported case of a malignant schwannoma of the rectum. We describe the rare disease with reference to the literature.

Aged↗
PubMed1990

[Lessons from reoperations in 55 patients with primary hyperparathyroidism].

On the basis of 70 re-operations in 55 patients (34 women, 21 men, median age 58 [43-83] years) suffering from primary hyperparathyroidism the reasons for failure of the first operations were analysed. The main reasons were inadequate exploration of the neck (failure to identify all four glands), failure to recognize multiple gland involvement, or inadequate resection in cases where more than one gland was affected. An abnormally situated gland was a less common cause, as shown by the fact that 41 out of the 73 glands removed at the last re-operation were situated in the normal position or in its immediate vicinity; in 20 cases the surgeon had failed to recognise multiple gland disease. Next in order of importance were anatomical variations in the location (32 out of 73 tumours) or the number of the glands (9 patients with hyperplasia of 5 glands). At the re-operations 89% of the parathyroid tumours were found in the neck region or would have been accessible from the neck at the time of the first operation. Overall, the hypercalcaemia was permanently rectified in 96.6% of the patients. During the last 10 years 94% of patients have been normocalcaemic postoperatively, thanks mainly to the re-implantation of autologous parathyroid tissue, preserved by low-temperature storage. The incidence of permanent unilateral recurrent nerve paresis attributable to the re-operations was 6%.

Adult↗
PubMed1985

[Treatment of fresh and aged cruciate ligament ruptures with combined autologous and alloplastic reinforced tendon transplant (polypropylene ligament)].

After discussing basic problems in repair and reconstruction of acute as well as secondary anterior cruciate ligament-lesions authors present a modified Kennedy-MacIntosh technique of acl-reconstruction. Temporary compensation of loss in tensile strength of the autograft (quadriceps-patellar-tendon) is achieved by an 8 mm Polypropylene band with excellent biocompatibility and mechanical characteristics. "Biological fixation" of the distal part of the tendon-graft avoids "stress shielding" and physiological applied stress may lead to remodeling and structuring in the sense of functional adaptation. Acute acl-ruptures are sutured or reinserted and treated with fibrine-tissue-glue. Furthermore a semitendinosus-autograft combined with a 6 mm Polypropylene band is added. Details of the operations-procedure are presented as well as steps in postoperative treatment. Early results and complications are finally discussed.

Biomechanical Phenomena↗
PubMedDate not supplied

[Synovial chondrosis. Chondromatosis--osteochondromatosis].

Clinical and pathological findings as well as diagnosis of Chondrosis synovialis (Henderson-Jones Syndrome) are presented and completed with authors observations. According to relevant literature the treatment should depend on the stage of the disease.

Bone Neoplasms↗