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Biomedical subjects

H Sendzischew

Publications and source records attributed to H Sendzischew.

4 recordsLinked to original sources

Ceroid histiocytosis: an unusual cause of atraumatic splenic rupture.

A rare case of atraumatic splenic rupture due to ceroid histiocytosis is described in a 56-year-old man. During hospitalization, he complained of epigastric pain, which was not associated with nausea or vomiting. Hematologic indices showed steadily declining hemoglobin, and subsequent radiologic imaging revealed massive splenomegaly. An exploratory laparotomy revealed hemoperitoneum associated with a subcapsular splenic rupture. Splenic pathology showed numerous ceroid-containing histiocytes. We believe this to be the fourth reported case in the English language of atraumatic splenic rupture due to ceroid histiocytosis.

Alcoholism↗

Rectal carcinoma metastatic to the thyroid gland.

Clinically evident metastases to the thyroid gland are rarely found antemortem. A case of a 59-year-old woman with a history of rectal carcinoma, who presented with low back pain and a mass in the right lobe of her thyroid gland, is presented. The tumour of the thyroid was found to be metastatic adenocarcinoma from her previous rectal cancer. Other synchronous metastases were noted in her lumbar spine and kidneys. The clinical finding of metastases to the thyroid gland is rare, particularly from a colorectal primary. One must consider, however, the possibility of a tumour of the thyroid gland representing a secondary malignancy in any patient with a prior history of cancer.

Adenocarcinoma↗

Laparoscopic preperitoneal prosthetic inguinal herniorrhaphy.

Laparoscopic minimally invasive surgical procedures are gaining popularity and becoming more readily available. Presented here is an application of laparoscopy for the repair of groin hernias. Included are actual intraoperative photographs and descriptions of the technique with its rationale for the laparoscopic preperitoneal approach and the use of a prosthetic material.

Hernia, Inguinal↗

Anterior approach for resection of the first rib and total scalenotomy.

We have found the technique described herein to be advantageous to previously described techniques for resection of the first rib. The vital structures--the brachial plexus, subclavian artery and vein--are all readily visualized with the anterior approach and, therefore, subject to less risk of injury intraoperatively.

Humans↗