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Biomedical subjects

I U Wagner

Publications and source records attributed to I U Wagner.

7 recordsLinked to original sources

[Development of the extraperitoneal fat pads (contribution to X-ray morphology of the child's abdomen) (author's transl)].

Plain abdominal radiographs were studied in 280 children aged between one day and fourteen years to assess the age-related width of the extra-peritoneal fat. At the same time the limitations of assessing the size of the right side of the liver, the lower pole of the spleen and the psoas shadow were investigated. A significant rise in the evaluation of this method was only obtained after the sixth year and this was 86% in relation to the right lobe of the liver and 36% in relation to the lower pole of the spleen. From this age onwards, the preperitoneal fat is demonstrable in 94% of cases. The investigation suggests that from the sixth year onwards, the absence of the extra peritoneal fat line is an indirect indicator that there is intra-peritoneal fluid or a retro-peritoneal tumour. Eck

Adipose Tissue↗

[Oculoauriculovertebral dysplasia (author's transl)].

A case of okulo-aurikulo-vertebral syndrome in a three year old girl is described. The similarities between the maxillary arch syndromes are emphasized on the one hand and on the other the relatively frequent occurrence of congenital unilateral facil palsy with congenital cardiac defects is outlined. Aetiological hypotheses are discussed.

Abnormalities, Multiple↗

[Cholelithiasis in children and adolescents (authors transl)].

Cholelithiasis is a rare, but important condition to be considered in the differential diagnosis of abdominal symptoms in childhood and adolescence. A survey over a 20-year period revealed 10 cases between the ages of 11 and 20 years, with a clinical history of cholelithiasis of between 5 days and 6 years. The most consistent finding was epigastric or right upper quadrant pain. Serum chemistry did not contribute conclusively towards the diagnosis. Hereditary spherocytosis was demonstrated in 3 cases, 2 had familial gall bladder disease, whilst in the rest no cause could be found. Two patients are described in some detail: one girl with spherocytosis and a bilirubin of 78 mg/100 ml, presenting with choledochal obstruction and pancreatitis, and another girl with a history of recurrent abdominal pain, negative radiologial and chemical pathological findings and a tentative diagnosis of neurosis. Oral cholecystograms lead to the diagnosis in most cases; however i. v. cholangiograms should be considered whenever the diagnosis appears in doubt. All cases were treated by cholecystectomy and recovery was uneventful in 9 patients. Cholecystectomy should be performed in all patients with gall stones, even in the absence of symptoms.

Adolescent↗

[Overflow incontinence (author's transl)].

The encopresis of faecal impaction is a paradoxical incontinence found with constipation or faecal retention due to somatic or psychic causes. Normal continence comprises the possibility to delay passages of stools and the avoidance of leakage of stool in the meantime. Continued delay of defaecations causes faecal impaction and paradoxical leakage of stool. It is necessary to break the vicious circle by emptying the rectal ampulla and to avoid further constipation by means of laxatives and diet. Uderlying psychological disturbances must be recognized and treated. Two individual cases among our patients illustrate various aspects of the problem.

Child↗

[The syndrome of biliary atresia, typical physiognomy, anomalies of the pulmonary arteries and eventual other malformations (author's transl)].

Among the various types of hepatic ductular atresias, there is a group of patients with a definable syndrome of malformations: typical physiognomy, malformation of pulmonary arteries, mental retardation and disturbed growth of body and genitals. This syndrome has been defined only in the last two years by Watson et al. (1973) and Allagille et al. (1975). A detailed description of a boy with this combination of malformations is given. Additionally he has aplasia of the right kidney. A second patient out of 4, which we found in our cardiologic department, has hypoblasia of one kidney, too. The prognosis of the liver disease in these patients seems to be better than in other children with biliary atresia.

Abnormalities, Multiple↗