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Biomedical subjects

J Meir

Publications and source records attributed to J Meir.

9 recordsLinked to original sources

Unusual complications of subclavian catheterization.

Infraclavicular subclavian vein catheterization is still a well accepted technique both in operating rooms and intensive care units. Two unusual complications are described: delayed intrathoracic haematoma and severe mediastinal emphysema needing prolonged treatment. The case reports are presented and the complications discussed. The necessity for routine chest x-ray post-operative catheterization and the danger of multiple attempts are stressed.

Aged↗

Congenital adrenal hyperplasia diagnosed in a middle-aged woman.

Short stature, severe hirsutism, an enlarged clitoris and lack of vaginal introitus were manifest in a 55-year-old female karyotype, male phenotype patient brough up as a female. The hormone profile suggested congenital adrenal hyperplasia due to 21-hydroxylase adrenal enzyme deficiency. Follicle-stimulating hormone and luteinizing hormone levels were 122.5 and 100.3 mIU/ml, respectively, within the normal range for a postmenopausal woman. Computerized axial tomography revealed a large cystic tumor connected to the right adrenal gland. Both the right adrenal gland and the cyst were removed. The adrenal cortex showed diffuse hyperplasia and contained a well-defined nodule. The case was interesting because we had the opportunity of examining a patient of advanced age with untreated congenital adrenal hyperplasia and because of the very rare combination of adrenogenital syndrome with nodular hyperplasia and a cystic tumor, which was most probably a degenerated adenoma.

Adrenal Glands↗