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Biomedical subjects

J Skála

Publications and source records attributed to J Skála.

At least 19 recordsLinked to original sources

Chyle leakage after blunt trauma.

Three patients developed chylous leakage after major blunt trauma. In one patient with non-remitting right-sided chylothorax, lymphangioscintigraphy as well as conventional oil contrast lymphography demonstrated disruption of the thoracic duct at the aortic hiatus which eventually required transpleural mediastinal ductal ligation proximal to the fistula. The other two patients had chylous retroperitoneum and/or chylous peritoneum which was self-limited although one patient (a three-year-old boy) died of multiorgan failure from associated pulmonary contusions and cervical spine injuries. Chylous leak after non-penetrating trauma is usually attributed to hyperflexion-extension of the vertebral column with shearing of tethered lymphatics. Alternatively, sudden compression of lipemic and engorged mesenteric lymphatics, adjacent nodes and the lower thoracic duct aggravated by deformations associated with stretching and tearing motions may also directly disrupt chyle-containing lymphatics.

Adolescent

[Carcinoid of the duodenum in neurofibromatosis].

The authors described a very rare case of duodenal carcinoid in neurofibrimatosis in a 53-year-old patient who was treated by local excision of the tumour. In the discussion they draw attention to the possible development of carcinoid in neurofibromatosis as a manifestation of systemic affection of neuroectodermal tissues.

Carcinoid Tumor

Gallstone pyloroduodenal obstruction--fibrescopic diagnosis.

Two cases of pyloroduodenal obstruction by gallstone are described. Bleeding into the proximal segment of the digestive tract and signs of high intestinal obstruction were present in both cases. The diagnosis was made by fibrescopic examination.

Cholelithiasis