Perforation of the gastro-intestinal tract by a foreign body.
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Biomedical subjects
Publications and source records attributed to J V Lodder.
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Venous missile embolism to the pulmonary artery is a rare occurrence and controversy persists about the need to remove such a foreign body. This report describes a case of bullet embolism from the right common iliac vein to the left pulmonary artery. In this case the bullet was not removed.
A case of actinomycosis of the urachus is described. A 25-year-old woman presented with a midline mass below the umbilicus. The differential diagnosis included an inflammatory or a neoplastic lesion. Diagnosis was made by histologic examination, after complete excision of the tumour. Post-operative penicillin was given and the patient's recovery was uneventful. A review of the literature is presented with special reference to the pathogenesis and treatment.
Thermal injury sustained during pregnancy presents special management problems for the gravid woman and her unborn child. Because of the reported high morbidity and mortality and lack of available data in South Africa, a multicentre retrospective review was undertaken by five burn centres. Thirty-three patients (average age 25,7 years) with mean 30% (range 1-80%) total body surface area burn were assessed. A review of the clinical material led to the following observations and conclusions. Pregnancy does not influence maternal outcome after thermal injury and maternal survival is usually accompanied by fetal survival in the absence of significant maternal complications. Maternal survival is less likely if the burn wound exceeds 50% total body surface area. Thermal injury does increase the risk of spontaneous abortion and premature labour, and fetal survival depends on fetal maturity. Early obstetric intervention is only indicated in the gravely ill patient where complications (hypoxia, hypotension, sepsis) jeopardize the life of a viable fetus. The mode of delivery should be determined by obstetric considerations.
Pseudoxanthoma elasticum in 7 South African black patients is reported. All demonstrated cutaneous lesions of varying severity and extent. Gastro-intestinal bleeding requiring surgical intervention was found in 1 patient.
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