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Biomedical subjects

L J De Souza

Publications and source records attributed to L J De Souza.

16 recordsLinked to original sources

Volvulus of the small bowel.

Over two years in a major hospital in northern Uganda 12 cases of primary volvulus of the small bowel were seen out of a total of 65 cases of intestinal obstruction which did not include external hernias. This relatively high incidence was associated with drinking large amounts of local "kongo" beer. General systemic symptoms of circulatory collapse were conspicuous by their absence. The kongo beer was found to have a high concentration of serotonin, and this substance may have caused the volvulus of the small bowel in three quarters of the cases.

Adolescent↗

Ambulation of the braced myelomeningocele patient.

Sixty-eight patients born with a myelomeningocele were studied in the second and third decades of their lives. All of them had had some orthopaedic surgery, an orthotic program, and other specialized medical and paramedical services. In the group with sacral-level lesions, half were community ambulators; in the group with lower lumbar lesions, a third; in the group with upper lumbar lesions, a tenth; and in the group with thoracic-level lesions, none. The most important factors that determine the ambulatory status of a child with myelomeningocele, besides the level of the lesion, are the motor power within a given neurosegmental level and the extent and degree of orthopaedic deformities.

Adolescent↗

Swallowing and speech after radical total glossectomy with tongue prosthesis.

Radical total glossectomy is now accepted as a useful procedure for the management of advanced cancer of the tongue. This article records our study of speech and swallowing without the tongue. An artificial tongue prosthesis has been developed and found to greatly improve these functions after total glossectomy. The special operative factors to be considered in order to permit a smooth and rapid rehabilitation regarding speech and swallowing have been stressed.

Deglutition↗

Pancreatic tuberculosis.

Tuberculosis infrequently involves pancreas. The clinical features in patients with pancreatic tuberculosis are usually non-specific. The radiological features mimic pancreatic malignancy or pancreatitis. Ultrasound or CT scan guided fine needle aspiration cytology or biopsy may show caseating granulomatous inflammation. The present report includes two cases of pancreatic tuberculosis and review of relevant literature. One of our patients was diagnosed at laparotomy and the other with a CT scan guided fine needle aspiration cytology. Both patients responded well to anti tubercular chemotherapy and are now asymptomatic.

Adult↗