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Biomedical subjects

M Pajewski

Publications and source records attributed to M Pajewski.

15 recordsLinked to original sources

Epiphysial dysplasia: a constant finding in the XXXXY syndrome.

Two patients with the XXXXY syndrome are presented. Both boys are mentally retarded with short stature, muscular hypotonia, and hypogonadism. A constant feature of this syndrome is a varying degree of epiphysial dysplasia probably secondary to hypotonia and growth deceleration.

Bone and Bones

Inflammatory fibrous histiocytoma of the bronchus.

A 33 year-old woman underwent lobectomy of the middle and lower lobes of the right lung because of inflammatory fibrous histiocytoma of the bronchus. To our knowledge, this is the first description of such a tumor originating in the bronchus.

Adult

Selective embolization of the inferior mesenteric artery in massive colonic bleeding.

A case is described in which massive rectal bleeding was controlled by selective embolization of the superior hemorrhoidal arteries. Selective therapeutic arterial embolization in colonic bleeding represents an important alternative to procedures such as surgery and infusion of vasospastic agents which carry a prohibitive risk in severely ill patients.

Aged

Thymolipoma simulating cardiomegaly: a clinicopathological rarity.

This report describes a 19-year-old girl with a chest radiograph strongly suggestive of cardiomegaly. Although she did not consent to haemodynamic studies, cardiomegaly wasru led out on the basis of the clinical course. Careful radiological study proved the existence of a large mass in the anterior mediastinum, simulating cardiomegaly. At thoracotomy a thymolipoma weighing 450 g was resected. The pathogenesis of thymolipoma is discussed.

Adult

Single bolus versus drip infusion for intravenous cholangiography.

Biliary tract visualisation in 50 patients examined by infusion of methylglucamine iodipamide was compared, by double-blind technique, to cholangiograms obtained in 50 other patients by a single bolus injection. The infusion technique did not give better results than the single bolus method. In another group of 20 patients, each individual was examined by both methods. The radiographs, read in a double-blind manner, showed both methods to be comparable in demonstrating the biliary system. It seems that other means have to be designed and employed in order to improve the radiographic delineation of the biliary tract.

Cholangiography

Visualisation of the small intestine by double contrast.

The visualisation of the small bowel by double contrast can be easily obtained by introduction of a suspension of barium sulphate, air insufflation, and parenteral administration of metoclopramide. Satisfactory demonstration of the entire small bowel by air and barium was obtained in 38 out of 40 unselected adult patients. There were no complications and no significant adverse reactions.

Adolescent

Thin ribs in neonatal myotonic dystrophy.

The recently described thin ribs seen in a neonate suffering from myotonic dystrophy represents a valuable sign for early detection of this condition. Thin ribs were found on chest radiographs of two siblings a short time after birth. This led in retrospect to the diagnosis of neonatal myotonic dystrophy. The diagnosis was confirmed by clinical and electromyographic data of myotonic dystrophy in the mother who was not previously known to have the disease. Both children died at the age of 2 days from respiratory distress. All children of affected mothers should have a chest radiograph soon after birth in order to help in diagnosis and to establish the frequency of this sign.

Female