[Localization of the thymus in the lower area of the neck].
In a 16-year-old girl with slight swelling of the lower neck, computed tomography combined with fine needle puncture demonstrated an ectopic thymus.
Biomedical subjects
Publications and source records attributed to N Goebel.
In a 16-year-old girl with slight swelling of the lower neck, computed tomography combined with fine needle puncture demonstrated an ectopic thymus.
A large infero-posterior aneurysm of the left ventricle following myocardial infarction is reported, which still showed the echo- and angiocardiographic criteria of a true aneurysm. Because of concomitant pericardial effusion a prerupture was suspected. A resection showed that the wall of the aneurysm was composed of epicardium and thrombi only.
Explore the source record for details and available documents.
In a patient, investigated for uterine carcinoma, CT of the liver showed an anomalous course of a large portal vein, which traversed the liver and divided under the ventrolateral liver capsule in its branches. There were no signs of portal hypertension.
In 1979 the diagnosis of idiopathic enlargment of the right atrium had been made in four members of a family, living in the northeastern part of Switzerland. A 5-year follow-up study of these four patients by ECG, chest X-ray, bicycle-ergometry and echocardiography showed a variable evolution: One of the two patients with the originally largest atria, showed further massive enlargement of the right atrium, combined with tricuspid insufficiency. One presented unchanged echo findings. In the other two patients with originally smaller atria a discrepancy of the course was also observed: in one right atrial size increased considerably (with appearance of atrial flutter), in the other patient the size of the atrium remained unchanged. In both patients a pericardial effusion occurred. Subjective symptoms and physical working capacity did not change in the four patients.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
In a 66-year-old patient with symptoms of subileus, thrombosis of the portal, superior mesenteric and splenic veins was detected by computed tomography. After anticoagulation the patient became symptomfree. In a follow-up CT no further thrombosis was visible.
Amongst 9000 patients on whom angiocardiograms had been carried out, a membranous septum aneurysm (MSA) was found in 47. In nine patients out of 27 the MSA could be demonstrated by sonography. The most common abnormalities accompanying this lesion were disturbances in rhythm and conduction (in 29 patients), ventricular septal defect in 29 and aortic insufficiency in 14. Complications included bacterial endocarditis in five patients (three with aortic insufficiency and two with sepsis lenta), aortic insufficiency (which was not of rheumatic or bacterial origin in three patients with conduction defects) and thirteen patients with abnormalities of cardiac rhythm with small VSDs.
Explore the source record for details and available documents.
A herniation (with torsion) of the heart trough a dehiscent pericardial suture was observed on the second postoperative day after right-sided pneumonectomy, when shock symptoms developed. Chest x-ray was diagnostic and lead to rethoracotomy with successful reposition of the heart.--Another case showed an atypical bulge of the heart contour after pneumonectomy with partial pericardial resection. It was caused by pericardial fat, sutured on the defect for occlusion.
Explore the source record for details and available documents.
In a 59-year-old woman with cerebral attacks a left ventricular tumor was detected by two-dimensional echocardiography and confirmed by angiocardiography. The tumor was considered a source of embolism and resected. It proved to be a lipoma. Recurrent cerebral attacks finally led to the diagnosis of an insulinoma of the pancreas. After resection the cerebral attacks ceased.
Explore the source record for details and available documents.
An Anomalous course of the left subclavian artery through the lung apex was observed by computed tomography. The vessel was connected with the mediastinum by a thin septum.
In a patient with liver fascioliasis (already excreting eggs with the faeces) a CT scan of the liver showed after i. v. contrast injection a relatively characteristic aspect with multiple, small, hypodense areas, partly in formations of bunches of grapes, partly in a street-like arrangement towards the portal vein - bile duct - areas. 9 months later the hypodense lesions had markedly decreased.
In a prospective study (238 men, mean age 53 years) the changes in native vessels were studied 3 months after aorto-coronary bypass operation and 5 months after preoperative angiography. Progression was defined as increase in stenoses of at least 20% or new total occlusion. Progression was significantly more frequent in vessels with bypass than without; it was located proximally to the anastomoses in most cases, less frequently at the anastomoses and very rarely distally to the anastomoses. Proximal progression was significantly more frequent with open bypasses than with occluded ones. Stenoses at the anastomoses were significantly more frequent with occluded bypasses than with open ones. More severe stenoses had a stronger tendency to progression than less severe stenoses. Regression was rare and nearly always caused by surgery.