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Biomedical subjects

N Hiller

Publications and source records attributed to N Hiller.

33 records · Page 2Linked to original sources
PubMed1995

Salmonella mycotic aneurysm of the aortic arch: case report and review.

Salmonella mycotic aneurysms of the thoracic aorta are exceedingly rare. We describe what we believe is only the third reported case involving the aortic arch. The patient was treated with surgical intervention and a prolonged course of antibiotics, which resulted in long-term survival. We review 13 previously reported cases of salmonella mycotic aneurysms of the thoracic aorta. The overall outcome was abysmal, with 10 of 13 patients dying within 1 month after the diagnosis was made. We discuss the pathogenesis, clinical presentation, diagnostic approach, and management (including surgical intervention and duration of antibiotic therapy) of this condition on the basis of the findings in these cases.

Adult↗
PubMed1995

Extra-pelvic metastasis of endometrioid carcinoma; resistance to chemo-radiation therapy--response to paclitaxel treatment. Case report.

We present a case report of a 56 year old female suffering from recurrence of simultaneous endometrial and ovarian carcinomas, confined to distant neck and axillary lymph nodes. Resistance of the tumor to conventional chemotherapy and radiotherapy was followed by experimental Paclitaxel treatment which led to complete regression of all metastatic foci.

Antineoplastic Agents, Phytogenic↗
PubMed1994

Case report: giant tuberculous cystic lymphangioma of posterior mediastinum, retroperitoneum and groin.

Cystic lymphangioma is a very rare condition of unknown aetiology. It is generally regarded as a developmental malformation in which obstruction or agenesis of lymphatic tissue results in lymphangiectasia secondary to lack of normal communication of the lymphatic system. Most lymphangiomas occur in the neck (75%) and axillary region (20%). Lymphangiomas may rarely occur in the retroperitoneum, mediastinum, mesentery, omentum, colon, pelvis, groin, spleen, bone and skin. We present a case of multicompartmental tuberculous lymphangioma extending continuously from the superior posterior mediastinum through the retroperitoneum to the right groin, which responded to needle aspiration and antituberculosis drug therapy.

Abdominal Neoplasms↗
PubMed1993

Emphysematous gastritis secondary to ingestion of large amounts of Coca Cola.

Acute emphysematous gastritis (AEG) is a life-threatening disease in which gas-forming bacteria invade the gastric wall and cause acute inflammation of it. The clinical presentation of the patient with AEG is stormy: severe sepsis which usually leads to an early death. Presented herein is a case of a 16-yr-old boy with AEG. There were no predisposing factors to the condition in this case. Gas invaded the stomach wall and portal venous system, as well as the duodenal wall, a finding that has not been reported previously. The clinical course was very severe but, in contrast to previously reported cases, recovery was very rapid and left no sequelae.

Abdominal Pain↗
PubMed1992

Percutaneous drainage of splenic abscesses: an effective and safe procedure.

Percutaneous drainage of splenic abscesses has not yet become a common procedure due to the potential risk of bleeding and the danger of damage to neighbouring organs. We present our experience of percutaneous drainage in eight patients with splenic abscesses. Four patients were treated by therapeutic percutaneous needle aspiration of the fluid collection, and four by percutaneous trocar catheter insertion. All procedures were guided by ultrasound or computed tomography. The procedure was successful in all eight patients with no complications.

Abscess↗
PubMed1989

Paraneoplastic hypercalcemia in endometrial carcinoma.

Humoral hypercalcemic syndrome associated with tumors of the female reproductive system is believed to be uncommon, and only 27 such cases have been identified prior to 1980. We describe 2 patients with humoral hypercalcemia in clear cell adenocarcinoma of the uterus, and review the literature on previously published cases. Both our patients fulfilled the criteria for humoral hypercalcemic syndrome, namely: hypercalcemia without bone metastases ranging from 12.8 to 14.1 mg/dl in the presence of normal serum parathyroid hormone levels, reduced tubular reabsorption of phosphate, and reduced serum albumin. We propose that humoral hypercalcemia is perhaps not a rare complication of uterine malignancy and, that increased awareness may result in early diagnosis of this important metabolic problem.

Adenocarcinoma↗
PubMedDate not supplied

Familial Mediterranean fever: abdominal imaging findings in 139 patients and review of the literature.

BACKGROUND: The purpose of this study was to investigate the imaging findings in patients with familial Mediterranean fever (FMF) during and between acute attacks. METHODS: Computerized search of medical records from 1989 to 1998 identified 139 patients with a discharge diagnosis of FMF. Medical records, imaging studies, and pathologic findings were reviewed. RESULTS: Sixty-eight patients had a documented acute attack of FMF, and 71 patients known to have FMF were asymptomatic. Imaging was performed in 68 patients. Radiologic findings included ascites, splenomegaly, hepatomegaly, lymphadenopathy, focal peritonitis, peritoneal cysts, renal changes, and other incidental findings. CONCLUSIONS: Radiologic findings in symptomatic and asymptomatic FMF patients are not uncommon. Imaging in selected cases may facilitate diagnosis and show complications.

Abdomen↗
PubMedDate not supplied

Tuberculous peritonitis: a diagnostic challenge.

Tuberculous (TB) peritonitis rarely occurs in developed countries. The clinical presentation and laboratory tests are usually insufficient for diagnosing TB peritonitis and distinguishing it from peritoneal carcinomatosis. We present two cases of TB peritonitis and illustrate the computed tomographic findings of the disease according to the world literature. Recognition of the radiologic manifestations and maintenance of a high index of suspicion in population at risk have paramount importance for diagnosing this uncommon disease.

Adolescent↗
PubMedDate not supplied

Primary carcinoid tumor of the pancreas.

Serotonin-secreting (carcinoid) tumors of the pancreas are very rare. There are only 13 cases reported since 1963. Liver metastases have not previously been described. We present two patients with primary carcinoid tumor of the pancreas, which metastasized to the liver. These patients differ in their clinical and radiological appearance. Carcinoid tumor should be considered in the differential diagnosis of a pancreatic mass in a patient with carcinoid syndrome, but lack of this syndrome does not exclude the diagnosis.

Aged↗