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Biomedical subjects

N L Simstein

Publications and source records attributed to N L Simstein.

8 recordsLinked to original sources
PubMed1978

Benign neurilemmoma manifesting as a presacral (retrorectal) mass: report of a case.

We recently had the opportunity to treat a patient who had a large presacral mass. The mass, a 13-cm neurilemmoma, was removed through a combined abdominosacral approach. Mostly benign, these presacral masses cause symptoms by compression of adjacent pelvic structures. Digital rectal examination generally provides the diagnosis. Although most such lesions may be removed by a Kraske procedure, large lesions may be best treated using a combined abdominosacral approach.

Adult↗
PubMed1978

Ileocecal masses discovered unexpectedly at surgery for appendicitis.

During the past five years we have encountered 15 patients who were found to have an ileocecal mass of undetermined etiology when explored through a right lower quadrant incision for presumed appendicitis. Diverticulitis of the ileocecal region accounted for almost one-half of these lesions. There are many possible etiologies for mass lesions in this location, but beacuse malignancy cannot be excluded at operation, a right hemicolectomy is advised. We found that this procedure could be done with relative safety in unprepared bowel under emergency conditions.

Adolescent↗
PubMed1977

Penetrating injuries of the appendix.

Although rare, penetrating injuries of the appendix pose an interesting finding at laparotomy. Associated penetrating gastrointestinal injuries are common. Four additional cases of trauma to the appendix from penetrating wounds are described.

Abdominal Injuries↗