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Biomedical subjects

P A Rosekrans

Publications and source records attributed to P A Rosekrans.

4 recordsLinked to original sources
PubMed2000

[Two patients with emphysematous pyelonephritis].

A 55-year-old man with diabetes mellitus was sick with shivering, abdominal pain and Escherichia coli in blood and urine cultures; a 40-year-old woman with asthmatic bronchitis had abdominal pain and anaemia. Both had renal dysfunction and the CT scan showed hydronephrosis with a perirenal inflammatory infiltrate and gas in the right and left renal pelvis, respectively. The man had a difficult recovery after treatment with antibiotics and percutaneous drainage. In the woman, a calculus obstructed the pyelo-ureteral passage; the resected kidney contained a squamous cell carcinoma. She was operated, received chemotherapy and recovered. Emphysematous pyelonephritis is a rare, severe disease. Percutaneous drainage and, if necessary, nephrectomy are paramount in the treatment. The condition is observed mostly in patients with diabetes mellitus or obstruction of the urinary tract.

Adult↗
PubMed1994

[Percutaneous drainage of benign nonparasitic liver cysts].

OBJECTIVE: To evaluate the treatment of symptomatic benign non-parasitic cysts of the liver by percutaneous drainage and sclerotherapy with alcohol. DESIGN: Descriptive, prospective. SETTING: Ikazia Hospital, Rotterdam. PATIENTS: All patients who presented with symptomatic benign non-parasitic cysts of the liver during the period 1988-1992 and in whom percutaneous drainage was not contraindicated. After drainage sclerotherapy with absolute alcohol was carried out, after which suction was applied until oozing stopped. RESULTS: Four patients were treated, all women, 51, 53, 53 and 64 years old. In 3 patients the cyst did not recur during the follow-up period, which ranged from 8 to 60 months. The 4th patient needed surgical treatment after the percutaneous drainage failed twice. No complications of the drainage were encountered. CONCLUSION: Percutaneous drainage followed by alcohol sclerotherapy and suction is the treatment of choice in patients with symptomatic benign non-parasitic cysts of the liver. Surgical treatment should be reserved for patients who fail to respond to repeated percutaneous drainage and cases in which the location of the cyst makes it technically difficult to use a percutaneous route.

Cysts↗