Biomedical subjects
Publications and source records attributed to R Diel.
A 48-year-old man was admitted to hospital with symptoms of a deep venous thrombosis of the iliac vein. Ultrasound and computed tomography allowed the uncommon diagnosis of an enlarged bursa of the iliopsoas muscle with secondary compression of the iliac vein. Histological work-up after bursectomy confirmed this diagnosis.
A 75-year-old man was hospitalized with marked signs of extrahepatic obstructive jaundice. On the basis of morphological criteria the uncommon diagnosis of primary adenomyosis of the common bile duct was made using sonography and established histologically after endoscopic sphincterotomy. The symptoms were therefore promptly to be controlled. Primary adenomyosis should be considered in the differential diagnosis of any aetiologically unexplained extrahepatic cholestasis.
A 67-year-old woman with marked intrahepatic cholestasis died of acute liver failure with multiple organ failure six weeks after the first onset of jaundice. A primary generalized amyloidosis was unexpectedly found at necropsy. It had taken an unusual clinical course due to the terminal loss of liver function. Extensive serological and imaging tests had not provided a uniform diagnosis which could have been made in life only by an early liver biopsy. As icteric amyloidosis of the liver is invariably fatal within a few months, this disease, though rare, should be considered in the differential diagnosis of unclear intrahepatic cholestasis.
Explore the source record for details and available documents.