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Biomedical subjects

R Jancovici

Publications and source records attributed to R Jancovici.

66 records · Page 4Linked to original sources
PubMed1990

[War injuries of the thorax. Aggressors and wound balistics].

War chest wounds are very common, but wound balistic notions are not known of physicians. Different threats are being listed, and we might retain the important rate of shrapnels wounds. Concerning the bullet behavior in soft tissue, one can discern full jacketed war bullets which may tumble after a variable "neck", and non jacketed missiles which cause wound through "mushrooming" and/or fragmentation effect. Buckshot wounds obey the rule of "all or none". Body reactions, particularly the clash with a hard material like bone, may overturn everything described in soft tissues. Every kind of possible chest wounds are analyzed from a ballistic point of view. We insist on the effects of so called terrible high velocity little bullets which do not wound because of an "explosive" shock wave, but with a fragmentation effect. The treatment sums up to the advice of good common sense which has had such a good effect on our masters.

Blast Injuries↗
PubMed1990

[A rare tumor of the mediastinum: benign hemangioma].

Mediastinal hemangiomas are rare tumours occurring more often in children and young adults. A new case is reported in a 21 years old male who had an anterior mediastinal mass detected on a routine chest roentgenogram. Pre-operative investigations including CT, venous digital angiography, MRI did not aid in the right diagnosis. The mass was totally removed surgically although involving extensively adjacent structures. Histologic examination of the tumour showed it to be a benign venous hemangioma. Clinical, radiological, pathologic features of mediastinal hemangiomas are reviewed and discussed.

Adult↗
PubMed1989

[Malignant pheochromocytoma].

A case of metastatic malignant pheochromocytoma which was operated on is discussed. The benefits derived from the most recent localizing techniques such as CT scan and MIBG scintigraphic scanning are stressed. In the case presented these enabled the adrenal tumor to be detected but also demonstrated the presence of a costal metastasis and two metastases in the axial skeleton. A therapeutic trial with MIBG at doses of 100 mCi per treatment only enabled a survival of a little more than one year to be achieved.

Adrenal Gland Neoplasms↗
PubMed1987

[Gas gangrene: an extreme surgico-medical rather than medico-surgical emergency].

A diabetic woman developed spontaneous gas gangrene of upper limb extending into trunk and due to clostridium septicum. Recovery was obtained after major surgery involving disarticulation of upper limb and excision of soft tissues of left hemithorax, and a difficult intensive care programme (hyperbaric oxygen therapy, assisted ventilation). The presence of this gas gangrene revealed a bipolar colon cancer treated in parallel. The conventional therapeutic hierarchy is discussed: surgery should be carried out as an extreme emergency and should not be delayed to allow transfer to a center equipped with a hyperbaric oxygen therapy apparatus.

Aged↗
PubMed1987

[Multiple wounds caused by a 5.56 mm bullet: the Famas, a competitive weapon].

A case is reported of multiple wounds to abdomen and spine from a 5.56 mm bullet. Differing from currently used weapons, a high speed bullet is projected producing damage that has been studied precisely and compared with lesions caused by conventional bullets. The weapon responsible is progressively equipping a certain number of French regiments.

Abdominal Injuries↗
PubMedDate not supplied

[War wounds of the upper vena cava. Recovery after management from Sarajevo to Paris].

Penetrating chest injuries involving the superior veina cava are a seldom observed entity to our knowledge. Most often they cause death before the patient can reach a surgical facility; because of the exsanguination and a difficult surgical approach. The authors report a war-case of superior veina cava injury and have reviewed and analysed the literature concerning the issue of immediate intensive care and surgical approach of such life threatening injuries; especially in war conditions.

Adult↗