Sliding and paraesophageal hiatal hernias, with spontaneous rupture of the stomach producing a mediastinal and retroperitoneal abscess.
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Biomedical subjects
Publications and source records attributed to S Gammill.
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The Ask-Upmark kidney represents an unusual manifestation of a segmental hypoplastic kidney in which the lesion may be local or diffuse, and may involve one or both kidneys. It is almost always associated with hypertension and is, therefore, potentially curable when localized to a single kidney. It is imperative to recognize this disease in order to distinguish it from other entities that cause hypertension.
A clinical and roentgenographic analysis of 13 patients with pathologically proved xanthogranulomatous pyelonephritis (X-P) has demonstrated that many previously accepted truisms associated with this disease may not be valid. As a result of this study it is suggested that X-P: 1. Does have a prominant female distribution. 2. May arise relatively acutely. 3. Can be associated with a well-functioning kidney. 4. May destroy the kidney and collecting system. 5. Does not demonstrate neovascularity. 6. Can be distinguished angiographically from hypernephroma. 7. May be associated with diabetes. Other important facts were again observed: 1. X-P is still often associated with staghorn calculi and urinary tract obstruction. 2. Proteus mirabilis is the main offending organism.
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Although translumbar aortography is the oldest form of aortography, we belive it to be the procedure of choice in studying patients with aortoiliac and more distal peripheral vascular occlusive disease. It may be performed rapidly and easily and carried a low serious complication rate. The aorta should be punctured below the renal detail even in the feet, and some life threatening complications that have been reported when the aorta was punctured above the renal arteries may be avoided.
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