PubMed HealthSearch

Biomedical subjects

S Stoianov

Publications and source records attributed to S Stoianov.

At least 19 recordsLinked to original sources

[A clinical case of a spontaneous fistula between the common hepatic duct and the duodenum].

A case of a very rare complication--spontaneous fistula between a duodenal ulcer and the common biliary duct is presented. The diagnosis was made by various clinical investigations, the contrast X-ray examination being the most important. It allows the staining of the fistula and the intrahepatic biliary pathways. The computed tomography and the ultrasound examination are of secondary importance, the former being better that the Latter. The finding of gas in the biliary tracts with the help of these examinations directs towards the diagnosis.

Adult

[Gallstone ileus--the diagnostic and surgical problems].

After a brief review of the literature the authors discuss in an analytical and critical aspect the clinical manifestations, diagnosis and operative problems in biliary-calculus ileus. Three personal clinical observations are reported in women at mean age 68 years and a history of biliary calculosis dating many years back, associated with other accompanying diseases. Proceeding from available data in the literature and from their personal experience the authors consider the unsolved problems for operative management, both of the complications and of the underlying disease--the gall bladder calculosis and the biliodigestive fistula. The first to be radically solved by operation is the complication, while the operative treatment of the underlying disease depends upon the following factors: severity of the ileus, patient age, local finding, hepatobiliary zone, accompanying diseases etc.

Aged

[Löfgren's syndrome (a description of a case)].

The authors present the modern concepts about the etiology, pathogenesis clinical, X-ray and laboratory characteristics of Löfgren's syndrome in a concise form and then--their own observation on that clinical X-ray variant of sarcoidosis. The diagnosis was objectivized on the base of the data from X-ray findings in lungs and the histological study on the material from the lungs and skin. The pathognomonic significance of the combination of the pulmonary and skin changes are stressed upon in the presence of negative tuberculin tests. A very good result was recorded from the long-term treatment with corticosteroids in combination with vitamins, calcium preparations and rimicide protection.

Drug Therapy, Combination