Biomedical subjects
W J Schoepfle
Publications and source records attributed to W J Schoepfle.
Gastrointestinal bleeding and mycotic superior mesenteric aneurysm.
This is a case report of management of a delayed mycotic superior mesenteric artery aneurysm occurring in a patient 2 years after aortic valve replacement for endocarditis. A chronic ulcer history, anticoagulation therapy, episodic gastrointestinal bleeding associated with negative gastrointestinal series, and gastritis seen at endoscopy delayed the ultimate diagnosis. An episode of massive hemorrhage precipitated angiography with subsequent surgical confirmation of the diagnosis. Management included debridement and extirpation of the major part of the aneurysm, Doppler assessment of the inadequacy of collateral mesenteric arterial blood flow, and restoration of flow with a bypassing saphenous vein graft segment. Although this technique of reconstruction has been suggested, we can find no other report of such a similar case among the few reported surgical successes with superior mesenteric artery mycotic aneurysm.
The peripheral hemodynamics of exogenously administered prostaglandin E1 during major venous occlusion in the dog.
Explore the source record for details and available documents.
Femoral artery flow velocities: a sensitive index of limb hemodynamics associated with venous occlusion.
Explore the source record for details and available documents.
Back pain with a congenital cyst of the esophagus.
We report a 31-year-old man with a bronchogenic type of congenital esophageal cyst, which was discovered in the course of diagnostic evaluation for thoracic back pain, fever, and diarrhea. He was treated successfully by surgical excision of the cyst. The embryology, classification, and symptoms of esophageal cysts are reviewed, along with useful diagnostic tests and procedures. Ordinary radiography, computed tomography, sonography, and magnetic resonance imaging contribute to diagnostic accuracy. Special mention is made of percutaneous fine needle aspiration biopsy (PNAB) as an adjunct diagnostic procedure. Surgical excision is the treatment of choice.