[The place value of the radiological sign of flank cloudiness for the recognition of intraperitoneal abdominal injuries (author's transl)].
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Biomedical subjects
Publications and source records attributed to W Kleinau.
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This is a report on 204 patients operated on for a blunt abdominal trauma in the period from January 1, 1964 to December 31, 1978. As a consequence of the blunt abdominal trauma, rupture of the spleen was found most frequently. In diagnosing blunt abdominal lesions peritoneal lavage as well as abdominal emergency angiography by have proved best apart from X-ray examination.
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The leiomyoblastoma of the gastrointestinal tract is a tumour which arises from the smooth musculature. With regard to its malignancy it is between leiomyoma on the one hand and leiomyosarcoma on the other. In 12% of the patients the leiomyoblastoma shows a malignant course. Males somewhat more frequently fall ill with leiomyoblastoma than females (ratio 1.3:1). The average age of the patients is 56.6 years. The most impressive clinical symptom is the gastrointestinal haemorrhage. In an own case problems of therapy are discussed. The mere enucleation of the tumour is not enough for cure. The resection of the stomach, at least of the involved part of the stomach, seems to be necessary.
224 cases of fistula carcinoma arising from chronic osteomyelitis from literature and 6 own observations are reviewed. This malignancy results in about 1,5% cases of chronic osteomyelitis. The mean age of all patients was 55.7 years. The sex relation male to female was 7.4:1. The time from the beginning of the chronic osteomyelitis up to the diagnosis of the fistula carcinoma was 33.6 years. This time is called "Exposition time". The analysis of this time shows that, the older the patient was at the beginning of the chronic osteomyelitis the shorter was the exposition time.
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