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Biomedical subjects

W Weckner

Publications and source records attributed to W Weckner.

10 recordsLinked to original sources
PubMed1988

[The clinically unrecognized colorectal cancer in a patient autopsy sample].

An evaluation of 27,543 postmortem records revealed that 29 percent of colon carcinomas and 16.9 per cent of rectum carcinomas had not been identified until postmortem investigation (186 cases). The rate of false diagnosis have decreased from 1954 by 12.5 per cent for colon carcinoma and by 20.8 per cent for rectum carcinoma. They still amounted to 27.7 per cent for patients above 65 years of age and to 11.5 per cent for younger patients. They were 31.6 per cent for carcinoma of the right colon half and 20.6 per cent for left-side colon carcinoma. On admission to hospital, tumour stages III and IV were recorded form 52.7 per cent of all patients hospitalized for colon carcinoma and from 30.8 per cent of those with rectum carcinoma. Sixty-four patients died within 72 hours form hospitalization and another 27 within one week.

Aged↗
PubMed1986

[Ileus of the large intestine caused by endometriosis. Report of 2 cases and review of the literature].

Two cases of distal colonic obstruction due to endometriosis prompted the authors to elaborate on problems implied in diagnosis and therapy of this rare cause of ileus. Accurate preoperative diagnosis was usually not obtainable from case histories, endoscopy, and X-ray checks. Only emergency operations should be performed on ileus cases (colostomy, Hartmann's operation). Hormonal and surgical treatment should then be continued in consultation with the gynaecologist. Resections should be minimised and mutilating interventions (rectal amputation) avoided.

Colectomy↗
PubMed1986

[Gallbladder perforation in an autopsy sample].

Evaluation of 135 post-mortem reports over a period from 1953 to 1985 showed that 107 patients without adequate therapy for peritonitis had died of gallbladder perforation within 32 hours from surgery. Another 28 had died of gallbladder perforation following cholecystectomy. Forty patients had been hospitalised in moribund condition and died within 24 hours from admission. Three patients died of the consequences of undetected postoperative or posttraumatic cholecystitis, while another five died following appendectomy or herniotomy, after destructive cholecystitis in them had escaped detection. Cholecystectomy was performed on 28 patients for perforated destructive cholecystitis, and 25 of these died of peritonitis within 32 hours. Bronchopneumonia was the major cause of death of two patients and purulent cholangitis in a third case. Once early operation for acute cholecystitis had been introduced in 1965, no single patient was recordable from the post-mortem documentation who had died of the sequels of untreated gallbladder perforation below the age of 60.

Aged↗
PubMed1982

[Necrotising enteritis (author's transl)].

4 cases of severe necrotising enteritis are dealt with. The small intestine was affected 3 times, the colon once, One patient died after resection of the affected bowel segment. In 2 additional cases a large resection of the small intestine became necessary. One patient was treated conservatively. The bacteriological evidence of Clostridium perfringens type C in the intestinal wall allows the assumption of a primarily bacterial genesis of this disease. Its aetiology, clinical and pathological-anatomic picture and the therapy are being discussed.

Adult↗