摘要:

The clinical picture and morphology, including genetics, of the Bourneville-Pringle syndrome are presented. Next, the value of renal studies when the kidneys are involved is discussed. Last, a case of the syndrome is described and operative treatment given.

ISSN:0042-1138    

DOI:10.1159/000279879

出版商:S. Karger AG    

年代:1973

数据来源: Karger

摘要:

Serum values and urinary rates of several enzymes (lactic-acid dehydrogenase, leucine aminopeptidase, malic dehydrogenase, α-amylase) were investigated in groups of patients characterized by clinical and biochemical features, as well as in healthy volunteers before and after i.v. infusion of calcium gluconate (type Kyle). Urinary LDH excretion in patients with hypercalciuric symptoms (oxalate stones) were significantly increased and primary hyperparathyroidism was refractory to otherwise calcium-induced changes of α-amylase in serum, permitting differential diagnosis. Stones resulting from urinary-tract infection evoked elevated LAP values in serum; urinary malic dehydrogenase in all patients was higher, compared to volunteers. The results of this study suggest that stone formation in human kidney is accompanied by elementary metabolic changes, possibly not respected enough as to their validity in the as yet unknown etiology of this disorde

ISSN:0042-1138    

DOI:10.1159/000279880

出版商:S. Karger AG    

年代:1973

数据来源: Karger

摘要:

The fibrotic contracted bladder and ureteric strictures are the main complications of urinary bilharziasis. Papillomas and carcinomas of the bladder are very common but with the latter the causative feature of bilharziasis is not certain. Bilharziasis can be seen occasionally in Europe as travelling to endemic regions is in vogue. At the Ifakara Hospital in Tansania, 11 cases of complicated urinary bilharziasis with ureteric stricture and contracted bladder have been observed. Four patients have died, seven could undergo an operation. To six patients an ileocystoplasty was done in order to enlarge the bladder capacity and the distal ends of the ureters have been resected and anastomosed to the new bladder. In one case, a child, a latero-lateral ureterocystostomy on both sides was done only. All the patients who underwent operation could be discharged after they had improved considerably.

ISSN:0042-1138    

DOI:10.1159/000279881

出版商:S. Karger AG    

年代:1973

数据来源: Karger

摘要:

A study of 220 young girls with chronic urinary infection and of 21 female children with pure enuresis is reported. Stenosis of the urethra was detected in 60%. The peak of onset of urinary infection was found in Internal urethrotomy the toilet-training period (age 1.5–3.0 years). No correlation could be found between the radiographic appearance of the urethra on cystourethrograms and the size of the urethra ascertained by bougie calibration. Internal urethrotomy using Otis urethrotome was the procedure of choice for treatment of stenosis of the urethral meatus and bladder neck obstruction. 15% of failures after urethrotomy were recorded in the group of less marked urethral stenosis, whereas no failure occurred in the group of more severe urethral stenosis. Less severe reflux secondary to urethral stenosis was present in 22 children. It was completely reversed in 18 patients and persisted in 3 after urethrotom

ISSN:0042-1138    

DOI:10.1159/000279882

出版商:S. Karger AG    

年代:1973

数据来源: Karger

摘要:

In 65 semicastrations and lymphadenectomies in patients with germinative testicular tumors with an overall low rate of intra- and postoperative complications and a zero-operative mortality, we found complications of the lymphatic system in three cases. One patient had an iliac lymphocele with no clinical symptoms. In another patient we found a retroperitoneal lymphocele and in a third patient a lymph fistula originating from the retroperitoneal space with chyle in the peritoneal cavity. Development, symptoms, the rather simple diagnostic measures and treatment of the postoperative lymphocele and chylascites are discussed.

ISSN:0042-1138    

DOI:10.1159/000279883

出版商:S. Karger AG    

年代:1973

数据来源: Karger

ISSN:0042-1138    

DOI:10.1159/000279884

出版商:S. Karger AG    

年代:1973

数据来源: Karger

ISSN:0042-1138    

DOI:10.1159/000279885

出版商:S. Karger AG    

年代:1973

数据来源: Karger

ISSN:0042-1138    

DOI:10.1159/000279886

出版商:S. Karger AG    

年代:1973

数据来源: Karger