摘要:

&NA;Three cases of rectal bleeding within a series of 120 transrectal prostatic biopsies are reported. The precipitating factor was the presence of hemorrhoids which were unsuspected prior to prostatic biopsy. Rectal bleeding in these patients was arrested by ballon tamponade with a 24 French Foley catheter.In situmonitoring of the rectal Foley catheter was discontinued when no further rectal bleeding was ascertained. There were no complications due to this simple, safe, and effective technique. When hemorrhoids are suspected, preliminary proctoscopy aids and alerts surgeons to choose alternative routes to the prostatic bed.

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;A patient with herniation of the cecum through the foramen of Winslow is described. Herniation through the foramen of Winslow is among the rarest of hernias. Preoperative diagnosis is unusual but is possible for the astute clinician who, on abdominal x‐ray, notices air in the lesser sac with displacement of the stomach anteriorly and to the left. Treatment, of course, is prompt surgical intervention with reduction of the hernia and resection of any nonviable bowe.

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

摘要:

&NA;Sigmoid volvulus is not a common disease in the United States. Thus, a good understanding of this disease can be obtained only by compiling the experiences of many physicians. The purpose of this paper has been to review the reported clinical experience with sigmoid volvulus throughout the world with sigmoid volvulus. This has revealed two clinical patterns of presentation. In Asia, Eastern Europe, and much of Africa and Brazil, sigmoid volvulus is a common cause of intestinal obstruction, frequently occurring in middle‐aged men living in rural areas. In English‐speaking countries, it is a rare cause of intestinal obstruction. In these countries the patient with sigmoid volvulus is typically old, male, black and institutionalized.The pathogenesis of sigmoid volvulus has been attributed to many etiologies. A single mechanism combining two features probably provides the basis for these theories. A narrow mesocolon at its parietal attachment produces an excellent pivot point for a redundant sigmoid colon, predisposing the individual to sigmoid volvulus. Whether in Africans eating coarse fiber diets, in Brazilians with Chagas' disease, or institutionalized Americans, the combination of a narrow mesosigmoid parietal attachment and redundant colon is nearly always found in patients in whom sigmoid volvulus develops.

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1982

数据来源: OVID