ABSTRACT
Metastases to the temporal bone are a recognized, if rare, cause of otological symptoms including sudden sensorineural hearing loss. Carcinoma of the prostate is a common cancer which frequently metastasizes to bone but is only rarely reported in the temporal bone. We report a case of sudden sensorineural hearing loss due to metastatic prostatic carcinoma in the temporal bone.
Subject(s)
Hearing Loss, Sensorineural/etiology , Prostatic Neoplasms/complications , Skull Neoplasms/secondary , Temporal Bone , Evoked Potentials, Auditory, Brain Stem/physiology , Hearing Loss, Sensorineural/diagnostic imaging , Humans , Male , Middle Aged , Prostatic Neoplasms/diagnostic imaging , Skull Neoplasms/diagnostic imaging , Temporal Bone/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
Palliative treatment of an enterovaginal fistula secondary to adenocarcinoma of the rectum in a 65-year-old woman with intraperitoneal corium porcine graft is reported. The patient had previously had a total colectomy for ulcerative colitis followed by excision of the rectal stump, mucosal proctectomy and ileostomy.
Subject(s)
Adenocarcinoma, Mucinous/secondary , Adenocarcinoma/pathology , Bandages , Biological Dressings , Intestinal Fistula/etiology , Rectal Neoplasms/pathology , Uterine Neoplasms/secondary , Vaginal Fistula/etiology , Adenocarcinoma, Mucinous/therapy , Aged , Female , Humans , Intestinal Fistula/surgery , Palliative Care , Uterine Neoplasms/therapy , Vaginal Fistula/surgeryABSTRACT
Two forms of bowel preparation for colonoscopy were compared--19 patients were given 5 per cent mannitol solution orally while a further 19 were infused with isotonic saline via a nasogastric tube. Both methods proved equally acceptable to the patients and endoscopists. Saline led to a rise in body weight (+0.75 +/- 0.35 kg) and blood pressure (+7.5 +/- 2.8 mmHg) while mannitol caused a significant fall in both body weight (-0.74 +/- 0.28 kg) and blood pressure (-3.8 +/- 2.9 mmHg). Plasma volume measurements were carried out on 17 patients; 8 receiving saline showed a rise (+0.22 +/- 0.08 l) while 9 taking mannitol experienced a fall (-0.17 +/- 0.08 l). Twelve further subjects prepared with a combination 10 per cent mannitol and isotonic saline showed a small fall in plasma volume (-0.08 +/- 0.05 l). Mannitol proved an acceptable preparation for colonoscopies but a fall in body weight, blood pressure and plasma volume posed a small risk to the elderly subject and in view of the known risks of mannitol during diathermy this form of preparation was not considered a suitable alternative to isotonic saline.
Subject(s)
Colonoscopy , Therapeutic Irrigation/methods , Administration, Oral , Aged , Blood Pressure , Body Weight , Female , Humans , Intubation, Gastrointestinal , Mannitol/administration & dosage , Plasma Volume , Sodium Chloride/administration & dosageABSTRACT
A technique of dissection of the sinuatrial node and of the atrioventricular node and main conducting bundles of the ox heart, without injection, is described. Museum specimens prepared in this way are illustrated.
