[A recovered case of actinomycosis in the small intestines diagnosed with ultrasonography]. / Ultraszonográfiával diagnosztizált vékonybél-actinomycosis gyógyult esete.

The authors report the history of a patient suffering from abdominal actinomycosis. The correct diagnosis could be established by an ultrasound-guided aspiration sampling from the small-intestinal abscess, following the sonographic localisation of the lesion. The patient recovered by a long-term antibiotic treatment. Related to the case the authors review the relevant literary data of the past few years and point to the value of ultrasonography in the successful management of the disease.

[Gluing of sterile abdominal benign cyst walls with tissue adhesives (Tissucol) (preliminary report)]. / Steril, benignus hasi folyadékgyülemek falainak összeragasztása szöveti ragasztóval (tissucol) (elözetes közlemény).

The authors, endeavouring to stick the walls of percutaneously emptied cysts together had applied the two-component Tissucol fibrin glue in the treatment of abdominal and thoracic cysts. Their ten cases, however, may be considered only as preliminary experiences. It seems that the method can be recommended for an attempt to cease these formations in a fast and simple way. Nevertheless, this method must not be the subject of treatment in infected and malignant fluid collections, but seems successful in pancreatic pseudocysts, in spite of their higher proteolytic activity.

The role of duodenal erosions in the occurrence of upper gastrointestinal haemorrhage.

It is well known that gastric erosions and the so called erosive gastritis, cause about 20-30% of massive upper gastrointestinal haemorrhage. Our endoscopic material was examined in order to answer the following questions: at what ratio duodenal erosions induced massive bleeding, what their emergence can be attributed to, what connection may be found between duodenal ulcers and duodenal erosions and what is the rate of recovery of such patients. We found that: 1) duodenal erosions may occur together with gastric erosions, therefore they can jointly induce massive bleeding; 2) duodenal erosions may be associated with duodenal ulcer but haemorrhage originates from the erosion and the ulcer itself does not bleed; 3) duodenal erosion in itself might induce bleeding, 4) the intensity of bleeding, if there is no haemorrhage from other places, is not so severe, as the one originating from gastric erosions, and with the application of conservative treatment it usually stops within a short period of time; 5) the inducing factor is generally massive alcohol consumption; drug intake is rare as a cause for duodenal erosions. The early and exact diagnosis of duodenal erosions is all the more important in that it might safeguard the patient from unnecessary operations.

Histomorphologic and histochemical investigations in mannosidosis. A light and electron microscopic study.

Morphologic and histochemical studies have been performed at light and electron microscopic level on needle-liver biopsy specimens, circulating blood lymphocytes and fibroblast cultures from patients with mannosidosis. The findings demonstrated generalized storage phenomena of varying degrees in the various tissues examined. Histochemical findings were in agreement with the biochemical nature of the stored material. Enzyme histochemical methods indicated storage in the lysosomes, at least in the hepatocytes. The ultrastructural appearance of mannosidosis in itself has but a limited diagnostic significance since the morphology and distribution of vacuoles have characteristics in common with other storage diseases. Repeated liver biopsy disclosed extensive storage in the hepatic tissue. However, the progression of the disease was not accompanied by severe mechanical destruction or microcirculatory disturbances.

[Mesothelioma of the tunica vaginalis]. / Uber das Mesotheliom der Tunica vaginalis.

After a brief review of the pertaining literature, the case of a 63 year old male patient with a histologically confirmed mesothelioma starting from the tunica vaginalis of the testis is described. The rare tumour developed after an injury of the testis suffered 15 years earlier.

[True hermaphroditism with 46, XY/46, XX/47 XXY mosaicism (author's transl)]. / Echter Hermaphroditismus mit 46, XY/46, XX/47 XXY Mosaizismus

A case of true hermaphroditism was described. The patient had an uterus, a fallopian tube, a testide on the left in the position of the ovary and an ovary on the right side. The chromosome picture corresponded to a 47, XXY/46, XX/46 XXY mosaic. The phenotype of the patient was male so the decision for male sex seemed to be justified.