RESUMO
The authors report the case of a 6-week-old boy with the Smith-Lemli-Opitz-syndrome (SLOS) and review the literature on the subject. Intersexuality was suspected and a laparoscopy performed. Abnormalities of the gastrointestinal tract, the lower extremities, and the face prompted DNA analysis, which found a defect of cholesterol biosynthesis in the form of the Smith-Lemli-Opitz-syndrome, a rare congenital defect. The clinical course of this case is compared with similar cases in the literature.
Assuntos
Síndrome de Smith-Lemli-Opitz/diagnóstico , Humanos , Lactente , Masculino , Síndrome de Smith-Lemli-Opitz/cirurgiaRESUMO
BACKGROUND: Polymastia is a common developmental abnormality of the breast. Supernumerary breast tissue usually develops along the mammary line. Polymastia in the most woman has been diagnosed by hormonal influence, cancer or other pathologic changes. PATIENTS: We report a localisation of polymastia in the axilla of a 14 year old girl. The lesion was removed to microscopic examination and to eliminate the possibility of a malignancy developing.
Assuntos
Axila , Mama , Coristoma/diagnóstico , Coristoma/cirurgia , Dermatopatias/diagnóstico , Dermatopatias/cirurgia , Adolescente , Feminino , Humanos , Dermatopatias/diagnóstico por imagem , Resultado do Tratamento , Ultrassonografia , Sistema Urogenital/diagnóstico por imagemRESUMO
The first successfully operated newborn with esophageal atresia dates back more than 55 years. During this period the concept of the unity of structure and function for surgical treated malformations has been retained. Primary anastomosis offers the best prerequisites. Main life threatening complications are leakage of the anastomosis, anastomotic strictures and gastroesophageal reflux. Avoiding vital complications the aim of undisturbed function can be achieved by appropriate surgical methods. The report describes own experiences over the past 20 years.
Assuntos
Atresia Esofágica/cirurgia , Anastomose Cirúrgica/métodos , Dilatação , Estenose Esofágica/diagnóstico por imagem , Estenose Esofágica/prevenção & controle , Refluxo Gastroesofágico/prevenção & controle , Refluxo Gastroesofágico/cirurgia , Humanos , Recém-Nascido , Complicações Pós-Operatórias/prevenção & controle , RadiografiaRESUMO
The influence of the blood glucose level on the stress ulcer rat was investigated in the immobilised rat. The increase of the blood glucose was produced by injecting a 40 per cent glucose solution by means of a central venous catheter. A reduced secretion of the gastric acid and a reduced frequency of ulcers were observed with increased blood glucose.
