History And Clinical Findings: A 73-year-old woman was admitted to hospital early in the morning by an emergency doctor in initially unclear comatose conditions with a blood glucose of 24 mg/dl. There were no important previous diseases requiring any medication. She was in good physical state.
View Article and Find Full Text PDFAcute hemoptysis might be caused by aneurysms of the subclavian artery. We report a 75-year-old female patient presenting with recurrent hemoptysis, dyspnea, fever, and episodes of unclear pneumonia. Further examination revealed a large intrathoracic aneurysm of the right subclavian artery.
View Article and Find Full Text PDFIn this report we describe a 42-year-old man with idiopathic pulmonary fibrosis with a progressive course who underwent right single-lung transplantation in November 2007. The post-operative course showed a decline of gas exchange, and chest X-ray revealed pneumonic infiltrates. Computerized tomography (CT) scans showed high-grade stenosis of the right superior pulmonary vein.
View Article and Find Full Text PDFObjective: The aim of this study was to evaluate the accuracy of multislice computed tomography (MSCT) with double-contrast technique and transrectal ultrasound (TRUS) in staging of rectal carcinoma compared with histopathological confirmation.
Methods: In a prospective study of 92 patients with rectal carcinoma, preoperative MSCT with negative rectal contrast (methylcellulose) and intravenous contrast was performed. Reconstructions in 3 planes were analyzed in a cine mode in picture archiving and communication (PAC) system.
Hypothesis: Preoperative radiochemotherapy for advanced rectal cancer results in fewer lymph nodes detected in the tumor-bearing specimen.
Design: Nonrandomized control trial with analysis of a prospective perioperative database.
Setting: Department of Surgery of a large-volume university hospital.