RESUMO
An experience with six cases of fractured penis is described. A `rolling sign' accurately identifies clot at the fracture site and facilitates a direct and rapid approach to the torn corpus cavernosum. Early operation hastens recovery and limits deformity.(AU)
Assuntos
Humanos , Adulto , Masculino , Pênis/lesões , Emergências , Pênis/cirurgia , RupturaRESUMO
A case of massive central rupture of the liver in which the patient became jaundiced is described. Autopsy revealed, in addition to the intrahepatic haematoma, large areas of infarction in the liver, some of which had become infected and had given rise to septic embolization to various organs. There was deranged liver function which is ascribed to the structural changes found in the liver. The occurrence of hepatocellular jaundice with this type of liver injury has not, to our knowledge, been previously recorded. It is suggested that immediate investigation and treatment are essential if the patient is to survive.(AU)
Assuntos
Humanos , Idoso , Feminino , Fígado/lesões , Hematoma/etiologia , Infarto/etiologia , Icterícia/etiologia , Fígado/irrigação sanguínea , Necrose/etiologia , Ruptura/etiologiaRESUMO
In a fourteen year period 1055 cases of ruptured ectopic pregnancy were operated on at one hospital in the West Indes. 76 percent of these patients required transfusion, and 530 were given their own blood collected from the intraperitoneal cavity, with or without donor blood. In 424 other cases the blood collected in this way was unsuitable for autotransfusion. On blood culture only "air contaminants" were found. There were only two complications (fever in one case and hypotension in another) and no deaths related to transfusion. In view of the hazards of transfusion of donor blood and the shortage of such blood in many centres, a plea is made for the reintroduction of this procedure in the management of ruptured ectopic pregnancies (AU)
Assuntos
Humanos , Gravidez , Feminino , Transfusão de Sangue , Gravidez Ectópica , Anemia/etiologia , Doadores de Sangue , Transfusão de Sangue/efeitos adversos , Hemoglobinometria , Hemoperitônio/etiologia , Hemoperitônio/terapia , Complicações Pós-Operatórias , Gravidez , Gravidez Ectópica/complicações , Gravidez Ectópica/cirurgia , Gravidez Ectópica/terapia , RupturaRESUMO
The treatment of 35 patinets with ruptured tubal pregnancy who had undergone salpingectomy or salpingo-oophorectomy, with iron dextran infusion is described. The necessity for treatment was evidence of iron deficiency and a haemoglobin of between 8 and 10 g/100 ml. Dosage of iron dextran was calculated from a formula supplied by the makers of the preparation. The haemoglobin levels rose in all cases by from 2 to 4.1 g percent. Side effects were minimal. At follow-up no patient had a haemoglobin level below 11 g percent. It is suggested that unless blood replacement is an immediate necessity because of shock or severly low haemoglobin levels, infusion of iron dextran is a reliable procedure in the management of post-operative anaemia. (Summary)
