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  • 1
    Electronic Resource
    Electronic Resource
    An adult case of bleeding meckel's diverticulum diagnosed by preoperative angiography (1993)
    Springer
    Surgery today 23 (1993), S. 926-928 
    Details
    ISSN: 1436-2813
    Keywords: bleeding Meckel's diverticulum ; angiography ; embryonic artery ; extravasation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 19-year-old woman in her 6th month of pregnancy was admitted to our hospital after passing a massive bloody stool. Romanoscopy and upper gastrointestinal panendoscopy revealed no abnormality, but a superior mesenteric arteriography demonstrated an embryonic artery with the extravasation of contrast medium in the distal end of the ileal artery. After the diagnosis of a bleeding Meckel's diverticulum had been established, an emergency operation was successfully performed. At laparotomy, a Meckel's diverticulum was found, about 70 cm toward the oral side from the ileocecal valve, and part of the ileum, including the diverticulum, was resected. Histological examination indicated that the diverticulum had a normal ileal layer with ectopic gastric mucosa and pancreatic tissue. Furthermore, multiple ulcers were observed in the adjacent ileum. Blood coagulation was observed at the site of one of these ulcers, and this was presumed to be the source of the hemorrhage.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00311374
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Enlargement of the pancreas in non-alcoholic cirrhosis: a computed tomography and pathological investigation (1992)
    Springer
    European radiology 2 (1992), S. 99-104 
    Details
    ISSN: 1432-1084
    Keywords: CT ; Liver cirrhosis ; Pancreas ; Trophic effect ; Pathology
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract To evaluate the effect of hepatic dysfunction on pancreatic morphology, the antero-posterior width of the pancreas was measured by CT in 50 non-alcoholic cirrhotic patients without pancreatic disease and 221 age-and sex-matched normal controls. In addition, we reviewed the histology of the pancreas from 13 autopsies of the cirrhotics and 13 controls. The mean width of the pancreatic head in the cirrhotics was 2.94 ∓ 0.34 cm (mean ∓ SD), which was significantly larger than that in the controls (2.17 ∓ 0.32 cm) (P 〈 0.001). The width of the pancreatic body in the cirrhotics was also significantly greater than in the controls (1.95 ∓ 0.24 cm versus 1.50 ∓ 0.30 cm) (P 〈 0.001). Histological investigation revealed that lipomatosis and fibrosis increased with age in the controls, while they were seldom observed in the cirrhotics. And enlargement of acinar cells or of the islets of Langerhans was often seen in the cirrhotics. These data suggested that advanced liver dysfunction provoked pancreatic growth, probably through a trophic effect.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00171392
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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