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  • 1
    ISSN: 1432-2102
    Keywords: Schlüsselwörter ; Thorax ; Neugeborene ; Frühgeborene ; Kongenitale Pathologien ; Erworbene Pathologien ; Key words ; Chest ; Newborn ; Preterm infant ; Congenital pathologies ; Acquired pathologies
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary In diagnostic imaging of thoracic pathologies in mature and especially immature neonates, chest X-ray has a leading position. Profound knowledge of the normal chest X-ray and the potential physiological perinatal changes is the basic requirement for interpretation of the X-ray of a neonate. Childhood pathologie: Many congenital and acquired diseases that the radiologist is faced with in neonatology are unknown in the imaging of adults. Many of these changes are life-threatening or may have an impact on the patient’s future quality of life. Therefore early diagnosis in close cooperation with the paediatrician is essential. We give here an overview of the most important pathologic changes that the radiologist may be con- fronted with in daily routine.
    Notes: Zusammenfassung In der bildgebenden Diagnostik thorakaler Pathologien bei reifen und insbesondere unreifen Neugeborenen steht das Thoraxröntgenbild an erster Stelle. Profunde Kenntnisse des normalen Thoraxbilds und der möglichen physiologischen peripartalen Veränderungen sind Voraussetzung für die Interpretation der neonatologischen Thoraxaufnahme. Kindliche Pathologien: Eine Vielzahl von kongenitalen und erworbenen Veränderungen, mit denen der Radiologe in der Neonatologie konfrontiert ist, sind in der Radiodiagnostik des erwachsenen Patienten unbekannt. Viele dieser Veränderungen sind für den Patienten lebensbedrohlich oder können die Lebensqualität in seinem weiteren Leben beeinflussen. Eine frühzeitige Diagnostik in enger Zusammenarbeit mit dem Pädiater ist daher essenziell. Hier wird ein Überblick über die wichtigsten Pathologien, mit denen der Radiologe in der täglichen Routine konfrontiert sein kann, gegeben.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-198X
    Keywords: Key words  Candida tropicalis ; Candidiasis ; Fungal bezoar ; Renal fungus balls
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Partial fungal obstruction of the renal collecting system is an unusual finding among infants that poses specific management problems. We report a patient with sepsis and fungal infection of the kidneys post surgery who presented with bilateral fungus balls and was successfully managed by conservative measures. Sonography is the imaging technique of choice in the diagnosis and follow-up of such patients. The need for prompt diagnosis in high-risk patients and the role of sonography are discussed.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 14 (2000), S. 182-184 
    ISSN: 1432-2218
    Keywords: Key words: Perforating appendicitis — Pediatric surgery — Laparoscopy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: This pilot study was performed to reassess the widespread postulate that laparoscopic surgery is contraindicated in cases of perforating appendicitis. Methods: A total of 75 children (appendiceal perforation: n= 67; perityphlic abscesses and peritonitis: n= 8) were analyzed in a prospective nonrandomized trial. Ten of them were treated by laparoscopic appendectomy. Results: In the laparoscopy group, both pain and hospitalization were less time-consuming (i.e., by 50% and 19%, respectively). Antibiotics use was down from 2.6 over 6 days to 2.2. over 5.5 days, while the duration of surgery was up by 52%. Wound healing disturbances occurred in 10% (n= 1) and postoperative fever in 50% (n= 5) of patients, compared to 14% (n= 9) and 15% (n= 10) in the group treated by open surgery. All severe complications requiring reintervention (10%; massive subcutaneous abscess, n= 3; retrocolic abscess, n= 2; adhesion-related ileus, n= 3; appendicular stump, n= 1) were associated with open surgery. Conclusions: There was not a single major complication in the laparoscopy group. These unexpected results are in contrast to previous reports and have prompted us to initiate a prospective randomized trial.
    Type of Medium: Electronic Resource
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