Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · May 1992
Case Reports[Blunt thoracic trauma with lesions of the heart and large vessels].
A man aged 26 was admitted after a traffic accident. The chest X-ray showed widening of the mediastinum without rib or sternal fractures. Therefore an aortogram was made which showed an avulsion of the aortic valve and a rupture of the left common carotid artery. ⋯ If there is widening of the mediastinum on the chest X-ray an aortogram should be made. In this way the diagnosis, rupture of the thoracic aorta or of one of the aortic arch branches, and traumatic valve rupture can be made. Early diagnosis can be life saving.
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We discuss a newborn with congenital intestinal lymphangiectasia. Primary intestinal lymphangiectasia is a rare disease which represents a congenital disorder of mesenteric lymphatics and is associated with typical clinical signs. ⋯ Substitution therapy may be necessary. The longer-term prognosis appears to be good.
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Bacterial aortitis is a rare but serious condition. Even when treated surgically, the prognosis is poor. ⋯ The treatment of choice is early surgical drainage, debridement and arterial reconstruction, preferably through uncontaminated tissue combined with antibiotic therapy. We report the case of a man aged 80 with Salmonella aortitis in whom the diagnosis of bacterial aortitis was made by means of ultrasound and CT, following which successful intervention was carried out.