Nederlands tijdschrift voor geneeskunde
-
A 1.5-year-old boy was referred to the Dutch Retinoblastoma Center with leukocoria, a white pupillary reflex. Fundoscopy revealed a white retinal tumor and ultrasonography showed a calcified mass. ⋯ Histopathological examination of the retinal tumor confirmed the diagnosis 'retinoblastoma'. Leukocoria is a cardinal sign of retinoblastoma.
-
An 8-month-old boy with a medical history of prematurity and intubation presented with a severe inspiratory wheeze, caused by subglottic cysts.
-
Ned Tijdschr Geneeskd · Jan 2013
Case Reports[Hypovolaemic shock several days after rib fractures].
A quarter of all patients with rib fractures develop a haemothorax. A haemothorax usually occurs immediately following trauma, but it can also occur with considerable delay. ⋯ A delayed haemothorax is rare but in cases of hypovolaemic shock, this dangerous complication of rib fractures should be ruled out.
-
Ned Tijdschr Geneeskd · Jan 2013
Comparative Study[The transrectus sheath preperitoneal procedure: a safe, effective and cheap surgical approach to inguinal hernia?].
The main complication of surgery for inguinal hernia is chronic postoperative pain. This is often reported following the Lichtenstein procedure. A new, open surgical technique for the repair of inguinal hernia has been developed. ⋯ The first results of this operative technique are very promising: short operation time, short learning curve and not many patients with chronic postoperative pain. In a randomised, multi-centre study which will start mid-2013 (ISRCTN18591339), the TREPP procedure is compared with the transinguinal preperitoneal procedure. The primary outcome measure of this study is chronic postoperative pain.
-
A 74-year-old woman went to the gastroenterologist because of an altered defaecation pattern. Colonoscopy could not be completed due to sigmoid angulation. ⋯ Non-specific abdominal complaints or volvulus seldom occur. Surgical intervention is rarely necessary.