Deutsche medizinische Wochenschrift
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Dtsch. Med. Wochenschr. · Jun 2004
Case Reports[Recurrent syncope after blunt trauma of the thorax].
A 35-year-old patient presented with a non-penetrating chest trauma due to an automobile accident. Examinations showed a trauma of the left shoulder (reversed Hill-Sachs lesion). After diagnostic procedures, he underwent surgery four weeks later. During the hospital stay, the patient developed angina pectoris, dizziness and syncopes. ⋯ ECG monitoring after blunt chest trauma in the early period and after several days is mandatory to screen and prevent potentially life threatening posttraumatic arrhythmias.
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Dtsch. Med. Wochenschr. · Jun 2004
Case Reports[Lymphangioleiomyomatosis (LAM): a rare cause of ascites and pleural effusion].
A 45 year old woman presented at our hospital for further evaluation of intermittent abdominal pain. The patient reported that she had suffered a spontaneous pneumothorax 8 years and a pleural effusion 3 years before. ⋯ This report depicts a case of LAM which involved both pulmonary and intestinal symptoms. Previous pulmonary problems gave a hint towards the right diagnosis. Though lymphangiography is rarely performed in these days, the method was both diagnostic and therapeutic in the case presented.