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1987

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Full-Text Articles in Medicine and Health Sciences

中華民國復健醫學會復健醫學科專科醫師甄審規則, N/A Dec 1987

中華民國復健醫學會復健醫學科專科醫師甄審規則, N/A

Rehabilitation Practice and Science

No abstract provided.

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Reconsidering Drug Involvement Among Youth And Young Adults: Implications For Targeted Primary Prevention, Mark W. Fraser Dec 1987

Reconsidering Drug Involvement Among Youth And Young Adults: Implications For Targeted Primary Prevention, Mark W. Fraser

The Journal of Sociology & Social Welfare

The purpose of this; paper is to review two dominant social perspectives on the etiology of substance abuse among youths and young adults-the stage and risk factor outlooks-and to discuss them in light of recent demographic and ecological research. The differential demography of drug abuse strongly suggests that the environmental context influences the use and abuse of substances. In an era of great public concern about substance abuse, the use of individually-focused perspectives appears to have resulted in person-centered skills training programs and "say no" media campaigns. Consideration of community-level factors in the etiology of drug abuse permits the identification …

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Historical Perspectives On The Care And Treatment Of The Mentally Ill, Albert R. Roberts, Linda Farms Kurtz Dec 1987

Historical Perspectives On The Care And Treatment Of The Mentally Ill, Albert R. Roberts, Linda Farms Kurtz

The Journal of Sociology & Social Welfare

An examination of the history of mental illness and its treatment over the centuries reveals that the mentally ill have few advocates except each other and that their treatment has consisted of confinement and neglect. Reformers have pioneered for change, experienced brief success, but ultimately conditions for the mentally ill regress. Society continues to abhor mental illness as though its collective consciousness still believes in possession by evil spirits. Discussion of the early history moves from banishment to ships of fools, to European asylums, and to institutions run by the states in America. More recent history focuses on the National …

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Dance Injuries, Ching-Long Chou, Tao-Chang Hsu, Jiung-Jer Wu Dec 1987

Dance Injuries, Ching-Long Chou, Tao-Chang Hsu, Jiung-Jer Wu

Rehabilitation Practice and Science

Dancing population has been increaseing in Taiwan for the past 15years, but report of studing dance injuries are still few. Eighty-one theatrical dancing students (Male 18, Female 63 ) at National Institute of the Arts and Chinese Culture university were diagnosed and followed in our OPD to study the patterns, severity & mechanisms of dance injuries. A total of 260injuries in the students were reported. We found that the major injury sites by rate were back: 23.46%;ankle: 22.3%;knee: 21.45%; foot:9.23%; hip & thight: 9.6%; other site including: leg, shoulder, elbow, wrist were 14.2%. Approximately three fourths of the dancerelated injuries …

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Neonatal Ck Value And Early Detection Of Duchenne Muscular Dystrophy, Yaw-Wei Wei, Chue-Fun Chen Dec 1987

Neonatal Ck Value And Early Detection Of Duchenne Muscular Dystrophy, Yaw-Wei Wei, Chue-Fun Chen

Rehabilitation Practice and Science

Early detection of patients or carrier of Duchenne muscular dystrophy with elevated CK is well documented in the literature. The purpose of this study is to find out normal CK value of cord blood during paripurm, in order to provide a diagnostic reference of DMD. Totally 327 newborn infants were evaluated for the cord blood CK value during paripurm. It revealed the mean CK value was 117.９±61.1IU／(ranged from 31.4to 455IU/1)the mean cord blood CK value of the male newborn was 125.1±69.8IU/1 and that of the female was 110.9±52.9IU/1. It showed a significant sex difference (P＜0.05). There was no definite CK …

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The Excitability Of Spinal Motoneurons In Stroke Patients, Hsin-Ying Chen, Chue-Fun Chen, I-Nan Lien Dec 1987

The Excitability Of Spinal Motoneurons In Stroke Patients, Hsin-Ying Chen, Chue-Fun Chen, I-Nan Lien

Rehabilitation Practice and Science

Thirty hemiplegics and 15normal persons were enrolled in this study. Measuring the recovery time of H reflex by dual stimulation technique to tibial nerve was performed to evaluate the excitability of spinal motoneurons. It was found that the recovery time of H reflex in normal persons and nonhemiplegic sides of hemiplegics was 57.0±27.3 msec and 57.3±21.4 msec respectively. The recovery time of hemiplegic sides was 37.5±12.8 msec and it was very significantly shorter than the normal ones. The shortening of the recovery time showed good correlation with the neurological recovery as well as the spasticity of the patients. These findings …

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A Preliminary Chinese Version Of The Luria-Nebraska Neuropsychological Battery, Nai-Wen Guo, I-Wen Yuen, Tao-Chang Hsu Dec 1987

A Preliminary Chinese Version Of The Luria-Nebraska Neuropsychological Battery, Nai-Wen Guo, I-Wen Yuen, Tao-Chang Hsu

Rehabilitation Practice and Science

Content Subscales C1 to C5 and C9 to C11 the Luria-Nebraska Neuropsychological Battery were revised to make a Chinese version. It was administered to 48 brain-damaged patients of a rehabilitation center. Upon Cheching the difficulty levels of test items and the relative coefficients between items and subscales, we corrected 10 unsuitable items and dropped one. This second revision has 200items and 21 Factor Subscales. Mean scores and SD's of the brain-damaged group for every item and every subscale are presented. Finally, some suggestions for future study and application are made.

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Musculo-Skeletal Problems In Fiddlers, Man-Wen Chen, I-Nan Lien Dec 1987

Musculo-Skeletal Problems In Fiddlers, Man-Wen Chen, I-Nan Lien

Rehabilitation Practice and Science

According to the questionnaries from 72 subjects of fiddle players, of whom 13 examined, the total rate of musculo-skeletal involvement was 80.6%. There was no obvious different rates between total subjects (including person who played piano or other instruments as a chief one) and the subjects who played violin or viola as a chief instrument.The symptoms occurred most frequently on left side. The ratio between left and right side was 1.9: 1.The most frequently involved muscles were trapezius, levator scapulae and serratus posterior superior. This was closely related to the posture of playing.

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Crossed Aphasia: Casereport, Choon-Khim Chong, May-Kuen Wong, Jorie Wu Dec 1987

Crossed Aphasia: Casereport, Choon-Khim Chong, May-Kuen Wong, Jorie Wu

Rehabilitation Practice and Science

Crossed aphasia is defined as the combination of left hcmiplegia (-paresis) and aphasia in a right-handed patient. The incidence of such cases is very low, reported as 0.4%-3.75% in all aphasics. Henderson (1983) reviewed that for the crossed aphasics, the correlation between fluency and infaret localization was similar to that of right-handed aphasics with left hemisphere lesion.A fluent jargon aphasia following a right cerebral infraction developed in a 52-year-old right-handed Chinese woman. She was a case of myxoma in left atrium with sudden onset of cerebral infarction. Computed tomographic scan showed a large infarction in right basal ganglion, temporal and …

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Treatment For Mandarin Agrammatism: Casereport, Shu-Er Lee, Tao-Chang Hsu Dec 1987

Treatment For Mandarin Agrammatism: Casereport, Shu-Er Lee, Tao-Chang Hsu

Rehabilitation Practice and Science

A syntax stimulation program, based upon the syntactic hierarchy of difficulty, was used to treat a thirty year old brain injury patient with severe agrammatism. This program is designed to elicit the basic Mandarin sentence constructions using a story completion technique. With 80 sessions of treatment, the patient's spontaneous speech and picture description showed increased phrase length, use of grammatical onstructions and communication skills. From the preliminary study, this program appears to have therapeutic merit in training syntactic skills of agrammatic Chinese patients.

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Front Matter Dec 1987

Front Matter

Henry Ford Hospital Medical Journal

No abstract provided.

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Aspects Of Endocrinology, Michael Kleerekoper, Raymond C. Mellinger Dec 1987

Aspects Of Endocrinology, Michael Kleerekoper, Raymond C. Mellinger

Henry Ford Hospital Medical Journal

No abstract provided.

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Hypothalamic Hypogonadotropic Hypogonadism In An Adolescent Male: A Rare Manifestation Of Aqueductal Stenosis, Robert J. Wilson, Max Wisgerhof Dec 1987

Hypothalamic Hypogonadotropic Hypogonadism In An Adolescent Male: A Rare Manifestation Of Aqueductal Stenosis, Robert J. Wilson, Max Wisgerhof

Henry Ford Hospital Medical Journal

No abstract provided.

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Pituitary Metastasis: Lung Cancer Presenting As Bitemporal Hemianopsia With Diabetes Insipidus And Anterior Pituitary Deficiency, A. Keith Cryar, Jay Morgan, Jack P. Rock, Max Wisgerhof Dec 1987

Pituitary Metastasis: Lung Cancer Presenting As Bitemporal Hemianopsia With Diabetes Insipidus And Anterior Pituitary Deficiency, A. Keith Cryar, Jay Morgan, Jack P. Rock, Max Wisgerhof

Henry Ford Hospital Medical Journal

Symptoms and signs of pituitary disease are rarely the first manifestations of malignancy originating in another organ. We present a case which exemplifies the key points that suggest a diagnosis of metastatic pituitary disease. Our patient's diagnosis was adenocarcinoma of the lung with a metastasis to the intrasellar and suprasellar regions, which caused diabetes insipidus, anterior pituitary deficiency, and visual field defects. The metastasis had a dumbbell appearance and extended from the sella turcica into the suprasellar region. Diabetes insipidus was the initial clinical manifestation of lung cancer in this patient. A metastasis to the pituitary should be suspected if …

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Naltrexone Does Not Affect Adrenal Steroidogenesis In Women With Hirsutism/Oligomenorrhea, Jeffrey A. Jackson, Thomas J. Wincek, Jose F. Pliego Dec 1987

Naltrexone Does Not Affect Adrenal Steroidogenesis In Women With Hirsutism/Oligomenorrhea, Jeffrey A. Jackson, Thomas J. Wincek, Jose F. Pliego

Henry Ford Hospital Medical Journal

We studied the effects of the oral opiate receptor antagonist naltrexone on basal and ACTH-stimulated adrenal steroid levels in six women with hirsutism/oligomenorrhea and preexisting elevation of serum dehydroepiandrosterone sulfate. One of the six patients met the criteria for partial 3-β-hydroxysteroid dehydrogenase deficiency. No statistical differences were detected in steroid levels or ratios before and after 14 days of 50 mg/day of naltrexone. Thus, we find no support for the hypothesis that opioid peptides acting through opiate receptors (predominantly μ subtype) modulate the abnormal adrenal androgen secretion seen in these women with hirsutism/oligomenorrhea.

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Pregnancy Following Sequential Bromocriptine Therapy In A Hyperprolactinemic Subject, Malachi J. Mckenna, M. Saeed-Uz-Zafar, Raymond C. Mellinger Dec 1987

Pregnancy Following Sequential Bromocriptine Therapy In A Hyperprolactinemic Subject, Malachi J. Mckenna, M. Saeed-Uz-Zafar, Raymond C. Mellinger

Henry Ford Hospital Medical Journal

Regular menses were maintained in a 26-year-old woman with a prolactinoma by sequential bromocriptine therapy given for either five or 14 days of the menstrual cycle. She conceived promptly when desired.

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Prolonged Remission Of Cushing's Disease Following Bromocriptine Therapy, Malachi J. Mckenna, Marc Linares, Raymond C. Mellinger Dec 1987

Prolonged Remission Of Cushing's Disease Following Bromocriptine Therapy, Malachi J. Mckenna, Marc Linares, Raymond C. Mellinger

Henry Ford Hospital Medical Journal

A 33-year-old woman developed hypercorticism of fulminant onset following delivery of a full-term, normal child. An ectopic hormone-producing neoplasm was excluded by extensive studies. Pituitary dependent hypercorticism of intermediate lobe origin was suggested on the basis of onset following pregnancy, failure of Cortisol suppression by high-dose dexamethasone, hyperresponsiveness of prolactin to thyrotropin-releasing hormone stimulation, and reduction in adrenocorticotropin titers following oral administration of bromocriptine. Initial remission of disease achieved with bromocriptine was followed by recurrence on discontinuation of the agent. However, complete remission which occurred following a prolonged course of bromocriptine has persisted for a total of 22 months.

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Hyperthyroidism Due To A Thyrotropin-Secreting Pituitary Microadenoma, Jeffrey A. Jackson, Mitchell Smigiel, John F. Green Jr. Dec 1987

Hyperthyroidism Due To A Thyrotropin-Secreting Pituitary Microadenoma, Jeffrey A. Jackson, Mitchell Smigiel, John F. Green Jr.

Henry Ford Hospital Medical Journal

A 52-year-old man presented with elevated thyroid hormone levels and an inappropriately normal serum thyrotropin (TSH) (4.0 μU/mL: normal 0.5 to 6.0 μU/mL). Computed tomography suggested an intrasellar mass without radiographic sellar enlargement. Serum alpha-subunit was elevated with flat responses of both alpha-subunit and TSH to thyrotropin-releasing hormone. Transsphenoidal adenomectomy resulted in clinical and biochemical cure with subsequent development of hypothyroidism with otherwise preserved anterior pituitary function. Pathologic studies demonstrated an 8 mm typical thyrotroph cell adenoma. Early diagnosis of such tumors requires a high index of clinical suspicion and may be facilitated in the future by utilization of highly …

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Comparison Of Four High-Sensitivity Immunoradiometric Assays For Thyrotropin And Results Of Preliminary Clinical Studies, Malachi J. Mckenna, Earl Goad, Mohini Pimputkar, Carolyn S. Feldkamp Dec 1987

Comparison Of Four High-Sensitivity Immunoradiometric Assays For Thyrotropin And Results Of Preliminary Clinical Studies, Malachi J. Mckenna, Earl Goad, Mohini Pimputkar, Carolyn S. Feldkamp

Henry Ford Hospital Medical Journal

New immunoradiometric assays (IRMAs) that detect low concentrations of thyroid-stimulating hormone (TSH) have recently become available for routine diagnostic use. These new assays have the putative advantage over conventional radioimmunoassay in that they can distinguish hyperthyroidism from euthyroidism by the finding of a serum TSH below the normal limit. In the present study we sought to evaluate four of these kits according to analytical performance characteristics and clinical utility. All IRM As could detect TSH at a concentration substantially below the lower limit of normal and thus effectively identify hyperthyroid samples. Although differences in the performance characteristics were found, all …

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Primary Hyperparathyroidism And Associated Neoplasms, Angelos A. Kambouris, Mohammed R. Ansari, Gary B. Talpos Dec 1987

Primary Hyperparathyroidism And Associated Neoplasms, Angelos A. Kambouris, Mohammed R. Ansari, Gary B. Talpos

Henry Ford Hospital Medical Journal

No abstract provided.

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Renal Involvement In Type 2 Diabetes Mellitus: A Clinicopathologic Study Of The Henry Ford Hospital Experience, Francis Dumler, Vijay Kumar, Raymond N. Romanski, Pedro Cortes, Nathan W. Levin Dec 1987

Renal Involvement In Type 2 Diabetes Mellitus: A Clinicopathologic Study Of The Henry Ford Hospital Experience, Francis Dumler, Vijay Kumar, Raymond N. Romanski, Pedro Cortes, Nathan W. Levin

Henry Ford Hospital Medical Journal

To better understand renal dysfunction in type 2 diabetes mellitus, we studied the clinical and autopsy findings in comparable cohorts of 108 diabetic and 77 nondiabetic patients. In the diabetic group, no differences were noted between black and white patients in blood glucose concentrations, mean blood pressure, or the prevalence of diabetic glomerulosclerosis. However, the prevalence of renal insufficiency was significantly greater (P = 0.002) in black diabetics (58%) than in white diabetics (35%). black controls (28%), and white controls (20%). Logistic regression analysis demonstrated a significant association of renal insufficiency with diabetes (P = 0.006) and race (P = …

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Effects Of Weight Reduction, Exercise, And Diet Modification On Lipids And Apolipoproteins A-L And B In Severely Obese Persons, J. David Fachnie, Craig C. Foreback Dec 1987

Effects Of Weight Reduction, Exercise, And Diet Modification On Lipids And Apolipoproteins A-L And B In Severely Obese Persons, J. David Fachnie, Craig C. Foreback

Henry Ford Hospital Medical Journal

We assessed the lipid and apolipoprotein effects of hypocaloric dieting, increased physical activity, and dietary modification in severely overweight adults (body mass index [BMI] 43.05 kg/m-). The 34 women and four men enrolled in the ambulatory weight control program donated blood before, during, and after hypocaloric dieting (420 kcal/day). Mean values before dieting included cholesterol of 223 mg/dL, high-density lipoprotein (HDL) cholesterol of 43 mg/dL, and cholesterol/HDL cholesterol of 5.90. This placed our subjects at high risk for coronary artery disease. Other values included triglycerides of 138 mg/dL, apolipoprotein A-l of 152 mg/dL. and apolipoprotein B/apolipoprotein A-l of 0.64. Significant …

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Neurobehavioral Symptoms In Mild Primary Hyperparathyroidism: Related To Hypercalcemia But Not Improved By Parathyroidectomy, Gregory G. Brown, Richard C. Preisman, Michael Kleerekoper Dec 1987

Neurobehavioral Symptoms In Mild Primary Hyperparathyroidism: Related To Hypercalcemia But Not Improved By Parathyroidectomy, Gregory G. Brown, Richard C. Preisman, Michael Kleerekoper

Henry Ford Hospital Medical Journal

The neurobehavioral symptomatology of severe primary hyperparathyroidism (PHPT) has been thoroughly described. Less is known about more mild cases. We evaluated 34 patients with mild PHPT and followed 19 for an average of six months. Of those cases followed, ten had parathyroidectomy (PTX). Patients with no neurobehavioral abnormalities had the lowest serum calcium levels (10.9 ± 0.88 mg/dL), patients with signs of affective disorder had intermediate levels (11.25 ± 0.66 mg/dL), and patients with signs of cerebral dysfunction had the highest levels (12.17 ± 1.17 mg/dL). Serum calcium significantly correlated with motor speed, psychomotor speed, fluid intelligence, and short term …

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Management Of Extramedullary Plasmacytomas, James A. Bonner, Jadranka Dragovic, Michael P. Abrash Dec 1987

Management Of Extramedullary Plasmacytomas, James A. Bonner, Jadranka Dragovic, Michael P. Abrash

Henry Ford Hospital Medical Journal

From 1965 through 1982. 12 patients with solitary, biopsy-proven extramedullary plasmacytomas (EMPs) were treated at our institution with surgery alone or biopsy followed by radiation therapy. The median age of the patients was 67 years, and the median-follow-up was 58 months. Of the seven patients who were treated by primary surgery, three developed recurrent or distant disease. Five patients underwent biopsy followed by radiation therapy, and none of their tumors progressed. Our series and a review of the literature show that occasionally EMPs will incompletely regress even after high doses of radiation (greater than 65 Gy); however, we recommend that …

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T-Cell Lymphoma In Renal Transplant Recipient, Koichi Maeda, Leslie Bricker, Chan K. Ma, Michael J. Deegan Dec 1987

T-Cell Lymphoma In Renal Transplant Recipient, Koichi Maeda, Leslie Bricker, Chan K. Ma, Michael J. Deegan

Henry Ford Hospital Medical Journal

A 35-year-old woman, who had a renal transplant flve years ago, developed malignant lymphoma of the mediastinum. The lymphoma was of lymphoblastic type and had T-cell immunophenotype. Most transplant-related lymphomas are of B-cell type. T-cell lymphoma in this setting is extremely rare, and the mechanism of development may be different from that of B-cell lymphomas.

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An Overview Of Magnetic Resonance Imaging Of The Appendicular Musculoskeletal System, Sharon C. Siegel, Allan M. Haggar, Jerry W. Froelich, Burton I. Ellis Dec 1987

An Overview Of Magnetic Resonance Imaging Of The Appendicular Musculoskeletal System, Sharon C. Siegel, Allan M. Haggar, Jerry W. Froelich, Burton I. Ellis

Henry Ford Hospital Medical Journal

No abstract provided.

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Unusual Lymphomas Developing In Chronic Lymphocytic Leukemia, Sundara B. K. Raman, Sheikh M. Saeed, Joseph P. Abraham Dec 1987

Unusual Lymphomas Developing In Chronic Lymphocytic Leukemia, Sundara B. K. Raman, Sheikh M. Saeed, Joseph P. Abraham

Henry Ford Hospital Medical Journal

We report three patients with chronic lymphocytic leukemia (CLL) who developed malignant lymphomas of unusual character and modes of presentation. Two of the patients had received low doses of chlorambucil for several years before they developed malignant lymphoma, diffuse, large cell type (LCL). In one of these patients LCL manifested as a grossly evident osteolytic lesion. In the second patient LCL developed initially as a localized lesion in the iliac bone. Both patients died within a few weeks after LCL was diagnosed. The third patient, who was found to have CLL during a routine examination, did not receive any therapy …

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Primary Aldosteronism At Henry Ford Hospital In The 1980s, Max Wisgerhof Dec 1987

Primary Aldosteronism At Henry Ford Hospital In The 1980s, Max Wisgerhof

Henry Ford Hospital Medical Journal

This report describes the experience with the diagnosis and treatment of primary aldosteronism at Henry Ford Hospital since 1980. Of the 28 patients who received the diagnosis. 13 had unilateral primary aldosteronism and 15 had idiopathic hyperaldosteronism. Individual cases are used to demonstrate clinical points. The clue to the presence of primary aldosteronism in a hypertensive patient is hypokalemia. The diagnosis is established by showing 1) high plasma aldosterone after intravenous saline or high urinary aldosterone after treatment with sodium chloride orally, and 2) low stimulated plasma renin activity. Treatment with potassium supplement should be given during the testing. Unilateral …

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Obstructing Giant Pseudopolyposis Of The Colon In Ulcerative Colitis, Roberta E. Sonnino, Farouck N. Obeid Dec 1987

Obstructing Giant Pseudopolyposis Of The Colon In Ulcerative Colitis, Roberta E. Sonnino, Farouck N. Obeid

Henry Ford Hospital Medical Journal

Pseudopolyposis of the colon is a well-recognized local complication of ulcerative colitis. Giant pseudopolyposis is uncommon, and its presentation as a complete obstruction of the colon is a rare occurrence. We report such a case, where retrograde flow of barium on double-contrast barium enema was completely obstructed at midtransverse colon. After resection by total abdominal colectomy, pathology examination ofthe specimen confirmed massive pseudopolyposis without malignancy. A brief review of the pathology and current literature is presented.

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Melvin A. Block, Md, Gary B. Talpos Dec 1987

Melvin A. Block, Md, Gary B. Talpos

Henry Ford Hospital Medical Journal

No abstract provided.

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