In 1700, the French surgeon Alexandre de Littré described for the first time a new form of inguinal hernia. This hernia varied from the known forms of hernias in its clinical course and in the postmortem examination results performed by Littrè himself. The characteristic feature of this hernia was the fact that the entire circumference of the bowel wall was not part of the hernial sac, but only the antimesenteric part of the intestinal wall. The underlying pathomechanism was explained 100 years later by Meckel. In a scientific paper about hernias some years earlier, Richter described the intestinal wall hernia, and this initiated the confusing use of the clinical entity known as the Richter-Littré hernia in Germany. In this case report we describe the historic development of this entity.
The emergency therapy predominantly consists on the one hand in rehydration and parallel stimulation of diuresis. Urgent surgery is required if conservative therapy is not successful.
ZusammenfassungDie lokale Thrombophlebitis superficialis der unteren Extremitäten gilt in der Regel als harmlos. Diese allgemeine Bagatellisierung kann aber für einen Teil der Patienten schwerwiegende Konsequenzen haben. Zum einen können Malignomerkrankungen, die sich indirekt als Thrombophlebitis saltans manifestieren, übersehen werden. Zum anderen treten durchaus Lungenembolien auf, insbesondere wenn der Thrombuszapfen vom epifaszialen in das subfasziale Venen-system aszendiert. Wir führten in einem Zeitraum von zwei Jahren bei fünf Patienten mit einer Progressionsthrombose der V. saphena magna und frei flottierendem Thrombus in der V. femoralis communis eine Thrombektomie, Krossektomie und partielle Saphenaresektion durch, um somit eine Lungenembolie zu verhindern.
Individuals who are seropositive for the human immunodeficiency virus (HIV) often suffer from disorders affecting the anorectum, but unfortunately the best kind of treatment frequently seems questionable. In a retrospective investigation we reviewed 29 HIV-positive patients with anorectal lesions who had experienced a proctologic operation. Our impression correlates with other findings according to which HIV-positive patients in advanced stages have a poorer post-operative outcome in terms of morbidity and survival than patients in an early CDC disease stage. This implies that the indication for a proctologic operation in an immunocompromised state has to be considered carefully.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.